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re: What percent of MDs, DMDs, ESQs, RNs totally ignore "confidentiality"?

Posted on 7/25/25 at 10:07 am to
Posted by Polar Pop
Member since Feb 2012
10907 posts
Posted on 7/25/25 at 10:07 am to
quote:

my wife is a licensed therapist (LMFT), and I hear all sort of crazy stuff that she has a heard about during sessions. No names or pictures,


Same with my wife. She will tell me about some gross shite or whacked out patients but has always been sure to not mention names.
Posted by LSUTANGERINE
Baton Rouge and Northshore LA
Member since Sep 2006
37646 posts
Posted on 7/25/25 at 10:08 am to
most tell stories about patients, but do not give names
Posted by LSUA 75
Colfax,La.
Member since Jan 2019
4617 posts
Posted on 7/25/25 at 10:59 am to
Very rare,we tell stories but never mention names.
I did work with one nurse that got in serious trouble for blabbing about a pt.and mentioned their name in checkout line at a grocery store.Someone behind her heard it and reported it.She was lucky she didn’t lose her license.
She was a dipshit gossipmonger anyway.
Posted by billjamin
Houston
Member since Jun 2019
16288 posts
Posted on 7/25/25 at 11:01 am to
My ex wife used to get drunk and read her clients depositions to me.

Then after we split up she started banging one of the dudes whose divorce she was covering. She also started banging him before he filed.
This post was edited on 7/25/25 at 11:02 am
Posted by PhilipMarlowe
Member since Mar 2013
21613 posts
Posted on 7/25/25 at 11:15 am to
quote:

HIPAA (and fraud/bribery/corruption) is basically the only thing anyone takes seriously


What’s the stuff they don’t take seriously?
Posted by VABuckeye
NOVA
Member since Dec 2007
38283 posts
Posted on 7/25/25 at 11:34 am to
God only knows the things your shrink knows about your life and that poor dog.
Posted by Nevada_Tiger
Las Veags
Member since Jan 2025
277 posts
Posted on 7/25/25 at 11:59 am to
My ex-wife (RN) would tell stories about famous people that were on her unit. An ex-gf (NP) would tell stories about cases but not names.
Posted by LSUtiger89
Baton Rouge
Member since Dec 2007
4493 posts
Posted on 7/25/25 at 12:01 pm to
3.50%
Posted by lionward2014
New Orleans
Member since Jul 2015
13262 posts
Posted on 7/25/25 at 12:02 pm to
Most take it serious for the simple reason that names and identifying information just isn't necessary for telling a story. I may tell my wife about some motion argument or appeal I won but it's usually mostly procedural information, and God bless the woman for listening.
Posted by The Torch
DFW The Dub
Member since Aug 2014
27082 posts
Posted on 7/25/25 at 12:13 pm to
My sister is a RN and took a job at an ER in North La once, they had a bunch of young nurses (right out of school) who would start making comments when a man was brought in.

They would take pictures of their dongs and share them with each other laughing.

Posted by Jim Rockford
Member since May 2011
104084 posts
Posted on 7/25/25 at 12:25 pm to
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
36161 posts
Posted on 7/25/25 at 12:39 pm to
quote:

What percent of MDs, DMDs, ESQs, RNs totally ignore "confidentiality"?

I work in Healthcare, and have a lot of friends who also work in healthcare (my wife also works in healthcare). I don't know anyone personally that does that. Obviously names will get said when professionals are having discussions about a particular patient's condition, but I don't know anyone who has said, "guess who I saw today" or something of that nature.

ETA: I have seen someone get fired for looking into the chart of someone they knew personally, just because they were nosey.
This post was edited on 7/25/25 at 12:44 pm
Posted by GeauxTigers123
Member since Feb 2007
3052 posts
Posted on 7/25/25 at 12:52 pm to
I’ve seen the news stories about people accessing EMR when celebs go to the hospital.

Even though they tend to use aliases for celebs.
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
36161 posts
Posted on 7/25/25 at 12:57 pm to
quote:

Even though they tend to use aliases for celebs.

They do, but not always. I guess it depends upon each hospital's policy.

There is an audit trail though, that will show every user who has accessed a patient's chart and what they did in that chart. Hell, we can even log into a program and watch a recording of what a user did while logged into the EMR.
Posted by sabbertooth
A Distant Planet
Member since Sep 2006
5968 posts
Posted on 7/25/25 at 12:59 pm to
You’re a daisy if you do.
Posted by slidingstop
Member since Jan 2025
1622 posts
Posted on 7/25/25 at 1:01 pm to
quote:

general decency.


quote:

lawyers




Posted by ATrillionaire
Houston
Member since Sep 2008
2152 posts
Posted on 7/25/25 at 1:04 pm to
quote:

Hell, we can even log into a program and watch a recording of what a user did while logged into the EMR.

Not true.
Posted by A12 Oxcart
On the float out in the Belt
Member since Dec 2022
992 posts
Posted on 7/25/25 at 1:04 pm to
quote:

What’s the stuff they don’t take seriously?

Correct ICD10 codes, detailed charting, timely filing.
Posted by Teddy Ruxpin
Member since Oct 2006
40520 posts
Posted on 7/25/25 at 1:09 pm to
quote:

I don’t think that doctors usually go around telling their friends stories with people’s names attached.
And there’s all sorts of rules about what is potentially an identifier under HIPAA (like for instance ZIP Code can’t be quoted if it has less than 20,000 people in it), but telling a general story without identifiers isn’t illegal


One of the better HIPAA compliance "oops" cases involves a guy telling employees at a relatively small company that health plan premiums are going up due to something like "we had an expensive pregnancy claim."

Well, there were only like two women at the company who got pregnant that year so OCR had fun with that.

I may have misremembered some of the details but that's basically how it goes.
This post was edited on 7/25/25 at 1:10 pm
Posted by BluegrassBelle
RIP Hefty Lefty - 1981-2019
Member since Nov 2010
105854 posts
Posted on 7/25/25 at 1:19 pm to
I use the hell out of case consultation at work with other therapist (HIPAA compliant) so I don't have to talk about it when I get home. The harder stuff, I'll share in my own therapy. I work with heavy trauma folks (think sexual abuse survivors, domestic violence, victims of violent crimes) that I'm pretty sure others don't want to hear about and I try my best not to drag that through the door at home.

If it's with friends/family it's usually a "Yeah, I've worked with someone with X" or something really, really general that isn't singular client specific. Lots of neutral terms (them, they, the client).
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