In our iPhone-reverent age, the dismissal of EHR critics as Luddites is usually supported by the recognition that systems we once couldn’t imagine we now can’t live without. But the assumption that EHR evolution will mirror the cell phone’s trajectory offers three notable flaws. The EHR is usually touted as a cost-saving, quality-promoting device, though cost-saving projections have already been debunked and data on quality are combined.2 Although we’ve made progress in individual safety only by carefully examining our errors, somehow the hazards posed by technology are expected to right themselves. Second, letting the market shape usability assumes that clinicians are the focus on users.Left untreated, supplement B12 deficiency can result in dementia, neurologic harm, anemia, and other complications, which might be irreversible,’ according to background information in this article. Proton pump inhibitors and histamine 2 receptor antagonists suppress the production of gastric acid, which might lead to malabsorption of supplement B12, plus they are among the most used pharmaceuticals in the usa commonly. However, few data can be found about any association between long-term exposure to these medications and supplement B12 insufficiency in large population-based studies. Jameson R. Lam, M.P.H., of Kaiser Permanente, Oakland, Calif., and colleagues evaluated the partnership between the usage of acid-suppressing prescription drugs and vitamin B12 deficiency within the Kaiser Permanente Northern California human population.