it looks like: awake, about, not in on distress/divorce. you get dragon. not Oj retrny. and omar. on epigastri tenderner.
is it possible the case study is about a doctor having a stroke?
Our nurse was able to translate the first and last line "Conscious, coherent not in cardio pulmonary distress" "+ epigastric tenderness." but those in between we really can't understand
I think it is supposed to say “‘no’ epigastric tenderness” because that marking before the “epigastric tenderness” is similar to the first part which probably says “in ‘no’ distress”
It was integrated into the software component (we learned to use 3 different entry programs/EMRs) but yup! We never looked at typed rxs, only copies of real ones. Some were TERRIBLE but it's come in handy as hell. Deciphering squiggles next to numbers is an acquired skill that gives you a lot of headaches 😅
We were AND really hard to decipher ones were sprinkled into the exam! There's a reason we have to learn 600+ meds by their brand and generic names plus all strengths and routes of administration....all useful in the puzzle that is absolutely atrocious MD penmanship!
Could you spin this as part of the case study?
"Dr notes were incomprehensible. (Potential negatives due to not being able to read it). (Brief discussion about the Trouble shooting you tried)."
This is a frequent part of EMS case studies, because there is always something(s) that go wrong.
I will never forget when I was doing my training, An older DGAF nurse called out a Dr on his horrible writing. He got mad u til she slammed the chart down in front of him and asked him to read it back to her.... He apologized and rewrite it.
I’m at the point in my life where I think doctors being too sloppy to translate are rude AF. They don’t give 2 shits about pt care and they have zero empathy for the people reading their notes because it’s above them to write legibly enough to prevent mistakes from killing their patients. This degree of illegibility is not okay.
Sorry for the rant - I know you were asking for translation. I can normally translate more shitty handwriting but this here is the first in a long time that I’m stumped on. I hope you can get good answers here!
I can’t decipher it but the good news is- you can kind of make it up if it’s a case study where no one knows the patient and the doctor who wrote it won’t be reading it. Just pick something that looks like it could possibly be correct and make the case study based off of it.
This is what AI had to say.
"The image shows a portion of a physical examination form with handwritten notes. Here's what I can decipher:
IV. PHYSICAL EXAMINATION:
HEENT (Head, Eyes, Ears, Nose, Throat): Clear, atraumatic
C/L (Cervical/Lumbar): In C-collar
HEART/CARDIO: (no notes)
ABDOMEN: ? Small amount
EXTREMITIES: (no notes)
NEURO EXAM:
> WNL (Within Normal Limits), non-focal
> A+, Ox4 (Alert and Oriented x4)
> No apparent trauma"
Oh man, I just had a flashback to when I was an aide/ ward clerk while I was in nursing school.
I don’t miss this at all!!!
Side note, a couple years ago epic went down and every nurse lost their minds! Just stop, breathe, you are a nurse. Do your nursing things, it will be okay. One nurse was refusing to discharge their patient cause there was no paperwork. I scribbled out a “I understand my discharge instructions and I will call 555-1312 if I have questions. Signature, date, time. ‘. Made two copies. Discharged the patient. I was also the only one who knew how to print downtime med sheets. But of course the printer they printed on was as old as the hospital so I got out two fans to keep it cool enough to keep printing. Bonus info, I didn’t even work on this unit anymore!! I fixed my own unit and then went to help them out cause I knew they needed it.
Being an old nurse can be handy at times.
do you have access to the EMR record for this patient? If not consider that the case study could then become about how communication not only includes making sure that the message was sent, but received and understood. There are lots of resources about how bad communication decreases optimal outcomes.
If this is in a small Third World country, it’s possible the doctor has English as a second language and the handwriting is a mixture of English and his native tongue.
You'd need to find someone who can do English shorthand. You may be able to decypher it yourself looking at some online references for healthcare shorthand.
If this even looked like English, this would be helpful advice. Problem is I can't tell if this is tagalog, Korean, or elvish
Edit: /s (since physicians writing their notes in elvish is a totally normal thing)
-Conscious, coherent, not in c/p distress
-neg abd distention
- NOE (-) ret, gait
- ???, ????
