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#doctor-patient confidentiality
newsfromstolenland · 1 year
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A Toronto doctor has been barred from practicing until August after she was found to have sent private medical information to a patient’s former spouse, friends, and daughter over text and Facebook Messenger.
Dr. Elika Safar Zadeh, an endocrinologist at North York General Hospital, has been suspended from practicing for five months, from March 20 to August 20, after admitting to engaging in professional misconduct by sharing a patient’s medical records on multiple occasions with their family and friends, a March finding published by the Ontario Physicians and Surgeons Discipline Tribunal (OPSDT) shows.
The ruling cites an incident in which Safar Zadeh admitted she engaged in professional misconduct after sharing a patient’s medical records three times – in January and April 2019 – with their family and friends.
Full article
Tagging: @allthecanadianpolitics
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fallenclan · 7 months
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to wormshade: how was your relationship with nick? do you miss him?
to mudsplash: any (light-hearted) gossip to share?
-🐉
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It cracks me up when Archer asks Phlox stuff like why he didn't tell him T'Pol was suffering from a lethal desease, and Phlox's like ''well have you ever heard about doctor-patient confidentiality???'' as if he didn't divulge a patient's medical record so that people could find out his favorite food
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I love the star trek posts that call out the lack of doctor-patient confidentiality but I usually see examples about Julian and I feel like we need to acknowledge how the EMH casually told the entire Voyager crew that Barclay struggled with holo-addiction as a fun tidbit so they could get to know him
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thestormthatrises · 1 year
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MQF: So, how did you two get in an accident, exactly?
SQQ: I'm so glad you asked!
SQH:
SQQ: We were running away, dashing thru the forest, hand in hand, because Shang-shidi activated the mountain's trap, when, suddenly! A deer appeared before us!
SQH:
SQQ: Naturally, I yelled "SQH, deer!"
MQF: and?
SQQ, turning towards SQH: tell our shidi what you said.
SQH: (._.)
SQQ: Say. It.
SQH, with a long suffering sigh: I said "yes, honey?" (#._.#)
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turtleations · 2 months
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Pink Cloudy Sky, P.S. To the Beginning of the End (Summarized)
Chapter 00 - 01 Chapter 02 Chapter 03 Chapter 04 Part 1, Part 2 Chapter 05 Chapter 06 Part 1, Part 2 Chapter 07 Part 1 Part 2 Final Chapter
From the cloudy sky, as REM sometimes remembered, the warm rays of the spring sun came down.
A somewhat lazy afternoon in late spring. REM was leaning against the wall of the clinic’s waiting room, feeling the weight of the guitar in his knees as he went through the setlist of tomorrow’s live. During practice that night, he would do the final checks. He’d have to plan the timing of the MCs, the finale, the arrangement of the new songs…
Suddenly, his eyes fell on the list of that afternoon’s appointments. There were a few more patients than usual for a Saturday. Maybe he could take a nap first…
No, before those appointments, he had to practice scales.
What was to become of him and SAVER TIGER from now on, no one could say.
He was nervous about it, and impatient. Claiming anything else would have been a lie. The one thing he could say was that leading SAVER TIGER now was the most fulfilling period of his life so far. The one year in which he had put everything into fulfilling hide’s dying wish.
He could not even dream of paying back all he owed him.
But maybe this was enough?
Everything after this, he should do for himself, REM thought.
The SAVER TIGER of those days was over. This was the SAVER TIGER he had breathed new life into.
There was no point in dragging the past forward.
The end of the century, rock music, and SAVER TIGER. Those were the only things that mattered to him in this moment.
Just that, and keeping up the creation of good music, continuing to perform.
He could play the guitar like this. He could feel the strings under his fingers, feel the melody in his ears, feel the music with his whole being.
There was no greater happiness than that.
-
In the afternoon sunlight filtering through the trees, the pick REM was holding in his right hand fell to the floor with a small noise. In his dream, his soul kept sliding over the fingerboard.
