Funny Typo

Started by docB
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Saw a patient recently, 80 yo M, Chief Complaint was "Erotic Vomiting."

It was right there on the track board.

I have no idea what the triage nurse was actually going for.

It was actually not at all sexy.

Sounds like the type of thing I'd imagine you'd see working in Vegas ... You were talking about the age as the typo, right 😉
 
There's an ICD-9 code for erotic vomiting that I always have to scroll through if I don't free-text the "nausea/vomiting" diagnosis. Apparently it's related to orgasming during emesis or on seeing someone else vomit.
 
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There are also ICD codes and diagnosis in EPIC for bear attacks and falling out of a plane. :naughty:
 
There are also ICD codes and diagnosis in EPIC for bear attacks and falling out of a plane. :naughty:

the list of things for which there ARE and ARE NOT ICD-9 codes is puzzling, at best

"winter vomiting" is one of my favorite in the vomiting category...
 
There's an ICD-9 code for erotic vomiting that I always have to scroll through if I don't free-text the "nausea/vomiting" diagnosis. Apparently it's related to orgasming during emesis or on seeing someone else vomit.

Ok I'm disturbed that you know this.😛

There is a lot of strange stuff in the ICDs. That must be why it showed up. I'd noticed that all back pain changes to "lumbago" and dizziness becomes "dizziness and giddiness." I started looking stuff up and discovered that there are codes for dropsy, scrofula and hysteria. It's like it the cutting edge of medicine 1935 in here.

Frighteningly there are still diagnosis codes for homosexuality (Ego-dystonic sexual orientation 302.0), "victim of homosexual aggression" (27320 ICD 10), etc. That must be held over from the DSM III. You'd think they'd purge these codes periodically.
 
There's an ICD-9 code for erotic vomiting that I always have to scroll through if I don't free-text the "nausea/vomiting" diagnosis. Apparently it's related to orgasming during emesis or on seeing someone else vomit.

In residency, the computer charting system had a drop down menu for diagnoses. Every time I was in the peds ED and diagnosed a kid with vomiting, I had to scroll past the erotic vomiting ICD-9 Dx. Always made me chuckle to think that some resident was in too much of a hurry and diagnosed some 5 y/o with erotic vomiting. Imagine the look on the coder's face. :laugh:
 
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Reminded me of a dictated note I saw on a chart a while back:
"Patient has a history of erotic aneurysm requiring intervention."

Not at all sexy, in my opinion, unless you are a surgeon with some serious issues.
 
My dragon (voice dictation) keeps typing "rectal care time" rather than "critical care time." The coders seem to enjoy seeing 30-35 minutes of rectal care time and the end of my charts.
 
My dragon (voice dictation) keeps typing "rectal care time" rather than "critical care time." The coders seem to enjoy seeing 30-35 minutes of rectal care time and the end of my charts.

Dude. Thats a thorough exam.
 
The coders seem to enjoy seeing 30-35 minutes of rectal care time and the end of my charts.

Unfortunately "rectal care time" isn't as easily billable under our current CPT system, as is "critical care" time; not legally, anyways.
 
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That would be awesome if some patient requested his medical record before I got a chance to edit/correct my chart! I'm sure he would appreciate that note.
 
Here is one of mine from last week...

Dictated : Intubated patient utilizing glidescope....

Transcribed: Intubated patient utilizing kaleidoscope...

I work in a rural community ER. The patient in question was a trauma patient that I flew out to a major trauma center. I can just picture the residents on the trauma team reading my note and laughing about the backwoods country bumpkins using a kaleidoscope to intubate a trauma patient!
 
Here is one of mine from last week...

Dictated : Intubated patient utilizing glidescope....

Transcribed: Intubated patient utilizing kaleidoscope...

I work in a rural community ER. The patient in question was a trauma patient that I flew out to a major trauma center. I can just picture the residents on the trauma team reading my note and laughing about the backwoods country bumpkins using a kaleidoscope to intubate a trauma patient!
 
Here is one of mine from last week...

Dictated : Intubated patient utilizing glidescope....

Transcribed: Intubated patient utilizing kaleidoscope...

I work in a rural community ER. The patient in question was a trauma patient that I flew out to a major trauma center. I can just picture the residents on the trauma team reading my note and laughing about the backwoods country bumpkins using a kaleidoscope to intubate a trauma patient!

It's not just effective. It's soothing and pretty too!
 
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I don't think he bills for the rectal care time. It's complimentary. 👍

You can't just give it away free. You spent years learning your trade. Haven't you ever heard the old dictum about the cow and the free milk?