On Friday I admitted a lady who fainted at the store. After talking to her I wrote "seizure unlikely" in my impression and wanted cardiology to have a look at her.
I then turned her over to my call partner, Dr. Nerve, for the weekend.
He apparently agreed with me, but is under the impression her insurance pays by the word. He wrote:
11 comments:
I wonder how many physicians will need a dictionary to read this one?
Hey, you need to keep in practice. You never know when you might have to write another high school term paper.
Impressive vocabulary.
If he's using a transcription service, the service gets paid by the word. That's what's doing it.
Dr. Nerve seems to have mastered CYA quite well.
Roger that, whatever it is.
In other words, "seizure unlikely"
Okay. So, probably not, then?
"...or at least when I started writing this sentence; conditions may have altered since then."
Will Nerve's bloated version be more impressive to the insurance reviewer who will be trying every way to deny paying for the time in the hospital?
Some of my consults start out like that when I am trying to do too many things at once and the simple one word that explains everything has evaded me. I am thinking it's early something or other, but it's definitely not a case of what my sadistic high school band teacher used to yell when the trombone section failed yet one more time to come in at their intro, "You numskulls, I am not a fount of knowledge, but can't you guys count? How can it be that I've forgotten more than you'll ever know? I swear." Then he'd have to have the first clarinet take over rehearsal while he took another Camel moment.
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