Knowing your Pt's History

[student1000]

I have a relatively new PCP who the first time I went to see him didn't give me time to finish filling out my health history and when we were discussing my health problems failed to noted I have asthma. So the other day one of my doctors prescribed proponarol for anxiety (who knew I had asthma) but said to check with my PCP that it was okay to take with the BP medicine I was on and he said it was fine. Then I was talking with a pharmacologist who almost flipped because I guess you can't take propanarol if you have asthma and I have been having either asthma or anxiety a lot lately (probably anxiety). Luckily I never opened the bottle. I saw my internist today and mentioned to him that I have asthma, I had gone to see him for an inhaler since I had been using albuterol 4 or 5 times a day (I know for a rescue inhaler not good but that is all the ER gave me a script for-its been a while since my asthma flared up and usually it doesn't happen until Spring.) He was like oh, I don't have that noted in your chart, you are right you can't take that. So for the poor patient who probably wouldn't have seen this 3rd physician for a different problem (not asthma related), and assumed the doctor knows best they probably would have taken it. The pharmacy didn't catch it either and I am not sure why since I had just had an inhaler filled at the ssame store that I filled the propanerol.

So to all the doctors and NPs out there, please let your patients finish completing their health questionnaire or go through it with them and make sure they haven't missed anything.

[shellsgogreen]

i also have asthma, and i point out this condition to each md, regardless of whether they ask or not - time is too limited when you walk into a doctor's office, and even though i agree they are responsible to take a thorough history, i consider my own safety to mention all pertinent info.

[BlueRidgeHomeRN]

i have a relatively new pcp who the first time i went to see him didn't give me time to finish filling out my health history and when we were discussing my health problems failed to noted i have asthma. .

time to find a new pcp