the curse of modern medicine: in the old days, you did an exam, talked a bit about trivia with the patient, and on your chart wrote: Cold. Penicillin.
Leaving out negative stuff in the exam (such as the secondary infection why you gave her the penicillin) and not mentioning that most of the visit was spent discussing the mom's depression because she had a cheating husband or kid taking drugs.
Nowadays, penicillin is a no no, but instead of chatting with your patient, you spend most of the visit "documenting" everything, and you never do get around to discussing the real reason she came to see you for a simple cold (to complain about her cheating husband or kid).
because paper work is now king.
and I retired ten years ago, before Obama care made it worse.
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