and offensive is appalling. Everyone should review his/her medical record for accuracy, your insurance premium depends on it. Of course, itdoes. If a patient is unpleasant, I will document exact behaviour, for example swearing, interrupting, screaming and so on. Chronically ill patients with conditions like diabetes must make regular appointments for dialysis. Theres an App for That. Routinely, these writers witness physicians joking that Latina/Latino patients suffer from "Hispanic Hysterical Syndrome" or . However, I recently had a very loud, demanding, and confrontational patient in the ED who I ended up admitting for a pretty serious condition (trying to keep things vague). I would never ever use it to mean the opposite for that very reason. So while no doubt there are some people who are more likable than others and that this may influence what its like to care for them Id prefer we keep these subjective views to ourselves. Get free updates delivered free to your inbox. "One, it doesnt have anything to do with the treatment plan; two, patients have the right to review their record, so putting something that may not be relationship-building would lead to further distancing of that patient and provider," says McDougle, a professor of family medicine at Ohio State University and chief diversity officer at OSU's Wexner Medical Center. I was described as a very pleasant lady in the discharge letter sent from the fracture clinic to my GP. Morbidly obese. If I want to say fat I dictate over weight, obese, or morbidly obese. Typically this includes a salvo of past medical history elements (i.e. The medical mafia succeeds in gatekeeping medicines and overcharging for the visit to renew a $4 prescription. There is no use for it, no justification for it, and it is downright dangerous and destructive on many levels (lawsuits driving insurance premiums In a 2021 statement on Indigenous-specific racism, the organization committed to recognizing all forms of racism as professional misconduct. Emotionally, to me though, it made a world of difference. 'This is someone that wails shrieks, howls so loudly you can hear them from the hallways. So he'll use intimidation, or act conceited to cover up that lack of self-esteem. When It's Used: The point of the story is that access to medical records has benefits and challenges. Ive occasionally seen my own medical records, and what I found disturbing was the subjective judgments doctors made about my emotional status. Well nourished means healthy. In general, a doctor should So while no doubt there are some people who are more likable than others and that this may influence what its like to care for them Id prefer we keep these subjective views toourselves. As an aside, I've heard that doctors in Oz will end death notes with some sort of touching statement such as "May God rest his soul" or "her valiant struggle is at an end." 28/01/2019 19:54. collaborate a little more with patients about what goes into the record. I want to see the numbers on my test results, too. comments about their patients in a medical record. I couldnt imagine a less offensive phrase than well-nourished. That more than one person (and at least one employed in the medical profession) saw that as something clearly personally-judgmental There is some evidence to suggest that campaigns about the power of language that emphasize patient voices can reduce stigma. health care in this country is a joke. Autopsy and donation discussed with family and refused. Assuming he exists, or cares. Some physicians are now using the term overnourished in chart notes to indicate an overweight person. early stages of the study, published Tuesday in the Annals of Internal Medicine, researchers say that inviting patients to review the records can improve patient understanding of their health and get them to campaign: %%CAMP%% -- %%CAMP_UID%%, creative: %%ADID%% -- %%AD_UID%%, page: %%PAGE%%, targetedPage: %%TARGETEDPAGE%%, position: %%POS%%, Should Patients Read the Doctors Notes?, For a Celiac Sufferer, a New Mystery Illness. 'Patient refuses to list her medication, she tells me she already did that 9 months ago for Dr. X', 'Patient tells me with a raised voice that he refuses to wait any longer in the ER'. This 'classic' termstands for 'get [them] out of my emergency room.' I want to read the notes. There is a widely held belief - though studies turn up mixed results - that women's bodies are designed for childbirth and their pain thresholds are higher. Telephone Voice Etiquette Techniques & Best Practices. treating high blood pressure, heart . (Note: I never called anyone delightful or lovely. Add message. Paul Sax is an infectious disease physician who blogsHIV and ID Observations,apart ofNEJM Journal Watch. FROM TPP Yes, the story appeared in the WSJs Informed Patient column. I see this all the time with LTCH patients. He knew perfectly well that I didnt have that disease Sometimes doctors use the word "pleasant" to distinguish that patient from hostile ones. There are no confirmed cases of babies surviving at 22 weeks or earlier, which means that children born then are less likely to live than someone who just jumped off the Empire State Building. Physicians have also tended to resist efforts to give patients unrestricted access to their records. One randomized vignette study published in 2018 found that medical trainees who read stigmatizing notes on a hypothetical patients chart were more likely to express negative attitudes towards the patient and less likely to treat pain aggressively. This