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Instructions and help about Patient History And Physical Questions
Do doctors actually read the forms that patients are required to fill out (medical history, known allergies, etc.)?Oh, we read them. We base the start of your plan of care on them. As the nurse doing that, I go over everything. The doctor I work for uses it to be sure he covered everything. It's very common to forget something when you have the doctor in front of you. This is my profession and even I do it. We expect you to forget something.Then it gets scanned into your chart, there, forever. I refer back to those forms if, for example, your labs turn up something life threatening and I can't signNow you. Who was that you listed as an emergency contact? Hope it's legible. Heck, I hope it's filled out! ( If it was entered before my time, it might not be. Now, you can't see the doctor without it filled out.)It's so important my practice asks you to re do them every year. Patients hate it, complain about it, loud! But if I had a dollar for every time I couldn't signNow someone in this day and age of fluid phone numbers, why, I'd have several more dogs and we'd all be living somewhere warmer!And…oh, you have another doctor? We didn't know that. And they prescribed what? Did what tests? We don't know if you don't tell us 99.9% of the time. You would be amazed how many patients don't bother to tell their primary care physician such important things like…they went to the ER, had an MRI, see a cardiologist, and..etc and so on. We don't automatically know. We should, but that's another story.Feel that signNowwork is beneath you? Are you too busy to fill it out? I see that every day too. You know what that tells us? That you don't value this very much. That you are so much more likely to be non compliant, not take meds, no show for appointments, maybe fib a little….a lot… your lifestyle choices….how, if you take your meds. I mean, come on, you can't even follow directions to fill out signNowwork! How do you expect us to take you seriously, when from the very start, you don't offer us the same courtesy.If there are any doctors out there, not reading these things, shame on you. But in 30+ years, I have not seen it. As for the doctor asking you about it, well, mine works very hard to get it right. And even the most earnest patients forget something.
Why do patients have to fill out forms when visiting a doctor? Why isn't there a "Facebook connect" for patient history/information?There are many (many) reasons - so I'll list a few of the ones that I can think of off-hand.Here in the U.S. - we have a multi-party system: Provider-Payer-Patient (unlike other countries that have either a single payer - or universal coverage - or both). Given all the competing interests - at various times - incentives are often mis-aligned around the sharing of actual patient dataThose mis-aligned incentives have not, historically, focused on patient-centered solutions. That's starting to change - but slowly - and only fairly recently.Small practices are the proverbial "last mile" in healthcare - so many are still signNow basedThere are still tens/hundreds of thousands of small practices (1-9 docs) - and a lot of healthcare is still delivered through the small practice demographicThere are many types of specialties - and practice types - and they have different needs around patient data (an optometrist's needs are different from a dentist - which is different from a cardiologist)Both sides of the equation - doctors and patients - are very mobile (we move, change employers - doctors move, change practices) - and there is no "centralized" data store with each persons digitized health information.As we move and age - and unless we have a chronic condition - our health data can become relatively obsolete - fairly quickly (lab results from a year ago are of limited use today)Most of us (in terms of the population as a whole) are only infrequent users of the healthcare system more broadly (cold, flu, stomach, UTI etc....). In other words, we're pretty healthy, so issues around healthcare (and it's use) is a lower priorityThere is a signNow loss of productivity when a practice moves from signNow to electronic health records (thus the government "stimulus" funding - which is working - but still a long way to go)The penalties for PHI data bsignNow under HIPAA are signNow - so there has been a reluctance/fear to rely on electronic data. This is also why the vast majority of data bsignNowes are signNow-based (typically USPS)This is why solutions like Google Health - and Revolution Health before them - failed - and closed completely (as in please remove your data - the service will no longer be available)All of which are contributing factors to why the U.S. Healthcare System looks like this:===============Chart Source: Mary Meeker - USA, Inc. (2011) - link here:http://www.kpcb.com/insights/usa...
How can I deduct on my Federal income taxes massage therapy for my chronic migraines? Is there some form to fill out to the IRS for permission?As long as your doctor prescribed this, it is tax deductible under the category for medical expenses. There is no IRS form for permission.
