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Can doctor make negative note in MEDICAL RECORDS?

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Hello, I am in mid 50's , female & have been diagnosed with Lewy Body Dementia for 3 years. Due to Parkinson symptoms associated with this illness, I have been on lowest dose Percocet for 3 years.
My neuro and internist are all on board with this regimen. 1 year ago, I saw a local neuro (not my specialist who is in another state). During this time, a pharmacy tech mistakenly reported to local neurologist that I was on additional pain meds. I was not. The lead pharmacist apologized profusely to me.
Now, I need palliative care for this terminal illness. The MD who was going to take my home care case has not shown up or returned our calls. My fear is that there is some kind of negative ( and very incorrect) note on my medical record. My question is: are doctors allowed to note your medical record in a negative way on an integrated system, that can potentially be seen by all physicians?
Thank you

Category: Psychiatrist

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Hello
Thanks for posting your query at DoctorSpring.com
I have gone through your quesdtion in detail and I can understand what you are going through.
Its very unfortunate that such an incident has happened with you. I understand that the doctor who was supposed to visit has not visited you, but there could be some other reasons as well. You can probably call up again and speak to him.
Regarding the medical records, yes the medical records are an open document and is visible to all the doctors whome you consent to get shown to. Legally the doctor who has noted the negative comment, can do so what he has done. But humanly, if there is a doubt he could have avoided making the note. But as I said, legally he is not wrong.
The pharmacist who had apologized to you, you can get a written apology from him and keep it wioth yourself as a proof for further consultation. One of my known patients had done the same and she somehow managed well with most of the consultations.
Hope this helps.
If you have further query, do let me know.
Kind regards,
Dr. Srikanth Reddy


Dr. Srikanth Reddy
Category: Sexologist
Experience: 
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
Dr. Srikanth Reddy and 4 other Medical Specialists are ready to help you

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