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Angry Man

That Hesitation When …

… a patient’s family member comes up to you and asks “Hey. You’re Dr. WhiteCoat, aren’t you? Didn’t you work at University Medical Center like 6 or 7 years ago?” You casually look to see if there are any weapons in his hand and, seeing none, you cautiously say “Yeah.” Then the family member says “I thought that was you. Yeah. You’re a good doctor. You saved my father’s life. He talked about you up until he died a couple ...

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HC Update 13

Healthcare Update — 02-01-2016

Another example of why Dr. Google and the links Dr. Google produces may lead you into poor choices for your health care. Some sites scrape the Web for keywords about drugs and side effects, then use a program to combine the pages in a manner that may cause patients to stop taking the medications. Very informative article! Dermatologist accused of rubbing his genitals against female patient’s thighs during examinations uses unique defense – his huge gut covered over his penis, ...

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CMS Announces New ICD-10 Code for Sleeping Nursing Home Patients

Wondering if GomerBlog has any openings … In its continuing effort to improve the accuracy of medical coding, the Centers for Medicare and Medicaid Services has announced a new ICD-10 code related to emergency department medical care. CMS spokesperson Marcella Skinner explains: We have noticed an increasing trend of payments for emergency department patients sent from the nursing home in the middle of the night for evaluation of lethargy and being difficult to arouse. Initially, this appeared to be an ...

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Patient Encounters

Ramen Noodle Bowl

Assault With A Semi-Deadly Weapon

A man comes to the registration window clutching both sides of his head. “Help me … please. My head … it’s killing me.” He is brought straight back to a room and the doctor is called right in to see him. Between moans, the doctor gets the history. “I was fine before the fight. Then my baby’s momma came to my house with her boyfriend. She was nice at first, then she started arguing with me. Then he got all ...

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Meet Babs Bunny

A dad brought his 15 year old daughter in because she had missed her menstrual period the past week. He kept her home from school for three days because he wanted to see if the period had just decided to show up late. Alas, after 5 extra days, no period was forthcoming. The young girl’s pregnancy test was …. positive. When the nurse told the father that his daughter was pregnant, he wigged out. “You mean she’s having a baby ...

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Who Was That Guy?

An elderly patient with Alzheimer’s Disease was brought by concerned family members after reportedly having blood in his stool. I introduced myself to everyone in the room and to the patient. When I tried to obtain a history from the patient, it was clear that he didn’t recall what happened. So I began obtaining the history from the family members. Midway through the history, the patient interrupts and says “HEY! Who IS that guy?” “That’s the doctor, dad,” his daughter ...

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Why the Lady With Knee Pain Got a Pelvic Exam

It was a busy night in the emergency department, so the patient had to wait for  to be seen. By the time the doctor got in the room, she was in obvious pain. Her knee was killing her. It bothered her a little two days prior. The pain got worse a day later. By the time she woke up that morning, she wasn’t able to walk on her knee. She hadn’t injured it as far as she could remember, but ...

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