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Have you met this patient?


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I seem to keep meeting these patients and wondering if anyone else is familiar with this guy...

 

PA: Hello, my name is XYZ, I'm a PA and will be taking care of you today.  Do you have any health problems such as DM, HTN, etc?

 

Pt: No, I'm as healthy as a horse!  In fact I NEVER go to the doctor and have only been hospitalized a couple times!

 

Labs come back - early CKD, severe DM, SBP 180s, LVH in EKG, chronic anemia, etc etc.

 

Anyone else met this guy, or any others they care to share?

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actual conversation:

PA " so sir, do you have any medical problems I need to know about?"

PT " I don't have any medical problems".

PA "great, do you take any medications"

PT"sure, digoxin, coumadin, atenolol, relpax, dilantin, lasix, NPH insulin, AZT, and zyprexa".

PA" I thought you said you don't have any medical problems"

PT "when I take my medicine, I don't have any problems"

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actual conversation:

PA " so sir, do you have any medical problems I need to know about?"

PT " I don't have any medical problems".

PA "great, do you take any medications"

PT"sure, digoxin, coumadin, atenolol, relpax, dilantin, lasix, NPH insulin, AZT, and zyprexa".

PA" I thought you said you don't have any medical problems"

PT "when I take my medicine, I don't have any problems"

 

I met this guy just last night.

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actual conversation:

PA " so sir, do you have any medical problems I need to know about?"

PT " I don't have any medical problems".

PA "great, do you take any medications"

PT"sure, digoxin, coumadin, atenolol, relpax, dilantin, lasix, NPH insulin, AZT, and zyprexa".

PA" I thought you said you don't have any medical problems"

PT "when I take my medicine, I don't have any problems"

I think I met his cousin, he no longer has COPD, except for that long term bronchodilator that he takes

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Meet the first guy fairly frequently; he's typically an old school New England swamp Yankee. Tough as nails, shows up in duck boots and flannels in full-blown sepsis because he's been ignoring his pneumonia for weeks...

at my rural job these guys are all fishermen. "no medical hx" and they present age 70, septic with afib/rvr.

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