Stage 1: I'll get something healthy, maybe a salad, in the cafeteria.
Stage 2: Are there any bagels left in the doctors lounge?
Stage 3: There are Graham Crackers in the nurses station galley.
Stage 4: I see old Cheetos under the ICU fridge.
Stage 1: I'll take the stairs up to 5. I need the exercise.
Stage 2: I'll only use the elevator if it's more than 2 floors up.
Stage 3: I'm taking the elevator to go down 1 floor.
Stage 1: Ordering an MRI and a few carefully selected labs to narrow the problem down.
Stage 2: Ordering an MRI, MRA, labs, and an echocardiogram to start by covering the bases
Stage 3: Ordering an MRI, MRA, CTA, echocardiogram, EEG, VNG, EMG/NCV, CT-myelo, pneumoencephalogram, and every lab in the book... figuring your call partner will sort it out on Monday.
Stage 1: I'll be right in to have a look at her.
Stage 2: Can I see her in the morning?
Stage 3: Call Dr. Brain after 7:00 a.m. tomorrow.
Stage 1: Thank you for this interesting consult.
Stage 2: Thanks for this consult.
Stage 3: Scribbled name.
Handwritten chart note
Stage 1: A neatly written paragraph summarizing the key history, pertinent exam findings, and your impression and orders.
Stage 2: A brief note listing your impression and orders.
Stage 3: "Patient seen, note dictated."