I apologize for the formatting, it got away from me and I could not fix it
The doc did not smile
Nor did I on that day.
So we sat in his office
Wondering each what to say
It was me and my Doctor.
We sat there, we two.
And he said, “How I wish
You had something to do!”
“You drove all this way Your one visit a year.
You sit there like a plant This must seem quite queer.”
So all we could do was to
Sit! Sit! Sit! Sit!
And we did not like it.
Not one little bit.
And then
something went WHIRR!
How that whirr made us stir!
We looked
Then we saw her step in through the door
We looked
And we saw her
And we waited for more
And Nurse said to us,
“Why do you sit there like that?
I know this is clerical
You don’t know how to type.
But they said this would work
That it wasn’t just hype.”
The vendor’s fibs fooled the Nurse, The doc patted her head, “It isn’t your fault We have all been mislead”
“I know some good games we could play,”
Said the Nurse.
“I know some new tricks,”
Said the Nurse as she stewed.
“A lot of good tricks.
I will show them to you.
Your Doctor
Will not mind at all if I do.”
Then Doctor and I
Did not know what to say.
My doctor was out of ideas
For this day.
“Have no fear!” said the Nurse.
“I will not let you fail.
For you see, here’s a pen And over here is some mail
With a pen in my hand!
I can write on this part And before anyone knows it This will look like your chart.
“Look at me!
Look at me now!” said the Nurse.
My doc was still typing And he uttered a curse,
“We have had this dumb system We have had it three years And I like it less now It still brings me to tears”
“And look,” said the Nurse!
“Your EKG is taped to the wall!
But that is not all!
Oh, no.
That is not all…”
“Look at me!
Look at me!
Look at me NOW!
Charting is a lost art And you have to know how.
I can take your B P
The doc will listen to your heart!
And between the two of us We’ll annotate your chart.”
And I sat on the bed.
My shirt askew on the chair I asked, “Do I like this?”
“Oh, like you really care.”
“This is not a good deal,”
Is what I said to my doc.
“I came here to see you Not to stare at the clock.”
“You sit there and type But you haven’t a clue This is not the same work As you used to do.”
“There were times when I’d come here And you’d take off your hat, Times when I’d come here And we’d sit here and chat”
“We’d talk how I feel And things that would matter But now your sit there and type And I hear the keys clatter”
“You’d ask of my meds And inquire of my health And now with this system The conversation’s gone stealth.”
“I must use the system.
We’ve paid quite a lot!”
Even though I don’t care It can sit there and rot.”
“It will NOT go away.
I cannot make it work!
Did not ask what I wanted
Makes me look like a jerk.”
And my doc he ran out.
And, then, fast as a fox,
My doc in his Cole Haans
Came back in with a box.
A big EHR box.
And I gave it a look “Now along with this box,
All we got was this book.”
Then he stood on his desk
And with a tip of his shoe “This time” he said “I have something to do.”
“My productivity’s down, Thirty percent by my count, And the attributes of this system They want me to flount.”
“It’s only good for two things
neither one is for me It helps payors and auditors So to them it seems free.”
“They can get all our data And use it to sue Yet for me it is useless I have not a clue.”
“Oh dear!” said the Nurse, I call this game…Make EHR Fly,
If I kick hard enough, It will go to the sky.”
“You cannot play that game...
Oh dear.
What a shame!
What a shame!
What a shame!”
Then he shut off the System
Back in the box with the hook.
And the Nurse went away
With a sad kind of look.
“That is good,” said the doc.
“It has gone away. Yes.
But my boss will come in.
He will find this big mess!”
“And this mess is so big
And so deep and so tall,
We cannot clean it up.
There is no way at all!”
The CIO came in
And he said to us two,
“Did you have any fun?
Tell me. What did you do?”
And doctor and I did not know
What to say.
Should we tell him
The things that we did here today?
Should we tell him about it?
Now, what SHOULD we do?
Well…
What would YOU do
If your CIO asked YOU?

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