Lies on Mychart Clinical Notes
A few weeks ago, I was seen in an urgent care following being physically assaulted as well as in an car accident. When I was triaged the nurse took vitals, and asked what I was there for. I explained the entire story from start to finish. I was out at an event with a friend she got too intoxicated caused a scene. I drove us home (in her vehicle had to take her keys) while driving I explained to this friend that her behavior was out of line. She became aggravated asking me to pull the car over. From there I was physically assaulted. Following the assault I stood outside of the car where I was pushed inside and the “friend” took off driving with me NOW in the passenger. She began speeding and crashed us. In which I believe was done on purpose. The triage nurse wrote this down in her clinical notes. Now when I saw the actual doctor he came in the room and said I read everything that happened wow that’s crazy you don’t have to explain, but what is your main complaint or what’s bothering you. I informed him that during that crash I hit my head which I’m experiencing headaches. IN the clinical notes the doctor wrote I didn’t remember any details due to being intoxicated and I wasn’t in a motor vehicle crash MVC. I was never intoxicated. I never reiterated all of the details because he said I didn’t have to explain he read everything so in my mind he didn’t want the drawn out story he just wanted to treat me asap and move on. So I’m confused on why he wrote what I assume is his opinion in my clinical notes? Why does he have the right to write what he assumes? I’m disgusted.