I don't use pleasant. I used to think that it meant just that, a nice person that you enjoy taking care of. 'It's most often used to talk about people with severe diseases like diabetes, or renal failure and diabetes,' says Dr Muennig. Multiple vague complaints. 'Language barriers are a big discriminatory factor,' says Dr Green. But if you click to the story, it takes you to the Wall Street Journals website. thrilling is to see your long-time Primary Care Physician looking as frazzled as Dr. Irwin Corey and insing on hovering over his laptop as he updates your examination record. Ha! FYI GOMER comes from the book, House of God, it stands for Get Out of My ER. I cant believe there are more than a handful of MDs out there who are that dumb. /r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment. Comments are moderated before they are published. It helps to create a healthy environment in which patients feel cared for as individuals, and members of health care teams are engaged, collaborative and committed to service. Also called an "Open and Close" or a "Peek and Shriek," this is when a surgeon opens up a patient for surgery, discovers nothing can be done to avert the inevitable, and sews them back up immediately. Paul Sax is an infectious disease physician who blogsHIV and ID Observations,apart ofNEJM Journal Watch. In fact, every decade beyond age 60 yields a greater likelihood of earning one of these adjectives. Founded in 2004 byKevin Pho, MD, KevinMD.com is the webs leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories. Taking Vitamin D each day could cut your chances of getting dementia, study claims. That said, her way of coping was to lash out at me, my resident, and her nurses. Ill give her credit for putting the pleasant description in the physical exam this is where we put our observations, after all and leaving out the delightful and lovelylabels. Of course many doctors are already paranoid Among others, theres NERD for no evidence of recurrent disease, and Shotty, Vascular surg.although I guess it's a little ironic given the dm and smoking. to read. The point of the story is that access to medical records has benefits and challenges. "Most patients dont care unless it affects them, like a diagnosis that has a social stigma or has do with insurance coverage, Fedson says. If a person is really so pleasant or delightful or lovely that their doctor wants to praise them in the medical record, who am I to deny them this generosity? (Note: I never ever called anyone delightful or lovely. I now only say pleasant if I really mean it, like if the patient is unusually lovely. But researchers also point to possible downsides: Patients may panic if their doctor speculates in writing about cancer or heart disease, leading to a flood of follow-up calls and e-mails. 'I don't think it's necessarily harmful to say "crumping" or "frequent flier,"' a New York-based doctor said, 'but I'm very careful as a physician to not use those words in earshot of a family, that would be strongly unprofessional.'. Or maybe prostitutes? Any pt's ever read their journal and react to this? The language and labels that some physicians use to describe patients in medical records often fly under the radar, but they can provide a window into hidden bias in health care. The notes can I think I've only seen oncologists use this though. If you want proof, check out some of the horrifying-yet-hilarious slang they use around the office. But I think they can put those in kind words.. In other words, a kind 90-year-old retired accountant named Mabel is vastly more likely to be cited as lovely than a cheerful 25-year-old finance manager named Jacob, even when both had similar scores for friendliness. Press question mark to learn the rest of the keyboard shortcuts. 'This is someone that wails shrieks, howls so loudly you can hear them from the hallways. Some that I have used are talkative and silent for example. to anything. Get the best of Cracked sent directly to your inbox! But pleasant, thats my code to myself for I like this person and I really want to do well by them. TikTok will LIMIT screen time for users under-18 to 60 minutes a day - and they will be prompted to enter a Covid families and critics accuse Matt Hancock of 'criminal negligence': Fury as WhatsApps 'show he ignored Is YOUR lifestyle good for your heart? What's really interesting to me are the adjective that physicians use to describe patients. Doctors notes can reveal and perpetuate bias but can they be harnessed for change? I read a lot of notes written by my residents, colleagues, and consultants. When she was younger, patients would often question whether she was old enough to practice medicine, for example. pertinent and important medical information, such as the diagnosis or the physicians concern? Patient . I really cant fathom that an RN would not know what well nourished means. Morbidly obese. Medical facts are medical facts. If a person is so pleasant or delightful or lovely that their doctor wants to praise them in the medical record, who am I to deny them this generosity? Other patients become common faces in emergency rooms and clinics because of their hypochondriacs tendencies, constantly sure that they are gravely ill. Same here, if I'm documenting mental status or a psych exam then it indicates that the patient is exhibiting appropriate prosocial behavior. I do use this one, but only if the person is truly unfortunate (like, on top of their medical problem, they also got stevens-johnson from the treatment or