Lisa Rosenbaum, M generic viagra in canada .D.: Transitional Chaos or Enduring Damage? The EHR and the Disruption of Medicine A decade ago, a primary care physician We admired seemed to come undone. His efficiency had derived not really from rushing between individuals but from knowing them so well that his charting was effortless and fast. But abruptly he became distracted, losing his grasp on the facts of his sufferers’ lives. He slumped around, shirt half-untucked, perpetually pulling a yellowed handkerchief from his pocket to wipe his perspiring forehead. Everyone concerned he was unwell. His problem, however, ended up being the electronic health record .
A female with three inflammatory Pap smears A active woman has had three consecutive inflammatory Pap smears sexually. How should she be managed? What investigation or management is appropriate? How long can, or should, I allow this to be on before I take action? Is a vaginal swab indicated and will the total result matter? Should I deal with her with antibiotics anyway empirically? Should she be known for colposcopy?