In fact, two slices of whole wheat bread increase blood sugar to a higher level than a candy bar does. And then, after about two hours, your blood sugar plunges and you get shaky, your brain feels foggy, you're hungry.

If you eliminate wheat from your diet, you're no longer hungry between meals because you've cut out the appetite stimulant, and consequently you lose weight very quickly. I've seen this with thousands of patients.

Aside from some extra fiber, eating two slices of whole wheat bread is really little different, and often worse, than drinking a can of sugar-sweetened soda or eating a sugary candy bar.

When you have a paper based system, you are relying on your memory to a large extent about the patient. Now the paper records can have various kinds of ticklers.

Anytime you adopt a new system you change work flow and so people have to change, to some degree change the way in which they do things.

If I am used to looking at a paper chart and finding information that I know approximately where I'm going to look at that and now I have to go to a computer and find it a different way.

In the days when we had paper charts, typically the paper chart would be in the door outside of the patient's room. Well now when you walk up to the door there's nothing there. Except maybe a folder with their name on it so you know who's in the room.