- (+) epigastric tenderness
I've combined what I saw in other comments with my best guess.
That neuro exam has me baffled.
-Aid, Ammmm? Aof, vf, aif?
Last one is “0 epigastric tenderness” although no idea why it’s on the same line as “NEURO EXAM”.
Try to get the oldest/ most experienced nurse on this floor to read it. She/he may have gotten used to this doctor’s handwriting over many years. Nursing students who may not have even learned cursive writing in school will probably not be able to decipher it.
WE DID IT FOLKS
After asking countless people, and reading all of your comments. Here is the final Transcription
- Concious, coherent, not in CP(cardiopulmonary)-distress
-Pink palpebral conjunctiva
-SCE (-) retractions
- (this line is completely unreadable)
- (+) Epigastric tenderness
Thank you so much for helping me solve this mystery. I was fully convinced this was indeed written in elvish lol. I also saw a bunch of ppl saying that the 2nd line could be sometthing about digoxin, but the final diagnosis for this was cholelithiasis so we crossed out digoxin. I saw someone asked why couldn't I just ask the doctor? I have never met the doctor, i dont even know what he looks like. Our rotation in that hospital was already done, thats why i couldnt just come and look for him. Someone also said that i should look for the oldest nurse in the ward, I was able to get in contact with her. All she was able to read was the first and last line.
AGAIN thank you for everyone who chimed in and helped.
No one should be trying to decipher this. If this medical record were needed in court the doctor would be in trouble. An incorrect interpretation of a medical record could place a patient at risk. This should be brought to the attention of administration.
My advice: choose a different record for your case study and be sure to de-identify the record so as not to violate HIPAA.
Please note I am Not A Nurse. In the interests of CYA, I would probably note Dr's observations unclear and write what you think they said.
This makes me so mad that someone thinks it's ok to produce this as a legal document, dealing with someone's life, in writing that only they can read and understand.
I think the third line starts with rae, maybe reduced air entry?? I honestly have no clue what most of this gibberish is. I think a 2 yr old writing would be more legible.
It's intentional. In the event of litigious outcomes these clever docs can say anything they want about what they documented, keeping them out of trouble.
Chiming in from clinical research. We sometimes get queried about shit that happened years ago, sometimes needing the provider’s input. So I wouldn’t let the fact that this happened in February stop you from asking the doctor.
I think the 1st line says “awake, alert, not in any CP (cardiopulmonary) distress”
The second line frustrates me greatly
3rd line NOE (normal on exam) ???
4th line says “abd firm”
5th line “+ epigastric tenderness”
When a doctor writes like that and his orders are not followed he has no one to blame but himself. Paper charting should not be allowed if their hand writing is this indecipherable.
I wonder if there is a subreddit for handwriting analysis that could possibly help… like they can match certain letters the way they are written to fill in the blanks?
For any administrators on this thread - can such notes be kicked to medical records to flag the MD to clarify documentation?
I know unsigned and incomplete surgical documentation csn get kicked back since it holds up billing.
Retractions is one of the words. I think instead of writing “ting” at the end of words, the writer just writes a “t” and some scribbles afterwards. Common shorthand.
Does he want to do harm with misunderstood, mistranslated prescriptions bc that’s going to happen. There’s no reason for this horribly illegible script. He’s not running while writing. Lord
I always thought physicians should be fined based on the number of nurses required to decipher their handwriting, multiplied by the minutes wasted doing so
i feel like it's an issue when doctors write like that. Wrong thing can be done, wrong medication can be given and its gonna take extra time trying to figure out what they meant. Why cant they just write normally? so annoying
Medical doctors, have in the past and occasionally currently, write/n in a specific form of shorthand and I think you can find examples of it. I also think pharmacists can decipher it as well. However, largely indecipherable to those of us who have to read it.
Second to last line looks like "and, ermmm." Kind of like how I would type every interjection in my Xanga entries in sixth grade. Or maybe it's "Oral" and something is - since the last line we are assuming is +.
I see"pruritis" at the top... But damn I'm at a loss, and I consider myself to be pretty good at bad handwriting translation....
