"Pleasant" in particular. Off-label use. 'A slug is someone who is reluctant to get up out of bed after surgery,' says the Chicago doctor. When she was younger, patients would often question whether she was old enough to practice medicine, for example. Could a flu shot push help curb pediatric hospitalizations? 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. Although 'doloroes' means pain in Latin, a rather medical language, it means the same thing in Spanish, as well as being a woman' name. Used to describe infants born at 23 weeks or earlier, where their survival rate is less than 1%. Add message. Now new research is exploring whether its a good idea to let a patient read the doctors notes, reports the Informed Patient 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 What It Means: S: Situation - Describe a similar situation you have faced to what is asked about in the question. On one hand, 'poor effort,' as he calls it, can have a negative impact on the quality and timeline for recovery, but there is a darker side to this tendency too. 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. That these people in the OpenNotes project are pioneering time. In general, a doctor should I see this all the time with LTCH patients. As in, the patient has one. The notes can The WSJ and The Times Is it some kind of code, and if so, what for? ". Medicine bridges the gap between science and society. But Id argue that the medical note isnt the place for us to pass judgment on our patients likability. 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. In the mean A study found that less than 5% of patients with access to medical records bothered to look at them. 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! If you liked that you'll probably enjoy our look at 5 Douchebag Behaviors Explained by Science. The stories we nurses could tell you about what we have read.. And doctors say they worry that some medical terms can be taken the wrong way by patients. So, thats where I put it, in the physical exam, right there along with the vitals. 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 For instance, the phrase the patient appears SOB refers to shortness of breath, not a derogatory I wonder: If you were, in fact, trending-on-overweight in your past several visits, and saw that note, how would you feel? Doctors make way too many assumptions about patients that are incomplete, incorrect and prejudicial. specifically, mental/psychological health.). What It Means: Chronic Biscuit Toxicity. 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. Completed and signed death certificate. '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. 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. But Id argue that the medical note isnt the place for us to pass judgment on our patients likability. many hours and eventually he was born via C-section. When the medical staff encounters a strange complaint that doesn't meet any known diagnostic criteria. As a physician I can log onto the EMR and read my PCPs notes about me, but I never do. Some that I have used are talkative and silent for example. Medical jargon is pretty impossible for most patients to follow, but some of the terms you hear your doctor use may just be insulting industry jargon. But discrimination is institutionalized and dangerous in medicine, according to Dr Peter Muennig and Dr Alex Green of Harvard University and Massachusetts General Hospital, and it's worth knowing some of these terms that doctors may use to mask the severity of a situation or downright insult you (warning: some of these are offensive). It urges doctors to share their notes more readily with patients -- both as a medical strategy and to build patient-doctor trust -- ideally through secure online portals. "Implicit bias creates inequalities through many difficult-to-measure pathways, and as a consequence,people tend to underestimate its impact," says van Ryn. The first-of-its-kind study surveyed 714 practicing physicians from multiple specialties and locations across the country about their attitudes toward patients with disabilities. Of that number, nearly a quarter noted those remarks on a patients medical record. This all adds up to maximize confusion for patients. Because life works like Lifetime home movies. She unleashed a litany of nonsensical complaints the likes of which I have never seen, nor hope to ever encounter again. Meanwhile, Fleur-Ange Lefebvre of the Federation of Medical Regulatory Authorities of Canada said that her organization is not specifically addressing physicians use of stigmatizing language at this time. Of course itdoes. When It's Used: 1 Of note, this is one of the few elements of the MSE that rely on patient self-report in addition to physician observation. 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. I formerly worked in a profession that required me to read medical records frequently. beat Here's the Beginning of My Story, with Bonus Podcast. And. comments about their patients in a medical record. ', Slang is used 'commonly with people of color, people using drugs,' he says. Multiple vague complaints. Really.). Is it some kind of code, and if so, what for? If you get labeled as difficult or noncompliant -- you didnt follow the doctors orders -- you may want to talk it over with your doctor, Fedson says. But I think they can put those in kind words.. What It Means: to be sure everything is okay. Biologics for Asthma: Who Gets Them and Who Uses Them? 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. Let the record show that certain clinicians of every level of experience do this. 'It's most often used to talk about people with severe diseases like diabetes, or renal failure and diabetes,' says Dr Muennig. 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. Getting that mess cleaned doctors are trying new methods of improving their work, but records comes up the rump of importance to me. Get the best of Cracked sent directly to your inbox! According to the guide, One way to make dominant narratives visible is to develop a capacity to critically examine the language we use in our communication.. 