The first one is what I typed. The second sample is what was dictated to me. If these doctors could just get their thoughts in order (I know they are tired, but still.) they could save the whole industry a ton of money.
FINAL DIAGNOSES:1. Coronary artery disease status post coronary artery bypass graft.2. History of gout.3. Status post Clostridium difficile toxin treated with Dificid.4. Depression.5. Hypothyroidism.6. Status post urinary tract infection.7. Diabetes mellitus type 2.8. Gait unsteadiness/debility.9. Status post PEG removal.For any other information, please see the chart. Greater than 35 minutes spent in the process of discharge.FINAL DIAGNOSES:1. Coronary artery disease status post CABG.2. History of gout.3. Status post Clostridium difficile toxin treated with Dificid.4. Gout.5. Depression.6. Hypothyroidism.7. Depression.8. Status post urinary tract infection.9. Diabetes mellitus type 2.10. Gait unsteadiness/debility.11. Status post PEG removal.12. Depression.
13. Hypothyroidism.
14. Status post urinary tract infection.
15 Diabetes mellitus type 2.
16. Status post PEG.
17. Gout.
18. Gait instability.
For any other information, please see the chart. Greater than 35 minutes spent in the process of discharge. For any other information, please see the chart. Send copies to all the aforementioned consultants. For any other information please see the chart.
That patient's gout was really, really depressing.
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