Hospital chart notes

After working with medical records for many years, I know patient records contain notes such as these below:

  'HOSPITAL CHARTS' Said to be ACTUAL WRITINGS  FROM
  VARIOUS HOSPITAL CHARTS.

1. THE PATIENT REFUSED AN AUTOPSY.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
 2. THE PATIENT HAS NO PREVIOUS HISTORY OF SUICIDES.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
 3. PATIENT HAS LEFT WHITE BLOOD CELLS AT ANOTHER HOSPITAL.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  4. SHE HAS NO RIGORS OR SHAKING CHILLS, BUT HER  HUSBAND
  STATES SHE WAS VERY HOT IN BED LAST NIGHT.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  5. PATIENT HAS CHEST PAIN IF SHE LIES ON HER LEFT SIDE FOR
  OVER A YEAR.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  6. ON THE SECOND DAY, THE KNEE WAS BETTER, AND ON THE
  THIRD DAY IT DISAPPEARED.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  7. THE PATIENT IS TEARFUL AND CRYING CONSTANTLY.  SHE ALSO
  APPEARS TO BE DEPRESSED.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  8. THE PATIENT HAS BEEN DEPRESSED SINCE SHE BEGAN SEEING
  ME IN 1993.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  9. DISCHARGE STATUS: ALIVE BUT WITHOUT PERMISSION.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
 10. HEALTHY APPEARING DECREPIT 69-YEAR OLD MALE, MENTALLY
  ALERT BUT FORGETFUL.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  11. PATIENT HAD WAFFLES FOR BREAKFAST AND ANOREXIA FOR
  LUNCH.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  12. SHE IS NUMB FROM HER TOES DOWN.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  13. WHILE IN E.R., SHE WAS EXAMINED, X-RATED, AND SENT
  HOME.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  14. THE SKIN WAS MOIST AND DRY.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
 15 OCCASIONAL, CONSTANT INFREQUENT HEADACHES.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
 16. PATIENT WAS ALERT AND UNRESPONSIVE.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  17. RECTAL EXAMINATION REVEALED A  NORMAL SIZE THYROID.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
 18. SHE STATED THAT SHE HAD BEEN CONSTIPATED FOR MOST OF
   HER LIFE, UNTIL SHE GOT A DIVORCE.
   ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  19. I SAW YOUR PATIENT TODAY, WHO IS STILL UNDER OUR CAR
  FOR PHYSICAL THERAPY.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  20. BOTH BREASTS ARE EQUAL AND REACTIVE TO LIGHT AND
  ACCOMMODATION.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  21. EXAMINATION OF GENITALIA REVEALS THAT HE IS CIRCUS
  SIZED.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  22. THE LAB TEST INDICATED ABNORMAL LOVER FUNCTION.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  23. SKIN: SOMEWHAT PALE BUT PRESENT.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  24. THE PELVIS EXAM WILL BE DONE LATER ON THE FLOOR.
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  25. PATIENT HAS TWO TEENAGE CHILDREN, BUT NO OTHER
  ABNORMALITIES.