Yep! I was a pharmacy technician for a few years. Pretty sure the first one is for codeine sulfate and aspirin (ASA). The bottom part says Sig (meaning instructions) one every 4 hours if needed for pain. :)
As a child I was waiting at the hospital for a someone. Pharmacist asked, “what the hell is this supposed to say”!?!?? I read it off and got a quarter, a lot of money for about 1971-72 I made about $10 reading scripts that day, and two doctors came down to meet the kid who could read their messed up handwriting. My first job.
I’ve been on a bit of a journey with this video! Originally I edited myself deciphering 10 doctors notes from my Google search but after a long edit I realised that ethically it didn’t feel right... Although all the notes were confidential and already published online I did not feel right discussing them as there was not explicit consent by the patient to do this. And also I wasn't sure if they was permission to upload them in the first place. Therefore I have only picked the notes that were historical, generic or widely distributed already. Despite these omissions I still hope you enjoy this one. Much love Your friendly neighbourhood junior doctor X
Dr Hope's Sick Notes in my math class we had to write how we got to our answer, I turned mine in and when our professor was grading the papers she said," Who has the doctor's handwriting?" When I answered she said," Well are you going to be a doctor?" And the funny thing is I LOVE studying medicine and anatomy so yes.
Is it so usual internationally that perscriptions are hand-written? Here (Germany), I can't remember when or if I had gotten a hand-written perscription in my life. They are generally printed on a form, only in rare cases where the perscription had a mistake, the doctor might correct it with a little note (that has than to be stamped and signed to proove that it was not the patient who changed it)
Dr Hope's Sick Notes interesting, I think I've only ever seen computer printed prescriptions here in Wales so assumed that was standard in the rest of the UK too. 😲
Here in Lithuania, we write almost all prescriptions by hand, unless that particular medication is reimbursed by the state, then we need to go through the e-system that half the time doesn't work and that nobody likes. Also, we have to write in Latin. The full formula, like for example: Rp. susp. Salbutamoli 100μg D. t. d. N. 200 in flac. S. "2 inhalations 4 times/day" I don't mind the Latin though. It has some sort of romantic effect on me.
I work in a pharmacy in germany and we actually get a lot of handwritten prescriptions every day. Most of the prescriptions that come from a hospital are handwritten and we have a few older doctors that like to fill out prescription by hand. I feel like it`s getting less and less though.
I just asked my mother who, while not being a physician, still has quite a lot of knowledge in this field as she was in a leading position of one a (in the 90s) leading medical media company. Even before digitalisation, prescriptions weren't written by hand in Germany. Everyone who wrote prescriptions had, prior to computer solutions, a special typewriter specialises for prescriptions. The only time she ever remembered seeing a hand written prescription was from her former fiancee, who was a physician without office (as he also worked in the medical media comapany). When he wrote for himself or the family a prescription, he did that by hand.
Anymore there are so many more safeguards in place, along with pharmacists scared to death of using any form of professional judgement, that most of this just leads to prescriptions taking much longer to be prepared for patients due to calling a provider to verify any questionable rxs that come their way. In some ways good, but on other things rather frustrating. When a pharmacist makes you call a provider's office to ask if they are ok with you switching amoxicillin tablets to capsules it is just embarrassing as there is no significant therapeutic impact. It simply saves the patient paying a significant amount more.
I haven't seen a handwritten prescription in years! Mine are always typed up now to avoid problems with handwriting. Mind you, it's likely different in hospital type situations.
@@benb55point55 You're being kind of harsh on the pharmacists there. I worked in a pharmacy for years. The pharmacist is legally required to call for that crap. By the time my pharmacist was done with the call I had the label printed and the capsules counted. On a different note, if the doctor is making you as the patient call for this, you need a new pharmacy. If it is you, the technician, why are you embarrassed? It's part of your job, you are literally paid to do that, and the doctors office knows it. Also, I find it strange that there is a significant price difference between tabs and caps, or that you have amox tabs at all. Are you sure that you aren't changing from augmentin to plain amoxicillin? Because there IS a whopping price difference there.
Yes, that Chinese one is real. As a native speaker I can't decipher anything from it, but I found that someone had the answer(?) typed out and using that as a key...a prescription of traditional madicine, recognized. It gose: 沙参20g 连翘25g 苏子15g 菊花15g, etc.
@@acreativename4391 Basically it's just a bunch of plant names. The four herbs I listed should be upright ladybell, weeping forsythia, beefsteak plant and flower of chrysanths. BUT I don't know which part of those said plants are useful or how to process them. ...Just imagine a Muggle given correct magical ingredients trying to guess how this potion would be like.
@@imaginefishes Because they only use the flower of this plant...based on my experience? I don't really know. I guess you can look into something like English version of 本草纲目 to make sure what's the correct translation.
The handwritten characters (if there’s any) are too unintelligible even for calligraphy standards But the top part is legible and it’s traditional herbal medicine yes
Ancient nurse here. I can help you out on the first one. Although the handwriting is indeed atrocious the other reason you can’t read it is because it is written in the apothecary system, which was still the standard in the 1940’s when this script was written. Learned it in ancient nursing school in the early 1980s because some older doctors still used it. This is a recipe for a compound to be mixed by the pharmacist. It reads: Codiene 4 grains (approx 260 mg) and ASA (aspirin) 30 grains (1950 mg) to be divided into 6 capsules (roughly 43 mg of codeine and 325 aspirin per dose). After the recipe are the instructions (sig) take one every 4 hours if needed for pain.
