Lawreston
En-Route
Subject: Interesting notes in hospital charts
These are actual notations from various hospital charts.
1. The patient refused an autopsy.
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2. The patient has no previous history of suicides.
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3. Patient has left white blood cells at another hospital.
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4. She has no rigors or shaking chills, but her husband
states she was very hot in bed last night.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5. Patient has chest pain if she lies on her left side
for over a year.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6. On the second day, the knee was better, and on the
third day it disappeared.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7. The patient is tearful and crying constantly. She
also appears to be depressed.
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8. The patient has been depressed since she began seeing
me in 1993.
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9. Discharge status: Alive but without permission.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
10. Healthy appearing decrepit 69-year old male,
mentally alert but forgetful.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
11. Patient had waffles for breakfast and anorexia for
lunch.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
12. She is numb from her toes down.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
13. While in ER, she was examined, x-rated, and sent
home.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
14. The skin was moist and dry.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15 Occasional, constant infrequent headaches.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
16. Patient was alert and unresponsive.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
17. Rectal examination revealed a normal size thyroid.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
18. She stated that she had been constipated for most of
her life, until she got a divorce.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
19. I saw your patient today, who is still under our car
for physical therapy.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
20. Both breasts are equal and reactive to light and
accommodation.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
21. Examination of genitalia reveals that he is circus
sized.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
22. The lab test indicated abnormal lover function.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
23. Skin: somewhat pale but present.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
24. The pelvis exam will be done later on the floor.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
25. Patient has two teenage children, but no other
abnormalities.
HR
These are actual notations from various hospital charts.
1. The patient refused an autopsy.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2. The patient has no previous history of suicides.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3. Patient has left white blood cells at another hospital.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4. She has no rigors or shaking chills, but her husband
states she was very hot in bed last night.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5. Patient has chest pain if she lies on her left side
for over a year.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6. On the second day, the knee was better, and on the
third day it disappeared.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7. The patient is tearful and crying constantly. She
also appears to be depressed.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8. The patient has been depressed since she began seeing
me in 1993.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
9. Discharge status: Alive but without permission.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
10. Healthy appearing decrepit 69-year old male,
mentally alert but forgetful.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
11. Patient had waffles for breakfast and anorexia for
lunch.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
12. She is numb from her toes down.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
13. While in ER, she was examined, x-rated, and sent
home.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
14. The skin was moist and dry.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15 Occasional, constant infrequent headaches.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
16. Patient was alert and unresponsive.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
17. Rectal examination revealed a normal size thyroid.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
18. She stated that she had been constipated for most of
her life, until she got a divorce.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
19. I saw your patient today, who is still under our car
for physical therapy.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
20. Both breasts are equal and reactive to light and
accommodation.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
21. Examination of genitalia reveals that he is circus
sized.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
22. The lab test indicated abnormal lover function.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
23. Skin: somewhat pale but present.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
24. The pelvis exam will be done later on the floor.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
25. Patient has two teenage children, but no other
abnormalities.
HR