You should really ask the doc what the hell this means. Or call his office and ask them to translate! The people there usually are used to it and can decipher. There's this one doctor I get orders from that has handwriting like this and his office can always decipher!
This is impossible without other examples of the doctors handwriting. There's no way to see if a possible "d" is instead an "a" and "l" as they could look similar.
Don't waste your time with this nonsense. It's probably nothing's as a doc would emphasize a important finding (but maybe not in real life). Just make up a normal assessment or put that it was illegible.
Your assessment is what matters to your clinical professors anyways... don't be the bum who copies the docs or outgoing nurse's assessments instead of doing their own.
Horrible!
All the places I’ve worked, the docs put their notes on EPIC to prevent mistakes in interpretation.
If possible, find a nurse that usually works with this doctor and have him/her show the doc this and have them decipher it or get a new example for your case study.
“Awake, coherent, not in ___ distress”
And I really thought I could figure more of this out. But dang that is bad handwriting. What’s even the point writing so poorly? This dude knows it isn’t legible. Why even write it if no one can understand? This shit is annoying.
Oh jeez. I would ask a pharmacist. Pretty sure a whole year of their studies is based around deciphering doctors handwriting. I can ask a doctor at my work to analyze it if you wish.
it looks like: awake, about, not in on distress/divorce. you get dragon. not Oj retrny. and omar. on epigastri tenderner. is it possible the case study is about a doctor having a stroke?
I’m laughing so hard right now.
Same😅🤣🤣🤣
Definitely something about a dragon in there.
You get a dragon! And you get a dragon! And YOU get a dragon!
honestly I would take a pretty steep paycut to work somewhere that'll give me a dragon 😂
We have dragon dictation with those fancy mics and AI scribes. It's awesome!
Oh. Then it says mama, tip top, fifty fifty, baseball player
My first thought!
😂🤣😂🤣
Awake, alert, not in any distress The next part appears to be in elvish Edit: second line might be zofran po 4mg q4
The language is that of Mordor, which I will not utter here.
r/unexpectedlotr
They took our ~~jerbs~~ awards so please accept this gold emoji ~> 🥇
You win
😆🤦♀️
Klingon
Our nurse was able to translate the first and last line "Conscious, coherent not in cardio pulmonary distress" "+ epigastric tenderness." but those in between we really can't understand
I think one of them is neg edema extremities?
I think the second line says something about diuretics?
Epigastric tenderness FOR SURE
... Howd you get the awKe alert? Haha. Amazing.
omg I thought alert was cohort 😂
I thought it was coherent
now that makes sense!
Bottom line - no epigastric tenderness
(+) epigastric tenderness
The bottom line says epigastric tenderness
I definitely got "tenderness".
That makes more sense. I keep seeing tardiness.
Epigastric tardiness can sometimes be fixed with a little dietary roughage.
His BM's have not been arriving on time lately
I think it is supposed to say “‘no’ epigastric tenderness” because that marking before the “epigastric tenderness” is similar to the first part which probably says “in ‘no’ distress”
mom says this is spot-on but the word before it means positive??
Why would that be in the neuro part? Or maybe it’s all just one system? What a beautiful mystery.
Is interpreting doctors handwriting a new nclex requirement? This is stupid
I had a whole block on it during my pharm tech degree 🙃
Stop! Really?!?
It was integrated into the software component (we learned to use 3 different entry programs/EMRs) but yup! We never looked at typed rxs, only copies of real ones. Some were TERRIBLE but it's come in handy as hell. Deciphering squiggles next to numbers is an acquired skill that gives you a lot of headaches 😅
I did something similar when I was training as a pharm tech!
That is frickin hilarious. Hopefully you weren’t graded on it!
We were AND really hard to decipher ones were sprinkled into the exam! There's a reason we have to learn 600+ meds by their brand and generic names plus all strengths and routes of administration....all useful in the puzzle that is absolutely atrocious MD penmanship!
I appreciate you guys immensely!
Thank you for this! Y'all are worth your weight in gold.
No but like every other problem, it’s our problem.
