Best MD note

[beckster_01]

There may or may not be a thread like this but I couldn't resist sharing. This weekend I was digging through my patient's chart trying to learn more about his history when I came across a note by the attending cardiologist. It said, and I quote: "Patient is stable, no complaints. Was screaming 'Kibbles and Bits!' repeatedly upon my arrival. Of note, patient does not have a dog." I couldn't help but laugh. Anybody else come across some interesting notes in their charts?

[cowgrrl7]

"Unfortunately Mr. X simply has a case of the dwindles."

Made me lol and I never figured out exactly what the dwindles really were.

[maelstrom143]

At one home health agency where I worked, I frequently saw in the admit paper work of female pts that they had a hx of an orchiectomy. Then I noticed that these entries were all made by the same nurse. I asked her one day if she knew what an orchiectomy was and she responded that she did not. I pointed out to her that she had entered this on a number of pts charts. She then became defensive stating that she only copied what the doctor had written on the discharge sheet.

I seriously have no words for this...it is really easy to ask questions when one does not know. Seriously :/

[NanikRN]

Pt received benzo at pt family repeated and relentless demands per house staff in middle of night. Pt experienced

Yet another case when Press-Ganey results supercede the pts welfare and well-being

This is almost word by word ( reason for leaving out furthur details). Best and truest note ever!

[Riawahine, BSN, MSN]

This thread really had me laughing out loud #LovedIt

[EMSnurse411]

I had a doctor write "The patient is suffering from extreme lower extremity hebbie jebbies"

[annabanana2]

"Unfortunately Mr. X simply has a case of the dwindles."

Made me lol and I never figured out exactly what the dwindles really were.

We had a home health palliative care client referred to us, expected to decline very quickly, only diagnosis listed was "the chronic crumble." Just a very old man going south very fast and who is not interested in investigation or treatment.

In reference to very confused patients, it always makes me giggle to see "the patient was not overly oriented."

[JustKeepSmiling, ADN, BSN, RN]

In the past I worked with an old school doc who had a very dry sense of humor and was sarcastic. She would write nursing communication orders like "please do not wake me at 3am to tell me the patient is screaming, use the PRN haldol I have graciously ordered."

[Whispera, MSN, RN]

I worked in an eating disorder facility for awhile. The medical director would chart "gravitationally challenged."

[Sue Damonas, BSN]

Once on an H&P the physician wrote "Patient complained of being sleepy and dopey but did not mention the rest of the seven dwarfs".

[kk2021]

One of the OBs I worked with had silly tidbits from the patients' prenatal visits. One that I can remember said, "good fetal movement, no ctx, bleeding, or leaking of fluid ... pt has PINK HAIR !!!"

I definitely laughed out loud reading that one.

[.Simplicity.]

An expiration note on a patient that read:

Called to bedside by nursing to assess patient. Patient transitioned to comfort care and extubated at 1205 a.m. per family request. Asystole on monitor. Unable to palpate central or peripheral pulses. Chest examination reveals no rise or fall. Bilateral breath sounds present with lungs CTA. Unable to auscultate heart sounds. Patient pronounced deceased at 1208 a.m.

I did not realize you could be breathing and dead.

An ambulance run sheet on a pt. brought to ER following a GSW to the leg: Pt. inititially refusing transport. Pt. states "I want to finish my fried pork chop first." Pt. agreed to transport when allowed to bring the fried pork chop with him.

...........

[Postpartum RN]

Lol I love this thread! How did I not see it sooner!