I am just wondering, for those of you who live in a small community, how you get around keeping your own healthcare issues private. It seems I know people in every field, from my family doctor's office, to my gynecologist, even at the community mental health center where I get my anxiety meds. I actually was not aware that my gynecologist was going to take it upon herself to send infomation to my family doctor, whom I only started seeing for the required physicals and titers back when I was in LPN school. I just started RN school and had to go back to that original doctor and was greeted by a nurse who I, of course, somewhat know personally. In reviewing my chart, she confirmed some info that I thought only my obgyn had, and I was rather embarrased about. Nothing crucial or critical, but nonetheless I chose to omit from any meetings I had for physicals, because this is where the greatest number of friends work, at this doctor's clinic where I get the physicals. I'm just curious how other people, who are in healthcare, keep their OWN confidentiality when they know other healthcare workers everywhere they go! I'm about to just cut off all ties to this city where I live, work, and attend school...and start seeking healthcare 50+ miles away. I don't need my friends knowing what kind of anxiety meds I take, or whether OR NOT I have anal sex, or how many sexual partners I have in a year! Even as an LPN, I just did not realise that my info would make it from my obs office to my other doctor without atleast a heads up or something. Do you small towners leave town for healthcare and privacy reasons?