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 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.

How many people, how many of us want to get on an airplane where you know only, only 20% of the pilots use the checklist? Why would you do that? I think we should be outraged because the technology is there, it's totally available. We're just not using it yet.

In many offices it could take several days to find a paper chart and some we'll never find. Ten percent of the paper records are never found. So you have this huge delay in time.

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.

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.