I don't know if you're still doing "Doctor plays..." vids, but if you do you should check out Vampyr. You play as a Doctor in Victorian London who gets turned into a vampire and becomes, well.. a vampire doctor! ;p A big part of the game is treating patients. Though I imagine it's pretty inaccurate there's quite a few interesting cases, and I always think it's interesting to learn about medical history. Also if you have a really annoying patient you can just eat them, which might be a nice change of pace lol. Great vid as always :)
My mother works for a doctor, somehow shes able to decipher his handwriting, I once worked there for a day helping file charts and etc, but some names and notes were not even in a human language and I'd keep having to bug my mom while she was on the phone, or with a patient. And I have no idea how she can understand the incoherent flatlines and scribbles
You have a potential to be a big RUclipsr considering that despite the irregular upload frequency you have a decent fan base (Try to maybe upload at least once a week to keep up with RUclips algorithm).
...Which is the reason why I said *at least* once a week (taking inspiration from Dr. Mike). The result of which will be the ability to reach a wider audience, educate, inform, break stereotypes, create awareness, interest in the field (and possibly earn a side income). Ps: Just a well wisher here. Please don't take me otherwise.
Dr Hope's Sick Notes don’t stress about a regular schedule - we’ll watch whenever you upload :-) Also, I’m giggling at the thought of people who aren’t from the UK scratching their heads at “having the mickey taken” 😆 Thank you for your hard work and dedication. So grateful for the NHS!
If you check out Simplynailogical she has a full time job and can only upload once a week. She films and edits her own content. I say this because a doctor in the UK has a lot more work on top of working full time. And Dr Hope also does all his own editing and filming (i assume). Better to make great content when you can than half decent content weekly. Press the bell icon so you can get notifications
I once had a high school girl (a relative of mine) ask me: "Where do you work?" "I work in a pharmacy" *she scribbles something on paper* (excitedly) "Can you read this? What does it mean??" Me (laughs): Well it looks like a heartbeat to me (ECG) 🤣
I hope my handwriting never turns that bad 😂 in fact, every time I have to write a prescription, I do it slow so my handwriting is as legible as it can be
I’m an asthmatic saxophonist so I ace a peak flow every time due to woodwind technique 😂 Have to do spirometer(?) tests instead in the asthma clinic. Also an amateur calligrapher so love gorgeous writing!
As a nurse, I've had to call clinics to clarify some orders. I once had five different nurses trying to decifer a lab order. We had to crack out a lab sheet just to get a sense of what was being asked.
I think it's a generation thing, I'm the last generation of drs who trained having to write everything by hand in a complete rush or in an emergency, all day. I had lovely handwriting in school. Now it's pretty dire unless I deliberately slow down.
For those who are curious about the Chinese doctor handwriting, the writing is called Stenography. It's an old fast writing method that were widely used by journalists. Though no one really uses that handwriting anymore nowadays.
Nerd joke was peak humour 👌 Irish gal here 😊 just wondering what you thought about the book This Is Going To Hurt by Adam Kay and how it compares to your experience in the NHS, maybe you could do a book review if you have the time
I’m sort of surprised to see that a lot of countries still write these notes. Here in Belgium the only handwritten thing is the doctor’s signature Call me naive
@@bijaldalal9254 I think Dr. Hope was referring to the fact that Dr. Mike "stole" his idea to do a review of medical scenes in film and tv, without crediting Dr. Hope and ignoring his messages on social media....
I asked my mom one time why doctors have bad handwriting. She said, "some doctors have good handwriting like me." She writes in some weird circly things 💀
Pharmacist once gave me Ansimar lucky I heard my doc say Angimax while he was writing it down. So much better when your doc explains his prescriptions instead of solely relying on the written rx.
I got a notification for this video while watching it... Great job youtube I love your channel Dr hope :) I worked in a doctors office for 3 years with 2 docs with a bad handwriting. We got a lot of stuff back with the question, if we could send it again in a better writing. We could mostly read the stuff, after a whole you got used to it Lots of love from Germany
I work as a pharmacy tech and regularly have to decipher handwritten prescriptions. We always try to double check with the doctor if we're unsure, but mistakes still happen unfortunately. One time the pharmacist brought out a large box of Movicol to a confused patient looking for her contraceptive pill, Marivol. She was cool about it thankfully!
No wonder, people get all panicky when experiencing an asthma attack, especially when it's for the first time - that hyperventilating and being short of breath that happens when having an asthma attack often kicks in in a panic attack, too - albeit for different reasons. In asthma it's a symptom that happens when the bronchi get all cloaked up, in panic situations it's because the body is getting ready for a fight or flight situation. I still remember having my first asthma attack in class 6 when I didn't even know I got asthma. That really was terrifying. I also got a really mean case of test anxiety/ stage fright (more like a phobia, really) which really doesn't sit well with my tendency for low blood pressure and fainting, so I got first hand experience of how close those symptoms feel. The breathing techniques I learned as a kid in that special course they made us attend is one of the few tricks that actually help me get through those test/exam situation that really made my student life a lot harder than it should have been...
Im not interested in going into a medical field and I don't know how I got to this channel, but the videos are so interesting and also informative that I had to subscribe 😂
In Denmark, we have what is called "The Central Medication Server" which doctors, nurses, and others medical professionals with a Lvl 3 access (private Identifying personal info) can submit prescriptions to; Pharmacists have Lvl 1 access (in the moment,) meaning :when Social security card is scanned. All of this prevents bad handwriting, while also trying to limit who can see it, sometimes it can fuck up. If you have been hospitalised, and has a drug you take daily, they will add that to the server (that they are giving you them, despite there already being a prescription active) and then furlong it when they sign you home. This can cause your regular prescription to be cancelled if they forget to set a end-date for when they were proscribing it. User error is harder to fix; if not impossible.
