“Your blood pressure is a bit high today. What has it been running for you at home?”
She giggled and grinned at me sheepishly.
“You know, Doc, I don’t check my blood pressure!”
I sighed my exasperated sigh and laughed with her. I knew, but I wanted to make a point.
“I know but if your blood pressure is running this high all the time, we need to start you on meds. If you were checking it at home, I could save you a copay for a follow-up visit….” I trailed off.
A puzzled look had crossed her face.
“But, Doc, I’m already on blood pressure medication.”
No she wasn’t. I had checked her med list before entering the room…
Then I remembered the office visit with the general surgeon the previous week that was on her record. On a hunch I clicked the convoluted series of tabs to pull up the list of deleted meds.
There it was.
Her blood pressure medication had been cancelled on the day of her visit with the surgeon by staff in their office.
We are all on the same electronic health record so they can mess with my med list, my medical and surgical histories, family histories, problems list…. Everything.
And they do.
This is hard for someone like me who will freely admit that I have OCD and control issues.
Cue mustachioed face, spittle, wild eyes, and a dark Victorian suit ensemble: “I just don’t like other people touching my things!!!!” (From the movie Moulin Rouge in case you needed a frame of reference.)
This happens all too often and it worries me. Beyond being a major inconvenience, it is one of the hidden dangers of universal charting.