The patient is a 30 year old male with a history of tobacco use, hypertension and mre noted below who presents to XXX Emergency Department with a chief complaint of mid chest pain.The patient states that he began experiencing intermittent chest pain that started approximately two weeks ago. He adds that his intermittent chest pain can last for a couple of minutes while other episodes can last up to a few hours. He states that the chest pain is mild in severity and radiates into his left neck and left shoulder but denies pain radiating down his left arm or back. Last night around 9 PM, he states that he started experiencing mid-chest pressure that is still present on examination. Associated symptoms include shortness of breath. He reports that he was walking when he started experiencing mid-chest pressure. The mid-chest pressure is rated 8/10 and is described as achy. He states that his chest pressure is alleviated when sitting down/resting, and with supplemental oxygen that was given to the patient prior to arrival via EMS. He reports that his chest pressure is aggravated by coughing. Of note, he reports that he has a family history of myocardial infarction and blood clots. He denies nausea, lightheadedness, urinary symptoms, abdominal pain, emesis, shortness of breath, recent travel, fever, chills, lower extremity edema, cough, or any other symptoms. Also, he denies a family history of diabetes. He does not report taking any medications prior to arrival. No other reported symptoms at this time.
30 year old male with a history of HTN, presents for an evaluation of intermittent chest pain. The onset was 2 weeks ago but at 9:00pm last night the symptoms wrosend. He reports that the pain does not radiate to other extremities, and describes it as aching, with a lot of pressure on his left chest and rates it an 8-10. Patient denies illicit drug use, diaphoresis, orthopnea, diarrhea and nausea. He states that coughing and walking worsened his pain however, resting and the oxygen from the ambulance alleviated his symptoms. Father had myocardial infarction at 65, and mother has history of leg blood clots.
25-30 y/o male with a history of HTN presents to the ED via EMS c/o intermittent “aching” CP that has started approximately 2 weeks ago that would last from a couple of minutes to a couple of hours, pain is currently an 8/10. Pt states that pain radiates from chest to left shoulder and neck, but denies that pain radiates to back or left arm. Pt states that last night at around 2100 it had “worsened and was different than normal.” Pt also mentioned that he has had SOB since last night and that his CP has been constant since then. Relieving factors include oxygen that was given during EMS transportation and rest. Exacerbating factors include walking, and coughing . Pt Family history includes : Dad: MI at 65, Mom: DVT. Pt denies fever, chills, smoking, diarrhea, lightheadedness, diaphoresis, tachycardia ,orthopnea, abdominal pain, urinary pain,and pain or swelling of legs,. Pt is a Grocery store stocker, he also stated that while picking up boxes his pain does not worsen. Pt denies drug use however, his EtOH consists of 2 drinks/week. No further complains at this time.
• Chief complaint: Chest pain/Angina pectoris • HOPI: The patient is a 30-years old male who presents to the office with chest pain. The patient states that about 2 weeks ago, he experienced intermittent chest pain over the entire chest region. The duration of pain had lasted from usually a few minutes to a couple of hours. The pain was radiating to the left shoulder but denies pain radiating to the left arm, neck, or back. The pain is made worse by walking and coughing. The pain is alleviated by sitting and resting. However, last night at around 9 pm he developed a constant, aching, and pressure-like pain in the mid-chest region that is still present at the time of examination. Right now, he describes his pain as 8/10 on a pain scale of 0-10. The patient experienced some relief after receiving supplemental oxygen in the ambulance. The pain was associated with shortness of breath since last night. He denies diaphoresis or tachycardia (heart rate over 100 beats a minute. Many types of irregular heart rhythms (arrhythmias) can cause tachycardia). Additionally, no nausea, light-headedness, or orthopnea (shortness of breath when lying down) was reported. No fever and chills, however, a non-productive cough was present. He denies pain or swelling in the lower extremities. No diabetes or high cholesterol was reported. No headache, diarrhea, urinary symptoms, or abdominal symptoms. • Past medical history: Hypertension • Family History: Father had a myocardial infarction when he was 65 years. Mother had a history of blood clots in the leg (Deep vein thrombosis). • Social History: Smoker. Alcoholic (2 drinks/week).