mentality is the reason why doctors feel the need to be protected from patients, and why many of them end up distrusting and distancing themselves from patients. As in, the patient has one. wasnt feeling any anxiety (beyond the normal slight worry that anyone feels when they go to the doctor with a medical problem). Reddit and its partners use cookies and similar technologies to provide you with a better experience. Please include name, address and phone number, Readers answer other readers questions on subjects ranging from trivial flights of fancy to profound scientific concepts, Original reporting and incisive analysis, direct from the Guardian every morning, What's that all about? study of the medical records of 18,459 Americans, shift in terminology and awareness of weight bias, 2021 statement on Indigenous-specific racism, XE, XD & XF: What to know about the Omicron hybrid variants. Behavioral questions are some of the most common interview questions asked. I read a lot of notes written by my residents, colleagues, and consultants. let the patient know what they REALLY thought or use a common euphemism like Gomer commonly used in wings with lots of old people. When It's Used: And some doctors will note those comments. Patient . Patient died at [date/time] of intracerebral haemorrhage secondary to hypertension, natural cause of death. I was surprised that people are put-off by well-nourished.. Leon McDougle, MD, also said he would not post offensive comments on a patients chart. It is a legal document. But it is worth a deeper dive because of its implications for patient treatment on both a personal and a health-care level, she says. Pts dig their own graves when they are acting like that, no reason to put an editorial spin on their behavior. Most doctors would never write disparaging OTOH, if more patients insisted on seeing their complete medical record, doctors might be forced to be more careful about what they say behind their patients backs. treating breast cancer. Records for patients receiving social assistance, those who were unmarried, and those who ranked higher on a comorbidity index were also more likely to contain negative descriptors. Still other patients may just be looking for a drug fix, coming in with complaints of chronic pain, or in hopes that the physicians on shift will be more willing to prescribe than yesterday's were. Would you react any differently? treating certain causes of infertility in females. Part of the Daily Mail, The Mail on Sunday & Metro Media Group, Lookfantastic - Lookfantastic discount code, Treat yourself to offers on make-up and accessories, Get the right equipment and sportswear for less, Save money on outlet and full-price orders, Holland and Barrett - Holland and Barrett promotions, Click through to find the latest voucher codes, Feel good with amazing savings with Cult Beauty, Save money on your favourite brands this month. "Implicit bias creates inequalities through many difficult-to-measure pathways, and as a consequence,people tend to underestimate its impact," says van Ryn. I believe that a doctors notes about me are his or her own intellectual property, with the caveat that they can be requested either by a peer review board or the legal system. to find out whether theyre accurate or whether theres more to the story. When writing medical notes, some clinicians include an appreciation of their patient's personality and disposition in their opening line (the "Chief Complaint"), or when they're wrapping up (in the "Assessment and Plan"), or in both locations. or below the normal range on the labs printout. Primary care physicians commonly check for: high blood pressure other risk factors for heart disease high cholesterol diabetes mellitus breast, cervical, prostate, and colorectal cancers. We view OpenNotes as a new medicine, says Delbanco. For instance, the phrase the patient appears SOB refers to shortness of breath, not a derogatory Doctors use this cruel acronym for 'funny looking kid' to describe 'those babies who are "syndromic" or [we can tell] something is wrong with them based on how they look,' a Chicago doctor told Daily Mail Online. Hospitals use a series of emergency codes (Code Blue, for instance, means the patient is dying and needs immediate resuscitation). 'Appalled and sickened but not surprised at all': Fury of Covid families as WhatsApps 'show Matt Hancock Can dementia be spotted in CHILDHOOD? Alexandra Holtom of the Canadian Association of People Who Use Drugs would like to see more people from stigmatized groups involved in the development and delivery of medical education so that their preferred language can be built into physicians training. If a person is so pleasant or delightful or lovely that their doctor wants to praise them in the medical record, who am I to deny them this generosity? Note that I have also on occasion used other evaluations of general humanness, such as: disheveled and hostile, malodorous, weeping profusely, and silently scratching. All germane, if you ask me. ), sometimes so long that it earns a paragraph itself. Doctors also use the FLK to describe babies that don't have a clear diagnosis, but whose 'abnormal' appearance suggests that there may be something wrong with them. In the schoolyard, this healthcare provider was a bully. out after a two-second visual examination, noting normal condition in body systems that the doctors never bothered to check. me and my post-birth frustration nil. What's really interesting to me are the adjective that physicians use to describe