This goes back to long before EMRs. As a Resident in the 80s one learned that while a “hospital chart” may be 4 inches thick there were only about 6 to 10 pages in there that were really relevant. Everything else in there was only relevant to some other profession, accountants, lawyers, what have you. As a Resident you learn where the pages you need are quickly. Same goes for EMRs. I remember being shocked when I finally went on Active Duty in the Army and started handling records from the 60s and 70s. Sick call entries of one line, “Cold, Sudafed.” 20 years of health care annotated on 2 pages. It was like opening a timecapsule from a different world. I learned from oonlighting in ERs you could tell what the priorities of the institution were pretty easily. If they wanted you to see patients they gave you plenty of nurses and you space on the “form” was about 2 inches by 1 inch. Nurses discharged patients and handed them pill bottles and instructions. You could see and document 75 patients in 12 hours pretty easily.
When the priorities changed, things changed. Try seeing half that number today. You can’t.
I got a 6 page report on Amoxicillian to go with my ER Visit last Saturday for suden GI pain and Script for it. Been taking it since I was a child, I’ll be 70 this year. But not 1 word about replacing the ‘good’ bacteria that the Amoxicillian would kill off with the bad bacteria. Good thing I know about Probiotics and those Yeast infections that are all to common from taking antibiotics.
No questions asked about when you noticed the nausea/reflux beginning, just current status. Began with the addition of Cardizem Beta Channel Blocker for the PAIN caused Hyper Tension. Under Educated APN cold turkeyed my Neuropathy pain control med. Not worth risking her license over, but would risk my health.
Wrong diagnosis too of the CT. Which the Gastro caught when he read it.
A primary reason doc are going with concierge services us to escape the ObamaCare regulations.
I am loving the concierge doc I have.