Abstract

This short fictional case describes two very different patients, each waiting to see a new doctor. It includes questions about patient needs in terms of health care, technology, and electronic medical records. Excerpt UVA-OM-1674 Nov. 30, 2020 The Electronic Medical Record: Whom Does It Serve? Edith Johnson Edith Johnson, age 80, was in frail health. Her husband of 57 years had passed away the prior spring, and she had not fared well since then. She had a long history of heart disease, complicated by diabetes. Over the past 30 years, she had undergone several cardiac operations, including a mitral valve replacement in the 1990s. Last fall, she had an aortic valve replacement, which was done using the new transcatheter aortic valve replacement (TAVR) technique. She lived in the Cleveland, Ohio, area, and her procedures had been done at Metro Health and, most recently, at the Cleveland Clinic. She was in the office of a new provider today, due to the retirement of her previous doctor, Dr. Jones, whom she had seen for 50 years. Her main problems were loss of appetite, inability to sleep, and feelings of hopelessness. She had also had some abdominal pain and blood in her stools, and she was very afraid that the new doctor was going to put her back in the hospital. She had not recovered from the trauma of her late husband's two-month stay in the hospital before his death. She sat quietly in the room waiting for her new doctor; was he going to be engaging like Jones, or would she only see his back as he sat at the computer? Courtney Fleming . . .

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