Social Question

SherriS's avatar

Internet communication with your doctor?

Asked by SherriS (243points) January 2nd, 2010

My HMO offers email to/from your doctor and I LOVE the idea of not wasting my time to sit and wait in the office PLUS getting a prescription for a cough, sinus infection, etc. What do you think of the idea? Would you like to communicate with your doctor like this? Or do you already?

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16 Answers

Violet's avatar

It costs you money for each e-mail! At least $15

JLeslie's avatar

I have two doctors who I can email and it is awesome.

Going through a nurse typically does not work, especially where I live in Memphis because they do not use vmail, but still take down messages by. Maybe they think it is nice to have a human touch, but I want to be able to leave detail that can be heard by the doctor from my lips and not paraphrased by the nurse. Being able to write it in an email even better.

I do have one other Nurse Practitioner who gave me her email, but she seems to not respond well to it. I think she just is not in the practice of using it.

jbfletcherfan's avatar

I would LOVE to email with my doctor. But I’d have to paas on being charged for it. $15 a mail? No thank you.

JLeslie's avatar

I don’t pay anything.

jbfletcherfan's avatar

Well then, I’d be all for it.

Sueanne_Tremendous's avatar

@Violet : I have complete communication via email with my doctor and his staff, including being able to get prescriptions renewed and checking lab results and there is no charge for the service. I love it.

Darwin's avatar

It would be wonderful to be able to communicate with my doctor, and my husband’s many doctors, by email. Unfortunately, none of them seem to do it.

john65pennington's avatar

I do not trust medical information in cyberspace. its not safe. if i know this and you know this, i guarantee a hacker know this information. besides, how much fee would a doctor know to charge you and what about co-pays? you doctor is not going to miss out on co-pays. thats his money to do as he pleases with it.

Violet's avatar

@Sueanne_Tremendous there is a network that allows patients to substitute a doctors visit for an e-mail.
This is different than a direct e-mail to a doctor.
If the e-mail is through the HMO, I’m pretty sure there will be a charge

SherriS's avatar

@Darwin Just to let you know that my husband and I have the same doctor, yet she will not email communicate with me about him! So I just log in under HIS name and, walla, get the answers I need. go figure!

SherriS's avatar

@Violet
@Sueanne_Tremendous I do not pay for emails with my doctor and we have a HMO!

JLeslie's avatar

You know, almost any other profession or business you can get a person on the phone or by email. Why do doctors have all of those gatekeepers keeping us from talking to them? I can only think it is greed. Or, they just don’t have the patience. It makes me feel like a lot of doctors are in that profession for money and not really because they care about the health of their patients, or even a real interest in medical science. I know there are good doctors out there who do care, but I think many just look at it like a job. But this is a special job—people’s health. I can buy a dress at bloomingdale’s at 7:00pm on a Saturday, but if I am sick I have to wait until Monday to be seen. Somehow it seems screwed up to me.

Sorry to vent. I get very frustrated with the system.

Dr_Dredd's avatar

Hi, @JLeslie. I don’t think it’s just greed. Unfortunately, liability plays a large part.

First, most email servers are not secure. Sending personal, identifiable medical information from an unsecure server poses the danger of having confidentiality breached.

Secondly, email communications should not be for emergencies, since they are not responded to real-time. But that’s not going to stop someone from sending a message, “I’m having crushing chest pain; what should I do?” If that person suffers a bad outcome, you bet there will be a lawyer demanding to know why the email wasn’t dealt with sooner.

As for telephone calls, would you want your doctor constantly leaving the exam room to answer calls? When I’m with someone, I want and need to give them my full attention. My nurse will take calls and let me know when I’m done with the patient I’m seeing. (Obviously, if it’s an emergency, she will interrupt the visit, but only for emergencies.)

JLeslie's avatar

@Dr_Dredd Here is the one thing that bothers me most. If I call my doctor to ask for something and the answer is going to be NO. If the answer is no I want the doctor to call me back, because for sure the nurse won’t be able to tell me WHY. I rarely call or email my doctor. Maybe once a year or less. Maybe there is a month where I do a few times because I am trying a new med or something is acting up, but then I don’t for another three years. I don’t want to be treated like I am a chronic annoyance who needs to be kept at arms length by putting a gatekeeper in-between. I also am not trying to substitute coming into the office for an email. If the doctor feels it better he sees me in person that is fine to.

If I have put in writing that it is ok to fax or email me health documents, I don’t see what the problem is. I am free to share my health information if I want. If I am willing to take the risk of an unsecure line so be it. I really don’t care if the world know my TSH was 1.8 and my vitamin D was only 20 last blood test.

Dr_Dredd's avatar

@JLeslie You may be willing to take the risk, but it would still be a potential violation of HIPAA. The feds can still get us for that even if no patient actually complains.

JLeslie's avatar

@Dr_Dredd I have docs fax me results. I don’t see the real difference between that and emailing. But, are we just talking about lab results or any discussion of my condition at all on email? I work in psych hospital I understand HIPPA, I don’t remember a specific mention about emailing, but maybe I need to reread it? In my position it doesn’t come up for me to worry about. I do fax documents all of the time with pt info. If I mistakenly type the wrong fax number it could be going almost anywhere. I get lab results from other doctors in the regular mail, no one seems to worry about that?? My mailbox is on a main road without a lock on it. And, I do personally have a doctor willing to attach lab results to emails, is he breaking a specific HIPPA requirement. Honestly after working in health care I just think most medical professional don’t like using computers. Obviously, you are an exception, since you are on the web with us here, but generally nurses and other medical professionals seem not to savvy on computer programs and attaching documents.

I have twice in my life had very serious things happen that I feel pretty sure could have been avoided if a doctor had spoken to me directly than through a nurse. One time while receiving a new IV med at home that I was having a very bad reaction to, I eventually wound up in the emergency room after enduring the entire week long regimen and feeling so much like I might die (literally die, I have never felt like I was dying like that before or since. My husband was out of town and my mother-in-law slept with me in bed one night I was so sick on that drug, so afraid). It all could have been avoided, A week after getting a huge does of steroids and some other meds to treat my bad reaction, could finally function, and finally able to collect myself I called the doctor AGAIN and INSISTED I speak to the doctor, I was a total bitch to that nurse this time, which she responded to better than me being weepy and afraid, and the doctor (I was calm with her and told her what happened) said she was unaware I was experiencing such a severe reaction to the IV she had prescribed. Unaware because she did not speak to ME in my opinion and relied on her nurse. I had called three times during the administration of the new medication upset and fairly desperate, the nurse had done nothing for me. I guess you could turn it around and blame me for continuing to take the meds or say I should have gone to the office. But, I was younger then, listening to the nurse, and had been very sick and in chronic pain for years. I was hoping this medication would make me better. I was not suicidal, but desperate enough to think if it kills me I will have died trying, I cannot not try, I can’t be sick the rest of my life if there is hope this med works, and if I stopped in the middle I would have always wondered. I needed guidance from a doctor.

In contrast the next time I tried a medication by IV, my new doctor before I left his office told me, “call me every day and check in, let me know how you are doing.” Sometimes he answered, sometimes his nurse. When I was not feeling well he always called me back or came to the phone.

I am always SHOCKED when a doctor seems really interested in following up or my onging care. That is a sad statement I think.

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