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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??
24
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 8:56 am to Sao
The real answer is that this is a government requirement. Certain criteria have to be documented to take advantage of additional medicare/medicaid payouts. It's a way for them to hold back payments if certain bullshite questions are not asked and answered. Baseline payments are reduced and answers to certain questions must be documented in order to capture the total reimbursement allowed. It's a scam and a way for the government to cut their liabilities. If you do not see medicare/medicaid/tricare patients then there is no requirement.
Also what Hater said above
Also what Hater said above
This post was edited on 4/13/18 at 8:59 am
Posted on 4/13/18 at 9:00 am to Sao
quote:
It sounds innocent enough but just be aware this is a major question during the insurance underwriting process. Your answer will follow you.
Most answers given here are correct. Including this one.
It IS about gathering statistics.
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 windshieldman
quote:
Why don’t they ever ask if you dip?
I've seen PCP offices that ask.. "do you use nicotine Y/N. In what form?" And all ENTs ask that question.
But, otherwise, b/c it's not required and not relevant to most specialties.
This post was edited on 4/13/18 at 9:07 am
Posted on 4/13/18 at 9:06 am to windshieldman
inb4 Lost my gun in a boating accident.
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 9:07 am to MSMHater
quote:
I've seen PCP offices that ask.. "do you use nicotine" Y/N. In what form? And all ENTs ask that question.
I was just curious, I know several nurses and doctors that dip, but I only know one that smokes.
Posted on 4/13/18 at 9:10 am to windshieldman
quote:
I was just curious, I know several nurses and doctors that dip, but I only know one that smokes.
Everyone has their way of coping with stress. Doctor's and Nurses are no different.
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