HEALTHMAN_By Keith Torkelson MS_UCD Educated Pathology: Personal Health Records – Using Rimal B Bera MD Generated Information (201810)

Feature Image – Selfie Control (Circa 2012)

Keith E Torkelson, MS AKA Buster
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"That's My Buster There!" (AVEY, 2018)

Figure – Baseline for Current Cycle (2012-2018)

“Below Adequate Appearance & Grooming”

Primary Source Document

10_BHD_RBB_PHR_Records_18101005_Visits Summaries

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HEALTHMAN

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Personal Health Records – Using Rimal B Bera MD Generated Information (201810) – Consumer Keith E Torkelson, MS

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Behavioral Health Doctor Visit Summaries by and for Keith E Torkelson, MS – A Study in Transparency and Stigma Elimination – Medical Records – MSG SmartShare (2018)

Metadata for Appointment Schedule

> Assess_VITALS_16071402_Bera V2018
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Dedicated to Mike Cisco AKA Sisco
Another That Died Too Young (Roughly 1958-2018)

[INSERT LAST PHOTO OF CISCO]

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Abstract – Summary

This report is pertaining to the consumer-doctor partnership between Keith Torkelson AKA Buster and Dr. Rimal B Bera MD. Rimal B Bera (RBB) is Keith’s new and improved Behavioral Health Doctor (BHD). Keith and RBB have been associates for now going on one year. Keith has high expectations for RBB. We are MSG. Keith is MSG’s principal. We usually have numerical data to present. There not much here due to the non-numerical nature of the Medical Records we share. We here at MSG track Mr. Torkelson’s Health Related Engagements (HREs). At the time of Keith’s last appointment with RBB (October 10, 2018) Keith had prepared for an appeared for 94 HREs (2018). Forty-five (45) said engagements were “Within the Brand New Day Network”. Here we share without much ado a few of Mr. Torkelson Medical Records that pertain to the RBB association. One of our intentions is to address Stigma Elimination. We decided to pick just one of Mr. Torkelson’s presenting problems to address in depth. The presenting problem or PP is his “Adequately Groomed “ dress and fashion sense. We will use the last examination with RBB dated October 10, 2018 as our baseline for Behavioral Health Treatment Planning for the year 2019.

[INSERT DOCTOR APDs PHOTO – Fashion Police Control BHD]

What Does Your Doctors Office Tell You About Your Doctor?

APD Briefing (AVEY, 2018)

Keith partnered with Doctor Arnold P Deutsch MD (APD) back in 1989. Since he was private pay he paid for and engaged in weekly appointments for 50 minutes per session. Dr. APD was one of the most fashionable Behavioral Health Doctors (BHDs) out of a cohort of more than a dozen. In 1989 Keith’s first performance challenge to overcome was getting himself re-admitted into the UC Davis School of Veterinary Medicine. APD taught him many a lesson. One was that when Keith succeeds earning him doctoral and in practice he would very likely saunter about an “Ego Trip”. APD said Keith would feel empowered knowing that he had power over life and limb. Little did Dr. Deutsch know Keith would become a USDA Slaughter Inspector. “Slaughter work has limbs and life mottled all over it (JudgeFusion, 2018).”

List of Tables – Matrices – Figures

Figure – Feature Image - Baseline for Current Cycle (2012-2018)

[INSERT DOCTOR APDs PHOTO – Fashion Police Control BHD]

List of Tables – Matrices – Figures

Table - Themes Addressed – Context Medical Records Management - Principles

Table - Themes Addressed – Context Medical Records Management - Process & Processes

Table - Service Details – Provider

Table – Records Based Service Details – Provider

Figure – Medical Record – Summary from 10/10/2018 Appointment

Table – Specifications for Dressing for Success

[INSERT UCD ASSESSMENT RESULTS]

[INSERT BEFORE AND NOW SELFIES]

Figure – Medical Record – Summary from 01/03/2018 Appointment

Figure – Medical Record Prescription [HELD BACK]

Table – Figure Transformed (MSG SmartDisclosure)

Summary Views – “The Fashion Police”

Images @ The End

Figure - WorldWafers Promotion

Table - Themes Addressed – Context Medical Records Management - Principles

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Theme		Detail
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Digital Preservation Project		A Prime Motivator Ongoing quest we have about a 50% digitize/destroy ration
Empowerment		Just slip us a food card as was the policy at the HCA
Guarded Disclosure		Would not like to hurt ourselves or other in the process SmartDisclosure
Personal Health Records
Resource Sharing		Motive behind Blogging
Smart Disclosure		Example herein
Stigma Elimination		A prime goal This paper is an objective
Transparency		Consumer First Method (CFM) SmartShare
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Themes Addressed – Context Medical Records Management - Principles

Last Addressed – 20181019-F:

Table - Themes Addressed – Context Medical Records Management - Process & Processes

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Component		Note
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Provider		Rimal Babulal Bera (BHD)
Time Spent with Client		5 Minutes Triage Team 5 Minutes w BHD
Assessment Mental Status Examination		We have a good legacy database
Consumer		Keith E Torkelson, MS
Consumer’s Specialties		Para-health Worker Social Pathology Author
Baseline Records for 2019		October 10, 2018 Appointment

Control for Diagnosis		Information we provide in summaries should be sufficient to make your own diagnostic interpretation
Control Record		Transcript UCD Graduate
Doctors Time Spent Documenting After		Clerical indicates that someone closes the encounter information after we leave the appointment
Electronic Health Record Evaluation		Applying our background from Technology Advisory Work (2009-2018)
Line Item Evaluation (MSE)		Starting with Appearance
Measurably Improve Treatment Planning		Our goal for processing personal records
Medical Records Program (MRP)		We wrote our first commercial MRP as an intern (Summer 1986)
Transformation for Quantification		Challenging due to the qualitative discordant terminology
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Last Addressed – 20181019-F:

Table - Service Details – Provider

Rimal Babulal Bera MD (RBB) - BHD

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Date of Service	#	Provider	Nature	Time Spent
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20180103-W	1	Rimal B Bera. MD “RBB”	Referral & Linkage Assessment	10
20180411-W	2	RBB. MD	Adjustment	10
20180718-W	3	RBB. MD	Confidence Building	5(T) + 5
20180731-TU		Beatrice	Records Request	5
20181010-W	4	RBB. MD	Medication Management	5(T) + 5
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Table - Service Details – Provider – Rimal Babulal Bera MD (RBB) – BHD

Last Touches: 20181019-F:

Table – Records Based Service Details – Provider

Rimal Babulal Bera MD (RBB) - BHD

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Specification	1	2	3	4
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Date of Appointment	20180103-W	NA	NA	20181010-W
Date of Record Request	20180103-W	NA	NA	20181016-TU
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Table - Service Details – Provider – Rimal Babulal Bera MD (RBB) - BHD

Last Reviewed: 20181019-F:

Metadata – Dates of Service - Appointment Dates

>Assess_VITALS_16071402_Bera V2018

Figure – Medical Record – Summary from 10/10/2018 Appointment

(Censored View) - Showing Page 1 of 3

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Figure – Medical Record – Summary from 10/10/2018 Appointment

(Censored View) - Showing Page 2 of 3

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Figure – Medical Record – Summary from 10/10/2018 Appointment (Censored View)

Showing Page 3 of 3 – Blank No Records

Table – Specifications for Dressing for Success

Problem Solving - Applied Materials

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Part	Pattern	Specification	Note
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Belt	Solid	Black	Well fitting
Hair	Cut down to #1	3 days growth
Hat	Solid	Green	Optional
Shirt	Solid	White V Black	Not pressed
Shoes	Solid	Black	Wingtips
Slacks	Solid	Black	Permanent pressed
Socks	Solid	White
Suit Coat	Solid	Black	New fitting after substantial weigh loss
Tie	Near Solid	Deep Blue V Black
Vest	Solid	Black
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Table – Applied Specifications for “Dressing for Success”

Upcoming Conference

On October 24, 2018 (W) the OC Health Care Agency (HCA) is holding their first annual Community First Conference. We were planning to wear our one of a kind Social Pathology “Life’s A Lab” lab coat. In light of our “adequate” appearance problems will don our Grade A- ensemble.

2019 Baseline

[INSERT UCD ASSESSMENT RESULTS]

Of Corrective Actions

A you can see in the record of education (transcript) we had a little bit of trouble getting up to speed Fall Quarter 1986. It was brought to our attention that we were delivering sub-grade product. We immediately took and sustained corrective measures. Analogy: We did not become aware of Mental Status Examination (MSE) type results as included in the October 10, 2018 encounter until 2009. In 2009 we were taking a County of Orange – Mental Health Services Act – Workforce Education & Training funded health workers paraprofessional certificate course. It occurred to us that it might be nice to retrieve our medical records about our 2006-2007 catastrophic loss episode. Then and only then did we become aware of Mental Status Exam (MSE) and a Global Assessment of Functioning (GAF) measurements. We will address our current MSE item labeled “Examination – General Examination” top down. The first item is APPERANCE – “Adequately Groomed”. It would have been nice to get some input on how to improve our appearance. We have yet to received a quantified MSE. This cover our tenures with BHDs: Inglis, Vu, Singh, Lee, and Bera. We have been working our our MSE Quantitative Transformations for quite some time. How in world do you score and “Adequately Groomed”? Grade C – 3.0 Stars – 0.5 Binary – 2.0 Grade Points. We will address teaching to the test, i.e. teaching to the defect, in an upcoming installment.

[INSERT BEFORE AND NOW SELFIES]

2012

2018

Figure – Intepretation

On the right is the day of our October 10, 2018 appointment

We felt we were “Above Adequately” if not excellently groomed

Figure – Medical Record – Summary from 01/03/2018 Appointment

(Censored View) - Showing Page 1 of 2

Figure – Medical Record – Summary from 1/3/2018 Appointment (Censored View)

Page 2 of 2 – Blank No Records

Figure – Medical Record Prescription [HELD BACK]

Propriety & SmartShare (MSG, 2018)

We held back the scan of our actual prescription from July 18. 2018. The prescription is for Ativan. The information in the original format has potential for abuse. Thus we will describe the prescription with a focus on the Notation Of Interest (NOI).

Table – Figure Transformed (MSG SmartDisclosure)

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Component		Detail
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Health Group		Central City Community Health Center
City
Prescribing Doctor		RBB MD
Name for whom it is written		Torkelson, Keith
Date of Prescription		7/18/18
Notation Of Interest (NOI)		PRN Anxiety
Route of filling		Consumer manual carry to pharmacy
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Table – Figure Transformed (MSG SmartDisclosure) – Last Reviewed: 20181019-F:

Summary View – “The Fashion Police”

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Professional (BHD)	Appearance	Grooming
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Waknine, R	Below Adequate	Adequate
APD (Retro)	Above Adequate	Adequate
Bera, R	Adequate	Adequate
Lee, B	Below Adequate	Adequate
Ravinder P Singh (Retro)	Below Adequate	Adequate
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