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. Or maybe prostitutes? Why this physician chose to specialize in infectious disease, Digital advances in the medical aid in dying movement, As a medical student, you find potential patients everywhere, Patients are an integral part of medical student education, The medical profession must address the injustices Black patients suffer, When medical training stresses you: Write it out. To do so, four legal elements must be proven: (1) a professional duty owed to the patient; (2) breach of such duty; (3) injury caused by the breach; and (4) resulting damages. If you wind up in the emergency room because, say, you were trying to launch bottle rockets out of your anus, you can expect to hear this term thrown around. It was awful. She had a recent diagnosis of a potentially life-threatening condition and was in the ED for a serious complication related to this diagnosis. 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.. Thus we get the AMYOYO Syndrome diagnosis, with the variations SOLOMFYOYO (So long, Motherfucker, You're On Your Own) and GPO (Good for Parts Only). Everything hurts and they make sure you know about it,' he says. FDA-approved use. These hand-offs can occur between two nurses, from physician to physician, or from physician to nurse, and in many instances, "that's where a lot of info gets missed or misinterpreted. fact way when this first came to light. 'Nurse calls me as patient seems to have died. So, that's where I put it, in the physical exam, right there along with the vitals. Hiring and integrating people with lived experience into the health care professional workforce is a contact-based approach that may also be an effective stigma-reduction strategy, the authors suggested. Whenever I meet a new patient, and really like them, I reliably call them pleasant in the physical exam. I now only say pleasant if I really mean it, like if the patient is unusually lovely. Seeing it in your medical records might be a good clue bat. What if theyre having a bad day, reducing their loveliness? 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? Patient is really fat. "As a primary care physician, you have to view the patient as having a lifelong relationship with you, so you have to use the right words and engender some trust," he says. Would you continue to be so indignant? Doctors might let slip and 2005 - 2023 WebMD LLC. We are not writing notes to be rude or to inflate egos. treating breast cancer. Others dont want to complicate already onerous paperwork. And the vital information is in the billing which may hold some real surprises. I suppose that she might have mellowed out once she was transferred to the floor, but from reading the RN notes documenting her refusal of certain measures of care and her frequent outbursts, I knew that wasn't the case. Medical facts are medical facts. I waited to see the doctor. We write, WNWD to abbreviate, well-nourished, well-developed, as in, not obese, but not skinny and frail either. When It's Used: 18. Multiple vague complaints. A patient earns the title 'status dramaticus' when they are a '10/10 [for pain] always, although they look fine,' the Chicago doctor says. Hurtful. At the time wise thought "how nice" now I'm wondering if it's the opposite. Generally I agree with you. 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. also give me a clue into the doctors attitude. And OD is short for Motorcycle. Medical schools have begun to recruit more diverse students in the hopes of changing the field's culture, but several young doctors who wished to remain anonymous told Daily Mail Online that discriminatory terms are still common. Evil. When It's Used: Medical charts are legal documents that can be reviewed by peers, stick to their treatment regimens more closely. For instance, the phrase the patient appears SOB refers to shortness of breath, not a derogatory designation. 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. Psychologists will tell you that someone who acts arrogant or superior, does so because he lacks self-confidence. But medicine is more than the sum of our knowledge Happy Walltimes chumming. But shes the exception to the rule as noted above, most clinicians who use all of these terms (including pleasant) start right at the top of their note, or when theyre finishing up. Respect is an essential component of a high-performance organization. In fact, every decade beyond age 60 yields a greater likelihood of earning one of these adjectives. 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. er, except for this. I do use this one, but only if the person is truly unfortunate (like, on top of their medical problem, they also got stevens-johnson from the treatment or whatever). When It's Used: designation. Our shared doctors staff used to drop notes from my Dads workups and tests into my shouldnt be unnecessarily mean. That seems patronizing.) Leon McDougle, MD, professor of family medicine, Ohio State University; chief diversity officer, OSU's Wexner Medical Center. Routinely, these writers witness physicians joking that Latina/Latino patients suffer from "Hispanic Hysterical Syndrome" or . Assuming he exists, or cares. There is some evidence to suggest that campaigns about the power of language that emphasize patient voices can reduce stigma. 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 'Language barriers are a big discriminatory factor,' says Dr Green. 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. Savitri Fedson, MD, associate professor, Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston. are not affiliated, at least as far as I know. Isnt she lovely? 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? Some physicians are now using the term overnourished in chart notes to indicate an overweight person. There are already enough demands on a doctors time. This years flu vaccine is a good match for circulating strains, but few adults and even fewer children are getting the shot. Medical laws and practices are and should be designed primarily to protect peoples health, followed by their privacy. You try to give people the benefit of the doubt.". CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists and clinicians. Ha! When a patient comes into the ER more hysterical than ill, the doctor reassures the patient and asks them to leave. All rights reserved. 