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Post by DAS (formerly BushAdmirer) on May 14, 2010 14:47:28 GMT
These are sentences actually typed by Medical secretaries in NHS Greater Glasgow (Better known as a high value centre)
1. The patient has no previous history of suicides.
2. Patient has left her white blood cells at another hospital.
3. Patient's medical history has been remarkably insignificant with only a 40 pound weight gain in the past three days.
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 my 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 care 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. Large brown stool ambulating in the hall.
26. Patient has two teenage children, but no other abnormalities
27. When she fainted, her eyes rolled around the room.
28. The patient was in his usual state of good health until his airplane ran out of fuel and crashed.
29. Between you and me, we ought to be able to get this lady pregnant.
30. She slipped on the ice and apparently her legs went in separate directions in early December.
31. Patient was seen in consultation by Dr. Smith, who felt we should sit on the abdomen and I agree.
32. The patient was to have a bowel resection. However, he took a job as a stock broker instead.
33. By the time he was admitted, his rapid heart had stopped, and he was feeling better.
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Post by iamjumbo on May 15, 2010 14:29:26 GMT
that's pretty funny lad, but of course, totally meaningless as far as the subject of healthcare
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Post by sadie1263 on May 15, 2010 14:50:19 GMT
Ok....that was really funny......and actually Jim......I think that is exactly what is wrong with healthcare......the people in charge think that way.
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Post by fretslider on May 15, 2010 15:52:35 GMT
Nice one, das, we get that for free, but look what you people pay for.... The Institute of Medicine (IOM) issued its blunt assessment of medical errors three years ago. The report concluded that as many as 98,000 hospitalized Americans die every year and 1 million more are injured as a result of preventable medical errors that cost the nation an estimated $29 billion. Hospitals will be required by accreditors to show they meet six basic standards that reduce errors, which the IOM said kill more Americans than breast cancer, traffic accidents or AIDS. Although the estimates of death and injury contained in the report are huge, the actual number of deaths is undoubtedly higher. The IOM considered only errors committed in hospitals, and not in other medical settings where they undoubtedly also abound: clinics, outpatient surgery centers and doctors' offices. Cynthia Kline knew exactly what was happening to her when she suffered a heart attack at her home in Cambridge, Massachusetts. She took the time to call an ambulance, popped some nitroglycerin tablets she had been prescribed in anticipation of just such an emergency, and waited for help to arrive. On paper, everything should have gone fine. Unlike tens of millions of Americans, she had health insurance coverage. The ambulance team arrived promptly. The hospital where she had been receiving treatment for her cardiac problems, a private teaching facility affiliated with the Harvard Medical School, was just a few minutes away. The problem was, the casualty department at the hospital, Mount Auburn, was full to overflowing. And it turned her away. The ambulance took her to another nearby hospital but the treatment she needed, an emergency catheterisation, was not available there. A flurry of phone calls to other medical facilities in the Boston area came up empty. With a few hours, Cynthia Kline was dead. She died in an American city with one of the highest concentration of top-flight medical specialists in the world. You can keep your system, I'm happy with mine.
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Post by randomvioce on May 15, 2010 16:01:56 GMT
Ok....that was really funny......and actually Jim......I think that is exactly what is wrong with healthcare......the people in charge think that way. We call them typing errors.
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Post by beez0811 on May 15, 2010 17:18:02 GMT
Those typing errors can lead to other, more serious errors.
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Post by mouse on May 15, 2010 17:29:12 GMT
that's pretty funny lad, but of course, totally meaningless as far as the subject of healthcare actually jumbo its very relevent....shows the poor state of education in those we employ in our NHS TYPING ERRORS are not aceptable in medical areas..it could alter a diagnosis or even lead to wrong medical surgery and actually its more a misuse of grammer..words or shows a certain of understanding of English
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Post by Ben Lomond on May 15, 2010 17:45:57 GMT
Ok....that was really funny......and actually Jim......I think that is exactly what is wrong with healthcare......the people in charge think that way. We call them typing errors. YOU might, but a casual examination reveals that they cannot simply be typing errors! Probably the result of a poor education, and ignorance.
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Post by sadie1263 on May 15, 2010 17:55:59 GMT
Exactly. They see nothing wrong with notes like that or with hiring those people. Those are silly random ones......but these same idiots make other reports......transposing little 0's.....or decimals......and where do you think that gets us.
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Post by mouse on May 15, 2010 18:38:05 GMT
Exactly. They see nothing wrong with notes like that or with hiring those people. Those are silly random ones......but these same idiots make other reports......transposing little 0's.....or decimals......and where do you think that gets us. up river ..into the rapids...and all without a paddle whoops..isnt that where we are at....
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Post by Deleted on May 15, 2010 18:51:43 GMT
Nonsense. These are notes written by people who are under pressure (I'm not sure about "medical secretaries " - they sound like notes from doctors and others) - and have written, or more likely dictated, things without spending hours reviewing them. We all know what they meant to say.
We sometimes pay far too much attention to form, and far too little to substance.
As for laughing (well, some of them cheered me up no end!)
