manoukian.org

Tips for e-mail communication
by Dr Jerry
our e-mail address is burdock@pacbell.net
our phone # is (650) 940-1006

E-mail can help facilitate communication between patients, physicians, family members and others.  It has its limitations.  Some of these limitations and tips for ideal use are listed below.

We routinely check e-mail from home.   So most of the time, we will not have access to your records.  Please try to include as much information as you can, considering that the physician reading your e-mail is tired, overworked, and eager to go to bed.   Typically we will handle the e-mails that require a quick response, and save the more involved ones for your next office visit.
For urgent matters, the phone is best.

We don't check or answer e-mail during the day except by sheer chance.  E-mail may serve as a  back-up to a phone message.
Keep messages brief.
Keep it  brief.  Anything more than a short paragraph is likely too complex should be handled in an office visit.  Anything we can't answer  gets "saved for later"
(I probably will never get to it!)
We probably don't have your chart while reading e-mail.
We read most e-mail late at night, at home, without your chart.  Include all pertinent information.  Assume that I won't  remember any prior visits or conversations.

Including the content of prior e-mails is particularly helpful, so you don't have to rewrite everything.
e-mail doesn't replace physician appointments.

Use e-mail for general questions or comments.   If you have a medical issue that should be managed with a patient visit, then call us at 650 940-1006 for an appointment.   We will not sacrifice patient safety for convenience.  Enough said?

If you phone the office, we may be able to offer an appointment that same day.  An e-mail might not be read until that night, several days later or not at all.


 


Give us all the refill info we need, or better yet, make an appointment.

I probably don't have your chart handy.  For med refills, please see below for the info we need to help you.  (Please include all info within a single message, not spread out over several messages.)
Please consider making an appointment for drug refills.  Wouldn't like me to know your current blood pressure before refilling blood pressure medication?
Make sure your message isn't mistaken for spam.
Include your name and a word about the nature of the message in the subject line.  If your message looks like junk mail, it may be deleted.  We get hundreds of e-mails per week
I may not get the message
There are many reasons we may not get the message (see below).  If it's important, cover yourself with a phone call to the office or an appointment.  If you don't hear back within 48 hours, consider sending it again.
You are the record keeper for e-mail correspondence
If the message (or our response) should be part of  your permanent medical record, it's a good idea to print it out and bring it to your next appointment.  We tend not to print out messages, and delete e-mails as soon as the matter is handled. 
At some point, we may, for a fee, charge for e-mail communication and keep records of e-mail correspondence.  Until that time, you should do it.
Be careful what you send through the Internet
Remember that e-mail is not secure communication.  A clever hacker can intercept your message and forward it  to the entire planet.  So be careful what you send through the wires!
How can we improve this?
Let us know your comments and suggestions.  This is work in progress.

Information we need in order to refill your medication
Assume I don't have your records handy.

  •   The name of the drug,
  •   the strength of the drug,
  •   the quantity that you want to pick up,
  •   the pharmacy phone number,
  •   your home phone #
  •   and your date of birth. 
  •   You might want also want to add the reason you are taking the drug.



Reasons I may not respond to your e-mail
  • I never received it
  • Yahoo put it into my "bulk messages"
  • I saved it for later and it was buried by 300 other messages
  • Unreasonable request and I was too polite to say "no"
  • I forgot about it, you may want to re-send.
  • I'm still thinking about it
  • You are expecting a response by 5 pm and I am still seeing patients.