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Worriedtodeath

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Worriedtodeath Enthusiast
Worriedtodeath
Posted

HI!

I requested the baby's records from the Ped Gi. WHat came was his computer notes - History of patient, discussion of sypmtoms, exam , assesment, and plan of action and procedures with a listing of the of places he scoped that says this

Findings in esophagus (enodscopic: NOrmal endoscopic appearance of entire stomach

(list several more things like that)

THen it has Biopsies taken and another listing of things that go

histology of esophageal biopsies:normal

Histology of antra biopsies : normal

And so on.

No where in these records do they have the actual report sent from the lab to them that they based their normal findings on. I know they should have because I have several reports in my medical file that is straight from the pathologist and list what all was performed, how they prepared the slides, what stainig was used, and so on. Do I need to request something different from the dr or do I need to request reports from somewhere different? I thought the pathology report would be included in the dr records but it is just their computer notes.

THanks

Stacie

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flourgirl Apprentice
flourgirl
Posted

Hi. I would go back to your doctor and ask specifically for those things you know are missing. They should be a part of the record, and you have every legal right to have a copy of those. If there is some reason that the doc. does not have those or is unwilling to give them to you , then he needs to tell you where to get them from. A simple phone call should be enough. Hope that helps

Worriedtodeath Enthusiast
Worriedtodeath
Posted
  • Author

Well I made the phone call again to the office (we're not on the best of terms after he told me to put the baby back on wheat and forget about this gluten stuff since the biopsy ruled out Celiac - you can only imagine my response) and the records lady said OOOPS She just forgot to put all the surgical path results in. She would drop them in the mail to me. So we shall see what I get this time.

THANKS!

Stacie

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