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It seems to me, after reading over that twice - (very interesting document by the way, thanks for posting) - that the medical board was focused *mostly* on the fact that 1. he did not obtain/review any kind of medical records on the patients and 2. that we was not 'schooled' in pain management/chronic pain, but rather in gynecolgy.... It does mention that there was no 'doctor/patient' relationship - but it seems to me that the Board was mostly focusing their judgement on the fact that no records were kept and this was not the area of the doctors' expertise. This definitely goes to show, in my opinion at least, that medical records DO infact make a BIG difference, with how Medical Boards look at online-prescribing doctors. It seems he would have had a much more lenient hearing if he had kept adequate records, reviewed them with the patient at time of consult, and been more proficient in the area of chronic pain and pain management. Alot of people say records are a mere 'formality' and that only a PortaMedic establishes a true 'doctor/patient' relationship - Well this may be true, I don't really know - but this document does go to show that they are indeed concerned over whether the doc has medical records on the patient or not. I decided at the end of last year to start *only* using online doctor consultations where they requested medical records, whether other places are 'easier to use' or not. For both my safety and the safety of the doctor. It is very important that they have some kind of record of your past treatment, on which to go on when furthering your pain management. And this article definitely proves that to be true. Infact about 1/2 of the document is comprised of talking about the fact that he was doing these consults 'without adequate records in front of him' - So this says to me - yes, Portamedic may be what the medical boards are looking for to completely establish the doc/patient relationship - but the records do make a big difference. There has been alot of debate over 'what good it does' to send in medical records, well - here you have it.