Hospital charts
Posted: Wed May 04, 2005 10:34 am
Think about these when you go to the hospital.
These are actual notes taken from patients charts:
1. The patient refused autopsy.
2. The patient has no previous history of suicides.
3. Patient has left white blood cells at another
hospital.
4. She has no rigors or shaking chills, but her
husband states she was very hot in bed last night.
5. Patient has chest pain if she lies on her left
side for over a year.
6. On the second day the knee was better, and on
the third day it disappeared.
7. The patient is tearful and crying constantly.
She also appears to be depressed.
8. The patient has been depressed since she began
seeing me in 1993.
9. Discharge status: Alive but without my
permission
10. Healthy appearing decrepit 69-year old male,
mentally alert but forgetful.
11. Patient had waffles for breakfast and anorexia
for lunch.
12. She is numb from her toes down.
13. While in ER, she was examined, x-rated and sent
home.
14. The skin was moist and dry.
15. Occasional, constant infrequent headaches.
16. Patient was alert and unresponsive.
17. Rectal examination revealed a normal size
thyroid.
18. She stated that she had been constipated for
most of her life, until she got a divorce.
19. I saw your patient today, who is still under
our car for physical therapy.
20. Both breasts are equal and reactive to light
and accommodation.
21. Examination of genitalia reveals that he is
circus sized.
22. The lab test indicated abnormal lover function.
23. Skin: somewhat pale but present.
24. The pelvic exam will be done later on the
floor.
25. Patient has two teenage children, but no other abnormalities.
--------------------
These are actual notes taken from patients charts:
1. The patient refused autopsy.
2. The patient has no previous history of suicides.
3. Patient has left white blood cells at another
hospital.
4. She has no rigors or shaking chills, but her
husband states she was very hot in bed last night.
5. Patient has chest pain if she lies on her left
side for over a year.
6. On the second day the knee was better, and on
the third day it disappeared.
7. The patient is tearful and crying constantly.
She also appears to be depressed.
8. The patient has been depressed since she began
seeing me in 1993.
9. Discharge status: Alive but without my
permission
10. Healthy appearing decrepit 69-year old male,
mentally alert but forgetful.
11. Patient had waffles for breakfast and anorexia
for lunch.
12. She is numb from her toes down.
13. While in ER, she was examined, x-rated and sent
home.
14. The skin was moist and dry.
15. Occasional, constant infrequent headaches.
16. Patient was alert and unresponsive.
17. Rectal examination revealed a normal size
thyroid.
18. She stated that she had been constipated for
most of her life, until she got a divorce.
19. I saw your patient today, who is still under
our car for physical therapy.
20. Both breasts are equal and reactive to light
and accommodation.
21. Examination of genitalia reveals that he is
circus sized.
22. The lab test indicated abnormal lover function.
23. Skin: somewhat pale but present.
24. The pelvic exam will be done later on the
floor.
25. Patient has two teenage children, but no other abnormalities.
--------------------