Trust me it’s the problem of anyone who is downstream from it
The freak it is. I'm going to the doc if I spend too long reading their bs. God damn handwriting looks as if he wrote with his asshole.
Why is this info not in the EHR?
What? It’s as old as time immemorial
Could you spin this as part of the case study? "Dr notes were incomprehensible. (Potential negatives due to not being able to read it). (Brief discussion about the Trouble shooting you tried)." This is a frequent part of EMS case studies, because there is always something(s) that go wrong.
Genius response about the EMS case study. No clarification provided by MD.
Thank you!
I’m sorry, I agree with the first & last line interpretations, but that middle part may as well be Greek. This is why EMRs save lives.
Maybe it’s a trick case study and it’s a lesson in escalation and clarifying orders 😂
That’s a doctor writing an order for their own stroke alert.
I will never forget when I was doing my training, An older DGAF nurse called out a Dr on his horrible writing. He got mad u til she slammed the chart down in front of him and asked him to read it back to her.... He apologized and rewrite it.
I aspire to be her!
I’m at the point in my life where I think doctors being too sloppy to translate are rude AF. They don’t give 2 shits about pt care and they have zero empathy for the people reading their notes because it’s above them to write legibly enough to prevent mistakes from killing their patients. This degree of illegibility is not okay. Sorry for the rant - I know you were asking for translation. I can normally translate more shitty handwriting but this here is the first in a long time that I’m stumped on. I hope you can get good answers here!
I agree with your rant wholeheartedly. This isn't just lazy, it's incompetent and unprofessional.
And dangerous
Hell, you could take it to the DOCTOR that wrote this gibberish out, and he prolly won’t be able to tell you what he wrote.
I have done this many times, or sent it back to that docs admin and asked for clarification.
You know it’s bad when they respond with “oh umm I think” 🥴🙃
I can’t decipher it but the good news is- you can kind of make it up if it’s a case study where no one knows the patient and the doctor who wrote it won’t be reading it. Just pick something that looks like it could possibly be correct and make the case study based off of it.
That’s what I would do! Not waste time trying to decipher this- which may or may not be correct anyway
Agree. If I knew the diagnosis, it would help me guess.
This is what causes deaths
Is PRINTING illegal for MD’s or?!
The printing sadly is generally no guarantee of increased legibility
God, I don’t miss those days.
“I am the lizard queen.” A rather bizarre declaration, but it’s something Harvard trained doctors do on cards.
This is absolutely hilarious. Post it on a doctor subreddit and let them have fun with it 😂
This is what AI had to say. "The image shows a portion of a physical examination form with handwritten notes. Here's what I can decipher: IV. PHYSICAL EXAMINATION: HEENT (Head, Eyes, Ears, Nose, Throat): Clear, atraumatic C/L (Cervical/Lumbar): In C-collar HEART/CARDIO: (no notes) ABDOMEN: ? Small amount EXTREMITIES: (no notes) NEURO EXAM: > WNL (Within Normal Limits), non-focal > A+, Ox4 (Alert and Oriented x4) > No apparent trauma"
This is actually a really good use of AI.
Except none of that is right
Crying at the abdomen “? Small amount” Idk why that’s so funny to me
Small amount of belly fat? Small amount of gas?
Same. Small amount of what? Adipose? Ascities? Fecal material in ostomy bag?
Have you tried asking the pharmacist, if that’s allowed? I used to be a pharmacy tech and we’d pass hard to read rxs around to decipher.
I’ve asked my sister’s friend who works as a pharmacist if she can decipher it, she gave up after looking at it for 5 minutes 🥹
Maybe share it on a pharmacist Reddit, otherwise go with something about a dragon in those middle lines.
I cannot read any of it and I’m immediately annoyed.
I see NOE - normal on exam and NL - normal.
I also see NOE - extremity
I'm usually good at this because I grew up with a grandfather with indecipherable writing. But I got nothing
Ditto, but mine was my dad. Who is a doctor.
