Hospital charts

These are actual writings from various hospital charts.

1. The patient refused an autopsy.
~~~~~~~~~~~~ ~~~~~~~~~ ~~~~~~~~~ ~~~~~~~~~ ~~~~~~
2. The patient has no previous history of suicides.
~~~~~~~~~~~~ ~~~~~~~~~ ~~~~~~~~~ ~~~~~~~~~ ~~~~~~
3. Patient has left white blood cells at another hospital.
~~~~~~~~~~~~ ~~~~~~~~~ ~~~~~~~~~ ~~~~~~~~~ ~~~~~~
4. She has no rigours 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 pelvis exam will be done later on the floor.
~~~~~~~~~~~~ ~~~~~~~~~ ~~~~~~~~~ ~~~~~~~~~ ~~~~~~
25. Patient has two teenage children, but no other abnormalities.