I guess because any Med degree is so intense and involves a LOT of note taking, the students (future doctors) had to write FAST in order to keep up with all the information they were being given and simply didn't have the time to care about how neat their notes looked so long as they were readable. Which by the end of their 7 or 8 year long degree (including med-school) their handwriting would understandably be a mess. But because these days students mainly take notes on their laptops, it doesn't really affect their handwriting. So the current younger/new doctors generally tend to have normal handwriting I find.
When I was at school, I had one teacher I'd accept comments about my handwriting from - though there was one time a teacher apologised to me that his toddler had been playing with pens - which explained why the red squiggles made even less sense than usual!
What happens to me is the faster I have to write, the more my handwriting suffers in terms of readability. As a teacher, I often have to decipher what kids write from context, or comparing to other parts of their text to see what letter something is. Feels a bit like detective work
I met you through Cells at Work. I am now subscribed Listening to you is relaxing and also awesome. Hearing some latin "Oculus Dexter" was also nice. Also "The Mickey" taken out on us, in the US, is see as "Damicky" not sure why. Weird.
It very likely that they are using the gregg shorthand, which makes writing way faster, often used by accountant and I know most chinese doctor uses it.
@@staceyk2274 Was thinking the same thing. Typically it is a combo of codeine and acetaminophen anymore. I will have to ask the pharmacists I work with if the combo of codeine with aspirin was common back in the day.
When I started work as a clinical coder in a UK general hospital in the 1990s we had to work just from Discharge Letters from Medical wards (the other specialities allegedly letting us have the notes as well) which were always hand-scrawled and frequently contained abbreviations unique to the Dr/dept concerned. Endoscopies were the great though; printed, different colours for gastro, colorectal and lap chole, and pretty pictures of all the bits.
I used to have better handwriting at varsity. Bad handwriting happens because we see so many patients and have little time in between note taking...but is still something to be mindful about. Just a shout out to Dr Hope, subbed recently and a fan of your work. Having watched your videos regarding Cells at Work, it brought back so many memories of my Anatomy & Physiology lectures during my first year. You remind me a lot of my Anatomy and Physiology lecturer, minus the vegetables lol. Someday, PLEASE decide to become a lecturer in this field, you really bring life to the subject matter.
FUN FACT: It doesn't happen so often now, but back in the day, in China. Hospitals would develop their own writing system, so prescriptions written by the doctor would look like gibberish or drawing to the patient, but the hospital pharmacy can read them, it's like a code. So the patient won't just take the prescription to a private pharmacy (which is much cheaper). Around the same period of time, it costs roughly 50-75 cents US to see a doctor, so the hospitals were making money by selling overpriced medicines. And doctors were reprimanded for telling the patients what drugs they were prescribing, because that takes away the hospital's profit. Nowadays everything runs on the social health care system, so it doesn't matter where you get the drug, so now it's all typed and printed. Some fancy hospitals also can give you a PDF prescription.
A doctor once told me the reason doctors handwriting is bad so you can’t see what bad spellers they are. While working as a nurse in a clinic,there was one doctor whose writing was unreadable. Told oldest in med school I never wanted to see him writing that way. While home for a weekend, I saw a notebook with writing like docs. I yelled at my son, “I told you never to write like that!”. Son said, like a 10 year old, Mom, that’s not my writing, I borrowed notes. I don’t write like him, I know you told me, I try my best. I just said well, ok, and I’m sorry I yelled at you. That’s ok, mom. He now works in said clinic, writing is pretty good.
Isn't it nice when the whole thing just populates for you? All you have to do is pick an NDC, count, and sticker. Kind of proud of being able to read the handwritten ones, though.
Revisiting this video because I brought it up in discussion with fellow P1 pharmacists at the college I've just enrolled in this year. It's comforting to know that even some doctors struggle with certain doctor's handwritings when we pharmacists have to deal with this on the regular. Future pharmacists, if you're ever unsure of the medication or amount, contact the doctor who wrote it. Never assume.
How about doing an episode of MASH? There are quite a few scenes in surgery, as well as puzzles about how to solve a treatment with limited or no resources.
deciphering (or interpreting) doctors' notes on my favourite pharmacist's fanpage is a peak of my day but also serves as a remider to never write my prescriptions in my 'medical notes' handwriting
I'm no doctor so I'll just have to ask...would there ever be a situation where a Doctor would write an advisory note suggesting an overdose? Because that to me sounds like something that would only show up in a diagnosis.
In a clinic I used to work, there was a doctor that liked to handwrite the request forms and it was so difficult to read. Even the receptionist sometimes brought his request form in to ask us for help, it was like playing a puzzle game lol PS. love the clean shaven you.
re: “OD” , in my training (Australia circa 2002), what was drilled into us was the importance of capitalising/not capitalising acronyms and abbreviations as appropriate, in order to eliminate ambiguity. my clinical preceptor would have had my ass if I had written “OD”, I was told always to use lowercase when referring to dose timing/frequency, so I would write “once daily” as “o.d.” (the periods also helping delineate the term as two words; if I needed to abbreviate the word “overdose” I’d likely use o/dose or at the very least, o/d). “oculus dexter” i’d never even heard before today, but I can see how that could be troublesome if misinterpreted
This video was therapeutic for me as a clinical (medical) coder who deciphers medical notes all day in my job. Especially your example note, excellent form there. Please come work out of my hospital some time, my job would be so much lovelier if this is what all our doctor notes looked like As a general trend, doctors newer to the field tend to write much more nicely. Fear the physician who has been in the job for 40+ years. Excellent and talented doctors, terrible handwriters. Newer doctors also tend to be friendlier when we have to swallow our coder pride and track them down on the ward to ask them what that word says In our local area, plastics are also main offenders when it comes to their scrawl. Not sure if this is a trend everywhere. But it's terribly frustrating when you're trying to decipher a hand surgery report and work out which of the 500 or so hand structures with a 3 letter acronym they're saying they sutured.
