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Started By
Message
Question for the OT nurses and docs - smoker?
Posted on 4/13/18 at 8:41 am
Posted on 4/13/18 at 8:41 am
not a smoker but curious why it is that for every first visit for any doctor part of the questioning is always "are you a smoker, have you ever smoked". If you are in for a broken arm, what the hell difference does it make if the patient smokes? Does this change the way you treat or is it just to gather statistics??
Posted on 4/13/18 at 8:42 am to reveille
quote:
not a smoker but curious why it is that for every first visit for any doctor part of the questioning is always "are you a smoker, have you ever smoked". If you are in for a broken arm, what the hell difference does it make if the patient smokes? Does this change the way you treat or is it just to gather statistics??
Not an MD but I've been told smokers take longer to heal
Posted on 4/13/18 at 8:42 am to reveille
Let’s them know that if you smoke, you poke
Posted on 4/13/18 at 8:45 am to reveille
It sounds innocent enough but just be aware this is a major question during the insurance underwriting process. Your answer will follow you.
Posted on 4/13/18 at 8:47 am to reveille
It's a key and important question. Smoking dramatically increases your health risk for all sorts of problems both major and minor. In short, to your doctor it is an essential piece of information.
Posted on 4/13/18 at 8:47 am to reveille
The women I ran with never had to be asked.
Posted on 4/13/18 at 8:47 am to reveille
It's part of your social/medical history. They'll also ask you if anyone in your family has a history of cancer, which isn't related to a broken arm either, but is still important information for your overall health.
Also, it helps in research purposes.
Also, it helps in research purposes.
Posted on 4/13/18 at 8:49 am to reveille
You can gather a lot of info about a person based on whether or not they smoke.
Smokers heal more slowly and are also more likely to be noncompliant with treatment.
Smokers heal more slowly and are also more likely to be noncompliant with treatment.
Posted on 4/13/18 at 8:55 am to reveille
"Meaningful Use". It was a set of standards the govt used to "encourage" physician offices to implement and utilize EMR's. One of the measurements they used to determine if you received incentive money was if you were collecting certain social health measures. Nicotine, alcohol, drugs, etc.. It's also when you started being asked about your race and ethnicity at the doctor.
Before meaningful use, doctor's offices asked you what they believed was relevant to your care for their specialty. After, they asked you questions based on what data the government wanted to collect. Oh, and if we didn't implement, you would receive annual decreases in Medicare/Medicaid payments.
TLDR: Govt paid doctors to include the question in their EMR templates.
Before meaningful use, doctor's offices asked you what they believed was relevant to your care for their specialty. After, they asked you questions based on what data the government wanted to collect. Oh, and if we didn't implement, you would receive annual decreases in Medicare/Medicaid payments.
TLDR: Govt paid doctors to include the question in their EMR templates.
This post was edited on 4/13/18 at 8:58 am
Posted on 4/13/18 at 9:00 am to reveille
Just part of routine questions
Medical history: diabetes? Heart issues? Cancer? Hepatitis? HIV?
Family history: cancer run in family? Parents still alive? What did they die from?
Social history: you smoke? You drink every day? Any other drugs? Work? Where do you live?
Allergies?
Take any medications regularly?
Just routine questions a doctor will ask the first encounter you ever have with them or their team.
Changes a lot of treatment algorithms based on your condition and what you need treated or surgery wise etc.
Medical history: diabetes? Heart issues? Cancer? Hepatitis? HIV?
Family history: cancer run in family? Parents still alive? What did they die from?
Social history: you smoke? You drink every day? Any other drugs? Work? Where do you live?
Allergies?
Take any medications regularly?
Just routine questions a doctor will ask the first encounter you ever have with them or their team.
Changes a lot of treatment algorithms based on your condition and what you need treated or surgery wise etc.
Posted on 4/13/18 at 9:02 am to reveille
Why don’t they ever ask if you dip?
Posted on 4/13/18 at 9:03 am to reveille
Just wait until they start asking you if you have a gun in the house.
Posted on 4/13/18 at 9:06 am to reveille
It’s so they can properly judge you as not really worth saving. If you smoke you really don’t give a shite about your health so why should they?
It takes the pressure off them and they can just write you a scrip for an antibiotic and move on to the next patient.
It takes the pressure off them and they can just write you a scrip for an antibiotic and move on to the next patient.
Posted on 4/13/18 at 9:06 am to reveille
quote:
If you are in for a broken arm, what the hell difference does it make if the patient smokes?
Makes it harder to smoke with a broke arm.
Posted on 4/13/18 at 9:38 am to reveille
Yep. It's a required question for meaningful use now. I can't even discharge a patient without answering it. The EMR won't let you. Funny thing is it's even infants. It asks about second hand smoke. Once they hit twelve it changes and asks if the 12 year old smokes. I think the youngest I have seen say yes is 15.
Posted on 4/13/18 at 10:13 am to reveille
quote:never was a smoker except for left handed roll your own while in Nam, however, my physical for employment with a major oil co (that Chevron bought) back in 1969 the Dr. asking me questions about my health had a Lucky Strike hanging out of his mouth. This was in Houma.
not a smoker but curious why it is that for every first visit for any doctor part of the questioning is always "are you a smoker, have you ever smoked". If you are in for a broken arm, what the hell difference does it make if the patient smokes? Does this change the way you treat or is it just to gather statistics??
Posted on 4/13/18 at 10:22 am to reveille
For Medicare and many if not all insurances, a doc spending a minute in any patient consultation for any random complaint asking about smoking habit is a separate billable treatment.
Posted on 4/13/18 at 10:31 am to reveille
The main reason for this is $$$. When electronic medical records(emrs) were newish, the government was giving a lot of money to doctors who used emrs if they proved meaningful use. One of the criteria to meet meaningful use was asking pertinent social history questions like tobacco and alcohol use.
Posted on 4/13/18 at 11:36 am to reveille
First hooker: “Do you smoke after sex?”
Second hooker: “I don’t know—I never looked.”
Second hooker: “I don’t know—I never looked.”
Posted on 4/13/18 at 11:37 am to reveille
I remember I broke my wrist & went to after hours. I was in significant pain and was asked that question & I sorta got pissed and said "does it matter?" I actually did smoke at the time too ftr.
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