One percent?
Okay then, I rest my case your honor.Hey, here's a question that I'm sure hobbyists have wondered about. Is it safe to admit to your doctor or shrink that you hobby, i.e. visit providers? In particular when consulting one for a urology-related issue or for work stress and such. What will the doctor or shrink do in response? Does the patient put himself in legal harm's way by admitting to hobbying? My main concern is that a self-righteous type might view hobbying as "danger to himself" and overreact. Of course, the safest course of action is to say you pick up civvies in bars every weekend, even if you're a 40-year-old man with a receding hair line and a beer belly. That's what I always did. But I can't help but wonder. So, any thoughts?
Glib/funny/sarcastic responses are fine up to a certain point. Just don't get too carried away.
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but in this new era of Obamacare with a million quite intrusive questions being asked the answers to which will follow you around for a lifetime in this digital era we live in, I don't know if I would be so quick to answer truthfully anymore.
I am already "out" to almost the entire world, but even I am not sure I want a box checked yes, next to the question "Do you frequent prostitutes?" on my permanent medical record knowing full well that answer could someday be used against me if I ever make a claim. It's a scary world we now live in and I am NOT talking about STDs
...you are asked if you have paid for sex with either money or drugs or if you have received money or drugs in exchange for sex. It goes back to when people contracted HIV from donated blood. As I recall, your answers are placed in a sealed envelope. If you answered "yes" they discreetly dispose of your blood after you leave. This saves you the embarrassment of not having to tell your co-workers in a blood drive why you were turned down.
I am already "out" to almost the entire world, but even I am not sure I want a box checked yes, next to the question "Do you frequent prostitutes?" on my permanent medical record knowing full well that answer could someday be used against me if I ever make a claim. It's a scary world we now live in and I am NOT talking about STDs
They would understand, and may even give you pointers!
Kisses
Frederica
to keep abreast with health issues and helps me to keep things discreet from my health care provider. He knows how healthcare works and lets me get free regular healthcare screenings for free. So in my opinion being honest will get you more informantion and help. But you need to have a doctor you trust and can confide in.
Frederica
Health professionals have to keep what you tell them confidential. There are a few exceptions, of course. So legally you are safe but the unfortunately the relationship between yourself and your healthcare provider might change when you reveal that information
it is still a hit or miss so my suggestion with a PCP is to test the waters before full disclosure; until you get a sense of comfort or trust. I started with vague statements with mine and later and as I gained more trust and felt safe I was able to be more frank. He is very helpful and non-judgmental.
With psychiatrists can also be a hit or miss; you would think the profession attracts only open minded people but sadly that is not always the case, there is a lot of moralizing and unnecessary pathologizing. I would start with a therapist listed in AASECT.org (they have had special training in human sexuality and are much more likely to be less biased by social norm). If you were to need a psychiatrist then that therapist could recommend you to one that would adapt to your needs. Also, one could look in centers where they work with the LGBTQ community as it is much more likely to find the right staff for these matters there
I have a Doc who is also a friend. I tell it like it is, and we work together to help me be safe as possible.
Some may need to shop around for a more open-minded Doc, but when you find one, it is well worth the effort.
Doctors are legally bound by cofidentiality ( hippa and other privacy laws).
My ordinary dictionary us aware of my hobbying and he has sent me reminders for my "quarterly checkup" ( I get tested for everything under the sun every three months).
I agree with what others have said here. Find a doctor you trust, if you don't already.
D.
I was honest with the doctor when I told him I have had 30 sexual partners when I saw him last week of December before insurance changed. The therapist knows about me meeting with providers and understands to a certain degree. Granted my originally therapist didn't want to hear my sex stories so she refereed me to someone who did. A therapist is great to talk I know a few providers who talk to a therapist as well so it's not as uncommon as you might think.
Glib/funny/sarcastic responses are fine up to a certain point. Just don't get too carried away.
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First of all I direct my own care, using specialists to help me when needed. I see a cardiologist and urologist and rarely a gastroenterologist and I ==of course-- know what I do and arrange for tests the results of which I am the only one to see.
