What is your position on patients gaining unrestricted access to their medical records?

Short answer: No. Long answer: When I was an internal medicine intern, I took care of a young patient. He was a hipster-looking sort, with horn-rimmed glasses, tight jeans, and the like, and he clearly had some kind of anxiety or nervous issue and seemed pretty high strung. When the day came to discharge him, I took care of all the paperwork and discharge orders and paid attention to my currently sick patients. Suddenly, the nurse comes up to me and says that the patient refuses to leave until he sees me. I meet the patient, who is all dressed in his normal street clothes and ready to leave, and he tells me that on his discharge paperwork, he saw the diagnosis "Anxiety" among the long list of discharge diagnoses. He refused to leave until that word was stricken entirely from his medical record. I agreed to remove it from the discharge summary, hoping that would be the end to that. Nope. He then mentioned that he had seen that my attending's progress notes, day after day, had mentioned the diagnosis "Anxiety," and he wanted it removed from those, too. I told him that this was a part of the permanent medical record, that it wasn't even my note to change. He wouldn't accept that response and kept pestering me to remove that word from every single note. This entire time, I'm trying to take care of patients who are actually sick, and there's clearly every indicator that this guy has some anxiety issue and some odd fixation on getting the word "anxiety" removed from all of his medical records. Anyhow, I only got him to leave after over an hour of wrangling, agreeing not to mention the word "anxiety" in my discharge dictation. Now what health professional is going to know that this guy clearly has some anxiety issue that might need to be addressed? Certainly not whoever gets the discharge paperwork from my hospital. Because my patient demanded that it get taken off.

Now, you sound like someone who has not had to deal with something like this. You're early on in your training as a health professional, being a medical student. But let me tell you, some day it's going to come back and bite you in the ass.

/r/medicine Thread