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PDF Editor FAQ

On my first appointment with a new primary care doctor, what should I ask?

Among other things, ask him/her what you can do to facilitate the transfer (or at least sign Medical Release Forms,) of ALL pertinent past previous medical records, including laboratory results and imaging study reports, from all previous doctors’ offices, clinics, and hospitals that you can possibly remember.If you see multiple Physicians in different Specialties, you could break down the distribution of prior medical records by these specialties. This is what I do.

How can I get another general surgeon or doctor to look at past CT and MRIs?

By formally submitting a request for one of them to do so and facilitating it by both signing all necessary release forms and furnishing not only your imaging studies but all medical records he/she sees fit to review.

Why won’t the medical device manufacturers of ICDs and pacemakers give patients and doctors access to raw, heartbeat-by-heartbeat data as collected via remote monitoring? I can review my MRI images, however my cardiac/device raw data is inaccessible.

I think you’ll find that the data is not the ICD manufacturer’s to release. Generally speaking, the medical record belongs to the clinician or the institution. Like other elements of your medical record, the institutions will be hesitant to share their data with any third party, and specifically you, who may take your business to another shop.As others have pointed out, the data is probably available to your physician in some form. It will be of limited use without the tools to interpret the waveforms. The background information, for the lead position, electrodes, and ECG preconditioning in an ICD makes the interpretation of the waveforms much, much different than the surface leads and requires large data sets to establish reference normal and abnormal ECG.The processed data, RR interval data, beat types and counts, and so on, are even more useless, without some clue to the system design, the definitions, and the diagnostic use in determining therapy. You’ll find that all of this background is in a big box, marked proprietary.Define what you want to see and why, and talk to your physician. They are probably happy to show you a pretty picture, and may even print a snapshot for you.

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