Lisa Rosenbaum.

We measure a lot of things that have no value to patients, while a lot of what individuals do value, including our attention, remains unmeasurable. Why, Wachter asks, do we do nothing similar in health care? In a moving passage, Wachter speaks with a famous surgeon who once spent his evenings before surgery reading his notes on the next day’s patients. No longer. His notes have been rendered homogeneous by the tyranny of clicks and auto-populated fields uselessly. I can’t also picture their faces. The blanks on our displays can be filled with words, but the procedure of understanding can’t be auto-populated. Perhaps existence without the EHR will soon be unimaginable. However the technology shall support and improve health care only if it evolves in ways that help, rather than hinder, us in synthesizing, examining, thinking critically, and informing the whole stories of our individuals..A second dose of vaccine conferred small additional clinical benefit. These total results help to inform pandemic planning, especially in light of widespread concern about vaccine availability due to low manufacturing yields. The robust immune response to the H1N1 vaccine following a single dose was unanticipated. A lot of the existing global pandemic planning is predicated on previous experience that two doses of vaccine must elicit a defensive immune response in populations that are immunologically naive to a fresh influenza strain.17-21 The initiation of the study coincided with the peak of the first pandemic wave in Australia.