[Magdalen] medical terminology

[Grace Cangialosi]

Well, at the University of Virginia Hospital, it is understood that it's
the nurses who train the residents every June and July when they arrive.
It's also understood that you don't want to be in for elective surgery for
those two months until the nurses complete the training!!

On Thu, Oct 30, 2014 at 3:35 PM, Jay Weigel <jay.weigel at gmail.com> wrote:

> One of my favorite chart comments came from a patient history dictated by a
> doc at my last hospital. It had all of us on the night shift in stitches:
> "Patient states he drinks two or three glasses of wine a day. He states
> they are 8 ounce glasses. Wife says they are 12 ounces. Either way, it's
> too much." It sure was. Patient wasn't in DTs, but he sure was a grouchy
> somebody for a few days until he got past the withdrawal.
>
> On Thu, Oct 30, 2014 at 3:26 PM, Jon Egger <revegger at gmail.com> wrote:
>
> > In my years of nursing I saw two things that disturbed me.  The first was
> > how med students, inters, and residents had horrible spelling and grammar
> > issues.  On nights, when we checked the charts, we'd make note of
> egregious
> > errors and have those making them fix them in the chart.
> >
> > The other thing:  When I started in nursing, I noticed how med students
> > started off as nice people, but by the time they were done with their
> > internship or residency they had become irritable beasts, often mean or
> > flippant.  That was a result of their training.   Long hours reduced them
> > into error making, poorly observant people.   BUT, that started changing
> in
> > the mid-90s.  Medical schools began looking at the rigors involved in the
> > way the on call schedules were made, and KU developed a specialty in
> > Critical Care Medicine.
> >
> > KU went to a wonderful system:  students and interns rotated call every
> > week, and the residents were on call for a month.  The intern and
> residents
> > slept a few doors down from our ICU.  We had lots more time to hang with
> > them and talk.  They got to see what we, as nurses, had to deal
> with...and
> > more importantly became aware of how important our role was.  Getting to
> > know the residents was amazing...we'd talk about our families, how our
> > weekends were, and so on.  They knew they'd be with us all night and
> > usually hung around and helped until they wanted to go to bed.  Every
> other
> > Thursday and every other Sunday, my team would order Chinese delivery and
> > the docs loved when the A team was on cuz they knew they could order a
> nice
> > meal.
> >
> > +++
> > Grace & peace,
> > jon
> >
> >
> > On Thu, Oct 30, 2014 at 11:47 AM, Grace Cangialosi <gracecan at gmail.com>
> > wrote:
> >
> > > Oh my...definitely LOL stuff!
> > >
> > > > On Oct 29, 2014, at 11:43 PM, James Oppenheimer-Crawford <
> > > oppenheimerjw at gmail.com> wrote:
> > > >
> > > > What happens when medical practitioners are allowed to make up their
> > own
> > > > descriptions? The following are actual unedited notes written by
> > doctors
> > > on
> > > > patients' medical charts:
> > > >
> > > > 1. Patient has chest pain if she lies on her left side for over a
> year.
> > > > 2. On the second day the knee was better, and on the third day it
> > > > disappeared completely.
> > > > 3. She has had no rigors or shaking chills, but her husband states
> she
> > > was
> > > > very hot in bed last night.
> > > > 4. The patient has been depressed ever since she began seeing me in
> > 1993.
> > > > 5. The patient is tearful and crying constantly. She also appears to
> be
> > > > depressed.
> > > > 6. Discharge status: Alive, but without permission.
> > > > 7. Healthy appearing, decrepit 69 year-old male, mentally alert but
> > > > forgetful.
> > > > 8. The patient refused an autopsy.
> > > > 9. The patient has no past history of suicides.
> > > > 10. Patient has left his white blood cells at another hospital.
> > > > 11. Patient's past medical history has been remarkably insignificant
> > with
> > > > only a forty pound weight gain in the past three days.
> > > > 12. Patient had waffles for breakfast and anorexia for lunch.
> > > > 13. Between you and me, we ought to be able to get this lady
> pregnant.
> > > > 14. Since she can't get pregnant with her husband, I thought you
> might
> > > like
> > > > to work her up.
> > > > 15. She is numb from her toes down.
> > > > 16. While in the ER, she was examined, X-rated, and sent home.
> > > > 17. The skin was moist and dry.
> > > > 18. Occasional, constant, infrequent headaches.
> > > > 19. Patient was alert and unresponsive.
> > > > 20. Rectal exam revealed a normal size thyroid.
> > > > 21. She stated that she had been constipated for most of her life
> until
> > > she
> > > > got a divorce.
> > > > 22. I saw your patient today, who is still under our car for physical
> > > > therapy.
> > > > 23. Both breasts are equal and reactive to light and accommodation.
> > > > 24. Exam of genitalia reveals that he is circus sized.
> > > > 25. The lab test indicated abnormal lover function.
> > > > 26. The patient was to have a bowel resection. However, he took a job
> > as
> > > a
> > > > stockbroker instead.
> > > > 27. Skin: Somewhat pale but present.
> > > > 28. The pelvic examination will be done later on the floor.
> > > > 29. Patient was seen in consultation by Dr. Blank, who felt we should
> > sit
> > > > on the abdomen, and I agree.
> > > > 30. Large brown stool ambulating in the hall.
> > > > 31. Patient has two teenage children, but no other abnormalities.
> > > >
> > > > James W. Oppenheimer-Crawford
> > > > *"If you have a chance to accomplish something that will make things
> > > better
> > > > for people coming behind you, and you don't do it, you're wasting
> your
> > > time
> > > > on this Earth."  -- *Roberto Clemente
> > >
> >
>



-- 
Grace Cangialosi
Ruckersville, VA

"There are a lot of amazing people out there to be thankful for--
and a loving God. that's what life is about."
                                                                   Robin
Williams,  1951-2014