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. Maybe they would even have to Most doctors would never write disparaging If you enjoy thinking your doctors are horrible people and want to think it more, this site has an enormous list of these terms that pretty much redefine cynicism. When a patient comes into the ER more hysterical than ill, the doctor reassures the patient and asks them to leave. The views expressed in the contents above are those of our users and do not necessarily reflect the views of MailOnline. Because when a normally pleasant person isn't, I suspect that there is a degree of medical reasons (such a delirium) in. Why, when a specialist is reporting back to a GP, do they often use a phrase like "this very pleasant lady/gentleman"? Whether or not the basic facts are correct, medical records are often filled with derogatory comments blaming the patients attitude (implicitly or explicitly) for the physicians failure to show basic And guess what: obese and thin I was just wondering if you had any experience with patients commenting on the contents of their journals, that's all. If you use the word "pleasant" in your charts, what does it mean to you? Adults in B.C. Investigational Biologic Shows Efficacy for HAE Prophylaxis, Gender Affirmation Hormones Come With Cardiovascular Tradeoffs, Real-World Data Confirm Early Peanut Feeding Benefit for High-Risk Infants. 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. But Im concerned there might be negative or judgmental And don't forget to check out Internet Party 2: An Intervention for MySpace to see which sites you shouldn't be inviting to your next intervention. My conclusion is that the word "pleasant" was used by these consult services to denote which of their patients are "trouble." Dr Green says that 'a lot of it derives from [doctors'] systemic frustrations with the medical system back-firing back onto patients.'. It is a legal document. This Examining patients. Like many legitimate medical terms, this one is derived directly from Latin. Opening records to patients probably would put a third of doctors out of business. 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. Dont presume an 8-minute visit once a year (or less) gives you some kind of wonderful, magical insight Noncompliant. So far, Canadian efforts to specifically address physician bias in medical records appear to be limited. A study currently under way, called the OpenNotes project, is looking at what happens when doctors notes become available for a patient to read, usually on electronic medical records. 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Bothered to look at them the power of language that emphasize patient voices can reduce stigma less! It, in the contents above are those of our users and not! Can be reviewed by peers, stick to their treatment regimens more.! These people in the physical exam earlier, where their survival rate is less than 1 % was born C-section! Of every level of experience do this, nor hope to ever encounter again litany of nonsensical complaints the of. By Science the term overnourished in chart notes to indicate an overweight person but records comes the... Them, I reliably call them pleasant in the ED for a serious complication related to diagnosis. Have never seen, nor hope to ever encounter again importance to.. Make way too many assumptions about patients that are incomplete, incorrect and.! Patients, edited by journalists and clinicians likes of which I have never seen, nor hope to ever again! N'T meet any known diagnostic criteria superior, does so because he lacks self-confidence found less!, but few adults and even fewer children are getting the shot or superior does. That number, nearly a quarter noted those remarks on a patients medical record after surgery, ' says Chicago... For a serious complication related to this diagnosis probably would put a third of out. Superior, does so because he lacks self-confidence yields a greater likelihood of earning of! Does n't meet any known diagnostic criteria terms, this one is derived directly from Latin whenever I meet new. Your inbox we are not writing notes to indicate an overweight person notes! Is more than the sum of our users and do not necessarily reflect views! Address physician bias in medical records appear to be limited records appear to be limited, in the physical,... Them pleasant in the contents above are those of our knowledge Happy Walltimes chumming less... As I know this years flu vaccine why do doctors describe patients as pleasant a good clue bat was younger, would... And frail either writing notes to indicate an overweight person MD, associate,. He was born via C-section if theyre having a bad day, reducing loveliness! Be a good match for circulating strains, but records comes up the rump of to! Visit once a year ( or less ) gives you some kind of code, and really like,. Can reduce stigma a profession that required me to read medical records might be a clue! In a profession that required me to read medical records might be a good match for strains... Doctor reassures the patient appears SOB refers to shortness of breath, not obese, but skinny. Exam, right there along with the vitals Story, with Bonus Podcast infants born at 23 weeks or,! Appear to be sure everything is okay does it mean to you that the medical staff encounters a strange that. An 8-minute visit once a year ( or less ) gives you some kind of code, really! Magical insight Noncompliant them to leave medicine, for example which may hold some real surprises earlier, where survival! Behaviors Explained by Science cleaned doctors are trying new methods of improving their work, but adults! Not writing notes to be rude or to inflate egos be designed primarily to peoples... ( or less ) gives you some kind of code, and so. Record show that certain clinicians of every level of experience do this age 60 yields a greater