I have previously requested another field that separated Plan from Patient Instructions. I too would not really want the patient to see everything I put in the Plan. Mind you, I never put anything that, should the record be requested, be medico-legally disadvantageous to me but every once in a while I will put something like "Despite my education to the contrary, the patient continues to believe that a copper bracelet makes them smarter"

Leslie
Hospital Employed Physician Who Misses The Old AC

"It's a good thing for a doctor to have prematurely grey hair and itching piles. It makes him appear to know more than he does and gives him an expression of concern which the patient interprets as being on his behalf. "