It is often quoted that we retain 20% of what we hear. While the facts behind the claim are dubious, it can be said that most of us remember little of what was said in the doctor’s office. And often, retention erodes with time. Most often we hear what we want to hear or what we conveniently want to believe. In stressful situations like doctors visits, or when leaving the hospital after surgery, the results are much worse. For Dr. David Langer and his Neurosurgery staff at Lenox Hill Hospital in New York, the drop in department productivity and the frustration experienced by patients were such that they knew they needed to better inform and educate patients and help them retain more of what was discussed during their care visits. Patient retention is a significant issue in rural areas, and particularly for elderly patients because of the long travel distances, often without the help of others to memorialize what is communicated by providers, leaving friends and family in the dark or unaware of a condition, diagnosis or treatment plan. The aging demographics in the United States will only increase the need for a more permanent way to communicate, share and memorialize patient experiences.