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Standing before them, I realize I made a terrible mistake

Philip Green, MD
Physician
October 21, 2015

An excerpt from Trauma Room Two.

Sometimes when I am bored, when it is all sore throats and dental pains, when I feel more like I am a social worker and a hand-holder than an emergency medicine physician, I play a game.

I do not look at the chart before …

Read more…

Standing before them, I realize I made a terrible mistake

The electronic chart turns us into data druggies

Philip Green, MD
Physician
July 15, 2015

shutterstock_166402376

We are data druggies.

We spend our days like desperate junkies crawling the carpet, sifting through the shaggy strands of patient histories with shaky fingers in search of facts. Every word our patients utter we feed to the never-ending demands of the electronic chart.

We find a fact and we enter it. The database grows. Someone somewhere adds another question we are supposed to …

Read more…

The electronic chart turns us into data druggies

Break seizure break. I repeat it in my mind. Again. And again.

Philip Green, MD
Physician
March 28, 2015

shutterstock_11459362

The girl seizes.

Her body torques and twists and jerks about like a snake trapped on an electric fence. She flops back and forth on the gurney before us, her pale forehead glistening with sweat, her brown hair wetted black from the effort of muscle contractions that threaten to tear apart her tiny frame.

Trauma room two is silent save for the gluck-gluck-gluck of her …

Read more…

Break seizure break. I repeat it in my mind. Again. And again.

To health IT: You are the ones who can save us

Philip Green, MD
Tech
March 20, 2015

shutterstock_186139613

Right now, there are two patients in every room. One is made with flesh, bones, and blood. One is made with a monitor, a mouse, and a keyboard.

Both demand my time.

Both demand my concentration.

A little over two weeks ago I wrote the short story “Please Choose One.” I posted it online. The response it generated exceeded anything I could …

Read more…

To health IT: You are the ones who can save us

EMR horror: Please choose one

Philip Green, MD
Tech
March 4, 2015

shutterstock_154083233

Please choose one:

The three words blink in front of me on the computer screen.

Please choose one:
Patient is-

☐Male     ☐Female 

I click FEMALE.

I watch as the auto-template feature fills in the paragraph for me based on my choices.

Patient #879302045

Patient is: 38-year-old female status post motor vehicle accident. Please acknowledge you have reviewed her allergies, medications, and past medical history.

I click YES.

Have you counseled her about smoking cessation?

I click NO.

A little, animated icon of a …

Read more…

EMR horror: Please choose one

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  • Most Popular

  • Past Week

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      Anvit Divekar | Conditions
    • The 3-2-1 method: a doctor’s guide to keeping New Year’s resolutions

      Anthony Fleg, MD | Physician
    • Understanding the 4 models of health care: Where the U.S. fits

      Howard Smith, MD | Physician
    • Lifestyle medicine vs. medication: Why prevention is the future

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      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
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      Brian Hudes, MD | Physician
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