She sat in a chair across from me as I sat down to start our visit. "Did you get my records from the other doctors?"  She asked

"No.  Where did you go?  I know you were going to the gastroenterologist."

"Yes, I saw him and he sent me to the ENT.  You didn't get that note either?"

"No, I don't have record of that."  I frantically typed a message to my nurse to get the records from these doctors.

She looked down, disgusted.  "Did you get this?" she asked as she handed me an MRI report that I had not seen.  I shook my head.  "The doctor says I will need surgery."

I noted the presence of an adrenal mass on the report.  "That is nothing, by the way.  They are present all the time."

"I know.  The orthopedist sent me to a urologist, and that's what he said.  I guess you didn't get that report either."

"No."  I sent another message to my nurse to get a note from these two doctors.  I looked at her chart and noticed she needed cholesterol checked.  "You are due for a cholesterol check."

"My cardiologist just did one.  He said it was OK."

"Oh" I answered.

I typed one more note to my nurse.

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