Viewing 15 posts - 1 through 15 (of 21 total)
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  • #952
    Nora
    Participant

    Ok so if Carly and Bo break up which we all know is more than likely  going to happen,  what’s going to happen to Carly?   Is she scheduled long term on the show or what??  I actually enjoyed her and Chloe actually being civil to one another today!   I wish they wouldnt find out.  or have Chloe tell Carly it was phillip she slept with and it would destroy Melanie if Carly told.   I think that would stop Carly dead in her tracks!  

    #15170
    casey
    Participant

    Chloe’s kid is Dan’s. I’m thinking it has to be Phil (though such a stretch with his past fertility problems).
    I do predict a lot of fallout with C&D, P&M and even Steph and Nathan breaking up. Carly, meanwhile will also split from Bo and gravitate toward Doc Dan which should make Mel happy.

    #15171
    53tdogs
    Participant

    some one will mess with the test results (when has that ever happened in Salem) and we may not know for months yet.  You know how they like to drrrrrrrrrrrrrraaaaaaaaaag a SL out…we’ll all be chomping at the bit by the time we know.

     

    Edit: This was suppose to go under Casey’s post (but it’s late and my fingers won’t type the way I tell them to).

    #15180
    Patti
    Participant

     Stephanie who finds out that Phil and Chloe had sex and that’s the reason he’s been so nervous around her.  She knows that he knows that she knows…..well, you get my drift.  They both would be on the road to hell in a handbasket if it turns out to be Phillp’s child — against all odds or not.  Remember yesterday when Phillip came to Steph and Nathan’s apartment and said he had some hospital business to discuss with Stephanie?  What kind of business can that be — is she some sort of new administrator that would be included in board meetings and administrative planning?  Or, is he going to come clean and have Steph help by somehow changing the test results.  If so, it would have to be quick, because Carly will see to it that those test results come quickly and directly to her.  So, my guess is insecure Stephanie will team up with sneaky, snakey Phil and change those results if it’s his kid.  (God, these plots and stories are soooooooo predictable.) 

    #15212
    Bonbon
    Participant

    they are not at University Hospital so Stephanie would not be able to do anything with the results.

    #15218
    Patti
    Participant

     I’d be willing to bet she’s going to be the saboteur.  I just hope she hurries.  Anything would justify getting Chloe and this story either off-screen or out in the open.  Truth be told, I think she’s going to get away with it; and once again Philip will be giving up his child.  He’s as pitiful as she is to me right now.  

    #15280
    casey
    Participant

    was there something about Mel being asked to work at St. Mary’s? Maybe that’s how this will all play out?

    #15281
    SW
    Participant

     but she didn’t seem to be interested.   Why they would want her if they knew that she just broke  the  hippa (?spelling) rules by telling Daniel why the patient of Carly’s was there.  And the student nurse that told her should also have been fired or at the very least reprimanded.  

    #15284
    53tdogs
    Participant

    the patients, so much.  I’ve been reading about HIPPA* (and my physician told me also), that all patient records are going to go electronic under the guise that if you need to go to emergency room, they automatically can access your private records.  NOT really something I want out in space to be able to be hacked into – no matter how secure they say it is – remember the Pentagon, banks, the military Commander-in-Chiefs all and more have been hacked

    That being said, the student nurse, at St. Mary’s or what-ever the hospital was called, AND Mel (who is still a student nurse last I heard), should both have to give up their careers for giving out that kind of info. 

    A few months ago, I recommened a friend to my family doctor, she made an appointment and went the same week to see my doctor.  I had an appointment with my physician the same week, I mentioned to my doctor that my friend was coming into see her that week, and my doctor said she couldn’t acknowledge even that she had an appointment with my friend.

    *The Health Insurance Portability and Accountability Act (HIPAA) of 1996 (P.L.104-191) [HIPAA] was enacted by the U.S. Congress in 1996. It was originally sponsored by Sen. Edward Kennedy (D-Mass.) and Sen. Nancy Kassebaum (R-Kan.). According to the Centers for Medicare and Medicaid Services (CMS) website, Title I of HIPAA protects health insurance coverage for workers and their families when they change or lose their jobs. Title II of HIPAA, known as the Administrative Simplification (AS) provisions, requires the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers.

    The Administration Simplification provisions also address the security and privacy of health data. The standards are meant to improve the efficiency and effectiveness of the nation’s health care system by encouraging the widespread use of electronic data interchange in the U.S. health care system.  Yada-yada-yada – etc., etc.  Scary.

    #15286
    Bonbon
    Participant

    I personally think it’s a good idea to have your records centralized and available to all health personnel.  Because I was born a lemon, I have an extensive health record.  Because of that, I carry a piece of paper with all the drugs I take, every time I have been hospitalized, all my doctors, my family history, etc.  I have to do that because I can’t remember everything from the past 70 years.  And every single time I use it – without fail – the doctor, nurse, whatever, has thanked me profusely and said how much they wish everybody would do that.

    In 2007 and 2009 I had to have emergency abdominal surgery.  Since I was out of it, if it hadn’t been for that list I carry, they would not have know my history, which was extremely pertinent to know at that time, or what drugs I was on, also very important.  And you can imagine how important it would be in case of a serious accident.  Even if you’re not unconscious, you’re in an emotional state that makes those things difficult to remember, no matter how important they may be.

