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On My Mind
November 2018

The Electronic Health Record and Acquired Physician Autism

Author Affiliations
  • 1Department of Neuropsychiatry and Behavioral Science, Palmetto Health, University of South Carolina, Columbia
JAMA Pediatr. 2018;172(11):1009. doi:10.1001/jamapediatrics.2018.2080

I had just finished a hurried explanation of the cause of the acanthosis now present on the young patient’s neck. I was abrupt and crass as I listed the various and disconcerting consequences of the patient’s obesity, which now included evidence of evolving insulin resistance. The parental distress in response to my lecture was palpable, but I suppressed my feelings of compassion. Instead, I remained staring at my computer, typing and clicking while providing terse answers to the parent’s ensuing questions of concern.

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