How exactly does the IV therapy work in curing illnesses? Do medical doctors recommend this form of alternative treatments to their patients?First you need to understand what IV therapy is.IV is nothing but intravenous. That is “into the veins”IV therapy involves injecting a fluid directly into the blood.What is that fluid?Normal saline, which has the same concentration as our plasma. Normal saline contains NaCl.So, why should we inject NaCl into patient’s body?When there “hypovolemia” i.e. decrease in the volume of blood, usually blood is given. But when blood is not immediately available, this IV therapy can be given.When there is dehydration, that is loss of water from the body.When there is excessive loss of fluids, electrolytes will also be lost. To replace electrolytes, IV is given.Now, if we talk about IV administration of drugs, here, drugs are injected directly into the veins.When is IV drug given?When there is any kind of emergency and the drug has to act immediately, IV route is chosen.For those drugs, which can undergo extensive metabolism when given in oral route. Remember metabolised drugs become inactive. These type of drugs when given in IV route signNow their site of action in the active form.When the drug is unpalatable. That is when the drug in form of tablet or syrup cannot be consumed because of unbearable taste.For better patient compliance. That is when we ask a patient to take some tablet thrice a day, there is a chance that he may skip the medications out of negligence or boredom. Hence IV is of great use in such patients.For those patients are unconscious and cannot take a tablet or syrup.Here are some situations where IV is not preferred.When the drug has narrow margin of safety. That is little less is ineffective and little more is dangerous. Such drugs are not recommended intravenously since it is difficult to control the level of drug once injected.Without any indications mentioned above, IV is not given.Hope it is informative.
Is it legal in Illinois for a potential employer to ask you to fill out and sign medical health history forms before you are hired? I was under the impression these were documents you filled out with HR after you had the job.I’m not an attorney or at all familiar with employment laws in Illinois, so my answer is more a comment than a direct answer to the question.At the federal level, the US Equal Employment Opportunity Commmission had the following to say on the subject.An employer may not ask a job applicant, for example, if he or she has a disability (or about the nature of an obvious disability). An employer also may not ask a job applicant to answer medical questions or take a medical exam before making a job offer.An employer may ask a job applicant whether they can perform the job and how they would perform the job. The law allows an employer to condition a job offer on the applicant answering certain medical questions or successfully passing a medical exam, but only if all new employees in the same job have to answer the questions or take the exam.Once a person is hired and has started work, an employer generally can only ask medical questions or require a medical exam if the employer needs medical documentation to support an employee’s request for an accommodation or if the employer has reason to believe an employee would not be able to perform a job successfully or safely because of a medical condition.There appears to be a line on exactly what type of medical related questions can or cannot be asked, but I can’t comment on permissible or forbidden questions with any authority.Footnotes Pre-Employment Inquiries and Medical Questions & Examinations
How much will a doctor with a physical disability and annual net income of around Rs. 2.8 lakhs pay in income tax? Which ITR form is to be filled out?For disability a deduction of ₹75,000/- is available u/s 80U.Rebate u/s87AFor AY 17–18, rebate was ₹5,000/- or income tax which ever is lower for person with income less than ₹5,00,000/-For AY 18–19, rebate is ₹2,500/- or income tax whichever is lower for person with income less than 3,50,000/-So, for an income of 2.8 lakhs, taxable income after deduction u/s 80U will remain ₹2,05,000/- which is below the slab rate and hence will not be taxable for any of the above said AY.For ITR,If doctor is practicing himself i.e. He has a professional income than ITR 4 should be filedIf doctor is getting any salary than ITR 1 should be filed.:)
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People also ask
What do they do at physical therapy?Physical therapists (PTs) are movement experts who optimize quality of life through prescribed exercise, hands-on care, and patient education. Physical therapists teach patients how to prevent or manage their condition so that they will achieve long-term health benefits.
How long is your first physical therapy appointment?Your initial evaluation will take approximately an hour and a half (1.5) to two (2) hours. Your regular appointments will take approximately one hour, depending on complexity of treatment. Usually our patients come to therapy for 12-24 visits, which usually run 4-8 weeks (on average).
What is a plan of care for physical therapy?Outpatient rehabilitation therapy services must relate directly to a written treatment plan (also known as the plan of care or plan of treatment). The plan of care must contain, at a minimum: Diagnoses. Long-term treatment goals. Type, amount, duration, and frequency of therapy services.
What is the Medicare cap for physical therapy for 2018?Medicare will continue to update the therapy cap amount as they have done every year. This amount typically reflects an increase of anywhere from $20 to $40. Currently this amount is set at $2,010 for PT and SLP and $2,010 for OT.
How many days does Medicare cover for rehab?After you have been in a hospital for at least 3 days, Medicare will pay for inpatient rehab for up to 100 days in a benefit period. A benefit period starts when you go into the hospital. It ends when you have not received any hospital care or skilled nursing care for 60 days.