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Why are patients asked to fill out extensive forms and go into details with a nurse only to repeat the same information to the doctor? I find it frustrating and a waste of time. What is the point of this?Could be many reasons.Most common is that you are a new patient and after all that paperwork filling out you want to see the doctor as soon as possible. After all you came to see the doc, not fill out paperwork, right?So after you fill out the paperwork your answers are still in the papers and not in your electronic health record (EHR). Most of the answers aren’t even for the doctor: they are for insurance, billing and legal purposes. All that information will have to be scanned or entered by the nurse or medical tech, but he’s already on to another patient. He’ll have to do it later.The doc has just seen another patient. She’s only had time to fill out a skeletal note in the EHR for that patient that she will have to finish after she’s done seeing patients and before she goes home. If she doesn’t complete that not in 48 hours she could face fines and in some cases, dismissal depending on state or health system.Now she picks up your folder. There is a sheaf of forms and a blank health record with likely only your name and insurance number in it. Would you rather she spent 15 minutes reviewing what you wrote or actually meeting with you and asking some of those same questions?Most patients will likely choose the latter. Again, you’re there to see the doctor, not to fill out forms.And guess what? It’s only going to get worse as health care becomes more bureaucratic.
How do we keep patients from bleeding out when we perform organ transplants? What are the key steps to take when actually replacing the old organ with the new one so that all the blood vessels connect well, and there is not fatal blood loss?There is device called a heart-lung bypass machine, which allows all the blood to be pumped around the body while the lungs and/ or heart are taken out and replaced with transplant organs. That way, the rest of the body doesn't have to go without blood flow (which would create irreversible damage). We also cool patients to 20–30C to decrease the total metabolic demand. For other organs, the blood vessels are clamped in certain ways to decrease the bleeding. One of the bloodiest transplants is a liver transplant, because a cut liver edge does indeed bleed. That sort of transplant requires a lot of cauterizing freshly cut liver edge. Putting the new organs back together essentially requires a lot of very high tech sewing.