The patient is a 30-year-old male who has been experiencing intermittent chest pain over the past 2 weeks. The pain radiates to the left shoulder, exacerbated by walking and coughing, and relieved by sitting and with proper rest. However, last night, the patient developed a constant, aching, and pressure-like pain in the mid-chest region, which is still present at the time of examination. The pain is currently rated as 8/10 on a pain scale. The patient reports shortness of breath since last night, with some relief after receiving supplemental oxygen in the ambulance. There is no mention of diaphoresis, tachycardia, nausea, light-headedness, or orthopnea. The patient also denies fever and chills but has a non-productive cough. There is no pain or swelling in the lower extremities, and the patient has no history of diabetes or high cholesterol. Additionally, there are no reported headaches, diarrhea, urinary symptoms, or abdominal symptoms. The patient's past medical history includes hypertension. In the family history, the patient's father had a myocardial infarction at the age of 65, and the mother had a history of deep vein thrombosis (blood clots in the leg). In terms of social history, the patient is a smoker and consumes alcohol (2 drinks per week). Based on the information provided, it is important to consider the possibility of cardiac issues, given the nature of the chest pain and the family history of myocardial infarction. The patient's risk factors, such as smoking and hypertension, further support this concern. However, other potential causes, including respiratory issues (given the cough and shortness of breath) or gastrointestinal problems, should also be considered. A thorough physical examination, further cardiac evaluation (such as an electrocardiogram and cardiac enzymes), and additional diagnostic tests may be warranted to determine the cause of the chest pain and formulate an appropriate management plan. Additionally, lifestyle modifications, especially addressing smoking and alcohol consumption, should be discussed with the patient. It is crucial to address this case promptly and seek specialized medical attention to rule out any serious cardiac conditions.
Mr. Smith presents in the ED complaining of Chest Pain and shortness of breath having for Two Weeks. The pain is all over his chest; but Last night around 9:00 PM, he felt the pressure in the middle of the chest. He described the pain as achy and waxing waning; radiating to his neck and left arm. The oxygen alleviates the pain and coughing aggravates. His dad died from the Myocardial Infarction and mum had blood clots. Past medical history depicts hypertension and auscultation results in wheezing and crackling sound from the left side. His social life explains that he drinks two beers of alcohol per week.
pt presents to the ED c/o intermittent "aching" chest pain x2weeks. Pt states the pain radiates towards L shoulder; 8/10. Pt states last night @ 9pm the pain has worsened and feels "pressure." Worsens with cough; relieved with O2 and rest. Pt also c/o SOB. Pt denies nausea, arrhythmia, dyspepsia, HCL, illict drug use. PMFHx includes: Dad suffered MI at age 65; mother had a DVT. Pt has HTN; smokes and drinks alcohol.
Pt presents to the ED for evaluation of waxing and waning chest pain for the past 2 weeks. Pt described this pain as a pressure/ache. Pt says that the pain states that the pain duration varies from a few minutes to a couple hours. The pain is diminished when he is at rest. Pt decided to come to the ED because the pain has been constant since yesterday (4/4/15) at 9 pm. Pt rates his current chest pain as an 8/10. Pt experienced some relief after receiving oxygen in the ambulance. His chest pain is accompanied by left shoulder and neck pain. Pt says the he has experienced cough and SOB for the past 24 hrs. Pt denies leg pain/ swelling or recent travel. Pt has a PHMX of MI on father side and blood clots on his mother’s side. Pt denies drug use, but reports alcohol consumption (2 beers per week).
HPI: Pt, male, presents in the ER with a c/o of CP, that started with pressure last night. Pt came into the ER after ongoing pain got worse last night. No pattern of pain in the past except when Pt walks. Pain goes away when pt is resting or sitting. The pressure is 8/10 in the central chest. Pain is constant since onset. PT works in a grocery store and does not think it is due to lifting heavy boxes. CP rates on an 8/10, constant. Better with oxygen received in ambulance. SOB since last night, no diaphoresis, no lightheadness, no palpitations, no orthopnea, no nausea, no fever, chills. Pt has cough occasionally, no phlegm. Coughing makes the CP worse. Pt has no pain or swelling in lower extremities, pt has not been on any road trips or long flights recently. pt has a pain in left shoulder. Family history: pt's father had a heart attack at age 65, mother had a hx of blood clot. Social history: pt diagnosed with HBP in the past. no drugs, no diabetes, pt occasionally drinks alcohol. PE: heart sounds normal, no neck vein distention, pulse is good, some wheezing and crackles at left base. pt does not have indigestion, no tenderness on belly. no swelling in lower extremities or tenderness or redness.