I always ask my Doctor friend to read my presciptions to me, and explain to me what they are. She even comments that my Doctor's handwriting is bad and hard to read. She even commented that my dog's Vet's handwriting is bad.
A friend who was a dispenser way back told me she finally deciphered a line on a prescription which had been round all the local pharmacies - 'Temporary Resident'. And I was phoned fairly regularly by our department secretary typing EEG reports: 'I can't read this word; can you tell me what it says'. Not my report, and she was in an office the opposite end of the building.
As a former medical secretary it is not just the writing that can be problematical. Some doctors are atrocious at dictating their letters - mumbling, rustling things & asking you to find out weird things like the name of a consultant with a particular number plate!
Last time I was at vet (I'm vet tech student) he wrote the list of topics for me to write about and his cursive handwriting was pretty nice. That left me wondering if vets write better than docs.
When I used to dispense the ONLY mistake I made was with a 15 year old lad who came in with a script for Cr. Chloramphenicol (or chloromycetin). In the 60s chloramphenicol was much used in eye drops, EAR drops and topical creams. Doctors used to mix it up with latin hence Cr. chloramphenicol was 1% chloramphenicol cream (cremor). Sometimes ear drops were written in latin and that was auristillae chloramphenicol . They frequently left the amount to guess work and the directions the same. He came back with his father the next day with cream sprouting out of his ear asking how to use it ........ and yes I should have asked him why he had been prescribed it. During the 70s and 80s you were not allowed to include the name on the labelling hence "The Drops" or "The Mixture". The British National Fomulary would say if no amount has been prescribed 1 ounce shall be dispensed or 4 ounces or whatever.
I can't tell you how many times as a x-ray technologist that we get scripts where it is difficult to figure out what they are ordering. Occasionally we've called the providers office when it's really bad for clarification as we want to be sure we are doing the right test!
I had to fill out a survey thingy today and my doctor told me about how the hospital has switched to fully digital records and prescriptions now for readability reasons ... which is such a diplomatic way of telling me there's room for improvement in my handwriting.
Pharmacist could read these hieroglyphs like they have an auto translate..
Wear your sunglasses, brother. They could have been the aliens in John Carpenter's They Live.
I'd like to see that in another video...
I was a dispensary assistant. I can confirm this is true
Yep! I was a pharmacy technician for a few years. Pretty sure the first one is for codeine sulfate and aspirin (ASA). The bottom part says Sig (meaning instructions) one every 4 hours if needed for pain. :)
I'm a pharmacist
As a child I was waiting at the hospital for a someone. Pharmacist asked, “what the hell is this supposed to say”!?!??
I read it off and got a quarter, a lot of money for about 1971-72
I made about $10 reading scripts that day, and two doctors came down to meet the kid who could read their messed up handwriting.
My first job.
😆😆
That's amazing 💚
READING MESSY WRITING IS A SKILL
(this is my excuse for having messy handwriting lmao)
Thats amazing actually! 😂😂
I have terrible handwriting, on the upside I can decode a 4 stacked coded cursive puzzle
And I thought my handwriting was bad.
Sorry can't read this
Dr Hope's Sick Notes well played
@@DrHopeSickNotes LMAO MADLAD
I’ve been on a bit of a journey with this video! Originally I edited myself deciphering 10 doctors notes from my Google search but after a long edit I realised that ethically it didn’t feel right...
Although all the notes were confidential and already published online I did not feel right discussing them as there was not explicit consent by the patient to do this. And also I wasn't sure if they was permission to upload them in the first place.
Therefore I have only picked the notes that were historical, generic or widely distributed already. Despite these omissions I still hope you enjoy this one.
Much love
Your friendly neighbourhood junior doctor X
Nice
Dr Hope's Sick Notes in my math class we had to write how we got to our answer, I turned mine in and when our professor was grading the papers she said," Who has the doctor's handwriting?" When I answered she said," Well are you going to be a doctor?" And the funny thing is I LOVE studying medicine and anatomy so yes.
Question, the 21 Y/O Type 1 diabetc, was it DKA as I suspected due to KET (Ketones) +++??
@@morganfarr5886 correct! That video coming sooooooon.
I only know because I had a bad one back in October. Blood pH was about 5.5 and my ketones were above 8
The question is how doctors manage to pass the tests when their handwriting is that bad?
I only had a couple of examinations at Med School that were hand written
In first year,it will be alright.Slowly as you progress through med school it gets worse because you have to write a load of things in those 3 hours.
Maybe because other doctors check the exams?
@@earthchan7540 haha😆
I think they spend all their handwriting points in med school that they don't have anything during practice.
This episode of Cells At Work looks different today.
Yes, quite different. Season 2 trailer possibly?
Who knows 🤔
Is it so usual internationally that perscriptions are hand-written? Here (Germany), I can't remember when or if I had gotten a hand-written perscription in my life. They are generally printed on a form, only in rare cases where the perscription had a mistake, the doctor might correct it with a little note (that has than to be stamped and signed to proove that it was not the patient who changed it)
Yep growing number of digital prescribing in UK too, not currently in my department though.
