‘A growth in plasma ACTH and cortisol are considered good markers of stress, in terms of both acute response and of chronic exposure to stressful circumstances. An impaired function of HPA axis established fact in alcoholics,’ she added, ‘and it’s been suggested a blunted HPA axis responsiveness plays a role in early alcohol relapse pursuing detoxification in alcoholics.’ Researchers recruited two groups of males: 10 lately abstinent alcoholics 33 to 45 years; and 10 age-matched healthy controls. All participants exercised on a bicycle ergometer for approximately a quarter-hour to a workload steadily increased at three-minute intervals until exhaustion . The alcoholics were tested at three time points: four, six and eight weeks after alcohol withdrawal.His performance had derived not from rushing between patients but from understanding them therefore well that his charting was effortless and fast. But he became distracted abruptly, losing his hold on the facts of his patients’ lives. He slumped around, shirt half-untucked, perpetually pulling a yellowed handkerchief from his pocket to clean his perspiring forehead. Everyone concerned he was ill. His problem, however, turned out to be the electronic health record . Investigating the root causes, Wachter discovers style flaws, such as for example defaulting to certain models for medicine dosing and alerts rendered meaningless by their sheer amount.