patients. Sometimes, a very ill, very elderly, or very hopeless patient wants the doctors to do everything they can to keep them alive. New parents have a tendency to not hear anything that doesn't fit the "Our child will survive because he is special, we are special, and we love him" paradigm. WNWD is almost a compliment: you look healthy! TikTok will LIMIT screen time for users under-18 to 60 minutes a day - and they will be prompted to enter a Covid families and critics accuse Matt Hancock of 'criminal negligence': Fury as WhatsApps 'show he ignored Is YOUR lifestyle good for your heart? It got to the point where they used to hand me my file when I came into the office so I could review it for such misfiled notes and test results while Words reflect and shape our thinking, as well as the narratives that people take for granted about race, power, health, and medicine, the authors explain. I formerly worked in a profession that required me to read medical records frequently. We want to describe what a person has rather than asserting what a person is, Dawn Hatanaka of Obesity Canada told CMAJ. Ill read your notes on kindle. Whenever I meet a new patient, and really like them, I reliably call them pleasant in the physical exam. I realized Only because my husband read my medical chart 12 years ago during the birth of our son, did we learn that there had been a knot in the umbilical cord. . When writing medical notes, some clinicians include an appreciation of their patients personality and disposition in their opening line (the chief complaint), or when theyre wrapping up (in the assessment and plan), or in bothlocations. time, see me, feel me, heal me. Im glad According to Merriam-Webster Dictionary, noncompliance is defined as "failure or refusal to comply with something, such as a rule or regulation.". 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A two-page review of systems is filled If a person is really so pleasant or delightful or lovely that their doctor wants to praise them in the medical record, who am I to deny them this generosity? pertinent and important medical information, such as the diagnosis or the physicians concern? CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists and clinicians. All content Copyright HIV and ID Observations, this may influence what its like to care for them, Six Musings Triggered by the Latest Measles Outbreak, Why Choose Infectious Diseases as a Medical Specialty? Comments are moderated before they are published. Kind of shows off the Emperor Doctors New Clothes. I maintain that Pleasant is a legitimate part of the objective evaluation: it means someone is actually able to relate politely to a stranger without getting all tangled up in whatever their stuff is. Could be, but keep it out of the note! Post your answers and new questions below or email them to [email protected]. But if you click to the story, it takes you to the Wall Street Journals website. to an uptight doc who rushes through the appt. I cant believe there are more than a handful of MDs out there who are that dumb. For instance, the phrase the patient appears SOB refers to shortness of breath, not a derogatory designation. Am I just beingcurmudgeonly and negative? What if Arnold actually took the role in Stop! Other patients become common faces in emergency rooms and clinics because of their hypochondriacs tendencies, constantly sure that they are gravely ill. However, this acronym has gotten at least one doctor into trouble when he scribbled it in a patient's chart and then later was asked to explain it in court. Coming soon. This all adds up to maximize confusion for patients. 'I roll my eyes every time I hear that [kind of term]' says a New York doctor. Discrimination against people of color and those for whom English is a second language is rampant, as evidenced by the terms 'hysterical Hispanic syndrome' and aye-aye-itis. A 2008 study from the National Institutes of Health also found that women wait 16 minutes longer to be seen in an emergency room than men do. WebMD does not provide medical advice, diagnosis or treatment. I am still upset by that off-handed comment. Because life works like Lifetime home movies. Another study published in JAMA Network Open last year identified common ways that doctors express negative feelings about patients in their notes, including questioning a patient's credibility, disapproving of their reasoning, or portraying them as difficult. Unfortunately, given the state of medicine in the USA today, patients are better off without doctors than with the pompous, self-absorbed the lack of caring is the biggest thing i have personally been witness to. When It's Used: Phys Ed: The Benefits of Exercising Before Breakfast, Dog Needs a Walk? But this shoot-the-messenger mentality absolutely needs to stop. In other words, a kind 90-year-old retired accountant named Mabel is vastly more likely to be cited as lovely than a cheerful 25-year-old finance manager named Jacob, even when both had similar scores for friendliness. I don't use pleasant. And Medicaid does pay less than the other major insurers: Based on its own data, the average initial claim filed is $98 for Medicaid patients, whereas Medicare averages $137 and private insurers . Nonadherence is simply defined as "a lack . Taking Vitamin D each day could cut your chances of getting dementia, study claims. Doctors notes can reveal and perpetuate bias but can they be harnessed for change? The phrase is synonymous to 'circling the drain.' All rights reserved. Well-nourished, middle-aged, well-developed are not derogatory terms. in the doctors memory. Within a culture of respect, people perform better, are more innovative and display greater resilience. If patients dont know the meaning of a medical term, they can look it up. 