I am an established patient at the clinic but this was my first meeting with Dr. Rittmeyer. He was professional and competent but he clearly walked into the room with an agenda in mind of things that he wanted to present to me.  Given that he was working with a mash up of clinical notes from 2-3 different practitioners I have been treated by over the years, I would have thought he might have paid more attention on our first visit to my concerns, questions or even given me an opportunity to address any issues I might be having.  I left our appointment feeling "meh". There was certainly no level of connection with but the most important items on the agenda did get accomplished for the time being.  Then I read the notes in the after summary visit a day or two later & my jaw hit the floor. It was glaringly obvious that he wasn't really paying attention to what I was saying by his take away.  Everything under the physical exam section of the notes (although I don't recall a physical exam at this visit) is odd in that the patient is referred to as "He". The pronoun "They" is also used throughout the notes. I am a she in every regard and my gender preference is well noted in my patient profile. Honor it please. When I see notes referring to He in my chart it makes me think the doctor has interjected a different patients data into my chart. It states there was a chaperone present. The doctor and I were the only two people in the exam room during my office time with him. I have to assume all the other data and measurements are culled from prior visits or other exams with other physicians?  Most of these things have not been checked in this clinic.  But I understand how they pertain to my treatment here.  It would be helpful, if this data is going to persist in my notes in perpetuity, that it be dated somehow. It just seems to be one long trailing update some of which goes back 3 years and 2 physicians ago! I know my health history and I don't find the clinical notes to always be accurate, as is the case here. So when a physician leaves a practice, which has happened to me here twice now (in addition to having two other doctors who are no longer with the practice working with me upon occasion), it makes it that much more difficult for the next doctor to step in and give cohesive continuity of care. The prior notes were not offensively difficult to follow. One update from Dr. Rittmeyer left me scratching my head and making myself ask if I should start looking for another clinic switch too.  
Libertyville 890 Garfield Pain