Monday, November 20, 2017
Negative risks
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Patient I saw for a stroke recently. The hospitalist's note used this nonsensical template. I understand what he's saying, but it sure looks stupid.
A Blog detailing the insanity of my medical practice and the stupidity of everyday life.
Welcome to my whining!
This blog is entirely for entertainment purposes. All posts about patients, or my everyday life, or anything else may be fictional, or be my experience, or were submitted by a reader, or any combination of the above. Factual statements may or may not be accurate. I could be making all this up. I may not even be a doctor. The only true statement on here is that I probably drink more Diet Coke than you do. A lot more.
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Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
Cast of Characters:
Annie: My Phenomenal MA
Mary: My Awesome Secretary
Ed: The office fish
Dr. Pissy: The guy I share an office with
Mrs. Grumpy: My Boss (also the world's greatest school nurse)
Frank, Craig, and Marie: The Grumpy Tribe
Garlic and Riley: The Grumpy Dogs
Questions? Comments? Biting sarcasm? Write to: pagingdrgrumpy [at] gmail [dot] com
Note: I do not answer medical questions. If you are having a medical issue, see your own doctor. For all you know I'm really a Mongolian yak herder and have no medical training at all except in issues regarding the care and feeding of Mongolian yaks.
9 comments:
It's all Boolean to me.
Patient behavior modification through reverse psychology.
Whenever I see that a patient "denies" behaviors, to me that term implies doubt.
Patient denies smoking. (but I think they probably do)
Patient denies drug use. (yeah, right)
Apparently you are damned if you do, damned if you don't.
It makes you wonder who had the stroke?
Yup, it does.
My personal favorite: "Patient does not report having symptoms of..." If I didn't ask them about it, they didn't report them!
I think it's just the way physicians and whomever it may be writes in the notes, or maybe it is really a question of denial, for the question of denial of this or that. Whenever I see that phraseology, I have this picture in my head of some aghast person, saying "Well, I nevah ..." and, then I don't know if the next question should be some sort of disclaimer, like , "Well, I haven't smoked/inhaled/drank/participated in such and such activity ... since yesterday".
Which brings up the next question, how to interpret 'may', whether it's a permission and allowable, or a command. For example, he or she or it or they 'may' do this or that, or "may not" as if there is a choice about whether the action should commence, or "maybe, not"?
18 more guesses...
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