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Friday, April 07, 2006
 
What They Don't Teach in Medical School
The following is a note from an occupational therapist transcribed directly from a patient's chart I saw today:

Occupational Therapy (O.T.):

Patient's daughter vehemently refusing occupational therapy.
Daughter also concerned about texture of liquids on patient's tray.
Daughter stating she did not request O.T. and is more than willing to do
everything for her mother/the patient. O.T. off the case at this point in
order to protect patient's daughter from any further agitation. However,
O.T. remains available at any point in time should there be a need.
J.Doe, O.T.R.


There are many things wrong with this note. Let's see how many we can find...
Comments:
Is the patient in a coma? How come the patient has no say?
 
No she is not in a coma. She is old and debilitated from multiple medical problems, but otherwise fairly with it. The fact that she has no say is one of the many things wrong with the note. The daughter does not have the right to "vehemently refuse occupational therapy."
 
Of course I was saying that sarcastically, (the coma)...that's so sad. Sounds like the woman has just let the daughter take over and has given up. Also sounds like the O.T. gave up too easily.
 
Hmmm... Sounds like the daughter needs an unfortunate "accident".
 
Oh, Doctor Bean...and I was trying to be nice.
 
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