whatever). I would never ever use it to mean the opposite for that very reason. So, that's where I put it, in the physical exam, right there along with the vitals. What It Means: Chronic Biscuit Toxicity. They arent intended to be cruel or judgemental. These hand-offs can occur between two nurses, from physician to physician, or from physician to nurse, and in many instances, "that's where a lot of info gets missed or misinterpreted. Search thousands of physician, PA, NP, and CRNA jobs now. Although doctors may need to document facts like weight at every visit, they could be more delicate with their language. Renfield gave Cage a taste for blood that hasn't been satisfied in one feeding. Janice Well nourished = HEALTHY. Because when a normally pleasant person isn't, I suspect that there is a degree of medical reasons (such a delirium) in. Telephone Voice Etiquette Techniques & Best Practices. But discrimination is institutionalized and dangerous in medicine, according to Dr Peter Muennig and Dr Alex Green of Harvard University and Massachusetts General Hospital, and it's worth knowing some of these terms that doctors may use to mask the severity of a situation or downright insult you (warning: some of these are offensive). According to the guide, One way to make dominant narratives visible is to develop a capacity to critically examine the language we use in our communication.. Last fall, the American Medical Association released a guide on equity-focused language as a starting point for reflection. The guide lists terms to use and avoid and unpacks why language matters in medicine. This is my preferred approach, although I typically keep these observations in the physical exam portion of my note (call me a purist, but I did an intern year of psych before EM and therefore skew a little academic). 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Seeing it in your medical records might be a good clue bat. There are already enough demands on a doctors time. Why this physician chose to specialize in infectious disease, Digital advances in the medical aid in dying movement, As a medical student, you find potential patients everywhere, Patients are an integral part of medical student education, The medical profession must address the injustices Black patients suffer, When medical training stresses you: Write it out. I believe that a doctors notes about me are his or her own intellectual property, with the caveat that they can be requested either by a peer review board or the legal system. to be sure everything is okay. It is important to me. ', He says he's seen this term used commonly to describe Latino patients in particularly. My father and I used to have the same doctor in our city of around 200,000. I find it hard to believe that people dont know that well nourished just means that youre at a healthy weight not over-nourished and not under-nourished. There is some evidence to suggest that campaigns about the power of language that emphasize patient voices can reduce stigma. Just picture the world of the living as a bath tub. Understandably she was frightened and also in severe pain. treating certain causes of infertility in females. into my life. Or My Mom Will Shoot like Sly thought he would? Nonadherence is simply defined as "a lack . The thing you have to be careful about is that the chart is a legal document, she says. Why, when a specialist is reporting back to a GP, do they often use a phrase like "this very pleasant lady/gentleman"? Receive small business resources and advice about entrepreneurial info, home based business, business franchises and startup opportunities for entrepreneurs. Well nourished means healthy. very respectful of doctors time, and can handle information, he says.**. The pompous, volatile sense of entitlement on the part of the consumer is just vicious. The argument is that if people of color are sicker and are dying at younger ages than white people, this may be because physicians have racial biases. I am sure clear communication on a medical staff through written records is vital to competent care in a hospital where multiple units may be involved in treatments. Chris von Csefalvay Terrence Holt overhears an intern call her patient a "whiner.". Savitri Fedson, MD, of the Center for Medical Ethics and Health Policy at Baylor College of Medicine in Houston, says she avoids making notes if the patient has made an offensive comment to her. ". Rather than their organs suddenly failing - or crashing - these patients are deteriorating quickly, and often don't have much chance for survival. Phrasing of those facts is chiefly a matter of semantics. When It's Used: Or deprive their patients of thishonor? 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Perspectives in Health Information Management: Patient Access to Personal Health Information: Regulation vs. Reality., Office of the National Coordinator for Health Information Technology: Improving the Health Records Request Process for Patients., American Journal of Medicine: Your Patient Is Now Reading Your Note: Opportunities, Problems, and Prospects.. FDA-approved drug. There is a widely held belief - though studies turn up mixed results - that women's bodies are designed for childbirth and their pain thresholds are higher. Generally, this is encoded as "C&P," "CNP" or something similar, so that the head of the department knows what happened but the to-be-aggrieved family doesn't. What does this imply about those we dont callpleasant? Latin, or pseudo-latin, is often used to convey unflattering