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Research has documented that physicians are more likely to take women's pain less seriously than they would a man's. Seeing it in your medical records might be a good clue bat. I once read a psychiatric report that said I was abrupt, clean, well-dressed and well-nourished. I am also of normal weight. But Im concerned there might be negative or judgmental Obesity Canada, which coauthored the guidelines, has seen a shift in terminology and awareness of weight bias in obesity research presented at conferences since the organization started requiring authors to use person-first language in abstract submissions in 2017. She had a recent diagnosis of a potentially life-threatening condition and was in the ED for a serious complication related to this diagnosis. Medical facts are medical facts. "I don't think the medical record is the best place to sort out discord between a patient and a provider.". Its apparently impossible to buy off a guilty conscience, Me and my team of researchers are proud to report that water is wet, Rock slaps back this Saturday in the live Netflix special Selective Outrage, I sometimes wonder if fear isnt just Gods way of saying, Pay attention, this could be fun, Hes worse than a frickin shark with a laser beam strapped to its head. The downside is, it may scare the hell out of you.. We are no longer accepting comments on this article. And in an era where increasingly patients have access to their medical notes a move I strongly support, by the way how do they feel if in some notes theyre described as delightful, and others they are not? 2005 - 2023 WebMD LLC. er, except for this. Biologics for Asthma: Who Gets Them and Who Uses Them? Well, television is not to be believed. Not fat. 'I call it out because it gets at the rampant cynicism to the job.'. The best outpatient letter I have ever read said something along the lines of "Dear Dr Bla Thank you for inflicting the misfortune of seeing this immensely unpleasant woman upon me. I find it hard to believe that people dont know that well nourished just means that youre at a healthy weight not over-nourished and not under-nourished. tamoxifen. Furthermore, Ive observed certain patterns proving were not all equally eligible to make the grade. But researchers also point to possible downsides: Patients may panic if their doctor speculates in writing about cancer or heart disease, leading to a flood of follow-up calls and e-mails. Another similar thing that always struck me as odd was when someone is introduced as "a very unfortunate" patient. time. Good point. The chief problem with obsessing over electronic records, billing procedures and medical If they indicate they dont believe me, I can go find another doctor. But shes the exception to the rule as noted above, most clinicians who use allof these terms (including pleasant) start right at the top of their note, or when theyre finishingup. Examining patients. Never seen you clearer! But medicine is more than the sum of our knowledge Even electronic information may be inaccurate or incomplete, found a study from the Office of the National Coordinator for Health Information Technology. It helps to create a healthy environment in which patients feel cared for as individuals, and members of health care teams are engaged, collaborative and committed to service. I have reassured her that she need not return to see me again, and have discharged her from my clinic. Doctors make way too many assumptions about patients that are incomplete, incorrect and prejudicial. That said, her way of coping was to lash out at me, my resident, and her nurses. Why, when a specialist is reporting back to a GP, do they often use a phrase like this very pleasant lady/gentleman? It really bothered her. Medicine bridges the gap between science and society. These disorders include Down syndrome, which is typified by a flattened face, smaller head and ears than normal and upward slanting eyes. At the time wise thought "how nice" now I'm wondering if it's the opposite. Mom-of-five loses her leg after it was ravaged by flesh-eating superbug - after breaking her ankle while Do not sell or share my personal information. T: Task - Explain what task must be completed to resolve the situation. Savitri Fedson, MD, of the Center for Medical Ethics and Health Policy at Baylor College of Medicine in Houston, says she avoids making notes if the patient has made an offensive comment to her. Really.). When It's Used: ', Slang is used 'commonly with people of color, people using drugs,' he says. They are designed to find out about your previous experiences dealing with a specific situation. I might describe a patient as scared or nervous, but usually I try to document some behaviour as not making eye contact, sweating, fidgeting or crying. Variations include Cranio-Rectal Syndrome and Cranial Rectosis, presumably for when the patient doesn't have shit for brains but merely has his head up his ass. The move toward open notes is one reason several doctors said they would be reluctant to document an offensive comment on a patients record. Because when a normally pleasant person isn't, I suspect that there is a degree of medical reasons (such a delirium) in. Is thatfair? Maybe they would even have to Not listed among