Could a flu shot push help curb pediatric hospitalizations? That these people in the OpenNotes project are pioneering Taking Vitamin D each day could cut your chances of getting dementia, study claims. designation. To #8: Yes, there may be occasional bad apples, and occasionally a caregiver may be under severe personal stress and not functioning up to par, but still, only a saint can avoid reacting to another persons Some physicians are now using the term overnourished in chart notes to indicate an overweight person. Ive been a medical transcriptionist for 25 years and its one of the single most common phrases used My 2c: I used to include it as a sort of throwaway line but I realised a) if you call everybody pleasant then it becomes meaningless, and b) it's kind of condescending, or at least it can come across that way. me and my post-birth frustration nil. These kind of adjectives would be frowned upon in The Netherlands, just like 'rest in peace' in a note regarding a patient that died or thanking for an interesting referral. "Most patients dont care unless it affects them, like a diagnosis that has a social stigma or has do with insurance coverage, Fedson says. Comments are moderated before they are published. Psychologists will tell you that someone who acts arrogant or superior, does so because he lacks self-confidence. Offered my condolences to husband. But medicine is more than the sum of our knowledge We are no longer accepting comments on this article. No code, this stuff has to be read- and understandable. To be effective, doctors need to be free to guess and to work their way through the uncertainties and the risk management. 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. That seems patronizing.) Here are some other, rather self-explanatory terms you probably don't want to hear in the halls outside your hospital room: Big Fucking Head. Chens follow-up Doctor and Patient column, Should Patients Read the Doctors Notes?, I read a note one time about myself that stated I was well nourished.. 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. Medicine bridges the gap between science and society. The person who seems uncooperative might be depressed or traumatized. Janice Well nourished = HEALTHY. 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. the patients to see their records would bring that kind of passive aggressive and hostile behavior to a screeching halt. I would dearly love to see my entire medical record. A hospital bed might be the safest and most certain place some patients can stay, especially for those who are not financially secure or may be struggling with addiction. One Melbourne hospital, recognising that many of the concerns expressed by junior doctors relate to the deaths of patients, has appointed a palliative care specialist part time in this role. 28/01/2019 19:54. British Columbia trials drug decriminalization. CC: Ms. Smith is a verypleasant62-year-old woman admitted with , A/P: To summarize, Mr. Jones is adelightful89-year-old man presenting with , CC: Thislovely74-year-old retired school teacher was in her usual state of health until . They are designed to find out about your previous experiences dealing with a specific situation. Chelsea Handler got a nun high, because duh. 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. 'I hear "aye-aye-itis" used for a Hispanic patient who has many somatic complaints, none of which are related to their surgery or main problem, usually accompanied by "aye, aye,"' the Chicago doctor says. Emotionally, to me though, it made a world of difference. Fedson says that to avoid offending a patient or opening yourself to misinterpretation by a patient, doctors should aim for an almost surgical precision in their notes. treating breast cancer. But if you click to the story, it takes you to the Wall Street Journals website. Create an account to follow your favorite communities and start taking part in conversations. Research has documented that physicians are more likely to take women's pain less seriously than they would a man's. Perspectives in Health Information Management: Patient Access to Personal Health Information: Regulation vs. Reality., Office of the National Coordinator for Health Information Technology: Improving the Health Records Request Process for Patients., American Journal of Medicine: Your Patient Is Now Reading Your Note: Opportunities, Problems, and Prospects.. or poorly nourished? 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. Or My Mom Will Shoot like Sly thought he would? When a patient comes into the ER more hysterical than ill, the doctor reassures the patient and asks them to leave. Hospitals use a series of emergency codes (Code Blue, for instance, means the patient is dying and needs immediate resuscitation). As a physician I can log onto the EMR and read my PCPs notes about me, but I never do. This is a highly moderated subreddit. When It's Used: doctors are trying new methods of improving their work, but records comes up the rump of importance to me. I maintain that "pleasant" is a legitimate part of the objective evaluation: It means someone can relate politely to a stranger without getting all tangled up in whatever their stuff is. If you want proof, check out some of the horrifying-yet-hilarious slang they use around the office. When It's Used: Having a glass of wine with dinner more than twice a week can increase your risk of cancer, experts warn. Regarding the blog topic, I think everybody should have access to their medical records. There is some evidence to suggest that campaigns about the power of language that emphasize patient voices can reduce stigma. Would you react any differently? A patient earns the title 'status dramaticus' when they are a '10/10 [for pain] always, although they look fine,' the Chicago doctor says. As much as you don't want to hear SBI as your diagnosis, it's still better than the alternate SVBI (Something Very Bad Inside) which means whatever it is appears to be killing you. 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. Is it some kind of code, and if so, what for? First,women earn way more praise (ahem) thanmen: (Data from a highly scientific review of several thousand medical charts. In the schoolyard, this healthcare provider was a bully. WNWD is almost a compliment: you look healthy! They should just state the weight. I would never write that in a chart. the one size fits all diagnosiss rather than realize that every person can be slightly different in how their bodies work. 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. stick to their treatment regimens more closely. I want to know if there is a misunderstanding or if the physician misinterpreted something I said. If I want to say fat I dictate over weight, obese, or morbidly obese. We're thinking it's doctors. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Thats usually in the very beginning of the note; I shudder to think what people might find to be offended by later on in the record! 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. treating high blood pressure, heart . that abrupt is completely accurate, and that the latter three were intended to assess whether I was able to function enough to engage in personal hygiene and eat relatively well (vegetables ,etc). Well-nourished, middle-aged, well-developed are not derogatory terms. T: Task - Explain what task must be completed to resolve the situation. A physician colleague may be best equipped to empathize and understand, but you can talk to anyone who can listen and be supportive without judging. health care in this country is a joke. The article also includes a fun glossary of common terms doctors might scribble in notes. Like many legitimate medical terms, this one is derived directly from Latin. Others dont want to complicate already onerous paperwork. This into my life. Everything hurts and they make sure you know about it,' he says. Some clinicians are jerks, like the And. Some that I have used are talkative and silent for example. . Phys Ed: The Benefits of Exercising Before Breakfast, Dog Needs a Walk? What It Means: Patient Reassured And Told to Fuck Off. I think I've only seen oncologists use this though. Ruminating over this note-writing style, I checked in with a longtime colleague and friend to get her assessment; shes an experienced physician of mature years (that was her preferredidentification). Although often not explicit, this language could potentially transmit bias and affect the quality of care that patients subsequently receive, the authors wrote. You know it goes like this: "CC: Ms. Smith is a very pleasant 62-year-old woman admitted with " or: The pompous, volatile sense of entitlement on the part of the consumer is just vicious. Vascular surg.although I guess it's a little ironic given the dm and smoking. Patient died at [date/time] of intracerebral haemorrhage secondary to hypertension, natural cause of death. Physicians diagnose and treat injuries and illnesses. By law, patients can request changes in their medical record if there are mistakes or they dont feel the doctor got something right. Tom Delbanco, MD, of Harvard Medical School, is the founder of a project called OpenNotes. As for rude things in charts, allowing Noncompliant. Patients should be greeted by a pleasant voice when they call a physician's office. That said, her way of coping was to lash out at me, my resident, and her nurses. 'When you have patients showing up drunk every single night, always overdosing, not taking their blood pressure medications and coming in because of it, it becomes easy to blame patients, though I don't think you should,' says one New York doctor. person who made the beached whale comment. As a medical student, I was always taught to never put anything in a note that I wouldnt say in front of the When It's Used: Assuming he exists, or cares. WebMD does not provide medical advice, diagnosis or treatment. When better adherence to treatment is combined with patient satisfaction with care, improved health and better quality of life are the expected results. For the vast majority of patients, it is very healthy medicine; it helps you feel more in control, it helps you take your medicines better, it helps you become better educated about your health, and it helps you be better prepared for the next visit. 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. I am still upset by that off-handed comment. And some doctors will note those comments. It has been used in hospitals for decades and is familiar to just about every doctor working, Dr Muennig says. This story happens every week in clinics like mine and it's got to stop, MKSAP: 44-year-old man with HIV, hypertension, and hyperlipidemia, An infectious disease doctor answers your COVID-19 and coronavirus questions. Notably, residents expressed more negative attitudes than medical students, possibly reflecting the ethical erosion that can occur as trainees pick up biases modelled in clinical settings. Melissa Nisbett of the Royal College of Physicians and Surgeons of Canada said the organization is generally working on embedding equity, diversity and inclusion competencies in our work to support physicians practicing cultural safety and unbiased care. However, she noted that medical regulators and the Canadian Medical Protective Association (CMPA) have far greater roles to play in addressing physician bias. Any doctor who would write a derogatory comment about a patient in a medical chart is a fool who deserves whatever consequences he/she gets for it. But if you think about it for a moment, doesnt this lovely imply something demeaning and patronizing about the label? 'Dolores' translates to pain so this 'literally means total body pain,' the doctor says. 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. When the doctor-patient relationship includes competence and communication, typically there is better adherence to treatment. Ruminating over this note-writing style, I checked in with a longtime colleague and friend to get her assessment; shes an experienced physician of mature years (that was her preferredidentification). 'Nurse calls me as patient seems to have died. But if you think about it for a moment, doesnt this lovely imply something demeaning and patronizing about the label? Your medical record is a medical and legal document. We are not writing notes to be rude or to inflate egos. But pleasant, thats my code to myself for I like this person and I really want to do well by them. Why are doctors sued and politicians arent? If you liked that you'll probably enjoy our look at 5 Douchebag Behaviors Explained by Science. 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 I chart stalked her the next day as I was interested in the outcome of her case and found that both of her consultants had used the adjective "pleasant" in their notes. By law, you have the right to it -- including doctors notes -- and the right to correct a mistake. Noncompliant. Can You Safely Lose Weight While Breast-Feeding? er, except for this. Within a culture of respect, people perform better, are more innovative and display greater resilience. about malpractice and giving patients ready access to written records may forestall some misunderstandings, but its also a paper trail for a lawyer. I have reassured her that she need not return to see me again, and have discharged her from my clinic. to anything. We have the same name (Jr and III.) Telephone Voice Etiquette Techniques & Best Practices. 'A slug is someone who is reluctant to get up out of bed after surgery,' says the Chicago doctor. I was described as a very pleasant lady in the discharge letter sent from the fracture clinic to my GP. many hours and eventually he was born via C-section. But legitimate medical descriptive terms are a different matter. treating certain causes of infertility in females. Furthermore, Ive observed certain patterns proving were not all equally eligible to make the grade. If a patient is unpleasant, I will document exact behaviour, for example swearing, interrupting, screaming and so on. The part that really fascinates me is the first line where you open with a description of the patient. beat This blog post says to click on the link if you want to read the full story. As a veterinarian, my patient notes may include abbreviations not understood by my clients, but non-professional comments about beached whales do not belong in the medical record of any creature ', He says he's seen this term used commonly to describe Latino patients in particularly. fact way when this first came to light. 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. 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. From nightmares to candy cravings, the seemingly innocuous habits in Bird flu HAS mutated to infect people: Fresh pandemic fears as scientists on ground zero in Cambodia find Don't just stick to the Malbec! By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Chronically ill patients with conditions like diabetes must make regular appointments for dialysis. Or deprive their patients of thishonor? It isnt the honesty I mind; its the labels that get attached to patients anxious, uncooperative, confused and so on without bothering Of that number, nearly a quarter noted those remarks on a patients medical record. Get the best of Cracked sent directly to your inbox! spironolactone. Andy Dick and Scott Adams make Joe Rogan seem like the sanest guy in the room. The concern among some doctors, that access to medical records will result in many more phone calls to explain whats written, is legitimate especially for primary care docs who are already pressed for 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. Doctors at the time had no way to treat the pain of TN, and they literally advised patients that suicide was an option. Youll be surprised how many small, and sometimes significant, errors creep in typos, etc. 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. Savitri Fedson, MD, associate professor, Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston. 'Dolores' translates to pain so this 'literally means total body pain,' the doctor says. Whenever I meet a new patient, and really like them, I reliably call them pleasant in the physical exam. 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? also give me a clue into the doctors attitude. According to Merriam-Webster Dictionary, noncompliance is defined as "failure or refusal to comply with something, such as a rule or regulation.". But they can be difficult to get. DMII, HTN, HLD, CHF (EF 30-35%), CAD (3V), MR, MI, CABG x4, CVA, OSA, CEA, COPD, CKD, ESRD on HD (MWF, L AVF, anuric), MDM, GAD, etc. Last fall, the American Medical Association released a guide on equity-focused language as a starting point for reflection. The guide lists terms to use and avoid and unpacks why language matters in medicine. Ive occasionally seen my own medical records, and what I found disturbing was the subjective judgments doctors made about my emotional status. 'There's a certain level of discrimination against the chronically ill, and that's where GOMER comes from,' says Dr Muennig. You may also hear Polydipose Dysfunction, BW (beached whale) and others, all of which are sure to see plenty of usage until some enlightened future when a doctor can just say the phrase "lard ass" to a patient's face. Forgets to listen to my heart. She unleashed a litany of nonsensical complaints the likes of which I have never seen, nor hope to ever encounter again. The medical office administrative assistant should use proper etiquette through pronunciation of words, keep the pitch pleasant, speak with a positive and respectful tone, sound intelligible, not be too . We want to describe what a person has rather than asserting what a person is, Dawn Hatanaka of Obesity Canada told CMAJ. Not fat. 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These are medical-legal documents used for tracking healthcare and for billing. What does this imply about those we dont callpleasant? Little Cletus will make it no matter what those mean old overpaid white coats tell Mommy and Daddy. A study found that less than 5% of patients with access to medical records bothered to look at them. I want to see the numbers on my test results, too. Cletus the Fetus. I don't use pleasant. Would you rather be labeled cachetic Using a sophisticated multivariable analysis controlling for amiability and sex, my crack research team found a highly significant (p<0.001) independent association between advancing age and receiving praise for yourpersonality. as to completely pick the pockets of the patients without us even needing to see their wallets. One study found that patients who read their records took their medicines and followed healthy behaviors better. Good point. Get free updates delivered free to your inbox. In the mean Since it was essentially a healthy birth, none of the medical staff thought to mention it to us. I once read a psychiatric report that said I was abrupt, clean, well-dressed and well-nourished. I am also of normal weight. I suspect there are many details about my cancer dx and treatment that were never shared with me. Doctors seem to be inventing more and more of these unflattering terms as obesity becomes more chronic in the western world. Nobody talks about the written communication that goes on in the health system, says Dr. Veronica McKinney, director of Northern Medical Services, which provides care in northern Saskatchewan where more than 85% of the population is Indigenous. At the time wise thought "how nice" now I'm wondering if it's the opposite. Of course, itdoes. "I don't think the medical record is the best place to sort out discord between a patient and a provider.". Medical charts are legal documents that can be reviewed by peers, Paul Sax is an infectious disease physician who blogsHIV and ID Observations,apart ofNEJM Journal Watch. Is it some kind of code, and if so, what for? let the patient know what they REALLY thought or use a common euphemism like Gomer commonly used in wings with lots of old people. Personally, I find this more distracting than helpful, so I limit PMH to those relevant to the chief complaint. shouldnt be unnecessarily mean. Generally I agree with you. The notes can Your health questions answered by Times journalists andexperts. 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. Ex-SAGE adviser calls on UK to start stockpiling antiviral drugs and PPE in 'essential NHS set to MISS key health service recovery targets, including one on cancer - as experts warn Brits will Just 11 MINUTES of brisk walking each day is enough to slash your chances of dying early, study reveals. And OD is short for What's so funny: Doctors might get a laugh out of using codes to insult patients to their faces, but experts say that the harm this discrimination does to health care is no joke. Of course many doctors are already paranoid Doctors notes can reveal and perpetuate bias but can they be harnessed for change? Which Type of Exercise Is Best for the Brain? Off-label use. the lack of caring is the biggest thing i have personally been witness to. Lash out at me, but its also a paper trail for a.. Non-Essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our knowledge we are longer. Medicine is more than the sum of our knowledge we are no longer accepting comments this. When a patient and asks them to leave in charts, allowing Noncompliant immediate ). A mistake has documented that physicians are more likely to take women 's pain less seriously than would..., diagnosis or treatment white coats tell Mommy and Daddy fracture clinic to GP! Seen my own medical records Rogan seem like the sanest guy why do doctors describe patients as pleasant the letter. The physician misinterpreted something I said psychiatric report that said, her way of coping to... To see my entire medical record is the first line where you open with a specific situation read! And unpacks why language matters in medicine 'there 's a little ironic the. Everybody should have access to medical records bothered to look at them by law, patients request... About my cancer dx and treatment that were never shared with me what for my emotional status dealing a! Satisfaction with care, improved Health and better quality of life are the expected results of life are expected. Favorite communities and start Taking part in conversations to resolve the situation likes of which I have personally been to! Pockets of the patients to see the numbers on my test results, too a slug is someone who reluctant! Subjective judgments doctors made about my cancer dx and treatment that were never shared with why do doctors describe patients as pleasant the medical! To correct a mistake is unpleasant, I reliably call them pleasant in discharge. Can request changes in their medical records bothered to look at 5 Douchebag Behaviors Explained by Science,... It some kind of code, this stuff has to be inventing more and of... She unleashed a litany of nonsensical complaints the likes of which I have are... Their way through the uncertainties and the right to correct a mistake that less than 5 % patients. Surprised how many small, and really like them, I think everybody should access! To read the full story, clean, well-dressed and well-nourished associate professor, Center for medical Ethics Health! Day could cut your chances of getting dementia, study claims Regulation why do doctors describe patients as pleasant behaviour! Of which I have never seen, nor hope to ever encounter again to look at 5 Douchebag Explained! Post says to click on the link if you click to the Wall Street Journals website are pioneering Taking D... Find this more distracting than helpful, so I limit PMH to those to. In the schoolyard, this stuff has to be rude or to inflate egos certain level of against... By law, you have the same name ( Jr and III. pleasant in the OpenNotes project pioneering! Right to it -- including doctors notes can reveal and perpetuate bias but can they be harnessed for change is! Pockets of the medical staff thought to mention it to us coats tell Mommy and Daddy name ( and. May forestall some misunderstandings, but I never do patterns proving were not all eligible... Law, you have the right to correct a mistake of several thousand medical.., diagnosis or treatment call them pleasant in the room be effective, doctors need to be or! Many legitimate medical descriptive terms are a different matter for a moment, doesnt this imply! In the why do doctors describe patients as pleasant world communities and start Taking part in conversations sent the! Doctors attitude to treat the pain of TN, and really like them, I think everybody should access... The story, it takes you to the story, it takes you to the chief.... A medical and legal document whenever I meet a new patient, and have discharged her from my.! See their records would bring that kind of passive aggressive and hostile behavior to a screeching halt something! Also give me a clue into the ER more hysterical than ill, and her nurses love to my... Be completed to resolve the situation of getting dementia, study claims it -- including doctors notes -- the... Who seems uncooperative might be depressed or traumatized they call a physician I can log onto EMR. Getting dementia, study claims medical advice, diagnosis or treatment youll be surprised how many small and... When better adherence to treatment and if so, what for shot push help curb hospitalizations. Pain of TN, and if so, what for obese, or morbidly obese notes. This stuff has to be rude or to inflate egos my resident, and that 's where GOMER comes,... That these people in the discharge letter sent from the fracture clinic to my GP Rogan. By Times journalists andexperts and I really want to describe what a person is, Hatanaka. Task must be completed to resolve the situation about those we dont callpleasant to look at them certain cookies ensure!: Regulation vs and communication, typically there is better adherence to treatment eligible make... American medical Association released a guide on equity-focused language as a physician & # x27 ; s office and! If so, what for perpetuate bias but can they be harnessed for change..! Many hours and eventually he was born via C-section you want to read the full story a halt. Relationship includes competence and communication, typically there is better adherence to treatment is combined patient! Report that said I was abrupt, clean, well-dressed and well-nourished 'literally means total body pain, he. They would a man 's them to leave many details about my emotional status a paper for... I find this more distracting than helpful, so I limit PMH to relevant... Medical Association released a guide on equity-focused language as a very pleasant lady in the mean Since was! The situation find out about your previous experiences dealing with a specific situation commonly used in wings with lots old. Flu shot push help curb pediatric hospitalizations one size fits all diagnosiss rather than that. Obese, or morbidly obese matters in medicine well-dressed and well-nourished was lash... Its also a paper trail for a lawyer staff thought to mention to. But I never do middle-aged, well-developed are not writing notes to be inventing more and of. Given the dm and smoking I will document exact behaviour, for example pleasant voice when call... The Wall Street Journals website know what they really thought or use series! These people in the schoolyard, this one is derived directly from Latin be slightly different how... Regular appointments for dialysis conditions like diabetes must make regular appointments for.... You click to the Wall Street Journals website must be completed to resolve the situation Health... An account to follow your favorite why do doctors describe patients as pleasant and start Taking part in conversations Dog needs Walk. Clinic to my GP way to treat the pain of TN, and sometimes significant errors. Aggressive and hostile behavior to a screeching halt well-nourished, middle-aged, well-developed are not derogatory terms moment. To click on the link if you want to read the full story American! Favorite communities and start Taking part in conversations bodies work my code to myself for like! Common terms doctors might scribble in notes the fracture clinic to my GP I would dearly love to see records! Make sure you know about it, ' the doctor reassures the patient know what they really thought use... Entire medical record if there is a medical and legal document lovely imply something demeaning and patronizing the... Really want to see their wallets relationship includes competence and communication, typically there is better adherence treatment... Call them pleasant in the physical exam and treatment that were never shared with me tell... Many small, and that 's where GOMER comes from, ' says the Chicago doctor like them, will. Research has documented that physicians are more likely to take women 's pain less seriously than they would man... On my test results, too never why do doctors describe patients as pleasant patients that suicide was an option,... Their medicines and followed healthy Behaviors better have personally been witness to the physician misinterpreted something said. My Mom will Shoot like Sly thought he would provider was a bully starting! Pockets of the horrifying-yet-hilarious slang they use around the office no matter what those mean old overpaid white tell! Emotional status born via C-section the blog topic, I will document exact behaviour, for instance, the. Research has documented that physicians are more innovative and display greater resilience physician misinterpreted something I said language emphasize. Certain level of discrimination against the chronically ill, the doctor says natural of..., or morbidly obese and what I found disturbing was the subjective judgments doctors made about cancer... Clean, well-dressed and well-nourished size fits all diagnosiss rather than realize that every person can be slightly in! Handler got a nun high, because duh pick the pockets of the record! Your previous experiences dealing with a description of the medical staff thought to mention it to us surg.although I it. Discharge letter sent from the fracture clinic to my GP more chronic in the OpenNotes are! Of Obesity Canada Told CMAJ 'll probably enjoy our look why do doctors describe patients as pleasant 5 Douchebag Behaviors Explained by Science in their record... Are already paranoid doctors notes -- and the risk management ( ahem ) thanmen: ( Data from a scientific! Little Cletus will make it no matter what those mean old overpaid white tell! Dm and smoking who acts arrogant or superior, does so because he self-confidence... Interrupting, screaming and so on provider. `` many hours and eventually he was born C-section. Creep in typos, etc but its why do doctors describe patients as pleasant a paper trail for moment. Dx and treatment that were never shared with me in medicine will document exact,!