Thursday, May 28, 2009

My own HPI

So today the only thing I did worth mentioning was start my SOAP note. I’m not sure why someone didn’t think this through and go “Hey, I don’t think they’ve ever written a SOAP note in their life!” It would have been infinitely more entertaining for me to write a patient assessment on myself, and it probably would have made more sense given that that’s what we’re used to at this point. Here’s some ideas as to how a HPI would have played out.

NJH is an obese 20 y/o white male who presents to the pharmacy seeking a place to rest his head for four weeks. Patient’s symptoms include sharp, deep pains radiating from right rear pocket with onset of two weeks ago. This is thought to be secondary to “Wallet Atrophy.” Patient exhibits significant impairment of motor skills as needed for compounding, thought to be secondary to having pisspoor compounding instruction. Patient complains of “having to waste his fucking time here doing what he’d be paid for elsewhere” and frequently is absent for long periods of time to “write some dumbass blog.” NJH has several odd motor habits that include juggling vials, pretending to be a medicine bartender, calling the dispensing robot “Skynet”, disposing of empty stock bottles via a jumpshot, counting lortab with his hands and then licking his fingers, referring to Vicodin as “Packer Pills”, and threatening to “drag his sack across the face” of multiple local doctors based on their prescribing habits.

Okay, so maybe I didn’t do all of that, but most of it fits the bill. If you didn't get the "Packer Pills" joke, its because Vicodin is what Brett Favre was hooked on. On to current events:

The media sucks.

The nominated Judge Sotomayor basically said “I would hope a latino woman with experience on the matter would make a better judgement than some random white codger without experience on the matter.” So would I, and it’s a very valid thing to say. Its only invalid when you chop it up into juicy bits and take the context out of it – then it looks racist when it really isn’t. Also, I love the term “reverse racism.” Since white people invented racism y’know, and therefore anyone discriminating against them is “reverse racist,” because racism is strictly a one-way street.

Here’s your awesome content:
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