Lisa Rosenbaum, M.D.: Transitional Enduring or Chaos Harm? The EHR and the Disruption of Medicine A decade ago, a primary care physician I undone admired seemed to come male extra . His effectiveness had derived not from rushing between individuals but from knowing them therefore well that his charting was effortless and fast. But all of a sudden he became distracted, losing his grip on the facts of his individuals’ lives. He slumped around, shirt half-untucked, perpetually pulling a yellowed handkerchief from his pocket to wipe his perspiring forehead.