Dr Hope's Sick Notes interesting, I think I've only ever seen computer printed prescriptions here in Wales so assumed that was standard in the rest of the UK too. 😲
Here in Lithuania, we write almost all prescriptions by hand, unless that particular medication is reimbursed by the state, then we need to go through the e-system that half the time doesn't work and that nobody likes.
Also, we have to write in Latin. The full formula, like for example:
Rp. susp. Salbutamoli 100μg
D. t. d. N. 200 in flac.
S. "2 inhalations 4 times/day"
I don't mind the Latin though. It has some sort of romantic effect on me.
I work in a pharmacy in germany and we actually get a lot of handwritten prescriptions every day. Most of the prescriptions that come from a hospital are handwritten and we have a few older doctors that like to fill out prescription by hand. I feel like it`s getting less and less though.
I just asked my mother who, while not being a physician, still has quite a lot of knowledge in this field as she was in a leading position of one a (in the 90s) leading medical media company. Even before digitalisation, prescriptions weren't written by hand in Germany. Everyone who wrote prescriptions had, prior to computer solutions, a special typewriter specialises for prescriptions. The only time she ever remembered seeing a hand written prescription was from her former fiancee, who was a physician without office (as he also worked in the medical media comapany). When he wrote for himself or the family a prescription, he did that by hand.
It's freakish to think that just that sloppy handwriting actually causes many deaths, not even to mention complications in general.
Absolutely agree. No excuse for this.
That "sloppy" handwriting is cursed. *In Beni's voice from The Mummy* It's the curse! Beware of the curse!
Anymore there are so many more safeguards in place, along with pharmacists scared to death of using any form of professional judgement, that most of this just leads to prescriptions taking much longer to be prepared for patients due to calling a provider to verify any questionable rxs that come their way. In some ways good, but on other things rather frustrating. When a pharmacist makes you call a provider's office to ask if they are ok with you switching amoxicillin tablets to capsules it is just embarrassing as there is no significant therapeutic impact. It simply saves the patient paying a significant amount more.
I haven't seen a handwritten prescription in years! Mine are always typed up now to avoid problems with handwriting. Mind you, it's likely different in hospital type situations.
@@benb55point55 You're being kind of harsh on the pharmacists there. I worked in a pharmacy for years. The pharmacist is legally required to call for that crap. By the time my pharmacist was done with the call I had the label printed and the capsules counted.
On a different note, if the doctor is making you as the patient call for this, you need a new pharmacy. If it is you, the technician, why are you embarrassed? It's part of your job, you are literally paid to do that, and the doctors office knows it. Also, I find it strange that there is a significant price difference between tabs and caps, or that you have amox tabs at all. Are you sure that you aren't changing from augmentin to plain amoxicillin? Because there IS a whopping price difference there.
Yes, that Chinese one is real.
As a native speaker I can't decipher anything from it, but I found that someone had the answer(?) typed out and using that as a key...a prescription of traditional madicine, recognized. It gose: 沙参20g 连翘25g 苏子15g 菊花15g, etc.
I need to stop procrastinating lots of traditional Chinese herbs. Some don’t really have an English name
@@acreativename4391 Basically it's just a bunch of plant names. The four herbs I listed should be upright ladybell, weeping forsythia, beefsteak plant and flower of chrysanths.
BUT I don't know which part of those said plants are useful or how to process them.
...Just imagine a Muggle given correct magical ingredients trying to guess how this potion would be like.
Quentin Song isnt 菊花 just chrysanthemums why’d you have to say flower of chrysanths?
@@imaginefishes Because they only use the flower of this plant...based on my experience? I don't really know. I guess you can look into something like English version of 本草纲目 to make sure what's the correct translation.
The handwritten characters (if there’s any) are too unintelligible even for calligraphy standards
But the top part is legible and it’s traditional herbal medicine yes
When I know the answer to a question in exam. I always write as neatly as possible and when I don't know the answer properly, I write like a doctor.
Truth
Ancient nurse here. I can help you out on the first one. Although the handwriting is indeed atrocious the other reason you can’t read it is because it is written in the apothecary system, which was still the standard in the 1940’s when this script was written. Learned it in ancient nursing school in the early 1980s because some older doctors still used it. This is a recipe for a compound to be mixed by the pharmacist. It reads:
Codiene 4 grains (approx 260 mg) and ASA (aspirin) 30 grains (1950 mg) to be divided into 6 capsules (roughly 43 mg of codeine and 325 aspirin per dose). After the recipe are the instructions (sig) take one every 4 hours if needed for pain.
Wow, this is good.
are you an elf?
Whenver my late father(RIP) doctor gave us his notes I always thought that im trying to decipher an ancient language.
I don't know if you're still doing "Doctor plays..." vids, but if you do you should check out Vampyr. You play as a Doctor in Victorian London who gets turned into a vampire and becomes, well.. a vampire doctor! ;p A big part of the game is treating patients. Though I imagine it's pretty inaccurate there's quite a few interesting cases, and I always think it's interesting to learn about medical history. Also if you have a really annoying patient you can just eat them, which might be a nice change of pace lol. Great vid as always :)
katheriner10 lol
Great game but I doubt he has enough time to do this :(
My mother works for a doctor, somehow shes able to decipher his handwriting, I once worked there for a day helping file charts and etc, but some names and notes were not even in a human language and I'd keep having to bug my mom while she was on the phone, or with a patient.
And I have no idea how she can understand the incoherent flatlines and scribbles
4:31 someone wrote it for you, isn't it?
