Spooky, HIPAA Meets the Prayer Chain

RantWoman celebrates the season of Halloween and all Saints day and Samhain and numerous topics muddling back and forth between conscious and subconscious.




RantWoman has been jumping up and down intermittently with questions and reflections about what is desirable as far as shared understanding of confidentiality for members of pastoral care committees, members of care committees, RantWoman KNOWS this topic is complex. ONE problem is that when RantWoman has tried to speak and hear what others understand, RantWoman keeps hearing in response only "shut up" and "we don't have time." RantWoman is unclear whether that is all that is being said but is VERY clear that is what she is hearing.

Please hold that problem in the Light and feel free to stop here.



RantWoman is WAY overachieving about questions and concerns and means to start here with some elementary medical confidentiality. RantWoman needs readers' prayers in advance.



First RantWoman HOPES to convey that it IS possible to share meaningful information with more than enough cover phrases HOPEFULLY to convey the meaningful part without compromising confidentiality. In particular, the issue from RantWoman's perspective is either facts already known from a patient's relative or information from a public Meeting for Worship. Rantwoman is TRYING to hear a concern but is hyperventilating from her own life experience.



Second, RantWoman is going to find it REALLY difficult to have a sensible conversation about the topic if there cannot FIRST be room for RantWoman to ask Friends prayers specifically over one soap operaesque story and one long ago but still intermittently throbbing awful story from one of RantWoman's particularly frequent flyer spells of eye care.



Let's start with RantWoman's vast frequent flyer experiences.

The soap opera item: RantWoman spent the prep period for one of her hospital eye experiences listening to her doctor and the nurse from the hospital gossip about an office romance at the doctor's office. The office romance led to an unintended pregnancy and a wedding; RantWoman never quite knows what to do with the thought of medical practitioners experiencing unplanned pregnancy but found herself grateful for an update a few months later when opportunity finally presented itself to ask her own doctor how the situation turned out. RantWoman really did NOT need to know of the soap opera, but as long as she did....





Now the throbbing, RantWoman has trouble talking rationally about the item she means to season event. Warning: medical trauma details.



Once upon a time RantWoman had to have surgery for a detached retina. There are various ways to treat a detached retina. RantWoman wound up needing the most invasive wrap a band around the eyeball, fill the eyeball with a gas bubble and then keep one's head face down for a couple weeks while the gas bubble pastes the retina back where it belongs. The procedure is invasive; swelling can happen for LOTS of reasons.



(RantWoman is also aware that swelling can happen over issues not paid attention to because of not being appropriately documented in a medical chart or not acted on if it was there. RantWoman mentions this point because the possibility that it is on point. RantWoman also mentions this point with reference to a paper medical chart approximately the thickness of War and Peace. For better or worse, in spite of one "not appropriately documented" probability, RantWoman remains with the same medical group. One reason is that even as the office struggles with electronic medical records, RantWoman's current doctor gets out the entire three volumes of "War and Peace" a couple times / year and reviews some historical information available only in the paper chart. But RantWoman is getting ahead of herself and muddling time frames again.)



At the time of RantWoman's surgery one of the staff at RantWoman's eye care practice was the daughter of someone in RantMom's church in MT, someone who more than once transported RantMom when she herself was planning a trip to Seattle. RantMom was on the church prayer chain. RantWoman assumes that the other mother was too. As soon as RantMom heard that RantWoman needed surgery, there was probably a call to the prayer chain. Also afoot, a trip to Seattle with the Motoring Mothers due in Seattle the day after RantWoman's surgery, exactly at the hour that RantWoman expected to be at her one-day followup appointment.



RantWoman TOLD RantMom that she fully expected to be at her appointment and that the motoring mothers should just go to the other daughter's workplace. RantWoman assured RantMom that the other mother SHOULD know how to get to her daughter's workplace; RantWoman assumes she had been there many times.



RantMom INSISTED on stopping by RantWoman's apartment. RantWoman of course was not there. Then there was some further communications fiasco with Little Sister. Then daughter staffperson came to see RantWoman mid-appointment wanting to know where our mothers were.



Mid appointment meant that RantWoman was in the middle of some consent process needed to stick a needle in RantWoman's eye to drain fluid and reduce pressure. And somehow daughter staffperson also needed to reassure RantWoman that she had told her mother nothing! Of course not! It was the prayer chain. It had not even occurred to RantWoman to worry about the daughter sharing info inappropriately--UNTIL the daughter staffperson was fretting about it while RantWoman was trying to cope with the consent form and the probably should not happen need to stick a needle in the eye issue!



Somehow cellphone calls elicited the info that RantMom and the other Motoring Mother were using a payphone and a fast food place RantWoman would never have taken either of them to. FINALLY RantMom absorbed the point that she should just come to RantWoman's eye care provider.



Lately, literature Brain keeps telling RantWoman there are elements of this story in common with what RantWoman has come to see is probably a BIG "hold in the Light" issue from a recent series of conversations. Probably, but RantWoman does not apologize: she is completely incapable of working with the other conversation because she keeps tripping over her own needle in the eye issues before she can even TRY to talk rationally.



The other story: a while ago for a couple weeks a death / obituary / memorial announcement about a new attender's spouse ran in the weekly Bulletin at RantWoman's meeting. The announcement also evoked appreciative ministry in our second Meeting for worship from a medical provider who spoke in worship of getting to know the deceased over time. Ministering medical provider would not, from Meeting life, know the spouse but RantWoman does.



RantWoman has learned from the spouse the circumstances of the deceased passing. They involve the medical specialty and organization where the ministering medical provider works. IF RANTWOMAN HAD TO GUESS, RantWoman assumes that ministering medical provider knows the deceased through work though of course RantWoman would never ever expect the ministering medical provider to say as much.



RantWoman attended a memorial and met one of the deceased's children who also happens to be a medical provider. RantWoman was given the words to say: IF RantWoman had to guess.... expressed great admiration. The other medical provider thanked RantWoman for her words.