Lisa Rosenbaum.

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

These two cases had been reported to the CDC within 1 week of each other. Strategies Clinical Specimens Biopsy specimens were set in 10 percent formalin and embedded in paraffin. Electron microscopy was performed on the paraffin-embedded tissue. Parapox immunohistochemical evaluation was performed by using an immunoalkaline phosphatase technique.1 DNA Extraction DNA was extracted from formalin-fixed, paraffin-embedded specimens and clinical swabs with the use of the BioRobot EZ1 system DNA tissue kit , based on the modified pretreatment protocol described previously. DNA was amplified for sequence analysis by using three distinctive PCR assays.