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Post by randomvioce on May 15, 2010 19:37:03 GMT
Exactly. They see nothing wrong with notes like that or with hiring those people. Those are silly random ones......but these same idiots make other reports......transposing little 0's.....or decimals......and where do you think that gets us. Jesus christ almighty! These are merely typos! Can you show me any organisation that do not have typos in their documents? No private company has ever produced a typing error? No private hospital has ever had someone produce a badly worded paitent record? So we should scrap the entire NHS and have great swathes of our population without access to medicine because a few errors make it onto paitent notes
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Post by randomvioce on May 15, 2010 19:43:37 GMT
TYPING ERRORS are not aceptable in medical areas..it could alter a diagnosis or even lead to wrong medical surgery Good grief woman these are merely notes! No-one is being diagnosed on these notes. 13. While in ER, she was examined, x-rated and sent home.No-one is going to die because a doctor wrote that! No-one thinks she was doing a lapdance. Ibet 99 people can guess the 'x rated' was meant to be.
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Post by beez0811 on May 15, 2010 20:11:41 GMT
Exactly. They see nothing wrong with notes like that or with hiring those people. Those are silly random ones......but these same idiots make other reports......transposing little 0's.....or decimals......and where do you think that gets us. Jesus christ almighty! These are merely typos! Can you show me any organisation that do not have typos in their documents? No private company has ever produced a typing error? No private hospital has ever had someone produce a badly worded paitent record? So we should scrap the entire NHS and have great swathes of our population without access to medicine because a few errors make it onto paitent notes A wrong decimal placement can make a gigantic difference when it comes to medication and treatment. A company document and patient records aren't even in the same category.
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Post by randomvioce on May 15, 2010 20:57:44 GMT
A wrong decimal placement can make a gigantic difference when it comes to medication and treatment. A company document and patient records aren't even in the same category. There are not decimal placements here. These statements not critical or clinical. Given the 'source' of this stuff, and the normal standard he churns out, we have no way way knowing if they are real or to what extent they made it to a final draft. On the face of it they appear to notes written by doctors in an A & ward. I am sure that these notes would have been amended and rectified before getting to become critical documents. Are we saying that these statements could cause medical problems: Rectal examination revealed a normal size thyroid. She slipped on the ice and apparently her legs went in separate directions in early December. Patient was seen in consultation by Dr. Smith, who felt we should sit on the abdomen and I agree What do you think is going to happen? The doctor is going to get the paitent to lie down and actually sit on his abdomen 'because the notes said...' I find the bad mouthing of our NHS pretty ignorant at the best of times but to attempt to take these 'notes' as somehow an indication of anything serious as laughable.
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Post by sadie1263 on May 15, 2010 21:10:49 GMT
Yes.....these are typos......these were probably silly transcripts........I just don't believe they are all that smarter further up the chain of command is all I am saying. There is a lack of caring in whether things are correct...........I have a friend that in some silly report someone checked that she had diabetes......it affected her insurance and her ability to be insured for years.......she had to have test after test to prove it wrong...........it was a silly typo. Maybe I'm just taking it from that perspective.
Great these are funny.......but in most businesses that have to have reports...these things wouldn't be acceptable. In an acctg company......in a law firm....why should it be acceptable here.
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Post by randomvioce on May 15, 2010 23:01:06 GMT
I just don't believe they are all that smarter further up the chain of command is all I am saying. Where is your evience for such a remark? How many hundreds of thousand notes, records, messages and memos get produced in this hospital every year? How many of those have mistakes like the ones highlighted? How does that compare to the private sector? Until we have seen every document ever produced by the private sector, esp private hospitals, then we are not exactly comparing like with like, are we?
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Post by sadie1263 on May 15, 2010 23:24:48 GMT
My husband was recently sick for six months. We took him off a medication that coincided with when he started having these other complications. The doctor that we went to for x-rays and a colonoscopy was told about this medication and that since he had stopped taking the medication his other symptoms had stopped. He said it could not possibly be that medication. No way. My husband took that medication again.....all the symptoms came back. Stopped it......and again....the symptoms ceased. We went thru all the testing.....all tests came back fine. We talked to the doctor again.....he again insisted it could not be that medication. We looked up that medicine......it has a 2% incidence of those other symptoms......I bet it would be higher if doctors would actually report it to the drug manufacturer........but I know this doctor won't. He would not have stopped that medicine.......my husband would still be having problems and they would be running a thousand other tests and on a dozen other medications.
Will there be a note in his chart that he shouldn't have that medication? No.....so we will have to make sure it is never prescribed for him.........
So no.....I don't have a real high opinion of how doctors keep charts right now. Seems more it's what they choose.......or what the drug companies would prefer.....than what is actually good for us.
Yes there are good ones out there........they are just harder and harder to find.
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Post by DAS (formerly BushAdmirer) on May 16, 2010 0:20:21 GMT
My own personal opinion is that anything run by government is going to be mediocre at best. Doesn't matter whether we're talking about medical care or a restaurant in one of our national parks. If the government has a hand in it then we shouldn't be expecting much in terms of quality. Private enterprise always does better than government.
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Post by randomvioce on May 16, 2010 10:23:38 GMT
Private enterprise always does better than government. Garbage. Private enterprise is littered with failure at every level. Companies go bust, fundamental failings, useless overspends, speculation losing millions, far too many to list here, but we can start of Enron, BCCI, Wembley, the Scottish Parliament building etc etc etc. All private companies all had massive failure. We have just have the biggest company failures the history of the World with Billions wiped out (real Billions BTW not American billions) and it was the public sector that came to the rescue. BP has just caused a huge oilslick in your part of the World through its own sheer incompetence and general stupidity and it will take the Government to force them to clean up the beach. Of course, the real work to rectify the coastline will eventually be done by Government agencies.
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