There are about 6 questions I need to ask when I see a patient:
1- What brings you in?
2- What medical problems do you have?
3- Do you take any medicines daily?
4- Have you had any surgeries?
5- Do you smoke, drink, or do any drugs?
6- Are you allergic to anything?
The rest is just gravy. I am REALLY getting annoyed with question # 2 lately. I have tried phrasing it many different ways...but people for some reason don't think that high blood pressure, high cholesterol, or diabetes are medical problems anymore.
They will say NO they don't have any medical problems, but when I ask do you take any medicines daily, they will reply yes for my high blood pressure! Well genius that's a medical problem, not a gift from your grandmother.
Recently I had a patient say she had NO medical problems at all. No matter how I asked it she said no. I kept prodding b/c she looked like she had lots of problems. I found a previous discharge summary, and below were her actual medical problems listed:
- High blood pressure
- Cervical Cancer
Now I just say "do you have any medical problems including high blood pressure, diabetes, high cholesterol, chronic stupidity, etc??" It's getting annoying