Hpi: Pt is # y/o Male with PMHx of Htn and is a current smoker presents to ED via EMS with complaints of CP waxing and waning onset two weeks ago. Pts states last night he experienced pressure in the center of his chest around 9pm accompanied with SOB. Pt claims the pain is 8/10 and radiates to the left shoulder and in to the neck but denies pain radiating to the back or down arm. He states when CP occurs it has lasted between a few minutes and couple hrs. Walking makes the CP worse.Pt denies heavy lifting at work as a worsen factor but resting or sitting alleviates the pain as well as oxygen that was given PTA via EMS. Pt denies N/V/D, tachycardia, night sweats, chills, phlegm, pain or swelling in the legs. Pt’s family hx include father having MI at age 65 and mother has a hx of blood clots- age unknown.
# y/o M pt with PMHx HTN presents to ED c/o an unknown caused intermittent L-sided CP onset 2 weeks ago described as "aching and pressuring" with episodes lasting a few minutes but sometimes for a couple hours. Pt states there has been a constant central CP onset 2100. The pain (rated as 8/10) does not worsen with palpation, but does aggravate by walking or coughing and alleviated with rest or sitting down, noted to be improved with O2 given PTA. He has associated sx's of SOB onset last night, and L shoulder pain radiating into the neck, but not his arm or back. Pt says he works stocking grocery shelves and lifts heavy boxes. Denies diaphoresis, nausea, lightheadedness, irregular heartbeats, orthopnea, fever, chills, respiratory sx's, HA, diarrhea, urinary sx's, ABD pain and tenderness, indigestion, and BLE pain and swelling. States no trips overseas or road trips, and does not have DM, HLD, or h/o drug use. FMHx: MI, blood clot SHx: smokes, 2 drinks/week PEx (abbreviated rough draft): ht sounds nl no neck vein distention some wheezing and crackles at L base no swell redness in legs bilat
30 y/o male with PMHx of HTN, BIBA presents to the ED c/o intermittent diffuse central chest pain that initially started 2 weeks ago. He stated that his chest pain last started to become constant around 2100 and was more localized towards the left side of his chest, and has been there ever since. The pain radiates towards his left shoulder and the left side of his neck, but he denies the pain radiating down his left arm. He describes his chest pain last night to be an achy and pressure sensation that would usually last a few minutes to sometimes a couple of hours. He stated that the pain last night was atypical from his chest pain that initially started 2 weeks ago and is currently rating the severity of his chest pain an 8/10. He reports that his chest pain would get better whenever he is sitting and resting but denies it being exacerbated when lifting heavy objects. His pain would be exacerbated whenever he coughs (non-productive of phlegm), and he states that he coughs due to his history of tobacco usage. The patient also reported that when he was given supplemental O2 PTA, his pain was mildly relieved. He endorses SOB along with the chest pain that started last night but stated that he has never had SOB before when his chest pain initially started. His SOB is not exacerbated whenever he lays down. He denies any sweats, nausea, lightheadedness, palpitations, fever, chills, pain in the LE, leg edema, headaches, diarrhea, or abdominal pain. He also denies any history of HLD or DM. He does not use any illicit drugs but admits to drinking EtOH 2x a week. His dad had an MI at the age of 65 and his mom sustained a DVT in her legs for his family history. He is currently working at a grocery store and stocks shelves there.
You're always allowed to ask for privacy in the room if you wish for the scribe to leave. Be aware that medical scribes have to complete HIPAA training and are aware the utmost importance of your privacy - or they risk being fired and legal action against them. Either or, your provider will dictate exactly what happened to the scribes as soon as they leave the room.
Farrah Wakefield I could care less about their HIPPA training. Often they deny my spouse until I give written permission from going with me. I need my spouse I don't want or need a secretary to be in with me.
your spouse is not going to put all your information into the electronic medical record and let the physician know when all your lab/imaging results have been submitted. They're running around with the doctor from patient to patient keeping up with all the information that's being thrown at them under a time constraint.
