doctor on computer

Alternate Phrases for “This is a Very Pleasant…”

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doctor on computer

It’s not uncommon to start a history of present illness (HPI), assessment, or discharge summary with the following phrase: This is a very pleasant… and then go on to say 30-year-old male, 54-year-old female, etc.  In fact, we use the phrase so much that we’ve diluted it’s meaning.  Next time, consider using one of the following alternate phrases to more accurately describe your patient:

This is not a very pleasant…
This is a really terrible…
This sinfully awful…
This uncannily noncompliant
This suspiciously cooperative…
This is a rare, totally normal…
This sweet little but extremely vulgar
This ridiculously ticklish
This heroic, dare I say legendary…
This wonderfully symmetric
This is an awe-inspiring…
This absolutely hilarious…
This is an infinitely constipated
This is a lying, malingering
This is a batsh*t crazy
This is a m**therf**king…
This kinda sketch…
This incredibly inappropriate…
This is a really boring…
This is an impressively unimpressive…
This multi-drug resistant…
This left-footed
This is a morose, Eeyore-like
This is the world’s most entitled…
This is a hysterically flatulent
This is a mentally prolapsed…
This is an annoyingly talkative…
This neverending bounce-back is a…
This is an obnoxiously loud…
This is a fantastically gullible…
This is a very touchy-feely…
This is an omnipotent
This is an impotent…
This is a Klingon-speaking…
This is a sexy but mysterious…
This is an evil…
This platinum-status frequent-flyer is a…
This is a show-stopping…
This is a clutch…
This is a spandex-wearing…
This is a water-repellent…
This is a sturdy but flexible…
Once upon a time, there was a…
Our story’s protagonist is a…
This heartwarming tale starts with our…
My arch nemesis is a…
So why should you care about a…
I hope you never have to meet this…
Sigh, sit down and let me tell you about this…

  • Show Comments

  • Avatar
    Lorena Wood

    Platinum status frequent flyer….aaaaahahahaha!!!

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    Rebecca Danforth

    Rachael McGinley Bracke. This is a batshit crazy … Equals your life.

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    Alex Krob

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    Rene Rose

    Mandi Meyen

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    Liza Em

    “She is a hooker.” No joke. Or another was “..this lady was seen by myself in the office whilst under the influence of that which she shalt not imbibe…” …whatever THAT was.

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    Ryan Ritchie

    Haven Ritchie

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    Noreen Weber

    “This 34 year old gentleman, not given to very penetrating thought….” I read this as a student nurse 30 something years ago in a patient’s admission note by a neurosurg resident. The patient was a nice guy. The resident, on the other hand…..

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    Kerry Stone

    Ovella Clement

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    Laura Haskovec

    Hehehehe…”never ending bounceback.” Love it!

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    Pat Kenney-Moore

    I’ve always hated this opening phrase-its really just code for “I like this person/ they have decent insurance/ they didn’t give me any trouble” It doesn’t have any clinical relevance and I find it so useless I can’t even enjoy the jokes!

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    Danielle Flaharty

    Alright… Alright! ;)

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    Frank Ay

    Honest truth! And it was in high school after a wrestling injury :-)

  • Avatar
    Danielle Flaharty

    Seriously Frank?!

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    Sarah Joy Hipple-Spence


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    Kathy Kaib Clark

    I see “This dear sweet lovely soul….”

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    Gretchen Thurmond Ross

    “Hysterically flatulent and obviously deaf”….

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    Jessica Kaloustian

    “This kind of sketch…” Is my new fav!!!

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    Deb Brown

    My favourite ” batshit crazy”.

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    Maria Stefos Angott

    My favorite: “This platinum-status frequent-flyer is a…”

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    Scott Henneman

    I never write any of these but read them all the time. Any of these would be awesome.

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    Samantha Atlas

    Gerald Mank

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    Brenda Clauson Coffey

    Love this

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    Monster Mighton

    Roberta Mighton

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    Tad Pedley

    Gretchen Thurmond Ross

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    Kathy Shirey Rawson

    I can always tell when the doctor really doesn’t mean it when he says pleasant. He will sigh right after and I know it will be a interesting report.

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    Jennifer Lee

    Eunice Lee Helen Hwang

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    Caitlin Foxley Siler

    hahaha!!! Platinum status frequent flyer!

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    Gretchen Browne

    Ha! It would make reading consulting notes so much more entertaining :-)

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    Sarah Kohrmann

    Not many alternatives out there, since “this batsh*t crazy patient”, “this stubborn, noncompliant, PIA”, and the like are frowned upon for use regarding those occasional less-than-pleasant patients

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    Nathan N Erica Sneddon

    Ha! This hits close to home. In my assessment I always write “this is a pleasant” or “this is a very pleasant” x year old blah blah blah.

    For the first time EVER I wrote about a patient stating “this is a 45 year old….”

    I just couldn’t lie about that patient.

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    Robin Fahringer Mitchell Machajewski

    “Platinum status frequent flyer” – heehee!

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    Colleen Edgington

    Keeping it real….lol

  • Avatar
    Amy Middlemas Osborne

    Scott Osborne so you

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    Ramona Queeney

    ” This bearded lady…”, ” This DD breasted man””

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    Deb Kogan

    I’m trying to decide which one would be used to describe me….

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    Susan Velez


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    Cami Sharp

    Brianna Vivian

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    Frank Ay

    I saw my MD write “well muscled” about me ! :)

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    Todd Boleman

    Lol- what about ‘well developed well nourished’ – is it more PC to say extremely well developed and nourished rather than obese?

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    Paul Cauchon

    “54yo female well known to me and everyone else in this facility presents once again because her insurance allows it. And she’s bored”

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    Joanie Sapienza


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    Rachel Leah

    i want to know what they write about me!

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    Bobby Lee Johnson

    Rajeev Narayan just keep reading, you’ll know one reference that reminds me of you!

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    Bobby Lee Johnson

    Colin Coor

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    Kym Whiting

    If only!

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    Carena Mishler

    I’ve actually seen, “This is a rather unfortunate….”

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    Matthew Mark Gaines

    Ben Lewis

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    Russell Wilson

    Megan DeLoera, Denise Leistico Casper I think y’all should expand your vocabulary

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    Robert Avram


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    Wayne R. LeClair

    ” This is a very rude….” Ha, ha

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    Heidi Kinsinger

    Wayne R. LeClair

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    Alyssa Schwartz

    Tracey Fedor

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    Ellen Price

    Jess Too funny!

  • Avatar
    Ed Iway

    Edi Berbic lol I dare you do this. Jk

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