A lot of patients you know if you haven't seen them for 6 months or a year, you won't remember what medicines they're on or what kind of problems they have. And you know I'd feel much better if I know a little bit about the patient before I walk in the room, so I won't be too surprised.

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.

Reputation is what you have when you come to a new community; character is what you have when you go away.

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.

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.

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 you have 15 minutes per visit, and you spend the first 9 minutes just collecting information from them, before you do anything else, you know half of your visit is gone already. So if you have an automated system that has most of that and, and in some cases I actually have patients complete questionnaires before they come in, so I'd gotten most of the information I need to ask about, already recorded, instead of having 9 minutes I can take 3 minutes to review all this information.