I was in sports clinic yesterday afternoon so I picked up the chart for the next patient and started reading the progress note from the previous visit to see what we were seeing him for.
Mr. [Patient] is a 39 year old gentleman who sustained several anterior dislocations of his right shoulder when he was involved in martial arts as part of an underground fighting group. He did not seek treatment for these and the problem worsened after he lifted heavy weights while in prison. He presents today with his caretaker, who states that because of his impulsive and self-destructive behavior secondary to bipolar disorder with psychosis, it is difficult for him to follow any sort of treatment plan.
We definitely attract the classy sort over here.