When patients start to discuss very personal stuff with me I warn them that their medical record may be acquired by any number of entities, including their insurance, their pharmacy (now with medicare requiring office notes to approve some one's glucometer strips) and possibly their employer. Every thing they tell me, if important, goes into the main record. I apologize and tell them I am unhappy with it but I cannot help it. I have tried using the confidential tab but find it too burdensome.
