Dr Grumble has had to abandon his early morning work. The reason is that when he opened the patients' notes they were all empty. Some clerk somewhere has opened a new file on each patient. Not a temporary file but a new file. That means that each of these patients has two sets of notes. One set is completely empty. It also means Dr Grumble cannot make decisions this morning. Dr Grumble was so angry he told a passing surgeon. To Dr Grumble's amazement, according to the surgeon, a neighbouring hospital is even worse. There they have 37,000 sets of duplicate notes. It is simply not acceptable. It is dangerous. Dr Grumble used to put each empty set of notes into an envelope and send it to a manager to make his point but they got fed up with him. So he has now given up. Like everybody else.