Submitted by Dave Lunn
My last visit to the hospital was in the 2021 in the midst of the pandemic. Breathing was difficult and I suspected a COVID infection. When I was admitted to emergency and tested it turned out I had pneumonia and not COVID.
I gave the emergency doctor my health/medical information on the charts below. Needless to say, he was most impressed and guessed I must be an engineer. Alas not I told him, just a retired biology teacher. He assured me I wouldn’t be leaving hospital until I was healthy. Eight days later after many tests and excellent care, I did leave.
My point in sharing this is that it not only provides your health care provider with important information that may hasten your treatment, but just as important, it shows the health provider that you are wanting to help them understand your medical information both past and present.
I know much of this information is available to doctors online through the Alberta Health Services (AHS) web site, but having a printed sheet is more immediate and perhaps gives additional information that’s not with AHS.
Since this my hospital visit, I’ve joined the Alberta Surgical Initiative of Alberta Health Services as a Patient and Family Advisor. This is to provide the patient’s perspective to the referral process for the urology, endoscopy, and general surgery groups with Calgary, Edmonton, and provincial sections. As part of this work I was asked to present my hospital visit in video format as a ‘good news’ story for doctors and other health care staff. This can be seen online HERE
Health/Medical Information
Name
Address. Phone numbers, Email
Date of Birth, AHC No. Blue Cross Number. Other Health Insurance Number, Driver’s Licence No.
MyHealth log-in www.myhealth.alberta.ca/myhealthrecords
Contacts: In case of Emergency, Phone, Email. Personal Support:
Mobility needs: Cane, Walker, Wheelchair
Hearing Aids:
Languages Spoken/read:
List of Surgeries and Procedures
Date | Surgery | Physician | Anaesth | Locations (City) |
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Chronic Condition(s)
Date | Name | Physician | Treatment |
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Medications
Medication Name | Conc’n | Frequency |
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Immunizations
Medication | Dates |
Hepatitis A & B Twinrix (3 shots) | |
Pneumonia – Pneumovax, Prevnar | |
Diphtheria, Tetanus, Pertussis | |
Zostavax, Shingrix | |
Influenza Standard or High Dose | October annually |
Type of COVID 19 vaccinations 1st & 2nd | |
Type of COVID 19 vaccinations 1st, 2nd, & 3rd boosters | |
Eye Rx Name, Date of last exam, Optometrist, Ophthalmologist
Right eye | Left eye |