I composed my one and only poem in my career, before I even read The Cancer Olympics.  But after getting inside Robin’s head while reading her book, I realized this poem was written for her,The She Samaritan. Robin is the author of the book, The Cancer Olympics, that details her account of being diagnosed late … More Robin McGee, The She Samaritan

I am still finding my way in this twitter medium, but would like to pause a moment in time to thank Dr. Webster for his great insight and skill for helping me tremendously. I don’t have his training or logical mathematical experience, and when I read through his wonderful blogs, I learn. The other component … More Thank you @MrRimp & your friend Dr. Webster!!!!

Refreshing to see the recent article by Mara Gordon, “Why I’m Becoming a Primary-Care Doctor.”  Andrew Morris-Singer a medical student interviewed in his last sentence says, “I can help fix this,” regarding the American Health Care system. I agree and his vision should be commended.  I am rather passionate about this subject, fixing the health … More Putting it all together to make it work, the three legged stool

#ProjectedEHR is nothing more than a conduit interlinking the EHR to the longstanding doctor patient relationship, but much more. One very critical feature, the electronic record projected has to be easily navigated and useful for the doc, so as he makes his way through the chart it makes sense. In order to survive the EHR … More #ProjectedEHR will be the standard of care at the office visit IMHO

SImple, simple, simple. I believe in simplicity with duality. The nurse doctor doubleness of care.  In the office setting the delivery of care is nothing more than a dance, an unspoken but graceful flow yields beauty to the spectators for which we perform, our wonderful patients. An unwritten, unspoken natural back and forth will yield … More KISS–Keep it simple son!!! or @techguy KISD

The rate limiting step in a primary care out patient only office is the nursing role.  If you envision the EHR, e-faxes, telephone, schedule, scanner, dual monitored desktop being commanded by one fabulous nurse to care and comfort over 1000+ patients on a daily basis, think of Dawn. I would much rather think of the … More The modern day magician is the office nurse

Now that I have transgressed every one of Marie Ennis-Oconnor’s posted articles on the proper use of twitter, I want to state again for the record what drives me. I do not want to profit, gain notoriety, push one particular EHR or workflow application as a salesman. All I want is to naively help my … More So again, I ask what is in it for me? #ProjectedEHR

This may be it.  Describing the process of using the electronic record as a teaching tool during the office visit with Dr. Oates on a tweet chat I hit a truth that has been elusive and difficult to pin down.  Being limited to 140 characters hones one’s ability to be efficient and forthright with the … More If I am willing to show you will you help me get it right?

It suddenly dawned on me, no one is discussing much the attributes or inherent positives of an electronic record, if used in a visual way. Over the past 8 months using a TV to project the electronic record during the visit, I am repetitively amazed how a combination of sight and listening accentuates the teaching. … More #ProjectedEHR can accentuate the positive of an EHR

One of the best pieces of advice in training I received was to document as if you were on a witness stand comfortably reading what you put in the chart.  If you do not chart this way, then this may give you pause to share the record. If you have an EHR that is template … More What are some problems sharing the chart #ProjectedEHR ?