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Actual Documentations Found in Patient Records
*On the second day the knee was better, and on the third day it disappeared. *The patient has been depressed since she began seeing me in 1993. *Discharge status: Alive but without my permission. *Healthy appearing decrepit 69-year-old male, mentally alert but forgetful. *The patient refused autopsy. *The patient has no previous history of suicides. *Patient has left white blood cells at another hospital. *Patient's medical history has been remarkably insignificant with only a 40 pound weight gain in the past three days. *Patient had waffles for breakfast and anorexia for lunch. *She is numb from her toes down. *While in ER, she was examined, x-rated and sent home. *The skin was moist and dry. *Occasional, constant infrequent headaches. *Patient was alert and unresponsive. *Rectal examination revealed a normal size thyroid. *She stated that she had been constipated for most of her life, until she got a divorce. *Both breasts are equal and reactive to light and accommodation. *Examination of genitalia reveals that he is circus sized. *The patient was to have a bowel resection. However, he took a job as a stock broker instead. *The pelvic exam will be done later on the floor. *Patient was seen in consultation by Dr. Blank, who felt we should sit on the abdomen and I agree. *Large brown stool ambulating in the hall. *Patient has two teenage children, but no other abnormalities.
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