The main reason for this is, as we grow older
our major organs such liver and kidney function less efficiently. The liver is
the major organ for metabolism and kidney is major organ for excretion of drugs
from our body. While, other organs being the lungs and skin, and colon through
feces. The physicians need to be careful in prescribing the medications, and it
would be better if the peak level in the blood and the organs metabolizing and
excreting the medications are not the same if possible. At least the timing of
medication should be such that two drugs have the same possible side-effect and
the same organ of metabolism be prescribed at different timings of the day.
Most physicians are not very proficient in deciding these factors. The
ObamaCare EHR has the drug-drug interaction and drug-allergy space, which is
very helpful. The Stage 2 EHR would also include Data Analytics and Clinical
Support so these physicians would be prevented from defaulting the system.
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