It is simply done to maximize billing. Frequent provider “education” now takes place to wring every last penny out of an “encounter”, and, from the willingness of health systems to spend mid-to-high seven figures to install these products, I presume the return on investment is rather good.

When I read my notes written ten years ago – brief, to the point, hopefully insightful, but always easily understood and easy to follow – I want to weep.