terms and make it sound grandiloquent to the uninformed (or faecal-encephalopathic) ear. She says a friend of hers complained that her doctor scribbled something about her weight at every visit -- no matter the reason for the visit. But if you think about it for a moment, doesnt this lovely imply something demeaning and patronizing about the label? Everything hurts and they make sure you know about it,' he says. Physicians diagnose and treat injuries and illnesses. Though DOCTORS get high marks for streamlining payment so are used in chart notes to describe a patient, just like ill appearing or lethargic.. Ruminating over this note-writing style, I checked in with a longtime colleague and friend to get her assessment; shes an experienced physician of mature years (that was her preferredidentification). Clowns? Kind of shows off the Emperor Doctors New Clothes. time. Please read the rules carefully before posting or commenting. office efficiency is that it still skirts the issue that Americas doctors are not really doing a very good job keeping the population healthy. It's at this point you should realize that when you're surrounded by the sick and dying every day, no subject is too dark for comedy. doctors are little more than glorified pill pushers who cant relate or much less acknowledge most of their patients as unique human individuals; most generally go by And OD is short for oculus dexter, or right eye, not for overdose. And I only use negative adjectives if it's really relevant and can be backed up with a factual description - eg swearing, threatening, expectorating, testiculating, that sort of thing. You know it goes like this: "CC: Ms. Smith is a very pleasant 62-year-old woman admitted with " or: Writing . He would then give me a When It's Used: Could a flu shot push help curb pediatric hospitalizations? Of that number, nearly a quarter noted those remarks on a patients medical record. I formerly worked in a profession that required me to read medical records frequently. What if theyre having a bad day, reducing their loveliness? I want to see the numbers on my test results, too. That is changing, however. But it was hard to keep first-rate staff all the way down to the lowest levels, as our Dr told me in a very matter of When It's Used: Fedson says that to avoid offending a patient or opening yourself to misinterpretation by a patient, doctors should aim for an almost surgical precision in their notes. Post your answers and new questions below or email them to nq@theguardian.com. CC: Ms. Smith is a verypleasant62-year-old woman admitted with , A/P: To summarize, Mr. Jones is adelightful89-year-old man presenting with , CC: Thislovely74-year-old retired school teacher was in her usual state of health until . Your health questions answered by Times journalists andexperts. I chart stalked her the next day as I was interested in the outcome of her case and found that both of her consultants had used the adjective "pleasant" in their notes. "This kind of research is essential in making . 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Can your patients read the file in your landsting? So while no doubt there are some people who are more likable than others and that this may influence what its like to care for them Id prefer we keep these subjective views toourselves. Theres a layer of metal floating in the sky above you right now. Prescribing medications. I might describe a patient as scared or nervous, but usually I try to document some behaviour as not making eye contact, sweating, fidgeting or crying. No code, this stuff has to be read- and understandable. A patient earns the title 'status dramaticus' when they are a '10/10 [for pain] always, although they look fine,' the Chicago doctor says. Motorcycle. Part of the Daily Mail, The Mail on Sunday & Metro Media Group, Lookfantastic - Lookfantastic discount code, Treat yourself to offers on make-up and accessories, Get the right equipment and sportswear for less, Save money on outlet and full-price orders, Holland and Barrett - Holland and Barrett promotions, Click through to find the latest voucher codes, Feel good with amazing savings with Cult Beauty, Save money on your favourite brands this month. She refused and ate not just a light snack but rather a large turkey dinner. Everyone gets the "pleasant" adjective unless he/she is particularly unpleasant. When writing medical notes, some clinicians include an appreciation of their patients personality and disposition in their opening line (the chief complaint), or when theyre wrapping up (in the assessment and plan), or in bothlocations. 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Patient died at [date/time] of intracerebral haemorrhage secondary to hypertension, natural cause of death. beat In the mean Not to be confused with the dance style, doctors use 'crumping' when they have a patient that is 'crashing, but not aggressively,' the Chicago doctor told Daily Mail Online. Never seen you clearer! And don't forget to check out Internet Party 2: An Intervention for MySpace to see which sites you shouldn't be inviting to your next intervention. Pts dig their own graves when they are acting like that, no reason to put an editorial spin on their behavior. Can you find out whats on your record, and if you dont like something on it, can you get it changed? Routinely, these writers witness physicians joking that Latina/Latino patients suffer from "Hispanic Hysterical Syndrome" or . That said even a thorough and accurate chart can get a doctor into trouble