I can't comment on what was put in the records.
Often a physician, when counselling a patient, will make annotations about the nature of the discussion. They may not annotate all of the specific details of each of the adverse effects they may have discussed. Oftentimes, that's what a physician will put in a clinical note after a patient encounter. The paper record system that we had at that time was different from the electronic health record that we have today, and I think that today we are able to produce far better records because of our electronic health record. It's much easier to recall information from our electronic health record than from what we had in the past.