Dr. Nabili received his undergraduate degree from the University of California, San Diego (UCSD), majoring in chemistry and biochemistry. He then completed his graduate degree at the University of California, Los Angeles (UCLA). His graduate training included a specialized fellowship in public health where his research focused on environmental health and health-care delivery and management.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
How should I carry and store all of this information?
It would seem impossible to carry all of this information with you at all times
-- even impractical. Fortunately, there are a number of reasonable alternatives to carrying a photocopied medical chart.
One-page summary: The simplest, and arguably the best, way to have immediate access to personal medical records is a one-page summary of your medical history. This single piece of paper could be carried in a purse or wallet and should be kept with you at all times. This one-page
history should include the most critical information that will be useful in an
emergency and also easy for a doctor to get a quick idea of your personal health
information in a non-emergent circumstance. This page should include the
Name, address, home phone number, and date of birth
Name and contact of primary-care physician
Name and contact information of the next of kin or the best person who can
provide additional health and personal information about you
Brief list of chronic medical diseases and previous surgeries
List of all prescribed and over-the-counter medication with dose and
Health insurance information
Name and phone number of the pharmacy
Personal wishes in regard to end-of-life decisions (CPR, breathing machine,
artificial life-saving heroic measures)
Electronic medical records (EMR): The Internet provides another option for people to organize their family medical records online. Many companies have developed web sites designed for recording medical information that can be reached from any computer with Internet access. Some of these companies even have options for printing a summary of the information that you can carry with you. Also, some of the sites are designed to allow doctors access to the information in emergencies. The information is password protected, and some of the sites do not charge for their services. These online
electronic health records (EHR) sites are very useful; however, they do not replace the official medical records kept by your physicians and your hospital. They hold the data which you enter and update personally for your own health-care records or for someone whom you care for. Although, there are more and more of these sites being developed, a few of them are listed below:
Electronic medical records (EMR) are also becoming increasingly more available in medical offices and hospitals. One the biggest advantages of this technology is that a patient's record can be accessed each time they present to the emergency room, hospital, or the physician's office. So long as a patient goes to the same facility, the records could be easily accessed during each visit by their treating doctors. However, it is worth noting that there are variety of EMR software, and facilities and hospitals often use different programs. Furthermore, if an individual presents to different hospitals, obtaining information from another facility has to be authorized by the patient before any medical information can released under the
Health Insurance Portability and Accountability Act (HIPAA).
Wireless access: The increasing popularity of handheld personal digital devices and other handheld computers allows you the option of electronically maintaining your medical records. A number of companies and individuals have developed software for these personal data assistants that is specifically designed to hold medical information. These programs can be obtained from the Internet. Although some are free, many require a registration fee to obtain the complete program. Software titles include Medical Records v10.2, Medical Records v2.0, Personal Medical Records v2.14, Family Medical Records v3.0, and 4T Medical v1.3.
The one-page personal health history is often preferred because it can be accessed most easily in an emergency situation and is carried with the person all the time. The electronic health-record organizers could be difficult to access if the individual is unable to log in, and oftentimes the medical personnel may not know if a patient has one of these services online. A summary can be printed from some of these to be carried around, however. These electronic personal health record web sites also may require a password, but in emergency cases, the records can be accessed by a doctor.
Physiatry (pronounced fizz ee at' tree) is the term used to describe the specialty of physical medicine and rehabilitation and is derived from two Greek words "physikos" (physical) and "iatreia" (art of healing).