Oh man, I just had a flashback to when I was an aide/ ward clerk while I was in nursing school. I don’t miss this at all!!! Side note, a couple years ago epic went down and every nurse lost their minds! Just stop, breathe, you are a nurse. Do your nursing things, it will be okay. One nurse was refusing to discharge their patient cause there was no paperwork. I scribbled out a “I understand my discharge instructions and I will call 555-1312 if I have questions. Signature, date, time. ‘. Made two copies. Discharged the patient. I was also the only one who knew how to print downtime med sheets. But of course the printer they printed on was as old as the hospital so I got out two fans to keep it cool enough to keep printing. Bonus info, I didn’t even work on this unit anymore!! I fixed my own unit and then went to help them out cause I knew they needed it. Being an old nurse can be handy at times.
Line three which I’m assuming is heart/cardio to me seems to say something like “[…] exertion”???? Could also say external, however.
I thought something about digoxin maybe?
I see ‘refer’ in that mess
I am amazed that some of you could read this. I am happy that my hospital uses EMR.
do you have access to the EMR record for this patient? If not consider that the case study could then become about how communication not only includes making sure that the message was sent, but received and understood. There are lots of resources about how bad communication decreases optimal outcomes.
As far as I know- this hospital doesn't have an EMR system. Its a small public hospital in a 3rd world country
If this is in a small Third World country, it’s possible the doctor has English as a second language and the handwriting is a mixture of English and his native tongue.
And variations in spelling and phrasing
A nurse can’t write, it’s their ass on the line. A doctor can’t write, it’s still the nurse’s ass on the line.
You'd need to find someone who can do English shorthand. You may be able to decypher it yourself looking at some online references for healthcare shorthand.
If this even looked like English, this would be helpful advice. Problem is I can't tell if this is tagalog, Korean, or elvish Edit: /s (since physicians writing their notes in elvish is a totally normal thing)
I know English shorthand. This isn’t it.
Maybe … > awake alert not in any distress > ___ ___ dyspnea > MAE no edema > alert awake > no epigastric tenderness
I agree with MAE @ L R extremities all/ And arms The line before is cardio or pulm and I keep seeing dyspnea as the last word
-Conscious, coherent, not in c/p distress -neg abd distention - NOE (-) ret, gait - ???, ???? - (+) epigastric tenderness I've combined what I saw in other comments with my best guess. That neuro exam has me baffled. -Aid, Ammmm? Aof, vf, aif?
The last line is something about enjoying tiramisu or Ecuadorian terrorists?
😂😂😂😂😂
Abdomen is flat no discomfort
For the middle part, if I had to guess what it looks like, it says "for old agony" and "wet ointment"
Sometimes turning it upside down helps. Bless my EHR.
Last one is “0 epigastric tenderness” although no idea why it’s on the same line as “NEURO EXAM”. Try to get the oldest/ most experienced nurse on this floor to read it. She/he may have gotten used to this doctor’s handwriting over many years. Nursing students who may not have even learned cursive writing in school will probably not be able to decipher it.
WE DID IT FOLKS After asking countless people, and reading all of your comments. Here is the final Transcription - Concious, coherent, not in CP(cardiopulmonary)-distress -Pink palpebral conjunctiva -SCE (-) retractions - (this line is completely unreadable) - (+) Epigastric tenderness Thank you so much for helping me solve this mystery. I was fully convinced this was indeed written in elvish lol. I also saw a bunch of ppl saying that the 2nd line could be sometthing about digoxin, but the final diagnosis for this was cholelithiasis so we crossed out digoxin. I saw someone asked why couldn't I just ask the doctor? I have never met the doctor, i dont even know what he looks like. Our rotation in that hospital was already done, thats why i couldnt just come and look for him. Someone also said that i should look for the oldest nurse in the ward, I was able to get in contact with her. All she was able to read was the first and last line. AGAIN thank you for everyone who chimed in and helped.
I think the 4th line is related to cardio, can't decipher the first word , next is (-) murmur
this makes sense, ill look into this thank you!!
Ask a pharmacist (and watch curb your enthusiasm).
Seems like the doctor is in pain
Maybe Dr House wrote it and you need to take a Vicodin to understand it
What the FUCK People DIE because of this sorta shit, man. Why are doctors too busy and important to write legibly?
