From an internist who apparently believes in "brevity is the soul of wit."
You just know he billed this as a high-level visit, too.
Thank you, L!
Monday, September 20, 2021
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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.
Singing Foo!
Singing Foo!
Twitter fans- you can follow me @docgrumpy
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.
8 comments:
And this is exactly why I pooh-pooh my dr claiming a need to see me every three months!
Sounds legit. I mean - what's the preferred alternative?
Interim history: Patient reports normal appetite, no cough/sneeze/vomit/diarrhea, normal urination, normal exercise tolerance, no new-onset clinical signs of illness or other abnormalities since last visit. Patient reports mostly staying at home and watching Netflix due to Covid.
Physical exam: EENT WNL, LN WNL, H/L WNL w/no murmur or arrhythmia ausculted, normal peripheral pulse pressures, mm p/m, CRT <2 sec; belly soft/nonpainful; digital rectal exam nonremarkable; normal gait and mentation; no dermatological abnormalities seen on exposed skin.
Plan: patient to monitor self for signs of illness including but not limited to fever, rash, inappetance, vomiting, nausea, diarrhea, constipation, pruritus, anxiety, sense of impending doom, burning while urinating, dysuria, stranguria, pollakiuria, erectile dysfunction, insomnia, anosmia, cough, tachypnea, dyspnea, syncope, or seizure. If any such signs develop, patient to seek care via call our office or present to ER. If no such signs develop, patient to follow up here with another exam in three months.
Everything looked good compared to what?
Patient is 95, 3 months is a goal
My last two doctors sat across the room(pre-COVID)and asked questions, as they typed into a laptop. We could have phoned it in. I suspect they weren't typing my answers, just catching up on their email. Or ordering lunch. One of the criteria if I start looking again is a doc who is computer illiterate.
It is decidedly so.
Signs point to yes.
Reply hazy, try again.
The jinotega is behind the 8 ball
Better than 95% of the template-generated EMR notes I read.
If you combine this with the problem list in the chart, which I'm going to guess is similarly brief and to the point, you've got all you need to know.
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