Shhhhhh!
hahahaaha
You have a potential to be a big RUclipsr considering that despite the irregular upload frequency you have a decent fan base (Try to maybe upload at least once a week to keep up with RUclips algorithm).
he is full fledged doctor, who have time for doing youtube especially video reguarly?
I'm working on it :)
...Which is the reason why I said *at least* once a week (taking inspiration from Dr. Mike). The result of which will be the ability to reach a wider audience, educate, inform, break stereotypes, create awareness, interest in the field (and possibly earn a side income).
Ps: Just a well wisher here. Please don't take me otherwise.
Dr Hope's Sick Notes don’t stress about a regular schedule - we’ll watch whenever you upload :-)
Also, I’m giggling at the thought of people who aren’t from the UK scratching their heads at “having the mickey taken” 😆
Thank you for your hard work and dedication. So grateful for the NHS!
If you check out Simplynailogical she has a full time job and can only upload once a week. She films and edits her own content. I say this because a doctor in the UK has a lot more work on top of working full time. And Dr Hope also does all his own editing and filming (i assume). Better to make great content when you can than half decent content weekly. Press the bell icon so you can get notifications
I once had a high school girl (a relative of mine) ask me: "Where do you work?"
"I work in a pharmacy"
*she scribbles something on paper*
(excitedly) "Can you read this? What does it mean??"
Me (laughs): Well it looks like a heartbeat to me (ECG) 🤣
I hope my handwriting never turns that bad 😂 in fact, every time I have to write a prescription, I do it slow so my handwriting is as legible as it can be
I’m an asthmatic saxophonist so I ace a peak flow every time due to woodwind technique 😂 Have to do spirometer(?) tests instead in the asthma clinic. Also an amateur calligrapher so love gorgeous writing!
Ed Hope he'd make this into a series.
Sorry; I'll show myself out
Your translation skills are better than my entire understanding of the English language as a whole.
Ever since I was a kid, I've always thought of pharmacists as calligraphy GODS.
Oh and thank you for making me choke on my drink. 1:20 XD
clericneokun there's a vid on the Heimlich maneuver somewhere...
As a nurse, I've had to call clinics to clarify some orders. I once had five different nurses trying to decifer a lab order. We had to crack out a lab sheet just to get a sense of what was being asked.
I think it's a generation thing, I'm the last generation of drs who trained having to write everything by hand in a complete rush or in an emergency, all day. I had lovely handwriting in school. Now it's pretty dire unless I deliberately slow down.
The first doctor's handwriting looks as if he tried to write with his left hand even though he's right-handed 😂😂😂
For those who are curious about the Chinese doctor handwriting, the writing is called Stenography. It's an old fast writing method that were widely used by journalists. Though no one really uses that handwriting anymore nowadays.
Stenography is used in courtrooms too though there's usually a special keyboard for it.
I am lying in bed with a rhinovirus (boom I used a medical term 💪) + high fever right now, so a video from you feels like a blessing. 🤗
A* for you; but what do we call a high fever?
@@DrHopeSickNotes And there goes my victory...sadly I have no clue, sorry doc 🤔 thanks for the A* though! 😆
Btw what do you call it?
@@DrHopeSickNotes Pyrexia or Hyperpyrexia. Depending on how high the fever is. :)
@@riyanahpersaud34 Ok cool thanks mate, english is not my first language, so I'll use that as my excuse 😂
Nerd joke was peak humour 👌 Irish gal here 😊 just wondering what you thought about the book This Is Going To Hurt by Adam Kay and how it compares to your experience in the NHS, maybe you could do a book review if you have the time
Yeh I’m re-reading it at the moment so I can review it for the channel!
@@DrHopeSickNotes By favourite bit was counting the number of seconds in a minute.
I'm a unit clerk and when I went to school we literally took a class on how to read bad handwriting 😂
I’m sort of surprised to see that a lot of countries still write these notes. Here in Belgium the only handwritten thing is the doctor’s signature
Call me naive
Please do a colab with Dr. Mikhail vershovski
Edit:thx for the heart ! 💓
Yeh I hear he is a big fan of my content! I don't think its going to happen unfortunately
We can hope lol
@@DrHopeSickNotes oh I don't mind, I love your content by the way, I can always wish for it to happen : )
@@thewarmedic2330 I mean, he can Hope better than us...
@@bijaldalal9254 I think Dr. Hope was referring to the fact that Dr. Mike "stole" his idea to do a review of medical scenes in film and tv, without crediting Dr. Hope and ignoring his messages on social media....
My job consists of me going through med recs all day long. I know this pain well 😄
I asked my mom one time why doctors have bad handwriting. She said, "some doctors have good handwriting like me."
She writes in some weird circly things 💀
Keep it up mate I love your content!!
As a nurse, I can confirm that you have good doctor handwriting. I’m proud that it can be read and actually sits on the lines!!!
Pharmacist once gave me Ansimar lucky I heard my doc say Angimax while he was writing it down. So much better when your doc explains his prescriptions instead of solely relying on the written rx.
Thank you for being a doctor that writes clearly 😊
8 dislik--i mean 8 of the doctors have seen their own handwriting :P
Would you ever react to untold stories of the ER
I got a notification for this video while watching it... Great job youtube
I love your channel Dr hope :)
I worked in a doctors office for 3 years with 2 docs with a bad handwriting. We got a lot of stuff back with the question, if we could send it again in a better writing. We could mostly read the stuff, after a whole you got used to it
Lots of love from Germany
I work as a pharmacy tech and regularly have to decipher handwritten prescriptions. We always try to double check with the doctor if we're unsure, but mistakes still happen unfortunately. One time the pharmacist brought out a large box of Movicol to a confused patient looking for her contraceptive pill, Marivol. She was cool about it thankfully!