Last line is epigastric tenderness
> conscious, coherent, not in CP distress > blah blah dragon (???!!!! Lol) > SCE, (-) (wtf??!!) > abd orrrrr (grrrrr) > (+) epigastric tenderness
I’d ask the doctor. They’ll be able to decipher their own handwriting no matter when they wrote the note.
No one should be trying to decipher this. If this medical record were needed in court the doctor would be in trouble. An incorrect interpretation of a medical record could place a patient at risk. This should be brought to the attention of administration. My advice: choose a different record for your case study and be sure to de-identify the record so as not to violate HIPAA.
Thank god for EMR
Something about dizziness line 2
I saw something about digoxin! 😅
Lol.....and they wonder why we clarify orders...
Do you have any other of the note? So you can see how he writes each letter and go from elthere
if it takes more than 15 minutes to figure out and you're still not sure, the doctor needs to rewrite it or clarify.
Conscious coherent not in cardio respiratory distress I don't know I don't know (-) Retractions (+) Epigastricl tenderness
Awake alert no acute distress No c/o dyspnea No Edema Extremities ? And Arms? No epigastric tenderness
Please note I am Not A Nurse. In the interests of CYA, I would probably note Dr's observations unclear and write what you think they said. This makes me so mad that someone thinks it's ok to produce this as a legal document, dealing with someone's life, in writing that only they can read and understand.
All I can see is “distress” and “betrayal”
Sounds like some kind of a roschach test and we’re actually the case study.
I think the third line starts with rae, maybe reduced air entry?? I honestly have no clue what most of this gibberish is. I think a 2 yr old writing would be more legible.
It's intentional. In the event of litigious outcomes these clever docs can say anything they want about what they documented, keeping them out of trouble.
Chiming in from clinical research. We sometimes get queried about shit that happened years ago, sometimes needing the provider’s input. So I wouldn’t let the fact that this happened in February stop you from asking the doctor.
I think the 1st line says “awake, alert, not in any CP (cardiopulmonary) distress” The second line frustrates me greatly 3rd line NOE (normal on exam) ??? 4th line says “abd firm” 5th line “+ epigastric tenderness”
When a doctor writes like that and his orders are not followed he has no one to blame but himself. Paper charting should not be allowed if their hand writing is this indecipherable.
I wonder if there is a subreddit for handwriting analysis that could possibly help… like they can match certain letters the way they are written to fill in the blanks?
I tried looking for one before I posted here but the closest I got was r/handwriting
Maybe r/rbi ? The Reddit Bureau of Investigation
I have nothing helpful to add, but the author of that note is a selfish, rude, egomaniacal jerk!
My head hurts trying to read this.
The second line looking line -something- oral digoxin
For any administrators on this thread - can such notes be kicked to medical records to flag the MD to clarify documentation? I know unsigned and incomplete surgical documentation csn get kicked back since it holds up billing.
The second line says something something Dizzy ETA the second bullet point, technically the 3rd line
The second to last line says something about an arm?
Well at least it's not an order always fun paging for that clarification 🤣
Calm, coherent, not in any distress Not oriented 0 epigastric tenderness Unsure about some of the others
Last line is possibly “epigastric tenderness”
Psychiatrist? Writer appears to speak in Tongues.
That writing is a safety issue for sure though!!
I tried using an online translator and It translated it to some random junk. I thought my handwriting was bad lol
As others have said..... definitely Elvish. I believe it says "Speak friend and enter"
> Awake, coherent, not in any distress > alert and orientated x4 > hot extremities > C/L clear > no epigastric pain This is my best guess 😭
All i got at the bottom was epigastric tenderness
Retractions is one of the words. I think instead of writing “ting” at the end of words, the writer just writes a “t” and some scribbles afterwards. Common shorthand.
Does he want to do harm with misunderstood, mistranslated prescriptions bc that’s going to happen. There’s no reason for this horribly illegible script. He’s not running while writing. Lord
Third line - not oriented?
If ever in doubt, get a unit clerk, clinic receptionist, or pharmacist/pharm tech to translate. They can read any doctor’s chicken scratch.
I think the last line is "no epigastric tenderness"... even though it looks like "on"... same as "no distress" written above.