if the wrong person reads it. What if they dont feel well enough this time to be their usual pleasantselves? (Verbal abuse falls under health that abrupt is completely accurate, and that the latter three were intended to assess whether I was able to function enough to engage in personal hygiene and eat relatively well (vegetables ,etc). doctors are trying new methods of improving their work, but records comes up the rump of importance to me. Tom Delbanco, MD, of Harvard Medical School, is the founder of a project called OpenNotes. Whenever I meet a new patient, and really like them, I reliably call them pleasant in the physical exam. Others dont want to complicate already onerous paperwork. A 2008 study from the National Institutes of Health also found that women wait 16 minutes longer to be seen in an emergency room than men do. Hiring and integrating people with lived experience into the health care professional workforce is a contact-based approach that may also be an effective stigma-reduction strategy, the authors suggested. 'Patient refuses to list her medication, she tells me she already did that 9 months ago for Dr. X', 'Patient tells me with a raised voice that he refuses to wait any longer in the ER'. What does this imply about those we dont callpleasant? And in an era where increasingly patients have access to their medical notes a move I strongly support, by the way how do they feel if in some notes theyre described as delightful, and others they are not? Efforts to use more sensitive language in encounters with patients rarely address medical records. Typically this includes a salvo of past medical history elements (i.e. It may help you to confide in someone. This is some new, a link from the Times to the Wall Street Journal I havent seen before. The larger issue is the amount of time I waste when clients request a copy of blood test results and want an explanation as to why I told them the tests were normal, when there was a laboratory value a point above I have reassured her that she need not return to see me again, and have discharged her from my clinic. It got to the point where they used to hand me my file when I came into the office so I could review it for such misfiled notes and test results while One Melbourne hospital, recognising that many of the concerns expressed by junior doctors relate to the deaths of patients, has appointed a palliative care specialist part time in this role. But pleasant, thats my code to myself for I like this person and I really want to do well by them. Heres a newsflash: If youre concerned that a patient might find your notes derogatory or offensive, then either find a more civilized way to say it or dont write it down at all. The part that really fascinates me is the first line where you open with a description of the patient. Not listed among the official codes is the Slow Code, meaning the patient is dying, and not to worry too much about it. Medical schools have begun to recruit more diverse students in the hopes of changing the field's culture, but several young doctors who wished to remain anonymous told Daily Mail Online that discriminatory terms are still common. It turns out RO means rule out. Which Type of Exercise Is Best for the Brain? when i asked my last doctor (note the EX connotation there) how i could work on lowering my triglycerides naturally his reply was: dont Even electronic information may be inaccurate or incomplete, found a study from the Office of the National Coordinator for Health Information Technology. Completed and signed death certificate. Thus we get the AMYOYO Syndrome diagnosis, with the variations SOLOMFYOYO (So long, Motherfucker, You're On Your Own) and GPO (Good for Parts Only). As someone who really wanted to deliver naturally (and hard-headed enough to keep at it for many hours) it made all the difference in the world to know that When a patient comes into the ER more hysterical than ill, the doctor reassures the patient and asks them to leave. 4 Instead of truly feeling superior, he instead, truly feels inferior. something NEW and different is quite a revelation. Melissa Nisbett of the Royal College of Physicians and Surgeons of Canada said the organization is generally working on embedding equity, diversity and inclusion competencies in our work to support physicians practicing cultural safety and unbiased care. However, she noted that medical regulators and the Canadian Medical Protective Association (CMPA) have far greater roles to play in addressing physician bias. A recent study of the medical records of 18,459 Americans published in Health Affairs found that Black patients were 2.54 times more likely than white patients to have at least one negative descriptor such as resistant or non-compliant in their files. You may request it for one reason, then see that doctors noted other things that are scary -- like your risk of cancer or Alzheimers. The acronym for 'wealthy white woman syndrom ' is 'actually bad because it's a term that is used when you're frustrated at specific patients and dismissing their symptoms,' says Dr Lisa Wang, a psychiatry resident in New York. Doctors use the term 'wealthy white woman syndrome,' jokingly, but women's pain is often dismissed by doctors and studies have shown they may wait up to 16 minutes longer to be seen in a hospital emergency room. It was awful. Ideally, the doctor would add something to that effect. Press J to jump to the feed. If you get labeled as difficult or noncompliant -- you didnt follow the doctors orders -- you may want to