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Wed Feb 4, 2015, 03:36 AM

Measles and the ACA: how many here are trying to recall if you

and/or your kids had that second measles vaccination? Wouldn't it be nice if we could all look it up on our electronic health record? Just another example of how Obama Care is making things better!

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Response to hedgehog (Original post)

Wed Feb 4, 2015, 04:07 AM

1. Yes to all of the above.

The measles vaccine was released around 1963. So those of us who were born before then and have grandchildren need to find out whether we had measles or were later vaccinated. We don't want to spread it now that it is out there and can be spread. It is extremely contagious.

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Response to JDPriestly (Reply #1)

Wed Feb 4, 2015, 09:03 AM

6. There was a presumption of natural immunity for Americans older than the vaccine

because measles, mumps and rubella was ubiquitous.

Of course no one wants to infect one of their grandchildren, but the mind-at-ease setting statement has been that even in people born before the vaccines with no memory or record of measles there is a reasonable presumption of immunity.

Has that changed?

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Response to HereSince1628 (Reply #6)

Wed Feb 4, 2015, 04:16 PM

13. For most people, perhaps not, but I take care of a child under the age of one year.

I have to be very careful. She has not been immunized,

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Response to hedgehog (Original post)

Wed Feb 4, 2015, 04:28 AM

2. You've just made the argument for single-payer.

And how about this?

Think of the unconscious patient brought into the ER. With single-payer, as long as you know the ID of the patient, you can pull up their medical records and give the ER docs a fighting chance to save their patient.

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Response to area51 (Reply #2)

Wed Feb 4, 2015, 05:36 AM

3. I have that now without single payer. It's part of the ACA. n/t

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Response to area51 (Reply #2)

Wed Feb 4, 2015, 09:22 AM

7. In theory. Traditional Medicare has yet to pull it off.

Some of the Medicare Advantage Plans kinda have it, but if a beneficiary goes to another plan, it's lost.

They are trying to come up with standardized interfaces, but it ain't there yet.

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Response to hedgehog (Original post)

Wed Feb 4, 2015, 05:44 AM

4. We can do that now

My chart is also available to me online for all my records. I can add comments if I take my bp say. I can email my doc for tx renewals.
The computer system where I work links into other healthcare systems so the docs here can look up lab results etc. great system.

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Response to hedgehog (Original post)

Wed Feb 4, 2015, 08:50 AM

5. There are probably many who never got the second shot

When the measles vaccine reached me in the mid-60s, it was supposed to be "one and done". It was only because I was at university in the 80's during a measles outbreak that called that into question that I got a second shot. Had I been out of school, I may not have bothered.

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Response to hedgehog (Original post)

Wed Feb 4, 2015, 09:51 AM

8. I had the measles, so as far as I know, I am immune

Had chicken pox and mumps too. Now all I have to worry about it shingles

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Response to hedgehog (Original post)

Wed Feb 4, 2015, 09:58 AM

9. And get rounded up for those Obama vaccination camps? No, thanks! n/t

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Response to hedgehog (Original post)

Wed Feb 4, 2015, 10:28 AM

10. If you aren't sure, you can still be vaccinated.

An "extra" MMR is not going to cause a problem.

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Response to hedgehog (Original post)

Wed Feb 4, 2015, 12:58 PM

11. I'm almost 62, and couldn't remember

and since I plan on shopping at Disneyland in the next two weeks, and being at a Doctor Who convention,
I got a booster last week.

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Response to hedgehog (Original post)


Response to hedgehog (Original post)

Thu Feb 5, 2015, 01:14 AM

14. Not everyone knows this, but the ACA is really pushing electronic record keeping:

Reduced Paperwork We have also started work to help your doctors begin using Electronic Health Records that help doctors, nurses, and hospitals communicate with each other about your care. Electronic Health Records make it easier for physicians, hospitals, and others to assess your medical status and make sure that care is appropriate. They can help your doctor avoid redundant paperwork and make sure you get only the right tests and medications so you can get healthy sooner. We also issued rules to simplify the mounds of paperwork that doctors, nurses, and other caregivers have to complete in order to get paid for treating you. We estimate that these changes will save our health care system $12 billion over the next 10 years.

http://www.hhs.gov/healthcare/facts/blog/2011/10/deliveryreform10172011.html

It would have been impossible 50 years ago, leaving us fumbling for our vaccination records.

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