ACTUAL
writings from hospital charts:
1. The patient refused
autopsy.
2. The patient has no
previous history of suicides.
3. Patient has left white
blood cells at another hospital.
4. She has no rigors or
shaking chills, but her husband states she was
very hot in bed last night.
5. Patient has chest pain
if she lies on her left side for over a year.
6. On the second day the
knee was better, and on the third day it disappeared.
7. The patient is tearful
and crying constantly.
She also appears to be depressed.
8. The patient has been
depressed since she began seeing me in 1993.
9. Discharge status: Alive
but without permission.
10. Healthy appearing
decrepit 69-year old male, mentally alert but forgetful.
11. Patient had waffles for
breakfast and anorexia for lunch.
12. She is numb from her
toes down.
13. While in ER, she was
examined, x-rated and sent home.
14. The skin was moist and
dry.
15. Occasional, constant
infrequent headaches.
16. Patient was alert and
unresponsive.
17. Rectal examination
revealed a normal size thyroid.
18. She stated that she had
been constipated for most of her life,
until
she got a divorce.
19. I saw your patient
today, who is still under our car for physical therapy.
20. Both breasts are equal
and reactive to light and accommodation.
21. Examination of
genitalia reveals that he is circus sized.
22. The lab test indicated
abnormal lover function.
23. Skin: somewhat pale but
present.
24. The pelvic exam will be
done later on the floor.
25. Patient has two teenage
children, but no other abnormalities.