It's been a busy week. We are in the midst of "Going Live" with an electronic medical records system for our clinics here in Seattle. Between now and Mid-April we'll be turning the system on, one week at a time, over each of eight sites. After months of prep work, and training of "Superusers," I hope it all goes smoothly. (fingers crossed!)
Though I'm looking forward to going electronic, part of me is going to miss the old paper chart, with it's handwritten med list and problem list and progress notes, its little sticky-note reminders stuck here and there and all over, the stapled medical coupon or insurance card copy, the colored dividers for labs and consults and outside records, the creased and torn spine, how after a while when it got too full of stuff it would just fall apart in your hands. I really will miss it. The paper chart had a personality. If a patient called the nurse with a question, and I wasn't exactly sure who they were, one look at the paper chart, and bingo, I could picture the exact patient in my mind. I am just not sure that will be the case with an electronic chart. They are all going to look the same. Alas.
Anyway. I've been on call all week, and it has been fairly steady. Lot's of newborns, as usual. Seven so far. Three by C-section. I miss doing OB, but not enough to start doing it again. Besides, the midwives to a great job, and I still get to attend on all the babies. And it's the funnest part of being on call: examining the newborns, talking with the new parents, sending them off happy.
Clinic has been busy as well. Wednesday starting off with my least favorite kind of visit to see on my schedule: "New Patient. Wants Pain Meds." Sometimes it's a legitimate problem. But too often it is someone merely seeking drugs. And it is often not a pleasant encounter, especially since I usually say NO.