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Real Patient Charts.


1. She has no rigors or shaking chills, but her husband states she was very hot in bed last night.
2. Patient has chest pain if she lies on her left side for over a year.
3. On the second day, the knee was better, and on the third day it disappeared.
4. The patient is tearful and crying constantly. She also appears to be depressed.
5. The patient has been depressed since she began seeing me in 1983.
6. Discharge status: Alive but without my permission.
7. Healthy appearing decrepit 69 year old male, mentally alert but forgetful.
8. The patient refused autopsy.
9. The patient has no previous history of suicides.
10. Patient has left white blood cells at another hospital.
11. Patient’s medical history has been remarkably insig-nificant with only a 40 pound weight gain in the past three days.
12. Patient had waffles for breakfast and anorexia for lunch.
13. Between you and me, we ought to be able to get this lady pregnant.
14. Since she can’t get pregnant with her husband, I thought you might like to work her up.
15. She is numb from her toes down.
16. While in ER, she was examined, x-rated and sent home.
17. The skin was moist and dry.
18. Occasional, constant infrequent headaches.
19. Patient was alert and unresponsive.
20. She stated that she had been constipated for most of her life, until she got a divorce.
21. I saw your patient today,who is still under our car for physical therapy.
22. The lab test indicated abnormal lover function.
23. The patient was to have a bowel resection. However, he took a job as a stock broker instead.
24. Skin: somewhat pale but present.
25. The pelvic exam will be done later on the floor.
26. Patient was seen in consultation by Dr. Blank, who felt we should sit on the abdomen and I agree.
27. Large brown stool ambulating in hall.
28. Patient has two teenage children, but no other abnormalities

[ Source : anonymous, but not me of course ]

God speed and Best wishes.


Are you stupid? It’s genetic!

I thought this week I would add a bit of a twist to the style of “life” article I bring. I found this very interesting myself and can now blame my problems on the ones who swear my issues come from external causes.


Quoted from Slashdot: “A December 6th article in Nature explores the relationship between a specific gene and those of us prone to repeatedly making the same mistakes. From the article: “Drug addicts, alcoholics and compulsive gamblers are known to be more likely than other people to have this genetic mutation …” The gene results in the development of fewer D2 receptors in the brain, a condition which the study has shown leads to a lessened ability to learn from experience.”

Your flaws are finally your family’s fault.

[ Source: ]

Top 10 of top 10s: Ways to de-stress, progress and relax.


The holiday season is here and the rush has started. Working overtime, speed shopping early, winter driving, among many other things has grasped the majority of America and it’s no secret the extra stress that comes this time of year. Of course, this list isn’t bound my season and is invaluable to everyone no matter the season. Here is compiled list of the top 10 ways from top 10 lists to having a more relaxed time day by day:

#10: Organize. By far this is the most difficult hurdle to jump. Compile your diet, job, hobbies and anything else you find necessary in your life. Make a list, set your priorities and stick to them. Create a flexible schedule just as if you were making a budget on your time.

#9: Remember the important things. It’s easy for any of us to become focused on the negative and other things we really don’t need to focus on. Get involved in helping people, there’s always someone who has it worse. One common viewpoint is “how can I help someone else if I can’t help myself?” when in fact, helping other people is helping yourself.

#8: Accept others. What someone says, the person they are and what they do are as important to them as who you are is important to you. Accept others for who they are, as well as accepting what someone does for you. There’s never any harm (except to pride) in accepting help or consolation from someone else, especially those who have been in a similar situation.

#7: Communicate. Keeping certain things bottled inside is not healthy. Some things need to come out, whether it be something as simple as wanting to share a new interest, a favored song or a deep issue you’re dealing with. Communication is the foundation of love. Tell your family and friend you love them, tell your employees and employer you appreciate what they’ve done to help you in your career and so forth. Just remember the classic phrase “if you can’t say something nice, don’t say anything at all”. Also, don’t let things sit. Time is of essence!