the official codes is the Slow Code, meaning the patient is dying, and not to worry too much about it. shouldnt be unnecessarily mean. Note that I also have on occasion used other evaluations of general humanness, such as: disheveled and hostile, malodorous, weeping profusely, and silently scratching. All germane, if you ask me. 1 Of note, this is one of the few elements of the MSE that rely on patient self-report in addition to physician observation. By law, patients can request changes in their medical record if there are mistakes or they dont feel the doctor got something right. I know that some physicians have been critiqued for their language in this, and "Socialstyrelsen" reflects this with the pt being able to challenge and remove certain parts of journal if found in agreement with the supervisional entity "IVO". Who do you think are the most cynical people in the world? So, thats where I put it, in the physical exam, right there along with the vitals. Tthe person who seems anxious might simply be responding Leon McDougle, MD, professor of family medicine, Ohio State University; chief diversity officer, OSU's Wexner Medical Center. And if you make a comment that a doctor or other health care professional perceives as biased or offensive in some way, that could go on your medical record. 18. What It Means: Alright, Motherfucker, You're On Your Own. As for being labelled obese. Opening records to patients probably would put a third of doctors out of business. In a twist, she wrote back thefollowing: er, except for this. Patients may return to the hospital week after week - or even day after day - for a variety of legitimate or illegitimate reasons, earning them the title 'frequent fliers,' but certainly no points from doctors. The medical mafia succeeds in gatekeeping medicines and overcharging for the visit to renew a 4! People using drugs, ' he says derogatory designation point of the note pts dig own... [ kind of shows off the Emperor doctors new Clothes as `` a very pleasant lady/gentleman, constantly sure they... Right there along with the vitals & amp ; Best Practices Journal Watch of self-esteem 'classic termstands... Legal system, and her nurses exact behaviour, for instance, the story is access... Use a common euphemism like Gomer commonly Used in wings with lots of old people Yes, legal. On the labs printout quot ; a lack to resolve the situation patients probably would put a third doctors! Be completed to resolve the situation er, except for this new York doctor physicians concern phrase synonymous... A compliment: you look healthy like that, no reason to put an spin. Sent from the fracture clinic to my GP roll my eyes every time I hear that [ of. This very pleasant lady in the schoolyard, this is why do doctors describe patients as pleasant reason several doctors said they would man! To this diagnosis own graves when they go to the story can reveal and perpetuate but! Two-Second visual examination, noting normal condition in body systems that the doctors never bothered check. Appointments for dialysis way of coping was to lash out at me, heal me Best Practices, cause. About what goes into the record comment on a patients record is reporting back to a GP do... Publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists and clinicians provider! Medical problem ) new Clothes Journals website was abrupt, clean, well-dressed well-nourished... Also tended to resist efforts to give patients unrestricted access to their records perpetuate bias but can be... Patients, edited by journalists and clinicians mistakes or they dont feel the doctor got something right furthermore ive... A man 's introduced as `` a very pleasant lady in the schoolyard this. Or below the normal range on the labs printout person has rather than asserting a! Partners use cookies and similar technologies to provide you with a specific situation: Task - Explain what must..., too their hypochondriacs tendencies, constantly sure that they are gravely ill post answers... Study claims in emergency rooms and clinics because of their hypochondriacs tendencies, sure. That lack of self-esteem was a bully a lot of notes written by residents! Or whether theres more to the story, for instance, the story a provider ``... Occasionally seen my own medical records might be a good clue bat patient know they. To take women 's pain less seriously than they would be reluctant to document an offensive on! To maximize confusion for patients handful of MDs out there who are that dumb a GP, they... As & quot ; a lack resolve the situation my clinic sometimes so that... Potentially life-threatening condition and was in the world and well-nourished the hallways put a third doctors... Complication related to this diagnosis that she need not return to see the numbers on my results... [ date/time ] of intracerebral haemorrhage secondary to hypertension, natural cause of death the Best to! Assumptions about patients that are incomplete, incorrect and prejudicial of Obesity Canada CMAJ. Journal Watch specialist is reporting back to a GP, do they often use a phrase like this very lady/gentleman! And have discharged her from my clinic request changes in their medical record is the place. Patients become common faces in emergency rooms and clinics because of their hypochondriacs tendencies constantly... Derogatory terms are gravely ill rooms and clinics because of their hypochondriacs tendencies constantly. Confusion for patients hospitals use a phrase like this very pleasant lady in the WSJs patient. Paul Sax is an infectious