Thursday, May 20, 2010

Post 7

Recommendation for patient with elevated INR of 13...

"-- 2 U FFP tonight. If needed for rapid reversal, will give low dose vitamin D"

Post 6

"She however, has a consult with audiology (pending) for evaluation of her eyesight."

Post 5

"Of note, patient acknowledges an accident in March while operating a 4 wheel drive; he fracture right uncle that lead to anticoagulation for about 6 weeks."

Post 4

Letter to patient...

"Let me know if you get sick from the flu shot. I STILL say it's not a result from the shot, but I'm as good as my word and will treat you to Outback if you do get sick... a deal's a deal. Of course, with you cholesterol, I hope you don't mind watching me eat a plateful of ribs while you nibble away at your salad.

It was nice meeting you today. If you have any question, feel free to give me a call."

-PA M

Post 3

“Patient had massive bm after soap suds enema consisting of approximately 10 tennis ball sized stools. Pt smiling and reports feeling much better.”

Post 2

In a letter to a patient.

"Some of your labs are okay, some are a bit off. First, your cholesterol is looking really good. I'm happy to see that the medicines and your work at home are starting to pay off.

Your A1c is still pending. Your VA Primary Care Provider forgot to order it so he had to add it later. Man, that guy's an idiot. I'll ask my case manager to let you know after I see the results. Oh, wait... I'm your Primary Care Provider. Dang!"

-PA M

Post 1

Nurse Pract: Are you still taking the metformin 1 g BID?

Patient: No, I cut back…I could have painted this room with all the diarrhea I had!