tag:blogger.com,1999:blog-5883634615775822475.post5799705908585907362..comments2024-03-26T16:46:21.764-04:00Comments on Doctor Grumpy in the House: Did we take our Ritalin today?Grumpy, M.D.http://www.blogger.com/profile/09858110332436246760noreply@blogger.comBlogger21125tag:blogger.com,1999:blog-5883634615775822475.post-77405013595472885952010-05-25T15:35:23.503-04:002010-05-25T15:35:23.503-04:00I worked with an RN years ago who wrote actual nur...I worked with an RN years ago who wrote actual nurses notes like this:<br />"the patient was happy as a little lamb out in the field skipping around amongst the flowers looking for a place to rest...." <br />ACTUAL words. An MD noted, in the margin "?????????"<br />We couldn't believe what we were reading. Thank goodness for the forms we now have...initial the box.Cartoon Charactershttps://www.blogger.com/profile/07871661908222892370noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-36488283169735706552010-05-24T16:03:40.789-04:002010-05-24T16:03:40.789-04:00It sounds to me like the doctor was writing as the...It sounds to me like the doctor was writing as the patient was talking and the patient was likely skipping all over the place. This is why I prefer to write my notes after a visit is over.memememehttps://www.blogger.com/profile/01322100771792959092noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-39370884028692794602010-05-24T11:15:18.196-04:002010-05-24T11:15:18.196-04:00Oh wow - reading that made me tired. I can't i...Oh wow - reading that made me tired. I can't imagine if I had to read that at 0400. But I've looked back on some of my documentation from end of shift and it's just not pretty!Mahahttps://www.blogger.com/profile/04860979377398925052noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-53788267490790422312010-05-24T01:53:17.494-04:002010-05-24T01:53:17.494-04:00Interesting... I read this, and I get a mental pic...Interesting... I read this, and I get a mental picture of what taking the history was like (squirrel! indeed) - if this was handwritten, this was probably how the patient was presenting, not how the physician was thinking. Around the 8th tangential comment, "should probably consult neurology" comes in...<br />This is why, in psychiatry, we try to always dictate.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-23915037613007586122010-05-23T11:24:03.235-04:002010-05-23T11:24:03.235-04:00Grumpy:
Must have been something shiny going by a...Grumpy:<br /><br />Must have been something shiny going by as Doc was writing his note.<br /><br />Or the Coke kept calling his name...RehabNursehttps://www.blogger.com/profile/02695247141022093754noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-68668826536481856072010-05-23T10:05:07.725-04:002010-05-23T10:05:07.725-04:00Dr ADD,
Please see me after class.
-Dr. GrumpyDr ADD,<br /><br />Please see me after class.<br /><br />-Dr. GrumpyJoehttps://www.blogger.com/profile/04619202821864820972noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-45888053752421048852010-05-23T09:01:54.873-04:002010-05-23T09:01:54.873-04:00that's almost exactly how one of my interns pr...that's almost exactly how one of my interns presents....08armydochttps://www.blogger.com/profile/08822263660673470153noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-51964708539746274842010-05-23T08:39:30.172-04:002010-05-23T08:39:30.172-04:00Gee, sounds like this... person... takes notes lik...Gee, sounds like this... person... takes notes like some of the docs I've had the misfortune to be... mistreated by in my past (my current medical team rocks!).Kat's Katshttps://www.blogger.com/profile/05519016601947528061noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-87784771088119627192010-05-22T22:56:43.417-04:002010-05-22T22:56:43.417-04:00OMG. Reading that exhausting. When there's so ...OMG. Reading that exhausting. When there's so thoughts going everywhere and then contradictions...OMG.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-84126058734451832232010-05-22T22:29:25.344-04:002010-05-22T22:29:25.344-04:00This doc takes notes like my seven-year-old talks....This doc takes notes like my seven-year-old talks. Perhaps the child has a future in medicine!Amandahttps://www.blogger.com/profile/14775794907218052899noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-13066308816931926332010-05-22T21:26:18.093-04:002010-05-22T21:26:18.093-04:00Gack! I write my notes like I do my assessments--...Gack! I write my notes like I do my assessments--from head to toe.