ID [identifying info]: 32 y/o WM, intern in general surgery
CC [chief complaint]: see above
HPI [history of present illness]: don't get me started
PMH, FH [past medical history, family history]: non-contributory
SH [social history]: insufficient EtOH consumption, non-smoker, eats on occasion
ROS [review of systems]: deferred
VS [vital signs]: Temp 98.6 F, Pulse 60, Resp 10, BP 110/70, oxygen sat 98% on room air, Ht: 5'4", Wt: roughly ~165 lbs, BMI [body mass index]: math is hard, about 28.3 (goal is < 25).
Remainder of physical exam deferred, as the subject was compelled to leave to answer a page. Let it be noted that mental status was impaired, physical conditioning was poor, and posture was stooped.
A/P [assessment & plan]: Highly stressed individual with increasing demands on his limited intellect and experience. Encourage extensive reading, rest, exercise, and healthy diet - none of which are compatible with expected lifestyle over next year. Expect some relief with expanded support system, if red tape ever clears. Wish him best of luck, and follow-up as needed!
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sounds familiar enough...used to this kind of environment about 5 years ago
ReplyDeleteHeyya Dr Bonzo!
ReplyDelete"insufficient EtOH consumption"?? LMAO! I hear ya, dude!!
hope to assist you in overcoming that deficiency, and more, in a few months' time, teeheehee!
5'4" and 165 pounds. Holy shit, you have 40 pounds on me. No wonder you always have your shirt untucked! ;-) If you come by for Thomas' bday party, you can work on the EtOH consumption... no worries, eh?! Love you, bro!
ReplyDeleteI can't believe you were late your FIRST day!!
ReplyDeleteHang in there, Bonzo, it could be worse, you could've become a lawyer...hahahaha (sob).
ReplyDeleteRon