I wish the docs actually spend this long interviewing patients :( I would have so much time to catch up
is it actually much faster ? gonna be a scribe soon and im scared bc i cant type that fast
The patient is a 30 year old male with a history of tobacco use, hypertension and mre noted below who presents to XXX Emergency Department with a chief complaint of mid chest pain.The patient states that he began experiencing intermittent chest pain that started approximately two weeks ago. He adds that his intermittent chest pain can last for a couple of minutes while other episodes can last up to a few hours. He states that the chest pain is mild in severity and radiates into his left neck and left shoulder but denies pain radiating down his left arm or back. Last night around 9 PM, he states that he started experiencing mid-chest pressure that is still present on examination. Associated symptoms include shortness of breath. He reports that he was walking when he started experiencing mid-chest pressure. The mid-chest pressure is rated 8/10 and is described as achy. He states that his chest pressure is alleviated when sitting down/resting, and with supplemental oxygen that was given to the patient prior to arrival via EMS. He reports that his chest pressure is aggravated by coughing. Of note, he reports that he has a family history of myocardial infarction and blood clots. He denies nausea, lightheadedness, urinary symptoms, abdominal pain, emesis, shortness of breath, recent travel, fever, chills, lower extremity edema, cough, or any other symptoms. Also, he denies a family history of diabetes. He does not report taking any medications prior to arrival. No other reported symptoms at this time.
30 year old male with a history of HTN, presents for an evaluation of intermittent chest pain. The onset was 2 weeks ago but at 9:00pm last night the symptoms wrosend. He reports that the pain does not radiate to other extremities, and describes it as aching, with a lot of pressure on his left chest and rates it an 8-10. Patient denies illicit drug use, diaphoresis, orthopnea, diarrhea and nausea. He states that coughing and walking worsened his pain however, resting and the oxygen from the ambulance alleviated his symptoms. Father had myocardial infarction at 65, and mother has history of leg blood clots.
25-30 y/o male with a history of HTN presents to the ED via EMS c/o intermittent “aching” CP that has started approximately 2 weeks ago that would last from a couple of minutes to a couple of hours, pain is currently an 8/10. Pt states that pain radiates from chest to left shoulder and neck, but denies that pain radiates to back or left arm. Pt states that last night at around 2100 it had “worsened and was different than normal.” Pt also mentioned that he has had SOB since last night and that his CP has been constant since then. Relieving factors include oxygen that was given during EMS transportation and rest. Exacerbating factors include walking, and coughing . Pt Family history includes : Dad: MI at 65, Mom: DVT. Pt denies fever, chills, smoking, diarrhea, lightheadedness, diaphoresis, tachycardia ,orthopnea, abdominal pain, urinary pain,and pain or swelling of legs,. Pt is a Grocery store stocker, he also stated that while picking up boxes his pain does not worsen. Pt denies drug use however, his EtOH consists of 2 drinks/week. No further complains at this time.
• Chief complaint: Chest pain/Angina pectoris
• HOPI: The patient is a 30-years old male who presents to the office with chest pain. The patient states that about 2 weeks ago, he experienced intermittent chest pain over the entire chest region. The duration of pain had lasted from usually a few minutes to a couple of hours. The pain was radiating to the left shoulder but denies pain radiating to the left arm, neck, or back. The pain is made worse by walking and coughing. The pain is alleviated by sitting and resting. However, last night at around 9 pm he developed a constant, aching, and pressure-like pain in the mid-chest region that is still present at the time of examination. Right now, he describes his pain as 8/10 on a pain scale of 0-10. The patient experienced some relief after receiving supplemental oxygen in the ambulance. The pain was associated with shortness of breath since last night. He denies diaphoresis or tachycardia (heart rate over 100 beats a minute. Many types of irregular heart rhythms (arrhythmias) can cause tachycardia). Additionally, no nausea, light-headedness, or orthopnea (shortness of breath when lying down) was reported. No fever and chills, however, a non-productive cough was present. He denies pain or swelling in the lower extremities. No diabetes or high cholesterol was reported. No headache, diarrhea, urinary symptoms, or abdominal symptoms.
• Past medical history: Hypertension
• Family History: Father had a myocardial infarction when he was 65 years. Mother had a history of blood clots in the leg (Deep vein thrombosis).
• Social History: Smoker. Alcoholic (2 drinks/week).
