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Personal Medical Records

Maintain Your Own Copy of Your Medical History

© Kathy Quan

Take responsibility for your own health status by keeping an up to date copy of your personal health information.

One of the big lessons we learned in the early aftermath of Hurricane Katrina was that thousands of people found themselves not only homeless, but without their life sustaining medications. Compounding this problem was the fact that many of these people didn't know what drugs they were taking, nor did they know why.

With medical offices and pharmacies out of commission from the storm, access to the information was impossible. Hundreds of people died or suffered severe complications of their medical conditions because of the delays in diagnosing and treating without access to these medical records.

An accurate and complete medical history can help a physician diagnose and treat a new symptom or condition far better than a physical examination and costly tests.

Patient responsibility in health care today demands that patients be informed and educated about their health status. It is vital for patients to understand their medical history, know the medications they routinely take, and the risks and potential symptoms to look for.

Everyone should have a basic medical history in their possesion, and keep a copy in a safe place away from their own residence. This should include the following demographic information:

  • Your full name
  • Date of birth
  • Sex
  • Your address and phone number(s) (home, work, cell)
  • Health insurance information (make a copy of both sides of your card(s) and attach)
  • Emergency contact person (next of kin and/or neighbor)
  • Person with Power of Attorney for Health Care (attach a copy of your directives)
  • Name and phone number of your primary health care practitioner
  • Name and phone number of your dentist
  • Name and phone number of your pharmacy
  • Names and phone numbers of all specialty health care practitioners (include chiropractor and other alternative medicine practitioners)

Keep a Current List of :

  • All known ALLERGIES (medication allergies should list the reaction you had and when)
  • All medications you take include the dosage and frequency including vitamins and supplements
  • All OTC (over-the-counter) medications you take (i.e. for headache, mild pain, constipation, diarrhea)
  • Dates of all vaccinations
  • All current medical diagnoses
  • History of symptoms such as chest pain, shortness of breath, hypo/hyperglycemia, indigestion
  • Past illnesses including childhood illness
  • All surgeries and dates
  • Any broken bones and dates
  • Treatments such as chemotherapy, radiation, clinical trials, electric shock, etc. and dates
  • Females: last menstrual period, number of pregnancies: live births, still births, miscarriages
  • last PAP smear, mammogram, bone density
  • Males: PSA and prostate exam
  • Do you smoke? Have you smoked in the past? How many/day?
  • Do you consume alcohol (how much and how often)
  • Do you use street drugs (what and when?)

Also list your risks for disease due to family history of certain high profile diseases: (include who and when diagnosed)

  • Diabetes
  • Cancer
  • Heart Disease
  • Kidney disease
  • Arthritis
  • Neuromuscular diseases

If you have Advance Directives attach a copy to this document.

Ask your primary health care practitioner for copies of results latest blood work or other tests and attach them. Keep this information updated.

You should also keep a list of your medications and health care practitioners in your wallet

Email a copy of this information to yourself at an Email address with web access such as Gmail, Yahoo, Hotmail, etc. Save the file in your archives and keep it up to date. Keep a copy of this information in your personal emergency/disaster kit.


The copyright of the article Personal Medical Records in Public Healthcare Issues is owned by Kathy Quan . Permission to republish Personal Medical Records in print or online must be granted by the author in writing.



Comments
Jun 10, 2007 12:08 AM
redback :
Hi Kathy

Your 'basic' list is very comprehensive. But I'm the one who bewlieves my health is too important to leave to the doctor so I do empathise. :)

Even with the best of intentions, the doctor sometimes writes "vague historian" when seeking medical background. The patient won't or can't recall. What you suggest, is akin to a ready reckoner or memory jogger. And having a computer memory stick to hand over must help. But unless scanned or copied reports are produced, it's still only a casual history that needs proper clinical checking.

By the time I get around to it, sometimes I've forgotten the details of onset of problems for example. And I'm not sure I'm going to have the discipline to maintain the register you suggest. Depending on one's chronic health, updating it may be more onerous than required to help the doctor. And keeping it solely for one's own personal health journal needs balance for mental health's sake.

I'm sure they're guesstimating a whole lot of consequences coming out of Katrina and that's a good thing. The aim is to lessen the impact. Maybe, some enterprising person can come up with a simple software program or online proforma that targets this info or another a waterproof, fireproof cheap container. One doctor I go to keeps it all on computer, scans reports etc so provided his practice is not flooded out, it saves me.
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