Thank you, C!
Thursday, August 3, 2017
Subscribe to:
Post Comments (Atom)
skip to main |
skip to sidebar
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.
20 comments:
Apologies , but is the patient dead ?
Constipation? Maybe they meant consternation.
"....aaaand METHODISTS!"
One of these things is not like the other,
one of these things just doesn't belong.
Can you tell which one of these doesn't belong,
before I finish my "song".
(those who never watched Sesame Street won't get it."
And no doubt it is the constipation that is causing the patient the most problems in followup. (seriously- you know what I mean if you have ever been seriously stopped up)
Oh, dear.
Can't constipation affect blood pressure?
I also gotta be nebby and wonder what the hell happened to his poor person.
Just lovely.
so, #5 makes me wonder how this is a discharge summary since this person appears to have been readmitted
#6 is clearly iatrogenic because this person has to be on a fair amount of opiate pain meds, don't you think?
Talk about burying the lede...
How is one diagnosed with assault, like you're diagnosed as having a hemorrhage?
Respiratory failure AND respiratory insufficiency? Damn. Sounds serious.
The Opioid pain medication causes constipation. It seems like a natural progression, beaten to near death, a host of intervening crisis medical situations, heroic effort to save a life and the ignominious discharge with constipation.
7. Hail
8. Locusts
9. Darkness
10. The slaying of the firstborn
Gotta go with Lizard and Packer. Constipation is natural outcome of treatment for all the others.
And we all know once a diagnosis is listed in a medical record anywhere, it cannot be resolved and eliminated (as it were) from all future lists of medical diagnoses attached to this patient.
He (or she) now has an ADDITIONAL preexisting condition - that in our brave new world may disqualify from any medical treatment for this problem.
Hope he stocks up on prune juice, bran flakes, and his 9 servings of fruit and veg daily.
"Buy 5 and get the 6th for free" somehow never turns out to be as good a value as it sounds...
In a large hospital with lots of specialists, a patient like this is pan- consulted. The hospitalist cannot bill for what someone else is managing(even though the hospitalist is the one called for everything, particularly night), they have to bill for something not otherwise covered. Therefore, constipation.
Sounds like he had the shit beat out of him, and/or was too injured to give a shit.
Our physicians are advised by billing/coding to include all diagnoses that were treated on the discharge summary. There can be a diagnosis without a treatment, but not a treatment without a diagnosis. I would imagine as others have that this was iatrogenic 2/2 pain meds.
To quote an attending who shall remain anonymous, "the more diagnoses you can come up with to put in the EMR, the better."
Post a Comment