The patient is a 30-year-old male who has been experiencing intermittent chest pain over the past 2 weeks. The pain radiates to the left shoulder, exacerbated by walking and coughing, and relieved by sitting and with proper rest. However, last night, the patient developed a constant, aching, and pressure-like pain in the mid-chest region, which is still present at the time of examination. The pain is currently rated as 8/10 on a pain scale. The patient reports shortness of breath since last night, with some relief after receiving supplemental oxygen in the ambulance. There is no mention of diaphoresis, tachycardia, nausea, light-headedness, or orthopnea. The patient also denies fever and chills but has a non-productive cough. There is no pain or swelling in the lower extremities, and the patient has no history of diabetes or high cholesterol. Additionally, there are no reported headaches, diarrhea, urinary symptoms, or abdominal symptoms.
The patient's past medical history includes hypertension. In the family history, the patient's father had a myocardial infarction at the age of 65, and the mother had a history of deep vein thrombosis (blood clots in the leg).
In terms of social history, the patient is a smoker and consumes alcohol (2 drinks per week).
Based on the information provided, it is important to consider the possibility of cardiac issues, given the nature of the chest pain and the family history of myocardial infarction. The patient's risk factors, such as smoking and hypertension, further support this concern. However, other potential causes, including respiratory issues (given the cough and shortness of breath) or gastrointestinal problems, should also be considered.
A thorough physical examination, further cardiac evaluation (such as an electrocardiogram and cardiac enzymes), and additional diagnostic tests may be warranted to determine the cause of the chest pain and formulate an appropriate management plan. Additionally, lifestyle modifications, especially addressing smoking and alcohol consumption, should be discussed with the patient. It is crucial to address this case promptly and seek specialized medical attention to rule out any serious cardiac conditions.
Mr. Smith presents in the ED complaining of Chest Pain and shortness of breath having for Two Weeks. The pain is all over his chest; but Last night around 9:00 PM, he felt the pressure in the middle of the chest. He described the pain as achy and waxing waning; radiating to his neck and left arm. The oxygen alleviates the pain and coughing aggravates. His dad died from the Myocardial Infarction and mum had blood clots. Past medical history depicts hypertension and auscultation results in wheezing and crackling sound from the left side. His social life explains that he drinks two beers of alcohol per week.
pt presents to the ED c/o intermittent "aching" chest pain x2weeks. Pt states the pain radiates towards L shoulder; 8/10. Pt states last night @ 9pm the pain has worsened and feels "pressure." Worsens with cough; relieved with O2 and rest. Pt also c/o SOB. Pt denies nausea, arrhythmia, dyspepsia, HCL, illict drug use. PMFHx includes: Dad suffered MI at age 65; mother had a DVT. Pt has HTN; smokes and drinks alcohol.
Pt presents to the ED for evaluation of waxing and waning chest pain for the past 2 weeks. Pt described this pain as a pressure/ache. Pt says that the pain states that the pain duration varies from a few minutes to a couple hours. The pain is diminished when he is at rest. Pt decided to come to the ED because the pain has been constant since yesterday (4/4/15) at 9 pm. Pt rates his current chest pain as an 8/10. Pt experienced some relief after receiving oxygen in the ambulance. His chest pain is accompanied by left shoulder and neck pain. Pt says the he has experienced cough and SOB for the past 24 hrs. Pt denies leg pain/ swelling or recent travel. Pt has a PHMX of MI on father side and blood clots on his mother’s side. Pt denies drug use, but reports alcohol consumption (2 beers per week).
HPI:
Pt, male, presents in the ER with a c/o of CP, that started with pressure last night. Pt came into the ER after ongoing pain got worse last night. No pattern of pain in the past except when Pt walks. Pain goes away when pt is resting or sitting. The pressure is 8/10 in the central chest. Pain is constant since onset. PT works in a grocery store and does not think it is due to lifting heavy boxes. CP rates on an 8/10, constant. Better with oxygen received in ambulance. SOB since last night, no diaphoresis, no lightheadness, no palpitations, no orthopnea, no nausea, no fever, chills. Pt has cough occasionally, no phlegm. Coughing makes the CP worse. Pt has no pain or swelling in lower extremities, pt has not been on any road trips or long flights recently. pt has a pain in left shoulder.
Family history: pt's father had a heart attack at age 65, mother had a hx of blood clot.
Social history: pt diagnosed with HBP in the past. no drugs, no diabetes, pt occasionally drinks alcohol.
PE: heart sounds normal, no neck vein distention, pulse is good, some wheezing and crackles at left base. pt does not have indigestion, no tenderness on belly. no swelling in lower extremities or tenderness or redness.
