even 20

it's been a while since i've done this sort of thing, but i guess i'm in the mood now. here's a taste of the 20 medical reports i transcribed yesterday. as per usual, they remind me of how lucky kara and i are, healthwise. kara's finger still hurts a little bit sometimes and my widsom teeth come out on march 21, but otherwise we're doing very well. but check out the poor bastards described in these reports.

1. interim summary for an 8-month-old boy with influenza b pneumonia, dehydration, and hypoxia, 4 days into his hospital stay.
2. operative report for a 49-year-old woman with migraine headaches. she underwent placement of a new nerve stimulator and replacement of the stimulator's generator's battery by a neurosurgeon.
3. preoperative history & physical examination for a 71-year-old male with a cerebral metastatic tumor. he was about to undergo a craniotomy for resection of the tumor.
4. social work note for a 41-year-old male alcoholic who was seeking detox. he has behavior issues and local detox centers won't accept him. he awaits an open bed somewhere.
5. emergency department note for a 33-year-old man with lyme disease and seizure disorder. he said he was active military and didn't want the physician to contact his primary care provider because he didn't want to be medically discharged from the military.
6. social work note for a 14-year-old boy who ran away from home secondary to truancy issues. he was found at his sister's boyfriend's mother's house after 4 days on the run. his sister's boyfriend's mother was allegedly giving him alcohol, pot, and ecstasy. the patient has a court date regarding his truancy later this week. cps was called.
7. discharge summary for a 67-year-old man with syncope. he was given intravenous fluids and medications. he was discharged after a 3-day stay.
8. inpatient cardiology consultation for an 18-year-old girl with abdominal discomfort and an abnormal ecg. she had gastroparesis and a possible mitral valve prolapse.
9. emergency department note for an 18-year-old boy with perirectal pain. he had cellulitis but no abscess on a ct scan. he got antibiotics.
10. admission history & physical examination for a 63-year-old man with shoulder pain, lethargy, and a uti. he will be given antibiotics and observed.
11. discharge summary for a 26-year-old woman with diabetic ketoacidosis, diabetes mellitus, and a possible ectopic pregnancy. her diabetes was managed and she will follow up with a gynecologist.
12. discharge summary for a 28-year-old man with obstructive sleep apnea. he underwent a tonsillectomy and an adenoidectomy. postoperatively, due to iatrogenic water intoxication, he suffered a hyponatremic seizure. he was sent to to the icu and given sodium. his levels normalized after a 3-day stay.
13. inpatient gastroenterology consultation for a 32-year-old woman with right lower quadrant abdominal pain. a ct scan showed fluid in her abdomen and inflammatory changes of her cecum and ascending colon. possible diagnoses included diverticulitis, infectious colitis, appendicitis, and crohn colitis. she will be continued on antibiotics.
14. discharge summary for an 8-month-old boy with fevers, upper respiratory symptoms, diarrhea, and emesis. he was given antibiotics and discharged after 6 days.
15. operative note for a 5-year-old boy with an arachnoid cyst on his thoracic vertebrae, from t3 to t6, causing compression of his spinal cord. the spinal cord was decompressed and the cyst was removed.
16. history & physical examination for a 5-month-old boy with chronic lung disease. he was transferred from the nicu to the picu in respiratory failure and impending cardiovascular failure. he was on mechanical ventilation and antibiotics. a tracheostomy was being considered and an echocardiogram is planned for the coming week.
17. emergency department note for a 4-month-old boy with vomiting. he was given antibiotics and discharged.
18. operative note for a 60-year-old female with right ovarian papillary serous cystadenocarcinoma. she underwent an exploratory laparotomy, total abdominal hysterectomy, bilateral salpingooophorectomy, and excision of the ovarian mass.
19. long-term video inpatient eeg monitoring of a 65-year-old woman who has a history of seizures. no seizures occurred during the 4-day monitoring session and the study was nondiagnostic.
20. operative note for a 14-year-old boy with appendicitis. he underwent an appendectomy without complications.

so? jolly good fun, huh? interesting, yes, or not so much? regardless, these are the things i get to think about all day, though from a professional distance of course. still, sometimes a report gets to me. i thought a bit about that boy running away from home, and also about the cancer patients, because cancer scares me.

today happens to be presidents' day so kara and i aren't working. no new medical reports today. she's going to be doing some school stuff and i think i'll do a bit of cleaning. i might go to the store if it turns out we need anything. otherwise i'm relaxing. oh, i might put some more spackle on the area of the wall in the front room that the dogs have been chewing. goddamn those dogs.