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Emperor1956 -> RE: Bruising, etc. when seen by your GP ! (6/5/2008 10:37:41 PM)
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FR: It is always so much fun to read a thread on CM with loads of really shitty advice. Especially from a few of the famous CM "experts" -- well if SO and SO says "TELL YOUR MD EVERYTHING" she must be right. Yah. I think it is so funky and groovy that you all are upfront with your doctors -- indeed you get right in their faces it seems and challenge them with how kinky you are. So it won't bother you to learn that:
1. Any competent physician will have to make a choice about whether to chart your statements and note the bruises. You have no real say in how much he or she charts - physicians are legally responsible to chart relevant medical history. And is your D/s behavior relevant? Well, that's a difficult one. But generally, doctors are taught to chart everything a patient brings to the encounter, and I'd think most would find sexual behavior noteworthy. So your doctor makes a few notes about your spanking sessions and voila -- we have a near permanent record of your spanko behavior.
Now that medical chart will live on your entire life -- and sometimes after your life. Sure, there is the HIPAA statute and state confidentiality laws that "protect" your medical records. Uh huh. I bet you want your kinky life documented and don't mind relying on a fairly-difficult-to-enforce law to stop folks from misusing your medical records. Its written down, now, people. Its permanent. ALL of it. That you are into kink (in what detail you provide). WHO you are kinky with, if you discussed that. Lots of information that you might otherwise choose to keep from folks. And yes, people do access medical records illegally and do use the information wrongfully. And the legal recourse is shutting the old barn door long after Flicka has vanished.
2. Of course a whole bunch of people can access your record without any risk of violation. For instance, nearly EVERY EMPLOYEE of your physician may have access to your medical chart -- not just your doctor, but her nurses, medical assistants, billing clerks, office manager(s), consultants, etc. And should you someday go into the hospital, then your chart -- with the diary of "How I got my ass beaten" can become fair game for literally hundreds of folks. (For what its worth, I could read the medical charts of about 100 patients per day, seven days a week, in various Chicago-area hospitals if I chose to (I don't. I think it would be unethical. But my job -- and I'm not a doctor -- gives me a legal right to do so). OH...did I mention insurers? A couple of dozen folks there with nearly unfettered access. Your employer? Maybe, depending on the nature of the work and what information you give. Quality control reviewers? State agents? And if you or your spouse are in the military, the relevant CO. Of course you hip and in-your-face folks won't mind any of those folks reading your chart, will you?
3. Oh, a brief aside -- should you some day have ANYTHING happen to you that requires review of your medical history for legal purposes (litigation from a car accident ? An employment dispute in which your alleged disability or work-related injury is focused upon? A will contest? A criminal proceeding where your health is at issue? etc.) you of course won't mind that your medical records will be at minimum disclosed to the lawyers and parties in the suit, and may be disclosed in the course of the legal proceedings to the jury, or may find themselves part of a permanent, easily accessible court file. And you won't mind that your kink could become an issue in the case, right? Because you are hip and in your face about loving how kinky you are, right?
4. Finally, as leatherist pointed out, every state has laws mandating physicians report "abuse" of various types -- child, elder, and in some instances suspected spousal abuse. Now two things -- the pressure in the system is on the doctor to disclose. Failure to disclose if discovered can result in discipline or loss of license. MOREOVER, reporting in good faith results in immunity from retaliation for the doctor, so if he or she thinks you are abused, and can defend it, you might become a social welfare case for the state. That means, if you still don't get it, that your doctor is encouraged to report "abuse" and protected from your anger if he or she does so.
And of course, you hip and groovy types won't mind being ground down by the fairly inept and very powerful forces of "family and children" welfare, having your ums taken from you (clearly you are an unfit parent) and possibly having that person who beat you subject to prosecution because they were the "agent" of the "abuse". Yah, its extreme, and I would hope that it wouldn't every go that far, but in fact it has. And all because you couldn't keep your mouth shut about the beating you got last night before you went to the doctor.
If it isn't directly medically relevant, your physician doesn't WANT to know and doesn't NEED to know. Shut up.
E.
Edited to add: The original poster was a gentleman from the UK. I don't know how much of my advice applies there, as my thread was based on USA law. But I bet the same general principles govern the law of most modern countries. Still, when dealing with legal stuff, remember that this post isn't legal advice, I'm not your lawyer, and I don't want to know about your spanko behavior, even if I don't write it down.
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