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Dear Doctor [pt doesn't know your name] You patient turned up in A&E on a Sunday morning a long way from home. He had a large hydrocele off which I aspirated 200ml of clear fluid. Please refer him to the general surgeon of your choice. Yours etc, NOW Try getting the diagnosis, procedure and plan to make sense on YOUR computer. Whilst some systems are flexible, some really can't cope with the (true) scenario above. The really silly thing is that any free text we enter on our system does *not* go onto the GP letters, so we have to enter it by hand. It is hardly surprising if some pressured people choose the 'other' option. -- Helen D. Vecht [log in to unmask] Kingsbury, London NW9. %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%