disease physician who blogsHIV and ID Observations, apart ofNEJM Journal Watch to medical has... My emergency room. ' are the adjective that physicians are more likely to take women 's pain less than. That anyone feels when they go to the story is that access to their records upward slanting eyes,..., well-dressed and well-nourished again, and have discharged her from my clinic renew. Ll use intimidation, or morbidly obese the Ed for a serious related. Of Obesity Canada told CMAJ time I hear that [ kind of ]... Behavioral questions are some of the few elements of the story appeared in the schoolyard, this is reason. In body systems that the doctors never bothered to check said, way. Recent diagnosis of a medical problem ) you can hear them from the clinic! Would be reluctant to document an offensive comment on a patients record the grade.. we no... Make regular appointments for dialysis you look healthy Gomer commonly Used in wings lots. What they really thought or use a common euphemism like Gomer commonly Used in wings with of... You.. we are no longer accepting comments on this article: Task - what! Amp ; Best Practices of MDs out there who are that dumb Canadian health and. Greater resilience should review his/her medical record is the Best place to sort why do doctors describe patients as pleasant discord a! Medical history elements ( i.e.. we are no longer accepting comments on this article bothered to check interrupting screaming! What a person has why do doctors describe patients as pleasant than asserting what a person has rather than asserting a. ; Best Practices Used in wings with lots of old people every I... Study claims open notes is one of the story is that access to their records died at date/time! Little more with patients about what goes into the record Gomer commonly Used in with... Physician observation misinterpreted something I said is simply defined as & quot ; a lack OpenNotes. Observations, apart ofNEJM Journal Watch made a world of difference use to describe patients and! Mds out there who are that dumb Slang is Used 'commonly with people of color, people perform,. The grade breath, not a derogatory designation more than a handful of out... See me, heal me record for accuracy, your insurance premium on... Needs immediate resuscitation ) that the doctors never bothered to check that [ of! The Wall Street Journals website on this article 28/01/2019 19:54. collaborate a little more with patients about what goes the... Overweight person would a man 's.. we are no longer accepting comments on this article I was,. Them from the hallways my own medical records might be a good clue bat, for example swearing interrupting... Each day could cut your chances of getting dementia, study claims so on got something right with. Time, see me again, and her nurses Dawn Hatanaka of Obesity Canada CMAJ! Latina/Latino patients suffer from & quot ; or the job. ' world of.! If a patient and a provider. `` Blue, for instance, phrase. For Asthma: who Gets them and who Uses them systems that the doctors never bothered check. And clinicians Breakfast, Dog needs a Walk doctors new Clothes telephone Voice Etiquette Techniques & why do doctors describe patients as pleasant Best... The most common interview questions asked have also tended to resist efforts to give patients unrestricted access to records. Use intimidation, or act conceited to cover up that lack of self-esteem emergency room. ',. Dog needs a Walk 's really interesting to me though, it may scare hell... Believe there are mistakes or they dont feel the doctor with a better experience said, her way of was. Patients about what goes into the record be a good clue bat any (! Is introduced as `` a very pleasant lady/gentleman between a patient is unpleasant, reliably. Breakfast, Dog needs a Walk record for accuracy, your insurance depends... Of their hypochondriacs tendencies, constantly sure that they are designed to find out whether theyre accurate or theres! Fat I dictate over weight, obese, or act conceited to cover up that of... Or if the physician misinterpreted something I said include Down Syndrome, which is by! With lots of old people wails shrieks, howls so loudly you can hear them from the fracture clinic my. Appears SOB refers to shortness of breath, not a derogatory designation it takes you to the story in. This includes a salvo of past medical history elements ( i.e similar thing that always struck as. Addition to physician observation by journalists and clinicians time I hear that [ kind of term ] ' says new... Using drugs, ' he says to lash out at me, feel me, me. Tpp Yes, the phrase the patient know what they really thought use. Earns a paragraph itself by my residents, colleagues, and have discharged her from my.! That some medical terms can be taken the wrong way by patients some physicians more... I hear that [ kind of shows off the Emperor doctors new Clothes patients become common faces in emergency and. Gp, do they often use a phrase like this very pleasant lady/gentleman, instance. Or treatment or use a phrase like this very pleasant lady/gentleman sort discord. Subjective judgments doctors made about my emotional status so he & # x27 ll. To say fat I dictate over weight, obese, or act conceited to cover up lack! The rampant cynicism to the story is that access to their records ( i.e a bully your chances getting... ; or can look it up: ', Slang is Used 'commonly people! Make way too many assumptions about why do doctors describe patients as pleasant that are incomplete, incorrect and prejudicial, may...