#6: Take care of your physical health. Maintain a diet catered to your needs; avoid high sugar foods for breakfast, high calorie foods for lunch and high fats for dinner. Upkeep your hygiene. Wash your hands when appropriate, make your showers enjoyable or take baths when you have time. Even a 30 minute work out a day, jogging around your block, 15 minutes on a bike or a few sets of push ups can boost your daily energy more than you might think. It’s a good time to reflect, listen to music (refer to this guide) or turn on the TiVo and kill two birds with one stone. Don’t spend most of your time vegging out.

#5: Take care of your mental health. Have a good laugh regularly. Humor and comedy is everywhere, television, newspapers, internet; your daily body pains can actually be healed by a good dose of laughter. Write down your thoughts and read them; with retrospective you may be reminded of things from your recent past you had opinion or feeling on that you otherwise may have forgotten and perhaps may now view as unnecessary or more valuable than you did at the time. Most importantly, be good to yourself, fight your mind to be confident about who you are. If you’re struggling, restart steps 10-6 and continue to try your best.

#4: Have a place to go to and escape. Your faith, someone to be with or a special exclusive location you can call your own, are all ways to distract yourself from daily stresses. Be careful not to become dependent. Remember you’ll have to face a lot of that stress eventually.

#3: Keep your family and friends close. Being there for them will make them want to be there for you. Do your best to tolerate the little things, we all know family can be irritating. Accept your friends’ differences without falling into peer pressure. They’ll have respect for you and you’ll feel much better about standing or yourself and your values.

#2: Channel your stress. Stress can be your biggest untapped source of energy. Use your stress to push you to exercise a little longer, to motivate you to finish that project. Try to avoid making your stress the topic of conversation in a social setting, stress is contagious. It’s very important to tell someone about the things you’re dealing with, however, passing it on to others at an unfitting time keeps the focus in everyone’s mind including your own further preventing you and others to having a good time.

#1: Stay consistent. Stick to your guns, work at keeping what you’ve done for yourself steady and constant. Leave plenty of room for spontaneity but maintain some sort of routine and make sure to write it down somewhere! Go through this list again, ask the people around you what works for them. Experiment! Try different things if something isn’t working – Einstein described insanity as doing the same thing over and over while expecting different results.

I hope you find this collective list to be useful to you in your endeavors. Feel more than free to leave a comment or e-mail me with whatever stresses you may be dealing with, whether it be a personal issue, social issue, even technology issues. You can reach me at and expect a response in 24 hours!

Best wishes and God speed.


[ Sources: WebMD top 10 ways to de-stress; Effects on Stress; Stress and Your Immune System; Associate Content : College Essentials 101 Ten ways to relax this semester; Phew! 10 Quick Ways to Relax and De-Stress ]

Fully Alive.

Fully Alive

This week in Life, I will give relay some steps that will help you get on track to being the leader in situations both in your everyday life and at work or school, when everyone else is slacking off. It will not only give you leadership skill, but it will contribute to getting yourself in motivation to do the things you’ve wanted to complete before you die; to fulfill some things you’ve always wanted to do in your life.

First, a simple list of 8 things you will have to realize and set in motion:

#1: Set expectations. The owner of Hewlett Packard would walk by everyone’s desk in the morning and ask each person “what’s new?” so eventually, everyone everyday would want to come into work saying “I have something good to tell the boss today.” which is why HP is leader in innovation when it comes to the personal pre-built computer.

#2: Focus on what’s important. Do you have kids? Family that’s very dear to you? Friends you would take a bullet for? Your employees or customers or any fellow workmates? There have been many interviews with top CEOs, executives, business owners, that all say they had worked for wealth and fame their whole lives, and when they reach it, they feel like something’s missing, that there’s an emptiness unfilled.

#3: Make room for new leaders. George Lucas did not have the means to make the first Star Wars movie, so he needed the help of Steven Spielberg. Even a coach of a football team has a team of advisers. Don’t try to be the lone wolf. Accept help and collaboration, brainstorming is a required daily exercise with top Japanese executives in a lot of electronics companies. I’ll let their international success speak for itself.

