Discussions

My solo GP practice was supported by the basic fundamentals of electronic facilitation. Billing, of course, reconciliation, appointment scheduling but, not EMR. Lab requisitioning, imaging both at community clinics as well as hospitals, the full spectrum of speciality and interventional procedures and medical and surgical referrals were all done using FAX.

“Could he be having a posterior MI?” I thought to myself. “But he just had an echo and a stress MIBI that was all normal, how could this be?” I persuaded myself that I was wrong. After all, he did have bad reflux and the occasional panic attack. I got up and got him some expired, four-year-old Maalox, and another PPI.  “Do you feel better?” I asked him.