    Another example is my son who, at the age tender age of 36, had to have a pacemaker implanted.  Five years later he had just begun going to the VA in Florida for another problem so they didn’t have any of his past records (all back in California) and there were small things that had occured in his past that were relevant to his care that he hadn’t even thought about that finally came to light and helped in his further treatment.  He almost had an MRI until someone just happened to mention pacemaker (fairly unusual for someone that age) and ultimately prevented a potential disaster.

    Although nothing can be 100% secure, the information will not just be out there for anyone to look at.  It will be essentially password protected and only available upon your permission.  Besides, anything you’ve been treated for now is already available through insurance companies records.

    So I think it’s something who’s time has come and we will all benefit greatly from it.  But…different strokes, of course.  (I also am for a standardized national ID card.)

    #15287
    DeeLan
    Participant

    Working in health care for 30 years and being around before and after HIPAA.  It was first thought that it meant that doctors and other health care facilities and personal couldn’t sell your information to outside sources for advertising.  Some would give information to pharmaceutical reps if you were on certain medicaions, etc.  It was actually started due to the impending widespread use of electronic data.

    It was taken out of context and some went overboard and it went on to protect the patient and their information from any and everyone  If you notice that’s when they started closing curtains and doors when talking to patients, you have to give permission for them to even speak to your spouse or children and they are suppose to get permission to leave any information on an answering machine or voicemail. 

    This then went further in that healthcare practitioner can only share information with another practitioner that is necessary for them to do their job.  So, if you were going to Physical Therapy they are only to share what information the therapist needs but are forbidden to go into your medical history that is not pertinent such as if you’ve had any STD’s in your past.  That information might be required if you were seeing a neurologist though. 

    When I worked at the hospital they set security on the computer systems and everyone had to log in to view patient information.  Based on your department you were limited to certain files only.  The psych ward was off limits to most department but the I worked in Respiratory Therapy and we would treat patients in that area and do our charting and billing in another area so we had to have access to those files.  Even if you had access to the files in that area they could tell what files you were looking at and if it was a patient not receiving our services we were disciplined and often fired for use of that information.

    The Department of Health and Human Resources has a detailed history and ammendments made to the act.  http://www.hhs.gov/ocr/privacy/hipaa/understanding/index.html

    Now you even have to give permission for the doctor or hospital to give the insurance information so they can process and pay your claim.   If paramedics leave a house and a neighbor asks what was wrong they’re not allowed to discuss it or even say which person in the house they were there to see.

    HIPAA was so vague in it’s terms at the beginning that everyone went overboard in order to protect themselvs and not violate the terms of the act. 

    So, in working under HIPAA for many years the nurse at St. Mary’s was violating HIPAA in telling someone who was not treating that patient anything about her, even her name should have been off limits.  Melanie also in violation for asking and then for spreading it around AND Daniel was in violation for trying to force his way into the room that had the curtain closed of a patient who clearly wanted him to stay out. 

     

     

     

    #15288
    53tdogs
    Participant

    by right of the 9th amendment in the Constitution, will always win out in the HIPPA matter, however, I have grave doubts about this. 

    I applaud your foresight and prudence to carry your health history with you at all times.  I also carry a form with pertinent current medical information in my wallet clipped to my driver license as well, (I know several people who do).  To me,  it is a matter of personal responsiblity to advocate for ones own medical care, and not in my opinion, the electrified computer age nanny state to implement this.  More and more each day American’s cede and capitulate their individual liberties to "Big Brother" and eventually such actions will result in our country’s own "1984".

    As for the National ID card – I think that is only a prelude to one world government (and all it’s horrors) and I continue to rail against this travesty with all my being. 

    I doubt the writers in Day’s will do anything as advanced to have the two student nurses and Dr. Dan sanctioned in any way shape or form for invasion of privacy of an individual patient.   

    #15289
    Bonbon
    Participant

    in your opinion, is HIPPA a good thing or bad?

    Although I’m pretty much in favor of the government keeping their noses out of our personal business, I think this is a step in the right direction.

    #15292
    DeeLan
    Participant

    HIPAA is good because it’s suppose to prevent healthcare personnel from discussing you with anyone, even your family without your permission.   I remember how upset my aunt was in the mid 70’s when she was diagnosed with cancer.  She wanted to be the one to tell her husband but the doctor came right out and told him before she had a chance.    I also remember when my brother died in 1977 he had a heart attack on the street at age 39.  It was a coroner’s case since there was no medical history of illness.  My parents were worried they’d find drugs or something because of his age.  The got so upset when a co-worker and friend of my dad’s went to the coroner’s office and got a copy of the report before my parents did.  He had no right asking but back then there was nothing in place to prevent him from getting it except morality and common decency.

    Thank God there was no evidence of drugs of any kind, he had severe hardening of the arteries but it still ruined a friendship between him and my parents. 

    When I applied for SSDI and hired an attorney I had to fill out forms giving her access to my medical records to be able to help me get approved.  Sometimes it’s a hassle but I can see where the good outweighs the inconvenience of remembering who you gave permission to and for what plus signing all the forms.

     

    #15322
    drea4713
    Participant

    I agree the nurse that told Melanie about the procedure should lose her job, but Melanie shouldn’t.  She isn’t working there or have any ethical/professional ties to the situation, IMO.

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