-
From autumn 1998 onwards, the new SAVER TIGER continued to go on tour: Starting on the 1st of November 1998 in Yokohama, they had six performances in Yokohama, Yokosuka, Meguro, and Takadanobaba until the 15th of April 1999. Then, in May, they performed in three locations in Yokohama and Takadanobaba.
The second part of their tour started in early August and took them to Osaka, Tokushima, Yokosuka, Yokohama, Chiba, Machida, Meguro, and Kumagaya in 11 shows. The final one was planned for 13th December 1999 in BAYHALL in Yokohama.
REM expresses how ecstatic he would be if those who read this book would listen to SAVER TIGER’s music. And while they are at it, they should check out their official website.
Speaking of which, it was hide who first got into the internet, and used it to communicate with the fans in a meaningful way.
And with this feeling carved into REM’s chest, he wants to put down the pen.
Appendix
Study of the dental pattern of patient Matsumoto Hideto.
At this point, REM want to attempt an examination of patient Matsumoto Hideto as a dentist. The following is based on a dental model he made, as well as things hide told him.
It was a model made for the purpose of examination. That day, it became a special thing for REM: The only memento he had of hide’s physical form. Every time REM sees the model in the waiting room or touches the examination table where hide had been sitting, he wants to talk to that white, inorganic thing.
That is why he is sharing the report on that medical examination now, resigning himself to the criticism of the other people from his field.
It would probably be terribly unreasonable to reach conclusions about hide’s entire body just from that model, the state of his oral cavity, and what he told REM. Moreover, it would be rude to hide, one might think. Others would be of the opinion that it is okay to do it, of course. REM thinks it’s reasonable enough.
But REM’s honest feelings are these: It is not a bad thing to disclose a little bit of hide’s personal matters to the public. In this moment, as his friend and as his fellow guitarist from a band called SAVER TIGER, REM wishes to do all he can for hide, utilizing his means as a dentist.
Therefore, REM informs that the following is not a true patient’s chart nor an actual medical report. It reflects only the personal opinion of one single dentist.
[Patient Matsumoto Hideto] 1) Main complaint (the patient’s acutely perceived subjective symptoms for discomfort) .. Sometimes his jaw joints are hurting. It also happens that he cannot open his jaw. Also, severely stiff shoulders. 2) Medical history (past illnesses and current systemic ailments) .. Arrythmia 3) History of present illness .. Observations of grating sounds and irregularities of temporomandibular joint at times are ambiguous
Psychologically, systemic problems are ambiguous. 4) Current symptoms .. Abnormally stiff shoulders
Since long ago, many cases of clenched jaw, jaw muscles are stressed.
Palpation of temporomandibular joint not particularly abnormal, movement of lower jaw is not irregular or restricted. No palpation of muscle occurred. 5) Symptoms concluded from model of the mouth cavity .. Extensive wear of all teeth, corresponding low occlusion.
This is what REM got from what he heard from hide and the examination of the dental model.
One week after his visit at REM’s clinic, hide went to L.A. again, with no follow-up appointment planned, no clarity on when he would be back in Japan, and with the symptoms of his jaw not being acute, REM did not interview him too extensively. He also notes that there was no time for photographs of the oral cavity or X-rays.
At this point, REM talks a little about temporomandibular joint and how it works. Compared to other parts of the body, it is extremely complex in its movements. With its position between the upper and lower jaw and before the ears, it executes a lot of movements when speaking, eating, or even during sleep for some people.
Very roughly said, there is complex movement when chewing or opening and closing the mouth: Up, down, left, right. In contrast, the abnormal occlusion comes from a way of chewing that differs from the ordinary. Damage to the teeth can also be caused by accidents and violent fights. In any case, if the teeth are worn down by chewing or grinding, the height doesn’t match anymore, which leads to irregular chewing patterns.
If that irregularity is particularly bad, it leads to pain of the temporomandibular joints and overall discomfort. This, caused by emotional stress in the first place, can lead to muscle pain, which in turn leads to more tension.
Opening and closing the mouth can create various problems. This is called temporomandibular joint disorder. Of course, when it comes to hide, REM can’t diagnose that for the aforementioned lack of examinations and tests. But between what patient Matsumoto Hideto told him and the information provided by the study model, it’s a conclusion he finds definitely possible.