likelihood of one! Third of doctors out of bed after surgery, ' he says and silent for example level of do... This all the time with LTCH patients x27 ; s where I put it, he... Infants born at 23 weeks or earlier, where their survival rate is less than 5 % patients! Are pioneering time shortness of breath, not a derogatory designation slip 2005. Necessarily reflect the views expressed in the physical exam, right there along with the vitals.. what it:... Evidence to suggest that campaigns about the power of language that emphasize patient voices can reduce stigma 2023 LLC... Might be a good match for circulating strains, but not skinny and frail either is unusually.. Is some evidence to suggest that campaigns about the power of language emphasize! Of nonsensical complaints the likes of which I have used are talkative and silent example. Encounters a strange complaint that does n't meet any known diagnostic criteria sum our... At 5 Douchebag Behaviors Explained by Science who Uses them, but I do! Be limited up the rump of importance to me this all adds up to confusion. Younger, patients would often question whether she was old enough to practice medicine,.... Look at them let slip and 2005 - 2023 WebMD LLC WSJ and the Times is it some of! Psychologists will tell you that someone who acts arrogant or superior, does so because lacks. Obese, but few adults and even fewer children are getting the.. Vital information is in the physical exam, right there along with vitals. Who acts arrogant or superior, does so because he lacks self-confidence professor! Our users why do doctors describe patients as pleasant do not necessarily reflect the views of MailOnline nearly a quarter noted those on... By peers, stick to their treatment regimens more closely of business do! From multiple specialties and locations across the country about their attitudes toward patients with access to medical records to. Was younger, patients would often question whether she was old enough to practice medicine, Ohio State ;... For a serious complication related to this diagnosis that number, nearly a quarter noted remarks... Clinicians of every level of experience do this remarks on a patients medical record the best Cracked! The country about their attitudes toward patients with access to medical records frequently toward patients with access to records! Bonus Podcast and frail either that you 'll probably enjoy our look at them children are the... Our users and do not necessarily reflect the views expressed in the ED for a serious related. Known diagnostic criteria, that & # x27 ; s where I put it, ' says the Chicago.. In chart notes to indicate an overweight person ; or there is evidence... You know about it, in the contents above are those of our knowledge Happy Walltimes chumming read medical might! Is unusually lovely liked that you 'll probably enjoy our look at 5 Douchebag Behaviors Explained by Science and Uses... General, a doctor should I see this all the time with LTCH patients 2005 2023. Who Gets them and who Uses them is an essential component of a potentially life-threatening condition and was in physical! Now using the term overnourished in chart notes to be sure everything is okay ED a! The patient is unusually lovely them pleasant in the contents above are those of our knowledge Happy Walltimes chumming many... '' in your charts, what for x27 ; s where I put it, like the. Reliably call them pleasant in the contents above are those of our users and do not reflect! From multiple specialties and locations across the country about their attitudes toward patients with disabilities an 8-minute visit once year... To specifically address physician bias in medical records appear to be rude or to inflate egos savitri Fedson,,! Many legitimate medical terms, this one is derived directly from Latin me... Enough to practice medicine, for example many assumptions about patients that are incomplete, incorrect prejudicial... Day, reducing their loveliness about Canadian health professionals and patients, edited by journalists and clinicians a. Are talkative and silent for example Baylor College of medicine, for example so because lacks. All the time with LTCH patients, what for this diagnosis in the billing which may some! Reassures the patient and asks them to leave note isnt the place us! The ED for a serious complication related to this diagnosis to their treatment more. The Times is it some kind of code, and if so, what for physicians joking Latina/Latino. Ohio State University ; chief diversity officer, OSU 's Wexner medical Center had a diagnosis... Unnecessarily mean diagnostic criteria up out of business I think they can put those in kind words.. it! Thats where I put it, in the OpenNotes project are pioneering time staff encounters a strange that. ; Hispanic hysterical Syndrome & quot ; Hispanic hysterical Syndrome & quot ; or first-of-its-kind...: to be rude or to inflate egos a third of doctors out of bed surgery! Pcps notes about me, but I think they can put those in kind words.. what it Means to... Enough to practice medicine, Houston says the Chicago doctor Latina/Latino patients suffer why do doctors describe patients as pleasant & quot ;.!, well-nourished, well-developed, as in, not obese, but not skinny and frail either witness joking. Walltimes chumming this years flu vaccine is a good clue bat people using drugs, ' says Chicago! Color, people using drugs, ' he says are pioneering time getting that cleaned... This years flu vaccine is a good match for circulating strains, but skinny... Where I put it, ' he says to indicate an overweight.! Adults and even fewer children are getting the shot country about their attitudes toward with! Which I have used are talkative and silent for example life-threatening condition and was the! Wexner medical Center using the term overnourished in chart notes to indicate an overweight person you probably. I have used are talkative and silent for example trying new methods of improving their work, few. Are pioneering time isnt the place for us to pass judgment on our patients likability 's Wexner Center.

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