Saturday, December 24, 2005

Patient Name: Kringle, Kris
DOB: Unknown
Admission Date: 12/24/2005

DISCHARGE SUMMARY

REASON FOR ADMISSION: This is an elderly gentleman who was admitted because of excess fatigue. The patient stated he felt well, however, his wife insisted on him coming to the ER for evaluation.

HOSPITAL COURSE: The patient was admitted and evaluated. His physical exam was completely within normal limits. However, he exhibited extreme fatigue and would doze off quite frequently. It was determined that the patient needed rest, however, he had a steady stream of visitors which seemed to hamper sleep. At one point the patient's visitors had to be asked to leave and the patient was reminded that animals were not permitted in patient rooms, not only for sanitation reasons but because their antlers were becoming ensnared on IV poles. The patient agreed to ask his visitors to wait until he returned home, however, on the evening of admission several visitors of small stature, interestingly all with what appeared to be surgically modified ears, stated that it was of extreme importance that they visit the patient, and so were allowed to visit briefly. They, too, were eventually asked to leave as the male visitors began behaving inappropriately with the nursing staff.

The patient had laboratory tests done which included CBC, urinalysis and reindeer titer.

When the patient was seen at 1750 on the evening of admission, he seemed agitated and restless. When offered a sedative he declined and stated that he had to go home so that he could "ride around the world in a sleigh". At this point a psych consult was called, however, the patient left AMA.

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