Notes altered

[Hoorah]

I have a question. My VA doctor wrote in my notes about a type of possible treatment about 6 months ago. I read the notes, and had an appointment the other day with this provider, and I brought up the notes about the treatment.  This doctor was absolute about not doing that treatment. Acting like no way. After the appointment I went online and checked myhealthevet notes. The notes were changed taking the treatment out, and was wrote that it is not available. So obvious!

I know that standard procedure is a provider will write an addendum on a note. I know a veteran can petition thru the Privacy FOIA Officer to have a doctor change the notes. The privacy officer said that if a doctor signs notes its final and they can't go back in an change notes. It was changed does anyone know, if or how a provider can go in and change the notes? Maybe an Admin edit or their Chief Medical (supervisor) change it?

[brokensoldier244th]

Its also possible that the treatment discussed 6 months ago isn't doable now to do budget, staffing, formulary changes, lack of community care options- any number of things. Several months ago Hydroxychloroquine was supposed to be the cats pajamas, too. That lasted about 2 months. 

[Hoorah]

I'm not worried about the treatment that was listed. I'm trying to find out how or if the notes where able to be changed.

[brokensoldier244th]

Unless someone in here works for VAMC I don't know that you are going to get an answer to your question. I know that I can't change anything when Im logged into Capri directly into a VAMC. 

[Buck52]

1 hour ago, Hoorah said:

I have a question. My VA doctor wrote in my notes about a type of possible treatment about 6 months ago. I read the notes, and had an appointment the other day with this provider, and I brought up the notes about the treatment.  This doctor was absolute about not doing that treatment. Acting like no way. After the appointment I went online and checked myhealthevet notes. The notes were changed taking the treatment out, and was wrote that it is not available. So obvious!

I know that standard procedure is a provider will write an addendum on a note. I know a veteran can petition thru the Privacy FOIA Officer to have a doctor change the notes. The privacy officer said that if a doctor signs notes its final and they can't go back in an change notes. It was changed does anyone know, if or how a provider can go in and change the notes? Maybe an Admin edit or their Chief Medical (supervisor) change it?

Unless you made copies while the note was not ''altered/''changed ''or ''taken out''   then you really have no proof...without proof(evidence) then your dead in the water.

I always make copies from my healthyvet notes  when I think something is up or just weird   I make copies incase they deny saying something they said and deny it.   I just put those copies in a folder here at home incase something ever comes up..and the Dr denied it  I have my evidence they said it.

Nothing should ever be erased or taken out from our medical records   the addendum  can be written out to make any changes.  by the attending  Dr.  and I believe they must inform the Veteran.

*Note  when a Veteran sees a VA Dr. For his redular schedule appointment or a specialty Clinic Appointment. Wait 3 days and then check these appointments to see what all these Dr mention...if you have a disagreement  make copies of the Dr's Notes...then you have what was said before any changes  that might be made.

You also can use Instant messaging on myhealthyvet  for a paper trail.  do not delete these messages.

[brokensoldier244th]

I love myhealthvet- Its not a Cfile but its a great papertrail and I download from it probably once a month (if I need to) and save as encrypted PDFs. My external drive could hold all the notes for probably about 50 of us going back forever, and I have it cloud uploaded into an encrypted space that I pay for (pretty cheap, actually). Should I die, all my VA treatment, scan of my Cfile (as it existed the last time I requested it), and a few pages of UN/PW for sites/social media (for deletion), VA log ins, Email addresses, and PH numbers are all there. I set it to respond directly to my wife's details so even if she forgets the UN/PW she can still get in. Morbid, I know, but still, its the same as  any of you that practice EDC (every day carry) or pack a GTH bag. Preparation is everything. You never want to have to use it. 

Thus endeth the lesson......go forth, sin no more......and also with you........

 

 

[DLLBoatwright]

Yes they can delete or change notes, I was skimming through my Problems List and realized that a diagnosis was gone...I have been getting treatments and on medication for a ailment for about 2 yrs and it's no longer in my VAMC Records, well the good thing for me, I made copies. And will continue to do so as long as I am getting treated at the VAMC.