Over the past several years I've written about the inadequate state of clinical documentation, which is largely unchanged since the days ofOsler, (except for a bit more structure introduced by Larry Weed in the 1970s) and was created for billing/legal purposes not for care coordination.
As with previous years, it’s time to openly publish my conflict of interests, board memberships, advisory board positions, and government activities so that anyone reading my opinions has full transparency.
The federal government has made financial disclosure very easy with the Sunshine Act.
Since 1999, Patientsite, the BIDMC shared record between doctor and patient, has enabled patients to track blood pressure, glucometer readings, activities of daily living, mood, pain etc. but few patients have used those features.
Why? Because it requires time and energy to maintain that data.
On Monday afternoon my wife was speaking with my 82 year old father-in-law, when he began speaking in word salad – not slurring his words, but clearly speaking words that made no sense. He had no numbness or weakness, no confusion, and no change in consciousness. After 5 minutes all symptoms resolved.