In the electronic medical record there is a column with the heading; Visit Reason. I looked at the column for a patient of mine with a long psych and drug using history. He is homeless. During a therapy session he confessed that he had stabbed six people.
Depressed w/suicidal ideation
Suicidal
SI
Depression /no SI/HI
Med refill
Rt. foot and Rt. ankle frostbite
Swelling left big toe
Difficulty swallowing
G.S.W. (gun shot wound)
Suture removal
Facial hemorrhage/laceration
Hematuria
Left testes swelling
Genital warts
Abnormal lab test
SUICIDAL
