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Random Thoughts – Dragonisms, “They,” and Lemonbreasts

Dragon NaturallySpeaking is both good and bad for medical charting. On one hand it gives you real-time chart entries without having to spend an inordinate amount of typing. On the other hand, it is an imperfect science, leading to voice recognition errors I’ve dubbed “#Dragonisms”. A couple of the latest are as follows A guy was beaten up at a bar. He has injury to both feet when the assailant stomped on both of his feet. I dictate “no injury ...

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Happy Marriages, Rainbows, Yin and Yang

“She’s a peach,” the nurse quipped as I clicked the link assigning the new patient to my list. “A positive review of systems … if you know what I mean,” she winked. I like getting a head’s up about patients before I go to see them, but sometimes advance notice of a difficult patient gives me anxiety. I took a deep breath and put on a big smile as I pulled back the curtain. “Hi, I’m Dr. WhiteCoat. What brings ...

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Helloooo … ooo … ooo [echo]

Lots of cobwebs in here. Heck. I don’t even recognize the new WordPress control panel. So I made a New Year’s resolution that I’ve already broken. I resolved to post once a week on this blog of mine. Here we are at Week 2 and … nothing. I counted. I have 24 pieces of paper sitting in a file on my desk with posts just waiting to be written. People have sent me stories to post and I’ve not been ...

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Patient Encounters

B…R…B…

A teenager is brought in by her mother after falling while skateboarding. She was whisked off to xray shortly after arriving – and before I had gotten into the room to evaluate her. I walked into room and was talking with her mother when a cell phone buzzed on the bed under pillow. “Is this yours?” I asked, worrying that it may have somehow been left behind by the previous patient. The mom said “No, it’s hers,” referring to her ...

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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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Old School Cough Management

“I can’t stop coughing,” said the hacking patient. “I’ve tried Robitussin and Triaminic [hack hack]. They don’t help.” “I also saw my doctor [hack hack] and got a prescription for Tessalon. That didn’t help either [hack].” “I went back to my doctor and got a prescription for Cheratussin with codeine. That [hack] helped a little, but I’m out [hack hack]. I’m coughing so hard that I can’t sleep. Is there something [hack] stronger you can give me?” You’re in luck. ...

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Angry Betty and the Unresponsive Kid

The nervous voice on the call over the radio already sounded bad. “Emergency One en route to Interstate 88, mile marker 177 for report of car on side of road with parent witnessed performing CPR on child.” CPR on a kid? Damn. Kids aren’t supposed to need CPR. There was an eerie silence at the nurse’s station as everyone waited for the next radio report. Finally it came. “Metro General, this is Emergency One. Do you copy?”You never think much ...

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