Description: Notes from a doctor with a laptop, a housecall bag and a fountain pen
Notes from a doctor with a laptop, a housecall bag and a fountain pen
Before EMRs, information flowed through nurses and secretaries (remember that word, anyone?) to us doctors. And it was generally prioritized, if not with clinical expertise, at least with a healthy amount of common sense. This allowed us to get to urgent and important results and messages before less urgent ones.
Even with early EMRs, paper reports would arrive, get sorted, reviewed and acted on before getting scanned in – often with a quick signature and comment scribbled on the bottom. We might note “repeat 1 year” on a normal mammogram or instruct our staff to “Order CT w contrast” on an abnormal chest X-ray. This was a very quick way to review and delegate. The doctor did what only the doctor could do and other staff did the rest. It was even possible to have a standing order that all women with a normal mammogr
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