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Actual Sentences Found In Patients Hospital Charts



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May 07, 2002 03:12 PM

Actual Sentences Found In Patients Hospital Charts


1. She has no rigors or shaking chills, but her husband states she was very hot in bed last night.
2. Patient has chest pain if she lies on her left side for over a year.
3.. On the second day the knee was better, and on the third day it disappeared.
4. The patient is tearful and crying constantly. She also appears to be depressed.
5. The patient has been depressed since she began seeing me in 1993.
6. Discharge status: Alive but without my permission.
7. Healthy appearing decrepit 69 year-old male, mentally alert but forgetful.
8. The patient refused autopsy.
9. The patient has no previous history of suicides.
10. Patient has left white blood cells at another hospital.
11. Patient's medical history has been remarkably insignificant with only a 40 pound weight gain in the past three days.
12. Patient had waffles for breakfast and anorexia for lunch.
13. Between you and me, we ought to be able to get this lady pregnant.
14. Since she can't get pregnant with her husband, I thought you might like to work her up.
15. She is numb from her toes down.
16. While in ER, she was examined, X-rated and sent home.
17. The skin was moist and dry.
18. Occasional, constant, infrequent headaches.
19. Patient was alert and unresponsive.
20. Rectal examination revealed a normal size thyroid.
21. She stated that she had been constipated for most of her life, until she got a divorce.
22. I saw your patient today, who is still under our car for physical therapy.
23. Both breasts are equal and reactive to light and accommodation.
24. Examination of genitalia reveals that he is circus sized.
25. The lab test indicated abnormal lover function.
26. The patient was to have a bowel resection. However, he took a job as a stock broker instead.
27. Skin: somewhat pale but present.
28. The pelvic exam will be done later on the floor.
29. Patient was seen in consultation by DR. Blank, who felt we should sit on the abdomen and I agree.
30. Patient has two teenage children, but no other abnormalities



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34 Comments
No. 1
Old May 07, 2002, 09:31 PM

OMG!!!!!!!!!!!

This just killed me. I laughed until I cried when I read the one about the rectal exam revealing a normal thyroid!!!

Note to self: Make sure I am NEVER that doctor's patient!!!!

Love

Dennie
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No. 2
from fedupnurse
Old May 08, 2002, 06:31 AM

I posted this on another thread but it's worth repeating: In my pt.'s H&P actually read the following:
Pt has a history of alcolholism and a motor vehicle accident while in a coma.
Moral of this story: Never, ever drink and drive while in a coma!
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No. 3
from zumalong
Old May 09, 2002, 05:57 AM

In my years of teaching I have seen some notes (that don't make it to the charts--):
Patient urineating just fine.
I was just talking to her and she hauled off and started beating on me--she is crazy.
Gave resident perrenial care.
Resident incompetant X 3

I could go on--but I must go to clinical and send some more new nurses into the world.
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No. 4
from Sleepyeyes
Old May 09, 2002, 07:39 AM

Local hospital musta had a new transcriptionist. Neatly typed in Pt.'s H&P was, "Pt. has heparin C, in addition to other liver..."
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No. 5
from kimtab
Old May 09, 2002, 07:59 AM

Thanks! I almost fell outta my chair!

Kim
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No. 6
from auntie taz
Old Jun 24, 2002, 10:13 PM

Thanks!! I did fall out of my chair!!!
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No. 7
Old Jun 24, 2002, 10:31 PM

My wife is sitting here wondering why I am LMAO!
I saw one one day said something like Patient voice no complaint-large BM ambulating down hall.
-R
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No. 8
from Jen911
Old Jun 25, 2002, 12:22 AM

I wrote a triage note last night and gave it to our ER doc before realizing what I wrote... had to go crawl under the desk after I realized what I did... "Patient cut finger with knife after cutting cheese."
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No. 9
from Sleepyeyes
Old Jun 25, 2002, 04:40 PM

Originally posted by Rustyhammer
My wife is sitting here wondering why I am LMAO!
I saw one one day said something like Patient voice no complaint-large BM ambulating down hall.
-R
"Large BM ambulating down hall" ???? --Is THAT what that was???!!
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