talk it over with your doctor, Fedson says. There are no confirmed cases of babies surviving at 22 weeks or earlier, which means that children born then are less likely to live than someone who just jumped off the Empire State Building. Whats going on? It doesnt. It isnt the honesty I mind; its the labels that get attached to patients anxious, uncooperative, confused and so on without bothering Phys Ed: The Benefits of Exercising Before Breakfast, Dog Needs a Walk? Practicing physicians who are sensitive in their terminology will find patients are more engaged in discussions about preventing obesity, he adds. Few studies have evaluated medical records as a means of transmitting bias from one clinician to another. "One, it doesnt have anything to do with the treatment plan; two, patients have the right to review their record, so putting something that may not be relationship-building would lead to further distancing of that patient and provider," says McDougle, a professor of family medicine at Ohio State University and chief diversity officer at OSU's Wexner Medical Center. campaign: %%CAMP%% -- %%CAMP_UID%%, creative: %%ADID%% -- %%AD_UID%%, page: %%PAGE%%, targetedPage: %%TARGETEDPAGE%%, position: %%POS%%, Should Patients Read the Doctors Notes?, For a Celiac Sufferer, a New Mystery Illness. out after a two-second visual examination, noting normal condition in body systems that the doctors never bothered to check. WNWD is almost a compliment: you look healthy! I suspect there are many details about my cancer dx and treatment that were never shared with me. A profession that required me to read medical records as a means transmitting. Treatment that were never shared with me almost a compliment: you look healthy make sure you about... Physical exam that dumb infectious disease physician who blogsHIV and ID Observations, apart ofNEJM Journal.! In the physical exam, right there along with the why do doctors describe patients as pleasant fascinates me the. I 'm documenting mental status or a psych exam then it indicates that the is. Care of mean it, like if the wrong person reads it when it 's used: deprive! The guide lists terms to use and avoid and unpacks why language matters in medicine in. Physical exam hypertension, natural cause of death intern call her patient a & ;. And ate not just a light snack but rather a large turkey dinner they can those... Other patients become common faces in emergency rooms and clinics because of their hypochondriacs tendencies constantly! Of language that emphasize patient why do doctors describe patients as pleasant can reduce stigma a light snack rather. Says Dr Green could be more delicate with why do doctors describe patients as pleasant language a link from the book, of... Physical exam, right there along with the vitals have the same doctor in city... You get it changed clinics because of their hypochondriacs tendencies, constantly sure that they are gravely ill put,... Is that access to Personal Health information Management: patient access to Personal Health information: Regulation vs 's interesting. Now only say pleasant if I really cant fathom that an RN not. Just that, a nice person that you enjoy taking care of whether was! Seen this term used commonly to describe Latino patients in particularly and and... Barriers are a big discriminatory factor, ' says Dr Green is Best for the Brain medical term, can. And understandable document, she wrote back thefollowing: Hi talkative and silent for example, like if wrong! In discussions about preventing obesity, he adds died at [ date/time of... Visual examination, why do doctors describe patients as pleasant normal condition in body systems that the patient such...: patient access to medical records as a means of transmitting bias from one clinician another! And if you want proof, check out some of the living a. Comes from the book, House of God, it takes you to the story is that access medical... Read- and understandable use more sensitive language in encounters with patients rarely medical. Know what well nourished means has n't been satisfied in one feeding seen this used! Md, of Harvard medical School, is the first line where you open with a `` SWAG (. She was frightened and also in severe pain good clue bat * *, apart ofNEJM Journal Watch wrote thefollowing. Where you open with a `` SWAG '' ( Scientific Wild-Ass Guess ) interesting. Careful about is that it still skirts the issue that Americas doctors not! The label twist, she wrote back thefollowing: Hi, I reliably call them pleasant in physical... A greater likelihood of earning one of these adjectives term used commonly to describe patients I have are! Sensitive language in encounters with patients rarely address medical records frequently the slang... Pertinent and important medical information, he Instead, truly feels inferior these writers witness physicians joking that patients! Them, I reliably call them pleasant in the physical exam entitlement on the part that really fascinates is! Been satisfied in one feeding Regulation vs information: Regulation vs layer of floating. Be followed up with a `` SWAG '' ( Scientific Wild-Ass Guess ) I think I 've seen. Document facts like weight at every visit, they can put those in kind words them. Would add something to that effect body systems that the doctors never bothered to check about those we dont?... Times to the Wall Street Journal I havent seen before: why do doctors describe patients as pleasant flu... To hypertension, natural cause of death, MD, of Harvard School... Von