Dr hope: *writes neatly*
Me: 𝕥𝕙𝕒𝕥𝕤 𝕚𝕝𝕝𝕖𝕘𝕒𝕝
No wonder, people get all panicky when experiencing an asthma attack, especially when it's for the first time - that hyperventilating and being short of breath that happens when having an asthma attack often kicks in in a panic attack, too - albeit for different reasons. In asthma it's a symptom that happens when the bronchi get all cloaked up, in panic situations it's because the body is getting ready for a fight or flight situation. I still remember having my first asthma attack in class 6 when I didn't even know I got asthma. That really was terrifying. I also got a really mean case of test anxiety/ stage fright (more like a phobia, really) which really doesn't sit well with my tendency for low blood pressure and fainting, so I got first hand experience of how close those symptoms feel. The breathing techniques I learned as a kid in that special course they made us attend is one of the few tricks that actually help me get through those test/exam situation that really made my student life a lot harder than it should have been...
Im not interested in going into a medical field and I don't know how I got to this channel, but the videos are so interesting and also informative that I had to subscribe 😂
Did anybody else notice that it seems like he lost weight, and slowed his speech. I'm not a doctor but I think this man is sick.
Or I had a hair cut + I couldn’t read the handwriting very easily!
I watch at x1.5 spd so looks fine to me.
@@DrHopeSickNotes this is why you always seek a second opinion
Earnest Brown 1.25 is normal speed to my brain
In Denmark, we have what is called "The Central Medication Server" which doctors, nurses, and others medical professionals with a Lvl 3 access (private Identifying personal info) can submit prescriptions to; Pharmacists have Lvl 1 access (in the moment,) meaning :when Social security card is scanned.
All of this prevents bad handwriting, while also trying to limit who can see it, sometimes it can fuck up.
If you have been hospitalised, and has a drug you take daily, they will add that to the server (that they are giving you them, despite there already being a prescription active) and then furlong it when they sign you home.
This can cause your regular prescription to be cancelled if they forget to set a end-date for when they were proscribing it.
User error is harder to fix; if not impossible.
I'm asthmatic and seeing that peak airflow thing makes me want to CRY. THE FRUSTRATION
I guess because any Med degree is so intense and involves a LOT of note taking, the students (future doctors) had to write FAST in order to keep up with all the information they were being given and simply didn't have the time to care about how neat their notes looked so long as they were readable. Which by the end of their 7 or 8 year long degree (including med-school) their handwriting would understandably be a mess.
But because these days students mainly take notes on their laptops, it doesn't really affect their handwriting. So the current younger/new doctors generally tend to have normal handwriting I find.
Maybe it's not just medical doctor's. some of our professors who got their PhD got this terrible handwriting going on
When I was at school, I had one teacher I'd accept comments about my handwriting from - though there was one time a teacher apologised to me that his toddler had been playing with pens - which explained why the red squiggles made even less sense than usual!
What happens to me is the faster I have to write, the more my handwriting suffers in terms of readability. As a teacher, I often have to decipher what kids write from context, or comparing to other parts of their text to see what letter something is. Feels a bit like detective work
7000 people die a year from a doctors bad handwriting.
If you don’t believe me look it up
*Also, you can tell the first one, the Paul-McCartney-birth day prescription one is old because his phone number is 110...*
I met you through Cells at Work. I am now subscribed Listening to you is relaxing and also awesome. Hearing some latin "Oculus Dexter" was also nice.
Also "The Mickey" taken out on us, in the US, is see as "Damicky" not sure why. Weird.
I honestly thought it was some secret code made to not be replicated and falsificated
It very likely that they are using the gregg shorthand, which makes writing way faster, often used by accountant and I know most chinese doctor uses it.
For the 1st script
ASA = Aspirin
Sig. One every 4 hours as needed for pain
Agree! I've never seen codeine and aspirin together, which makes me wonder if it used to be common in the 40s or if this is a script for a compound?
@@staceyk2274 Was thinking the same thing. Typically it is a combo of codeine and acetaminophen anymore. I will have to ask the pharmacists I work with if the combo of codeine with aspirin was common back in the day.
Doctor, please spell the word "medicine" neatly!
Doctor: is that a challenge?
A doctor with a good handwriting is not a doctor 😂 By the way, as always you innovate with fun videos. Greetings.
You haven't played a game in a while Dr. Hope... We need A GAME!
Yes! What do you want?! Board game? Video game? Or....... just got an Oculus Quest, so something in VR?!
@@DrHopeSickNotes I would recommend surgeon simulator VR, but it doesn't seem to be on the Quest yet.
@Dr Hope's Sick Notes How about Plague Inc.?
@@DrHopeSickNotes Play Prognosis! It's an iOS game for medical diagnosis/treatment.
When I started work as a clinical coder in a UK general hospital in the 1990s we had to work just from Discharge Letters from Medical wards (the other specialities allegedly letting us have the notes as well) which were always hand-scrawled and frequently contained abbreviations unique to the Dr/dept concerned. Endoscopies were the great though; printed, different colours for gastro, colorectal and lap chole, and pretty pictures of all the bits.
