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I contend that it well outside a doctor's job description to ask about a lifestyle issue that is already statutorily covered. There are already laws on the books in most

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Old 12-14-2011, 11:26 AM   #1531 (permalink)
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I contend that it well outside a doctor's job description to ask about a lifestyle issue that is already statutorily covered. There are already laws on the books in most states regarding gun ownership, use, and storage. My possession, use, or storage of my firearms is none of my doctor's business, no matter who or what agency has "suggested" that he ask about them. His job, the job I hire him to do, is advise me on my health care. Where I store my guns and how I use them are law enforcement issues, not health care issues. If anyone wants to know what role firearms play in my life...they can send a deputy to my house with a warrant, if they can find probable cause.

For clarification...I am a physician.
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Old 12-14-2011, 12:32 PM   #1532 (permalink)
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Finally got my gun after 7 months
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Old 12-14-2011, 01:01 PM   #1533 (permalink)
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Finally got my gun after 7 months
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Old 12-14-2011, 01:42 PM   #1534 (permalink)
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I contend that it well outside a doctor's job description to ask about a lifestyle issue that is already statutorily covered. There are already laws on the books in most states regarding gun ownership, use, and storage. My possession, use, or storage of my firearms is none of my doctor's business, no matter who or what agency has "suggested" that he ask about them. His job, the job I hire him to do, is advise me on my health care. Where I store my guns and how I use them are law enforcement issues, not health care issues. If anyone wants to know what role firearms play in my life...they can send a deputy to my house with a warrant, if they can find probable cause.

For clarification...I am a physician.
To this (and semtex above): I agree that doctors shouldn't have a *right* to grill you on personal details. But I think being silent and/or hostile when they ask about guns hurts rather than helps us. You can be truthful without going into warrantless detail or being hostile, and it helps shape the statistics in the doctor's mind back in our favor.

As for all the rest of that lifestyle stuff: Again, I agree they don't have a *right* to know, but I'm also not fond of the idea that one should have to maintain a privacy barrier with one's physician. It's their job to be concerned about your health and safety, and you should be able to talk openly with them about anything and trust their confidentiality. When that trust breaks down, it negatively affects your standard of care.

I should welcome a conversation about my sex life with my doctor, or my driving habits. Maybe he just read a journal article about how SA-2005 rated helmets, while still allowed at many events, are *very* inferior for preventing certain types of injury compared to the SA-2010 standard and wants to let me know. Maybe he wants to let me in on the not-widely-known fact that using BDSM gear made of a certain type of rubber promotes skin infections. You get the idea...

If you don't trust your physician, find a new one, IMHO.
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Old 12-14-2011, 01:59 PM   #1535 (permalink)
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To this (and semtex above): I agree that doctors shouldn't have a *right* to grill you on personal details. But I think being silent and/or hostile when they ask about guns hurts rather than helps us. You can be truthful without going into warrantless detail or being hostile, and it helps shape the statistics in the doctor's mind back in our favor.

As for all the rest of that lifestyle stuff: Again, I don't agree they have a *right* to know, but I'm also not fond of the idea that one should have to maintain a privacy barrier with one's physician. It's their job to be concerned about your health and safety, and you should be able to talk openly with them about anything and trust their confidentiality. When that trust breaks down, it negatively affects your standard of care.

I should welcome a conversation about my sex life with my doctor, or my driving habits. Maybe he just read a journal article about how SA-2005 rated helmets, while still allowed at many events, are *very* inferior for preventing certain types of injury compared to the SA-2010 standard and wants to let me know. Maybe he wants to let me in on the not-widely-known fact that using BDSM gear made of a certain type of rubber promotes skin infections. You get the idea...

If you don't trust your physician, find a new one, IMHO.
I think your position is quite reasonable. But have you considered that your physician may be just the "tip of the sword" in terms of where that information goes subsequent to your conversation with him? That's the aspect that worries me more than whatever personal biases my physician may have. There's a good chance that your responses to his (or her) interogatories are going to end up in some database somewhere, and you'll have no idea who's viewing it and for what purpose. It just so happens that I work in healthcare now. Specifically, I work in an area known as Data Governance. What data is it that my unit is governing? Personally identifiable data on everything from ER wait times to STDs to participation in high-risk behaviors (both sexual and non-sexual). Some of the information gathered in the databases I work with is blood-curdling. Well, I should say that it's potentially blood-curdling. You see, my job is to make sure it doesn't fall into the wrong hands. And my unit is also supposed to ensure that all personal identifiers are stripped out of the information before it is forwarded to statisticians for analytic purposes.

