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Bankruptcy at the hospital prevented Caitlin Secrist from obtaining copies of his medical record for six months. Without them, she could not have life-saving surgery. After an investigation by azcentral, she received good news.
Rebekah L. Sanders, The Republic | azcentral.com

PHOENIX – Caitlin Secrist, a 21-year-old student prevented from operating a rescue operation, unable to obtain a copy of her medical record, will receive the file after Arizona Governor Doug Ducey, intervened on Wednesday.

The secretary can not eat, can not work, has delayed graduation and is suffering constantly because of acute pancreatitis. She carries a 24 hour feeding tube and depends on a handful of medications. More than a dozen hospitalizations later, the next attack of pancreatitis could kill her.

All conventional treatments have failed. Secrist hopes that a drastic surgery to remove his pancreas completely, his spleen and appendix could help.

But a big John Hopkins hospital doctor refuses to perform the operation without a complete understanding of the state secretary's medical history, including what his organs looked like at the time of the initial diagnosis, a she said. Without the first analyzes taken in 2017, Secrist can not move forward.

Caitlin Secrist, 21, and her parents Suzette and Bill struggle to get Caitlin's medical records in a bankrupt hospital in Arizona. On Wednesday, February 20, 2019, a judge ruled that the way to get the records was to use the remaining assets of the hospital. (Photo11: Cheryl Evans / The Republic)

Secrist is one of more than 300 patients who have tried and failed to get their medical records from the Florence Hospital to the Anthem and Gilbert Hospital that went bankrupt and closed last summer. The Republic of Arizonareported. Since then, creditors have been arguing over who should cover the $ 92,000 needed to access the electronic record system.

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After reading the republicstory, Ducey asked her staff to see if they could help Secrist get her records. Their efforts are ongoing.

"We talked to the patient's family and other outside organizations who could help her find every possible way to get her these records," said Patrick Ptak, spokesman for the governor.

Advocate in a court

The secretary and her parents drove an hour and a half Wednesday to their home in Florence, Arizona, where they went to court in a stalemate, hoping to talk to the judge.

The day before, the Secretary of State had written a heartbreaking letter to Judge Roger Brodman, a judge in the Superior Court of Maricopa County. Her doctor also wrote to the court, saying the secretary had "urgent need" for records.

Brodman considered competing proposals to resolve the situation:

  • Ensure that patients potentially pay thousands of dollars for their records.
  • Send the bill to former hospital leaders.
  • Force the electronic disk company to bear the costs.
  • Dig in the hospital assets that would otherwise go to the main creditor, a New York investment company, who opposed the plan.

"Everyone is in agreement that it is a critical issue," Brodman said. "The hospital has a duty to produce the archives, the basic problem is that there is no hospital, the hospital has gone to Kaput."

The secretary did not have the opportunity to speak during the legal proceedings. But it turned out that the judge did not need Secrist's encouragement.

Brodman quickly decided that the most effective, fastest and probably least expensive option was to use the remaining hospital assets.

This plan will reactivate the electronic archiving system for 90 days, launch an advertising blitz to alert patients and engage employees to collect records and respond to requests.

Indigo-DLI Holdings, the New York lender who opposed the project because it would spend money recovered from hospitals, could appeal to stop it, lawyer Kyle Hirsch told the court.

He was the only trial lawyer not to have expressed sympathy for the patients.

"It's a very important issue," Hirsch told the judge. "If patients want their records, they have to pay a reasonable fee … But imposing all the expenses on Indigo does not seem right."

For the moment, the plan will go forward.

Next steps for patients

If all goes well, Secrist can expect to receive his file in two or three weeks, the lawyers said.

She could get the records even faster if the Ducey office could locate her files through a third party provider of recordings with which the state has relationships.

All patients who need the Florence and Gilbert hospital records – and have not already requested them – should do so as soon as possible.

The window of opportunity to receive registrations should be approximately from March to May.

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Caitlin Secrist is constantly suffering from a serious illness, pancreatitis. And now, she could die because she can not get copies of her medical record.
Arizona Republic

& # 39; C & # 39; is a good feeling & # 39;

The secretary and her parents said the decision was a "big win" for her and hundreds of other patients.

"It's a good feeling," said Secrist in front of the courthouse. "I can finally get those records and keep improving them."

As a budding nurse, Secrist hopes to be able to undergo his surgery quickly so he can return to school and return to a more normal life.

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Suzette Secrist, her mother, said that she was grateful to the judge.

"He understood that it was all human," she said.

The Republic's investigation probably helped to motivate the parties to find a solution, said Suzette Secrist.

"The first thing lawyers asked us this morning was," Have you read the story? "She said," We appreciate all the help we got. It was much more than I expected. "

Solutions with larger problem

The case of Secrist raises the broader question of why Arizona patients were put at risk.

Disputes between healthcare institutions and software and server companies over billing, access, and patient obligations have arisen as medical records across the country have come online. There are not always clear answers in the federal and state laws in effect.

For example, Medhost's lawyers, the electronic registration company used by hospitals in Florence and Gilbert, argued that it was not a "health care provider". "health" and that it was therefore not subject to the rules of record keeping applicable to hospitals and doctors.

And the Arizona Department of Health Services refused to intervene in this case despite the demands of the lawyers. This is not clear why.

The governor's office hopes to review state laws for possible loopholes that have contributed to the quagmire, Ptak said.

"We are open to discussions on how to prevent such events from happening again in the future if a hospital closes," he said.

Follow Rebekah L. Sanders on Twitter: @RebekahLSanders

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