Yesterday was the last day I had to use our old electronic health record. I hate that thing. Loathe it. In fact, I am not quite sure there is a word in the English language that would adequately convey the depth of my negative feelings about that thing. If I could physically place that EHR behind the wheel of my truck and roll over it back and forth until it was pulverized, it would be very gratifying.
However, as I closed it out for the last time, my virtual desktop completely empty, I felt an odd sadness that I had not expected. I spent nine years learning how to play that game. I knew how to navigate the system, work around its weaknesses. It was familiar to me. I was comfortable because I knew what to expect. I knew how many clicks X, Y, and Z required. If I couldn’t print, I knew I needed to log out and try to get hooked up to a new server. I knew how to phenangle clicks to get credit for preventive care, even if it was laborious. I knew lab orders and imaging orders could get lost, how we needed to utilize a back up plan. I knew that no matter how much I complained about the screen blanking out periodically, or the eprescribe function sometimes not working, the help desk would always say that it was a “known problem” and there was no ETA on when it would be fixed, if ever.
On Monday, I will log into a completely different system. A better system. As I drove home yesterday I realized that I now felt more professional, more grown up, more like a “real” doctor. I felt taller in my seat, somehow.
Now I have a grown up EHR.
Then a black cat sauntered across the street in front of me at a stop sign, mocking with his bright green eyes….
Seriously. It was eerie.
The reality is that I don’t know what the hell I am doing in the new system. The training sucked as all EHR training does. I don’t know what to expect. I don’t know where the holes are or how the work arounds need to function. I don’t know how to get credit for preventive care. Heck, I’m not even sure I can construct a coherent office note and we will be taking a hit financially due to the switch since the new system is more expensive and we have had to operate at reduced capacity due training requirements.
What is the future going to be like in my virtual world going forward?
Black cats aren’t really bad luck, are they?