I agree totally, Catherine. If I think a patient's issues are primarily anxiety , I WILL discuss it with them, but not until after several visits where I can show I am taking them seriously. If they got a look at my first note too soon, it would blow my plan out of the water, and I need thorough and totally unredacted notes to remind myself what I was really thinking. ( hence also my anti-template stance.. I need all the help I can get.....)

Last edited by dgrauman; 06/25/2011 5:35 PM.

David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands