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Actual Writings From Hospital Charts
1. The patient refused autopsy.
2. The patient has no previous history of suicides.
3. Patient has left white blood cells at another
hospital.
4. Note: Patient here recovering from forehead cut.
Patient became very angry when given an enema
by mistake.
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. The lab test indicated abnormal lover
function.
21. Skin: Somewhat pale but present.
22. Patient has two teenage children, but
no other abnormalities.
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