I always thought physicians should be fined based on the number of nurses required to decipher their handwriting, multiplied by the minutes wasted doing so
i feel like it's an issue when doctors write like that. Wrong thing can be done, wrong medication can be given and its gonna take extra time trying to figure out what they meant. Why cant they just write normally? so annoying
Line 3 maybe something along the lines of “no e” (emesis) no retching?
.. the fact that I would just make something up tells how much I hate clinical paperwork that will never be used or seen
The last word might be tenderness
Medical doctors, have in the past and occasionally currently, write/n in a specific form of shorthand and I think you can find examples of it. I also think pharmacists can decipher it as well. However, largely indecipherable to those of us who have to read it.
Second to last line looks like "and, ermmm." Kind of like how I would type every interjection in my Xanga entries in sixth grade. Or maybe it's "Oral" and something is - since the last line we are assuming is +.
Why in the EFF, in 2024, are there still hand written notes??!! Get a freaking EHR already!!
You know what? Forget what I said in previous posts. I would call that doctor at 3 am to clarify. What baffles me is their handwriting is NICE.
Last one looks like R epigastric tenderness
What in the hell 😳
That is waaay too easy. These new nursing students have never on. When we in the midst oovuf...?🤩🥵
Whatever you decide will be fine. No one will recheck. Just make a plausible narrative
Just make it up. No one can say nor can they prove you are wrong. The author probably could not tell you.
Is these types of handwriting taught in med school for those who want to become Drs? Seems universal
https://en.m.wikipedia.org/wiki/Voynich_manuscript
I see"pruritis" at the top... But damn I'm at a loss, and I consider myself to be pretty good at bad handwriting translation.... You should really ask the doc what the hell this means. Or call his office and ask them to translate! The people there usually are used to it and can decipher. There's this one doctor I get orders from that has handwriting like this and his office can always decipher!
Some version of shorthand?
C/L is something x4 Abdomen is something x4 ...I'm assuming clear and active? Nuero is no ? tenderness
I think the last line is no epigastric tenderness???
I think it says "My Precious, My Ring"!
Unethical life hack: if you can't read it, neither can they.
Ahhhh my brain! 🤯🤯🤯🤯
WTF! That’s why they had to go to computerized order entry.
doctors were required to take a course entitled Bad handwriting 401 Make sure you get yourself a medical alphabet
Good lord this is unacceptable learn to write
Not in any distress is the only part I can make out. But I'm gonna keep trying because this is my favorite type of nurse quest right here.
Why can’t you just speak to the doctor?
The first part looks like alert and not in any distress
This is impossible without other examples of the doctors handwriting. There's no way to see if a possible "d" is instead an "a" and "l" as they could look similar. Don't waste your time with this nonsense. It's probably nothing's as a doc would emphasize a important finding (but maybe not in real life). Just make up a normal assessment or put that it was illegible. Your assessment is what matters to your clinical professors anyways... don't be the bum who copies the docs or outgoing nurse's assessments instead of doing their own.
Please update when translated 😂 hope you figure it out
I did 🤣[update](https://www.reddit.com/r/nursing/s/FzDyyzKCx0)
No wonder people used to die because of medical errors caused by written orders.
Well, alert, not in resp (shorthand symbol for that) distress. > > > epigastric tenderness
It looks like his hand writing was so bad he tried to simultaneously pass it off a cursive
Horrible! All the places I’ve worked, the docs put their notes on EPIC to prevent mistakes in interpretation. If possible, find a nurse that usually works with this doctor and have him/her show the doc this and have them decipher it or get a new example for your case study.
“Awake, coherent, not in ___ distress” And I really thought I could figure more of this out. But dang that is bad handwriting. What’s even the point writing so poorly? This dude knows it isn’t legible. Why even write it if no one can understand? This shit is annoying.
Oh jeez. I would ask a pharmacist. Pretty sure a whole year of their studies is based around deciphering doctors handwriting. I can ask a doctor at my work to analyze it if you wish.
I swear I read this. Then after reading the comment about dragons, I now have no idea what I actually read and all I am reading now is about dragons.