Question is, do you really want to place all your trust in a stranger like me to make sure that (a) your identity is properly cleansed from the records, and (b) the data doesn't ever fall into the wrong hands? Because I can tell you that your doctor isn't keeping your responses to himself. He's uploading them to regulatory agencies like mine. And I can also tell you that mistakes happen and breaches do occur. We're all human, after all.
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Old 12-14-2011, 03:31 PM   #1536 (permalink)
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I think your position is quite reasonable. But have you considered that your physician may be just the "tip of the sword" in terms of where that information goes subsequent to your conversation with him? That's the aspect that worries me more than whatever personal biases my physician may have. There's a good chance that your responses to his (or her) interogatories are going to end up in some database somewhere, and you'll have no idea who's viewing it and for what purpose. It just so happens that I work in healthcare now. Specifically, I work in an area known as Data Governance. What data is it that my unit is governing? Personally identifiable data on everything from ER wait times to STDs to participation in high-risk behaviors (both sexual and non-sexual). Some of the information gathered in the databases I work with is blood-curdling. Well, I should say that it's potentially blood-curdling. You see, my job is to make sure it doesn't fall into the wrong hands. And my unit is also supposed to ensure that all personal identifiers are stripped out of the information before it is forwarded to statisticians for analytic purposes.

Question is, do you really want to place all your trust in a stranger like me to make sure that (a) your identity is properly cleansed from the records, and (b) the data doesn't ever fall into the wrong hands? Because I can tell you that your doctor isn't keeping your responses to himself. He's uploading them to regulatory agencies like mine. And I can also tell you that mistakes happen and breaches do occur. We're all human, after all.
Absolutely correct! The government is actively, rabidly, pushing widespread adoption and standarization of electronic health records. They increasingly mandate exactly the kind of data gathering mentioned above. Right now they're using mostly the carrot (do a google search on "meaningful use" and the associated reimbursement scheme), but it won't be long (about 3 yers) before they start using the stick. They want that information. They believe, especially the current adminstration, that something as important (read "expensive"), and as relevant to the governmental social agenda, as health care should not be left to being something just between the patient and his doctor.

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Old 12-15-2011, 09:51 AM   #1537 (permalink)
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Finally got my gun after 7 months
That is a cool kit. What is that; a .45 S&W? It looks like some sort of special edition too.

Very nice!

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Old 12-15-2011, 09:56 AM   #1538 (permalink)
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To this (and semtex above): I agree that doctors shouldn't have a *right* to grill you on personal details. But I think being silent and/or hostile when they ask about guns hurts rather than helps us.
No need to be hostile - the doctor is just doing what he/she thinks is most consistent good medical practice. But there is absolutely no need to answer either and I recommend leaving medical practitioners to the practice of medicine, societal reforms to the sociologists, and firearms issues to the county Sheriff.
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Old 12-15-2011, 06:57 PM   #1539 (permalink)
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Didnt think my comment would carry that much of a conversational topic lol. To be honest he is a great guy, and imo was just making sure my son was safe. Yea, it was kinda annoying to get all those questions. But also, hes just looking out for my son, and every other kid he has as a patient. Can't fault the guy for making sure everyone is safe. Excessive, but if it catches the one guy that isn't doing what he should be, then it was all worth it right?
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Old 12-15-2011, 11:31 PM   #1540 (permalink)
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Excessive, but if it catches the one guy that isn't doing what he should be, then it was all worth it right?
How far would you carry that concept in doing your job?
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Old 12-15-2011, 11:43 PM   #1541 (permalink)
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How far would you carry that concept in doing your job?
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Old 12-19-2011, 10:12 PM   #1542 (permalink)
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That is a cool kit. What is that; a .45 S&W? It looks like some sort of special edition too.

Very nice!
Sorry I missed this. It is a S&W M&P chambered for .40S&W. It was a special purchase our unit did for our deployment. On one side it has Presidential Surge 2010-2011 engraved on it and on top it has our unit patch engraved just in front of the rear sight post. I will get some better pics up while I'm on vacation.
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Old 12-20-2011, 11:50 AM   #1543 (permalink)
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that's awesome...
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Old 12-21-2011, 12:10 AM   #1544 (permalink)
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Sorry I missed this. It is a S&W M&P chambered for .40S&W. It was a special purchase our unit did for our deployment. On one side it has Presidential Surge 2010-2011 engraved on it and on top it has our unit patch engraved just in front of the rear sight post. I will get some better pics up while I'm on vacation.
Ahh, now that I look at it again, I see the S&W logo. Man, there are so many cool guns to choose from nowadays.

BTW, thanks for your service and your bravery!

Sorry for the obvious question but I just want to make sure I understand what "Presidential Surge 2010-2011" means because I didn't know that they produced specific special editions like that; is that commemorating the 15,000 troop surge in Afghanistan that President Obama authorized?
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Old 12-21-2011, 04:02 AM   #1545 (permalink)
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Well i finally got a G4 g19 and XDm competition bitone 45cal. I'll post pics of the family when i get a chance.
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