Tuesday, June 9, 2009

Transparent Patients



Prison medicine does offer an advantage providers on the outside might enjoy: Just about every detail of the prisoner's life is available with a few clicks of the mouse.

You might call it invasion of privacy, but the truth is there is no privacy in prison.

For example, have you ever wondered if the patient has been taking a medication as prescribed? Just call up the medication compliance report, and you'll see if he made it to pill line and downed that tablet of Wellbutrin (or whatever). And I do mean "downed" because they'll make sure he swallowed it and isn't "cheeking" it to hoard for later or to sell.

How about that diet you recommended to help with his diabetes? Click on the commissary sales report and you'll find out what he's been snacking on. Ho Hos and cookies? That explains the blood sugar of 334.

Dr. House tells us that all patients lie, and they do. So he sends his lackeys to break into patients' homes to find out what they're hiding. Patients here lie too. But you can't stray too far from the truth when your doctor knows where you are 24 hours a day, 7 days a week, and what you do for work, and play, and who you live with, and what shampoo you use.

... And how many little powdered doughnuts you've purchased in the past month.

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