<br /><br />Do you think he does his assessments and asks his questions this way?<br /><br />Scary...<br /><br />VF: gracist--someone who practices giving grace--not what someone deserves. A patient seeing this doc is probably a gracist.The Observerhttps://www.blogger.com/profile/17696168395133075354noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-58620114488200140412010-05-22T20:48:47.325-04:002010-05-22T20:48:47.325-04:00Stewbert- what makes it worse was that this was HA...Stewbert- what makes it worse was that this was HANDWRITTEN in the progress notes.<br /><br />Cate- Yeah, I was more coherent than that as a first year, too. And this person has been in practice for 20 years.Grumpy, M.D.https://www.blogger.com/profile/09858110332436246760noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-11877076586047506392010-05-22T20:04:01.089-04:002010-05-22T20:04:01.089-04:00Oh I hate typing reports by doctors/PAs/nurses lik...Oh I hate typing reports by doctors/PAs/nurses like that. What makes them "funner" is when they delete entire paragraphs while they're being scatterbrained, too!stewberthttps://www.blogger.com/profile/14940744366129679442noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-79267552653572619792010-05-22T19:25:44.830-04:002010-05-22T19:25:44.830-04:00"all labs normal but they show anemia & l..."all labs normal but they show anemia & liver issues?"<br /><br />WTF?webhillhttps://www.blogger.com/profile/05938934194973454729noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-22283815673632273862010-05-22T18:26:21.624-04:002010-05-22T18:26:21.624-04:00OMG, that was hilarious! I have not only seen note...OMG, that was hilarious! I have not only seen notes like this in a record, I could very well have written one like this if I wasn't careful...even though they make me crazy as a coder. But what killed me wasn't the AD(H)D style, but the "had some sort of surgery... but doesn't know what". Oh, if only I had the luxury of that sort of ignorance! One of the surgeries I've survived happened three DECADES (yes, you're reading that correctly)ago, and physicians still ask a boatload of questions about it. And yes, I think that doc may very well have use for Ritalin!medrecgalnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-42472254852075523512010-05-22T18:20:33.608-04:002010-05-22T18:20:33.608-04:00Hah! That's probably why we spent half of a te...Hah! That's probably why we spent half of a term's class only on doing the anamnesis. Unfortunately, that half was subtracted from the class that would have taught us physical examination... *sigh* Well, can't have everything, right?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-58222926886954322212010-05-22T18:13:59.936-04:002010-05-22T18:13:59.936-04:00wow, i think my clinical medicine prof would die i...wow, i think my clinical medicine prof would die if one of my classmates or I wrote a note like that. and we're first years.Catehttps://www.blogger.com/profile/13635808302306218421noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-44295558523510943722010-05-22T17:54:05.275-04:002010-05-22T17:54:05.275-04:00I felt tired just reading that!
It does, however,...I felt tired just reading that!<br /><br />It does, however, alleviate any guilt I might feel when my fourth-grader asks for writing advice and I say "organize your thoughts after you brainstorm."Anonymoushttps://www.blogger.com/profile/11138241451702482020noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-73508707238375790942010-05-22T17:39:05.381-04:002010-05-22T17:39:05.381-04:00Sounds like the reports that are given from my fel...Sounds like the reports that are given from my fellow first year medical students. <br /><br />No wait. That was 100x worse.Albinoblackbearhttps://www.blogger.com/profile/15222730484450544498noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-66491896184273371172010-05-22T17:37:25.173-04:002010-05-22T17:37:25.173-04:00Either ADD on the physician's part or a singul...Either ADD on the physician's part or a singularly brainless EMR.terri chttps://www.blogger.com/profile/09398808840234914275noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-66605234090854905192010-05-22T17:33:16.201-04:002010-05-22T17:33:16.201-04:00Squirrel!!Squirrel!!Anonymousnoreply@blogger.com