As I'm sure many of you know, often deconditioned patients require a PT/OT eval prior to being discharged home. In one hospital where I rotated during residency, only PM&R could order PT/OT consults. Basically, we acted as a buffer to make sure nobody had inappropriate consults ordered on them. That's how much our time was worth.
The result of this was that we'd frequently get frantic pages from medicine residents who wanted to discharge their patients but couldn't until they got PT/OT consults. Some of them got a little mean when I explained that I couldn't just abandon my clinic to go to the hospital to see their patient STAT.
Anyway, this was an actual urgent consult I got during residency:
DIAGNOSIS: Morbid Obesity s/p gastric bypass. Now 415# down from 690 pre-op.
TYPE OF REHAB NEEDED: Patient requesting "dressing stick"
WEIGHT BEARING STATUS: Remarkably mobile given morbid obesity.
Morbidly obese guy needs a dressing stick?? Well, this is a TOP PRIORITY. And it was odd that nobody seemed to understand what weightbearing status even meant. An appropriate WB status is not "I can't believe he can walk!"