Wednesday, March 6, 2019


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What Your Doctor Isn’t Allowed to Tell You
See the first Wall Street Journal article, below.

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"You must never confuse faith that you will prevail in the end – 
which you can never afford to Lose – with the discipline to confront
the most brutal facts of your current reality, whatever they might be."
        - VAdm James Stockdale, USN (1923-2005)

FROM THE WALL STREET JOURNAL (without permission)   USE LINK for full story

What Your Doctor Isn’t Allowed to Tell You

Badly designed electronic records can be hazardous to your health, but a gag clause protects the makers.

March 4, 2019 6:05 p.m. ET

Getty Images/iStockphoto
It isn’t easy to ruffle my friend of 30 years, one of the best gastroenterologists in Boston, a town known for top-notch medicine. But he was ruffled when he told the story of giving a patient anesthesia and performing a medically unnecessary procedure—only he hadn’t known it was unnecessary because the patient’s electronic health record, or EHR, didn’t function as promised.
If you’ve heard of EHRs, you know that many doctors consider them a pain in the neck. Not much is said, however, about the harm EHRs can cause to patients. There’s a reason for that: Gag clauses prevent EHR users from talking publicly about their specific problems.
At its core, the electronic health record is a great idea. The technology is intended to replace paper records in the interest of efficiency, quality and safety. For millennia, physicians have written notes to record what we see, think and do in the care of our patients. Those notes began to develop into primitive electronic medical records as early as the 1970s, but things changed dramatically during the Great Recession.xxxxxxxxxxxxxxxxxxxxxxxxxxxxx

To protect patients, doctors need the same uncensored academic freedom with regard to EHRs that we have for medical devices, pharmaceuticals and all the other tools we use. The safety of our patients depends on it.
Dr. Levinson is a cardiologist at Massachusetts General Hospital and Harvard Medical School.

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