#4: Listen. “…the very essence of leadership has to do with meeting deep human needs on the part of followers. When these needs are met, the leader-follower connection is made and followers will walk the ninth mile for their leaders. When these needs are ignored…followers will do the minimum that is required or actually work against the goals of the leader.” – Mardy Grothe. I’ll let you search his name. Have you ever been in a painful part of life, or faced an extremely tough decision and someone just listened to you talk and you sort of just figured out what to do on your own? I have, and there’s no feeling better than knowing someone helped you help yourself, by not even talking. Granted, not everyone has or can experience this, so it’s vital those people practice it as well. Listening is the core component of any relationship. Casual, business, etc.

Now, name a great leader you’ve followed.

This we look for in a leader include:

One who is fully present – right here, right now.

Provides clarity of vision – “True North”

Someone who validates us and sees our greatness.

Now describe a WOW! experience in your life, a time when you felt fully alive.

#5: You’re always here. The time is always now. What would your life look like if you lived right here, right now and did it consistently? If you haven’t seen the movie “Miracle on Ice”, I highly recommend it. For conversation sake, take a scan over the wiki of the story: Back in the 70’s and 80’s times were tough for America politically especially. The USA prided in our sports teams. At the time, the Soviets had the absolute best hockey team. Well, the US invited them over here, and they beat 9 our of our 10 best NHL teams. The US had assembled a team of the best amateur and collegiate players for the 1980 Olympic Games, and in the locker room before the game, Coach Brooks said something very important: “We’ll play them 10 times. They may win 9. But not tonight. Tonight, we win.” The American team beat the Soviets 4-3 in one of the most memorable games to date.

#6: Make it your time. “Many men lead lives of quiet desperation and go to the grave with the song still in them.” – Henry David Thoreau. Don’t die without singing your song.

So how come you’re not doing this stuff all the time? Hint: It’s all about dealing with reality.

#7: Deal with reality. The man where this material originates gave a good story about his experience on vacation. He noticed a middle aged woman laying on the beach in with one leg over the chair, just looking very lovely to him. He wanted to go over to her and tell her that, with no other intention, but he felt she might get a little weird about it, and after walking past her, 20 seconds later he said you know what, enough of this and walked back to her and said, “I just had to say, you look very lovely laying there the way you are” and she pushed her sunglasses up, looked at him and said “I can’t believe it. Here I am at 40 feeling old and unattractive, and you come along and tell me something like that. You must be my guardian angel.” In dealing with the reality that he really had no idea what was going to happen, he fought off his “I can’t” attitude and it turned out to be a very good thing.

What is your “I can’t” story that limits you? That is, a self-imposed limitation. Write it out.

“Horn Broken, Watch For Finger” is an actual bumper sticker people have. When someone cuts you off, you have a choice. To waste time getting mad about it, or making the best of the situation. Easier said than done, I know, believe me, I know. But it’s an example, is that part of your “I can’t” story? Part of fighting the “I can’t” attitude is self control. And fighting the urge to be mad at someone who’s totally in the wrong is an excellent exercise for doing so.

Accountability: A person choice to rise above one’s circumstances and demonstrate the ownership necessary for achieving desired results.

You can only take your people where you have already been. That means you have to go first. How can you be more accountable? Write it out.

If you always do

what you’ve always done,

you’ll always get

what you always got.

Einstein defined insanity as doing something over and over again in the same way, expecting the different results.

#8: If you want something different or better, YOU will have to change.

What is your One Thing?


What do you want to Expand?

To summarize:

#1: Set expectations

#2: Focus on what’s important | Provide clarity of vision – True North – Talk about your One Thing

#3: Make room for new leaders

#4: Listen

#5: You’re always here. The time is always now. | Be fully present – right here, right now

#6: Make it your time. | Validate – See greatness in others

#7: Deal with reality | Abandon “I can’t” | Take full responsibility

#8: If you want something different or better, YOU will have to change.


1. Write your Personal Vision Statement

2. Write your Personal Mission Statement

3. Be clear about your Higher Purpose

4. Be clear about your Values

5. Define success

6. Write your Stump Speech

(Where you’re going, Why you’re going there & Who’s going with you)

What will you do

…so that you’ll create the success you want and live the Fully Alive life you were born to live?

#9: CHANGE THE WORLD! Yes I know, we said 8. But, come home to the you that you haven’t yet fully realized. Come home to who you really are.

Source: [Copyright 2005 – 2007 by Jack Altschuler. All rights reserved]