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the practice of physicians creating formal documentation for a patient visit is a fairly recent activity in medicine in fact at the beginning even journaling was unheard of as far as we can tell in antiquity medical care was given based on patient reported symptoms people were treated with rituals prayers to drive out evil spirits or surgery even herbal potions came relatively late in our history as medical care became more commonplace in Greek and Egypt some practitioners inspired by astronomy began to record private notes but for the most part medical care was more like getting a haircut is today before the invention of paper and printing its perhaps not a surprise that there is little evidence of journaling an Egyptian papyrus describing a surgical case around 1600 BC serves as our first record of recording case level information case reports for didactic purposes became more commonplace during the era of the Hippocratic school in Greece the Enlightenment gave birth to the natural