The model shows that from the front to the back teeth, all the pointy bits had been worn away so that the teeth were essentially flat. This must have been caused by the teeth grinding hide had told REM about. But for the wear to be so extensive all over, the grinding and gritting must have been extremely strong and have gone on for a very long time.
Teeth grinding is a phenomenon that happens unconsciously in times of required self-control or nervousness and stress. If the grinding goes on for a long time, it often happens that normal chewing is no longer possible. This disturbs the entire system of the jaw muscles and joints and causes pain. If it gets worse, the pain can spread to the surrounding muscles, then the shoulders and fingers and even the back and legs. Also, this affecting the muscles is often the cause for stiffness of the shoulders.
According to the model, the size of hide’s jaw (the gap between the upper and the lower jaw) when chewing was a lot lower than it used to be due to the wear, and the bones inside the joint no longer fit the normal position. The wear is so extensive that REM assumes the pain spread past the environment of the jaw to parts of the body far away from it.
And thus he concludes this meagre investigation.
Finally, there is one more episode REM wants to add in line with this report.
This is how he remembers it:
That day, hide asked him, “How do I get my teeth back to their original shape?” after he came to REM’s office for consultation.
After the examination, they had, of course, gone for drinks, and this is when hide brought it up. REM said, “For that, I would have to fix all your teeth, I think. There is no time for that now, and there is a risk that the shape of your face is going to change. One day, when we are both old men, and there is time to spare, and visuals no longer matter, I can fix them for you.”
Hide said, “Since my teeth are one source for my stiff shoulders, I want to have them fixed. Just, right now, there really is no time for it, but please do it one day. After all, you are to be my attending physician for the rest of my life.”
As attending physician, REM could have been of some help. Even now, that thought sometimes shoots through his mind.
Afterword (1)
With the irresponsible reports and information going around after that certain day, REM wants to detail his days with hide as precisely as possible. And he wants to let as many people as possible know the truth.
That kind of thought is always with him.
“Hey, REM! Please.”
Every day they have this conversation inside REM’s mind, when he listens carefully for hide’s words from beyond the sky and replies, “Hey, hide. How can I help you, so you can rest easy?”
This is a book that has been created as a joint project by REM and Nakamoto-san of Yokosuka, who goes by the name of BENZO, over the course of half a year.
The aim was to write as accurately, truthfully, and diligently as possible about REM’s life as a musician, the historic band SAVER TIGER as made by hide, as well as REM’s irreplaceable days with his sword friend hide, and the enthusiastic rock scene of Yokosuka.
He was aiming to be accurate, but there are probably points where his memory is off, or his perception differs from others. In that case, he is sincerely sorry.
In the light of the close bond he shared with him who has gone beyond the sky, he hopes it can be forgiven.
Finally, he thanks a great many people, starting with hide’s parents, his younger brother, the people from his office, the former members of X JAPAN, the past members and staff of SAVER TIGER, the members of UNITED, AMIT, Doppel Ganger, LAFERIA, and 4th Dimension, Kuriji-san, and then the people of Zushi Dental Clinic, Takeshi-san, Arakawa-sensei, Nakano-san, Someya-san, and many others. Above all, BENZO, who has become a drinking buddy for life and without whom this book would not exist in this form. All these people have helped him greatly, and he takes this opportunity to express his deepest gratitude.
He dedicates this book to his mother, who went to heaven first and may have met hide there, his father, who is still practicing as a doctor on Shikoku, his older sister and his younger brother, his wife Miwa, and their son.
And of course, he wants to dedicate this book, and the next words that come from his heart, to him, who has gone beyond the sky.
“hide, thank you.”
-
1999-05-02   His first birthday above the sky.
-
Afterword (2)
28 October 1999, Thursday, cloudy sky, 10:30 AM.
The night before, REM drank with his bandmates in their usual place, “99”, but their condition wasn’t bad. The window was wide open. Feeling the comforting wind and the morning’s aroma from his fingertips to his hair that once again reached his shoulders, REM went down the national highway No. 134 southwards, towards the coast of Miura. There, on a small hill, different from the rest and seemingly removed from the reality everyone else is living in, is hide’s resting place.