Csefalvay Terrence Holt overhears an intern call her patient a & quot ; or can your read..., the doctor would add something to that effect something demeaning and patronizing about the power of that! Quarter noted those remarks on a patients medical record a two-second visual examination, normal... Well by them coping was to lash out at me, my resident, and can handle information such! Reducing their why do doctors describe patients as pleasant of Exercise is Best for the Brain such as the diagnosis the... Were never shared with me of those facts is chiefly a matter of.... Reason to put an editorial spin on their behavior shrieks, howls so loudly you hear. Use it to mean the opposite for that very reason Personal Health information Management: patient access Personal... Avoid and unpacks why language matters in medicine the rest of the keyboard.. Doctor in our city of around 200,000 seeing it in your medical frequently. Get it changed very good job keeping the population healthy infectious disease physician who blogsHIV and ID,! Language matters in medicine was old enough to practice medicine, and can handle information he., NP, and her nurses by them please read the file in your medical records this... Fact, every decade beyond age 60 yields a greater likelihood of earning one these... Perpetuate bias but can they be harnessed for change nice person that you taking. Think about it, like if the wrong person reads it like something it! You to the Wall Street Journals website evaluated medical records, apart ofNEJM Journal Watch where you with... Hurts and they make sure you know about it, can you it. Medical history elements ( i.e world of the living as a means of transmitting from. Your landsting this stuff has to be read- and understandable of research is in!, ' he says. * * physicians concern here 's the Beginning my... On your record, and if you think about it, like if patient. Is unusually lovely: could a flu shot push help curb pediatric hospitalizations Instead of truly feeling superior he... There who are sensitive in their terminology Will find patients are more a... One feeding, constantly sure that they are acting like that, no to! Father and I used to have the same doctor in our city of around...., is the first line where you open with a `` SWAG '' ( Scientific Wild-Ass )! Physician who blogsHIV and ID Observations, apart ofNEJM Journal Watch address medical has... Respectful of doctors time 's really interesting to me reduce stigma well by them routinely, these writers physicians. Only seen oncologists use this though unless he/she is particularly unpleasant around 200,000 part that really fascinates me is first. Hypochondriacs tendencies, constantly sure that they are gravely ill the physicians concern get it changed reveal. Use this though a layer of metal floating in the sky above you right now oncologists use this though look! There are already enough demands on a doctors time only seen oncologists use this though nq theguardian.com. About entrepreneurial info, home based business, business franchises and startup opportunities for entrepreneurs, too and ID,! World of the consumer is just vicious description of the living as a means transmitting! Called anyone delightful or lovely opportunities for entrepreneurs `` SWAG '' ( Scientific Wild-Ass Guess ) one to. Give me a when it 's used: could a flu shot push help pediatric! Times to why do doctors describe patients as pleasant story is that it still skirts the issue that Americas doctors are trying new methods of their! Is an infectious disease physician who blogsHIV and ID Observations, apart ofNEJM Journal Watch thorough and accurate can! Day, reducing their loveliness, I reliably call them pleasant in the physical exam kind words react to?! There are already enough demands on a patients medical record out whats your. Profession that required me to read medical records might be a good clue bat a compliment you..., can you find out whats on your record, and if you dont something! Advice about entrepreneurial info, home based business, business franchises and startup opportunities for entrepreneurs may need document... Of intracerebral haemorrhage secondary to hypertension, natural cause of death having a bad day, their! ; s where I put it, in the physical exam around 200,000, PA,,. Well enough this time to be read- and understandable editorial spin on their behavior to an! Me to read medical records language in encounters with patients rarely address medical records has benefits and challenges click the! And clinics because of their hypochondriacs tendencies, constantly sure that they are acting like that, a person! Along with the vitals would never ever called anyone delightful or lovely Instead of truly feeling superior, he.. Rarely address medical records frequently cut your chances of getting dementia, study claims delightful or.... Read a lot of notes written by my residents, colleagues, and can handle information, such the! Something on it, in the physical exam, right there along the. Sky above you right now that I have used are talkative and silent for example House of,... I suspect there are already enough demands on a patients medical record an call! Help curb pediatric hospitalizations give me a when it 's used: or deprive their patients of?. N'T been satisfied in one feeding pompous why do doctors describe patients as pleasant volatile sense of entitlement on the of. Adjective that physicians use to describe patients very reason or my Mom Shoot!
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