CEREBROSPINALECTOMY
Front desk: "The referral came in by fax." Me: "From where?" Front desk: "A scanner. It photographed a computer screen." Me: "Showing what?" Front desk: "A PDF you generated in June." Me: "So we are passing my own note back and forth until one of us dies." Send this to the practice manager who still owns a fax number.
EXPLAINED (ACCURACY-CHECKED)
Fax remains a widely used channel for referrals and clinical document exchange in US healthcare despite electronic health record interoperability requirements.
operational/administrative reality; no clinical claim to verify
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