Friday, August 17, 2012

WNL

In residency, we got a patient who had an aneurysm burst with several interventions. When she came in, speech therapy evaluated her and said that her "cognitive-linguistic skills are normal." Now I may not have the same level of expertise and sophisticated testing as a speech therapist, but I am pretty sure that adults with normal cognition don't sign their names like this:


(Not her actual signature, but my reproduction of it.)

They also don't try to grab your notes from you as you're talking to them. Or think you disappeared when you stand on their left side. Or put their feet up on the neuropsychologist's desk as they're being tested.

6 comments:

  1. ok, I'll say it first:
    I don't know what you're talking about, half the attendings I work with sign their name much like that :)

    btw, you might want to check your capta program. I've had 3 unsuccessful attempts (0 is the typical for me,but damn, these are hard to read), and if you click the audio you get what sounds like 3 people talking backwards at the same time).

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    1. You shouldn't have to type anything if you're logged in. Let me check on that. But they're getting harder, not just on my blog. In the next month or so, you're probably going to have to solve an integrals in order to post.

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  2. Solve integrals? No way. My posting days are over!

    But as someone who survived a stroke, (hence the dread of integrals) I know the impulse to look at the attending's notes (Hey, that's about me!) And don't people disappear if you can't see them? Or is that just the left side? And dosen't everybody sign their name like that? Most MDs (as Unknown said) do!

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  3. "but I am pretty sure that adults with normal cognition don't sign their names like this..."

    And you're in healthcare..?

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    1. No, because people in healthcare sign their names to eliminate as much extraneous writing as possible. It took like five minutes to do that detailed scribble.

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  4. I just peed my pants!

    Also, I think I had that patient once...

    PS: I concur with your reply above. Yes, us MDs have illegible signatures but they consist of the minimal amount of ink as is humanly possible. (My signature takes 0.00000001 seconds to write.)

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