If you are involved in any legal dispute (malpractice done by another physician to you, damage done to your health in an accident, divorce where you claim at your age you can not give your about to be ex what she wants. You hit a child crossing the road and that child's family claims you were not fit even to be driving. In any of these, and many others, your medical records are available to the opposition. When this happens, the records are available to your enemies and the physician you see can be forced to give a deposition. In any of these, you're vulnerable.
Any physician that gets judgmental about your hobby isn't worth seeing, but he/she may have no choice in the above circumstance.
The only ready solution is to use an anonymous service or to have a physician that you see only for that and NEVER tell anyone so in a suit no one would need to know you had seen him/her and could not then subpoena your recrds from that physician
Incidentally if an insurance company ends p paying for any tests or treatment, they can examine your records. You have given them that right. So your HIPPA protection is not absolute
In a simple case of STD testing by your regular physician, I would expect the fact that you were tested to be documented in her/his records, your medical insurance records, and in The Cloud.
However, in regard to psychotherapy, I would hope that a patient who's work as an escort or dallying as a monger affects their emotions would be able to discuss that with their psychotherapist. The risk of exposure might be outweighed by the need to discuss. I would ask the shrink for a very clear commitment not to create any written record of those discussions. They might refuse, but I would ask as a what-if 'hypothetical question" without any details and see what they say. If your escort activities play an important role in your life and/or psyche, I would ditch any shrink who refuses to give absolute assurance of confidentiality and find another shrink. Dr.Joe, does that all make sense?
This was a big one!
here is strict patient/client confidentiality. Which isn't 100% iron-clad, I mean nothing in life is. But 99.99999% of people in 99.9999% of all instances should be abel to feel completely safe and comfortable talking about paying for sex ... with their therapist. That is WHY you pay them.
So my point still stands. In 99.999% of the cases, you should be able to feel completely comfortable and safe talking with your therapist about your P4P activities.
Apparently you haven't been exposed to much family law. Medical and psych records are routinely ordered opened in family cases when custody of children are an issue. It happens EVERYDAY in courts all over this country.
Custody issues trigger a war in many divorces and the privacy expectations of all parties become a casualty of that war. I have even seen a grandparents time with grandchildren cut off when the grandparents psych background and therapist notes became fodder in a nasty divorce.
Some women in P4P have lost custody of their kids when therapy notes have become entangled in a custody battle.
To say that that medical records, therapy notes and psych records are safe 99.999% of the time is simply a foolish statement.
So my point still stands. In 99.999% of the cases, you should be able to feel completely comfortable and safe talking with your therapist about your P4P activities.
One percent?
Okay then, I rest my case your honor.
.. in a Midwest state. In contested custody cases, 100% end up in court. The medical and psych records always come in, genius.
But go ahead and continue to impress us with that certain skill you have, you know the one, the need to have the last word. LOL
One percent?
Okay then, I rest my case your honor.
When I gave up booze a few years ago I worked with a shrink on it. He stuck around for a few years and gave me some needed help with the divorce.
We continued meeting for another year or so after the divorce, and I'd started hobbying almost immediately after the divorce. He had no problems, and understood fully why I do it.
I've alluded to expensive young beauties when talking to other doctors, but I don't think they pay attention
That admission will be charted in your medical and/or psychiatric record. The privacy protection you statutorily enjoy is ilimited at best and practically non-existent at worst. Do not tell a medical or mental health professional anything you can't risk being discovered by others.
No details beyond that are needed. Her first response was "I hope you use condoms", shuddering a bit as she said it. Her second response was to arrange a full panel STI test. Much blood was drawn, and I peed in a cup. By six months later when I asked for another, she had located a lab that performed all elements of the test, so only half as much blood was drawn for that. I have an awesome Doc.
In some job situations, you may have to submit to a background investigation, and typically, at least in my field, that requires that you sign a form releasing your medical records. So, in that case, HIPAA and all of that stuff doesn't matter, because you've agreed to disclose whatever is in your medical file.
Keep in mind that once it is in the record, it is there forever, so while you might think you would never accept that kind of job, never say never ..