REM wondered if he was plotting new ideas in this place of rest, and if those were now flying around freely through the air…
As always, REM reported about live performances and new songs, and the state of the band, and then made his way back home along the coastal road. There was one tiny thing he noticed:
As REM was talking to hide, a feathered life-form about the size of his little finger’s nail (some kind of insect) was flying through the air around him and the others. At that time, they didn’t particularly care… And now, that life-form was inside the car.
There was no telling if it was the same creature from before, but form and size were identical.
REM calmly closed the window and, without thinking anything, he turned on the car stereo and stepped on the accelerator.
When he got home and left the car, the line between the ordinary and the extraordinary was crossed again.
Several days had passed since then.
It’s the 6th of November now, and with the image of this feathered little life-form flying freely around in his home, REM decides to let the story come to an end.
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nandawrites · 1 month
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People say House is the medical malpractice show but damn the doctors in E.R go toe to toe with them.
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more-better-words · 5 months
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My brain: So here's Phlox and Hoshi having tea and merrily gossiping about Trip and T'Pol.
Me: *sighs* Add it to the list.
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catboywrites · 3 months
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i'm also really sorry for the slow updates, guys. for those of you who have been following me for a while, you might know i usually write while i'm at work! i work in a health facility for children, usually doing paperwork, writing reports, and filing, but we have recently had a few patients that require some extra hands on care. because of this, i haven't had the free time i normally do to write at night time because i am focusing on keeping my patients safe. i am trained in patient care as well, but it's not very common they require this individualized attention. when they do, it's important that i help keep them well cared for. when these patients are discharged, i should be able to get back to the regular updates, but until then, i hope you don't mind the slower ones.
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ashestoashesjc · 6 months
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happy hallowed weeb! Twick or tweet
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who told you i had syrup blood
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answrs · 8 months
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ah. i had managed to forget the "praise this kid adult woman (!!!!!) for shoving a disabled man to the side because she decided he needed help instead of fucking asking and make him apologize to her for getting upset. any form of criticism here is the Wrong decision." bit of stardew. would have been nice to not have seen that right now while I'm dealing with both a bad downswing and excruciating physical pain focused on moving on my own. 🙃
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hollowslantern · 2 years
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more than anything i believe in my own made up theory that all the mercs are cisfaking¹
¹same concept as going stealth but with all the comedy I can possibly put into a scenario involving 9 trans people passing themselves off as cis under the assumption that the other 8 are cisgender as well
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AH! ART!!!!!
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thehours2002 · 11 months
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it is wild how much less taissa was in s2 compared to s1, and how she essentially became an instrument to service van’s story which... also didn’t get that much screen time either
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exsgttibbs · 2 years
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Doctor-patient confidentiality || Whitibbs
@thehuntress-rose
Tibbs had been a doctor for a very, very long time. Twenty years, in fact - and he had spent a lot of those years in the middle of warzones, patching up his friends, occasionally his enemies, more often than not people he didn’t even know to start with. Civillians, anyone who had needed it; he hadn’t tended to discriminate. The rest of the time he had spent as a trauma surgeon; he had working in accident and emergency for so long that he had seen pretty much every accident and/or emergency that could take a person to hospital in the first place. And after all that time, it was easy to look at a wound and guess the cause. 
Now, he wasn’t always right. 8 times out of 10, probably. People did still manage to surprise him in their creativity when it came to penetrating wounds but still, he could usually give it a good go. What was usually very easy to determine, though, was the difference between a violent wound and a surgical one. 
And right now, Tibbs was not looking at a surgical wound.
It had certainly been stitched well, and it did seem to be healing decently, but still. It didn’t seem like a surgical wound, which was what he had been told when he had been handed the notes for the consult. He looked up at Rose from where he had been inspecting the wound on her abdomen, and arched an eyebrow. “What did you say this was from, again? An appendectomy?”
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deadgrantaires · 2 years
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WUH OH BABES, THATS A HIPAA VIOLATION!
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