Hpi: Pt is # y/o Male with PMHx of Htn and is a current smoker presents to ED via EMS with complaints of CP waxing and waning onset two weeks ago. Pts states last night he experienced pressure in the center of his chest around 9pm accompanied with SOB. Pt claims the pain is 8/10 and radiates to the left shoulder and in to the neck but denies pain radiating to the back or down arm. He states when CP occurs it has lasted between a few minutes and couple hrs. Walking makes the CP worse.Pt denies heavy lifting at work as a worsen factor but resting or sitting alleviates the pain as well as oxygen that was given PTA via EMS. Pt denies N/V/D, tachycardia, night sweats, chills, phlegm, pain or swelling in the legs. Pt’s family hx include father having MI at age 65 and mother has a hx of blood clots- age unknown.
# y/o M pt with PMHx HTN presents to ED c/o an unknown caused intermittent L-sided CP onset 2 weeks ago described as "aching and pressuring" with episodes lasting a few minutes but sometimes for a couple hours. Pt states there has been a constant central CP onset 2100. The pain (rated as 8/10) does not worsen with palpation, but does aggravate by walking or coughing and alleviated with rest or sitting down, noted to be improved with O2 given PTA. He has associated sx's of SOB onset last night, and L shoulder pain radiating into the neck, but not his arm or back. Pt says he works stocking grocery shelves and lifts heavy boxes. Denies diaphoresis, nausea, lightheadedness, irregular heartbeats, orthopnea, fever, chills, respiratory sx's, HA, diarrhea, urinary sx's, ABD pain and tenderness, indigestion, and BLE pain and swelling. States no trips overseas or road trips, and does not have DM, HLD, or h/o drug use. FMHx: MI, blood clot SHx: smokes, 2 drinks/week
PEx (abbreviated rough draft):
ht sounds nl
no neck vein distention
some wheezing and crackles at L base
no swell redness in legs bilat
What on earth? I always see your ass in most Scribe videos. However, I find your comments insightful.
Would most physicians find an HPI like this with this many abbreviations ok?
30 y/o male with PMHx of HTN, BIBA presents to the ED c/o intermittent diffuse central chest pain that initially started 2 weeks ago. He stated that his chest pain last started to become constant around 2100 and was more localized towards the left side of his chest, and has been there ever since. The pain radiates towards his left shoulder and the left side of his neck, but he denies the pain radiating down his left arm. He describes his chest pain last night to be an achy and pressure sensation that would usually last a few minutes to sometimes a couple of hours. He stated that the pain last night was atypical from his chest pain that initially started 2 weeks ago and is currently rating the severity of his chest pain an 8/10. He reports that his chest pain would get better whenever he is sitting and resting but denies it being exacerbated when lifting heavy objects. His pain would be exacerbated whenever he coughs (non-productive of phlegm), and he states that he coughs due to his history of tobacco usage. The patient also reported that when he was given supplemental O2 PTA, his pain was mildly relieved. He endorses SOB along with the chest pain that started last night but stated that he has never had SOB before when his chest pain initially started. His SOB is not exacerbated whenever he lays down. He denies any sweats, nausea, lightheadedness, palpitations, fever, chills, pain in the LE, leg edema, headaches, diarrhea, or abdominal pain. He also denies any history of HLD or DM. He does not use any illicit drugs but admits to drinking EtOH 2x a week. His dad had an MI at the age of 65 and his mom sustained a DVT in her legs for his family history. He is currently working at a grocery store and stocks shelves there.
you're a bad scribe
@@sandranguyen6 are you even hired yet??
Get rid of the damn secretary (scribe). I refuse them. They are for the doctor and Rob the patient of all privacy.
You're always allowed to ask for privacy in the room if you wish for the scribe to leave. Be aware that medical scribes have to complete HIPAA training and are aware the utmost importance of your privacy - or they risk being fired and legal action against them. Either or, your provider will dictate exactly what happened to the scribes as soon as they leave the room.
Farrah Wakefield I could care less about their HIPPA training. Often they deny my spouse until I give written permission from going with me. I need my spouse I don't want or need a secretary to be in with me.
your spouse is not going to put all your information into the electronic medical record and let the physician know when all your lab/imaging results have been submitted. They're running around with the doctor from patient to patient keeping up with all the information that's being thrown at them under a time constraint.
Abdul Ansari My body, My health, MY choice. NO more scribe.
This especially! ^