I often say that electronic health records (EHRs) is like Skynet in the Terminator. I expect to turn around from my screen someday, and Arnold will lift me by my throat saying, “You haff not been doing yuh meaningful use.” We practice in a time when EHR confounds us by freezing, crashing and chaining us continuously to our work, as we spend evenings and weekends on documentation. ...

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This summer, a controversial memo written by a Google employee was leaked to the public. Within the memo, the author James Damo, details how the biology of men produces “a higher drive in status.” Google quickly condemned the statements and fired Damo, citing their pledge to standup diversity within their company. And similarly, Denise Young Smith, Apple’s vice-president of diversity and inclusion, ...

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You sign in, and there it is, your third request for your password just to open your electronic health record (EHR). “Again?” you think to yourself in frustration as your patient waits silently for you to log in and start the visit. It seems physicians are becoming increasingly frustrated with EHRs, and in most surveys, EHRs are noted as a main contributing factor to physician burnout. ...

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Medical appointments are getting shorter by the year. Sometimes it feels like doctors have no time to spend with their patients. What’s to blame for these brief clinical interactions? It could be the electronic health record, or EHR. Because of changes in how insurance companies and the government pay for medical care, doctors increasingly need to document their care on the computer, causing many physicians to spend more time with their ...

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The computerized era has introduced all of us to a genre of errors that never existed during the archaic pen and paper era.   The paper medical chart I used during most of my career never "crashed."  Now, when our electronic medical records (EMR) freezes, malfunctions, or simply goes on strike, our office is paralyzed.  Although I appear to the patients as a breathing and willing medical practitioner, I might as ...

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Online dating is all the rage these days. Statistics suggest that over a third of couples now meet online. For a lot of older readers of this blog, who met their husband or wife the traditional way and are baffled by this whole new world (and don’t get me wrong, there were probably many ways in which those days were better!), whether you understand the whole online or app dating ...

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Scourge:

  1. An instrument of punishment or criticism
  2. A cause of wide or great suffering
  3. Whip or lash -- especially for torture
Introduction They say you never forget your first time. I remember mine, vividly. If only I could erase the memory. I had high expectations and higher hopes, but what I got was disillusionment. I felt violated and humiliated. I’m talking about my first time using a system for electronic health records ...

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Many physicians have become world famous writers, and in Greek mythology, Apollo was the god of both poetry and medicine. I can personally think of many prominent physician writers I have come across in my reading over the years: There was the 12th-century rabbi Maimonides, Copernicus in the 15th century and the poet John Keats in the 1700s. In the late 1800s to early 1900s, there were Anton Chekhov, Sir Arthur Conan ...

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You may have heard of open-source software. When it comes to open-source, "free" has two meanings. First, you can download open-source programs at no cost. Second, "free" means freedom. The software is free in the sense that it belongs to you as much as it belongs to anyone else. If you download an open-source program, you can use it in any way you choose. You can use it forever as-is, ...

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Hospital email is supposed to be secure. This means that when you get an email with possible sensitive information, you receive a link to connect to a secure email product, requiring passwords, sign-ins and maybe even a bit of personal information. Being what they are, hospitals tend to swap software products and we find some new “secure solution” that hits us, urging us to give email, make a password and possibly ...

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