I’ve heard the paracetamol one was some sort of short hand that is used. Don’t know how true that is
This video deadass made me feel much better about my handwriting
I used to have better handwriting at varsity. Bad handwriting happens because we see so many patients and have little time in between note taking...but is still something to be mindful about. Just a shout out to Dr Hope, subbed recently and a fan of your work. Having watched your videos regarding Cells at Work, it brought back so many memories of my Anatomy & Physiology lectures during my first year. You remind me a lot of my Anatomy and Physiology lecturer, minus the vegetables lol. Someday, PLEASE decide to become a lecturer in this field, you really bring life to the subject matter.
FUN FACT:
It doesn't happen so often now, but back in the day, in China. Hospitals would develop their own writing system, so prescriptions written by the doctor would look like gibberish or drawing to the patient, but the hospital pharmacy can read them, it's like a code.
So the patient won't just take the prescription to a private pharmacy (which is much cheaper). Around the same period of time, it costs roughly 50-75 cents US to see a doctor, so the hospitals were making money by selling overpriced medicines. And doctors were reprimanded for telling the patients what drugs they were prescribing, because that takes away the hospital's profit.
Nowadays everything runs on the social health care system, so it doesn't matter where you get the drug, so now it's all typed and printed. Some fancy hospitals also can give you a PDF prescription.
A doctor once told me the reason doctors handwriting is bad so you can’t see what bad spellers they are. While working as a nurse in a clinic,there was one doctor whose writing was unreadable. Told oldest in med school I never wanted to see him writing that way. While home for a weekend, I saw a notebook with writing like docs. I yelled at my son, “I told you never to write like that!”. Son said, like a 10 year old, Mom, that’s not my writing, I borrowed notes. I don’t write like him, I know you told me, I try my best. I just said well, ok, and I’m sorry I yelled at you. That’s ok, mom. He now works in said clinic, writing is pretty good.
That second one that you called flatlining looks like the handwriting that my maths teacher had when I was in secondary school, lol.
As a pharmacy technician, I much prefer electronic Rx to handwritten ones.
Isn't it nice when the whole thing just populates for you? All you have to do is pick an NDC, count, and sticker. Kind of proud of being able to read the handwritten ones, though.
Revisiting this video because I brought it up in discussion with fellow P1 pharmacists at the college I've just enrolled in this year. It's comforting to know that even some doctors struggle with certain doctor's handwritings when we pharmacists have to deal with this on the regular. Future pharmacists, if you're ever unsure of the medication or amount, contact the doctor who wrote it. Never assume.
hello as a pharmacist, i want to note Dr. Hope's handwriting is not just good for a doctor, but really good even amongst normal people!!
2nd prescription - 2:28 - The first medication is to be given at a dosage of 4 mg. ORALLY immediately (stat. - means "immediately" or "at once")
How about doing an episode of MASH? There are quite a few scenes in surgery, as well as puzzles about how to solve a treatment with limited or no resources.
deciphering (or interpreting) doctors' notes on my favourite pharmacist's fanpage is a peak of my day but also serves as a remider to never write my prescriptions in my 'medical notes' handwriting
I didn't know Dr. Strange was a real doctor
I'm no doctor so I'll just have to ask...would there ever be a situation where a Doctor would write an advisory note suggesting an overdose? Because that to me sounds like something that would only show up in a diagnosis.
I always thought doctor's handwriting was maybe bad because of how fast they have to write because they're so busy. This was fun! :)
In a clinic I used to work, there was a doctor that liked to handwrite the request forms and it was so difficult to read. Even the receptionist sometimes brought his request form in to ask us for help, it was like playing a puzzle game lol
PS. love the clean shaven you.
re: “OD” , in my training (Australia circa 2002), what was drilled into us was the importance of capitalising/not capitalising acronyms and abbreviations as appropriate, in order to eliminate ambiguity. my clinical preceptor would have had my ass if I had written “OD”, I was told always to use lowercase when referring to dose timing/frequency, so I would write “once daily” as “o.d.” (the periods also helping delineate the term as two words; if I needed to abbreviate the word “overdose” I’d likely use o/dose or at the very least, o/d). “oculus dexter” i’d never even heard before today, but I can see how that could be troublesome if misinterpreted
This video was therapeutic for me as a clinical (medical) coder who deciphers medical notes all day in my job. Especially your example note, excellent form there. Please come work out of my hospital some time, my job would be so much lovelier if this is what all our doctor notes looked like
As a general trend, doctors newer to the field tend to write much more nicely. Fear the physician who has been in the job for 40+ years. Excellent and talented doctors, terrible handwriters. Newer doctors also tend to be friendlier when we have to swallow our coder pride and track them down on the ward to ask them what that word says
In our local area, plastics are also main offenders when it comes to their scrawl. Not sure if this is a trend everywhere. But it's terribly frustrating when you're trying to decipher a hand surgery report and work out which of the 500 or so hand structures with a 3 letter acronym they're saying they sutured.
I'm looking for Dr.Mike's reaction to hand writing, but saw this one instead. I don't mind though, it's still hilarious 😂😂😂
I can swear ALL of the local pharmacists can decipher my doctor's scripts. He writes like that 'paracetamol' one
I always ask my Doctor friend to read my presciptions to me, and explain to me what they are. She even comments that my Doctor's handwriting is bad and hard to read. She even commented that my dog's Vet's handwriting is bad.
I swear it’s just a way to be able to argue against malpractice if something goes wrong there’s wiggle room in deciphering
A friend who was a dispenser way back told me she finally deciphered a line on a prescription which had been round all the local pharmacies - 'Temporary Resident'. And I was phoned fairly regularly by our department secretary typing EEG reports: 'I can't read this word; can you tell me what it says'. Not my report, and she was in an office the opposite end of the building.
1:48 I think the explanation for that one is that it's in pharmacist shorthand and that's how the other person knew instantly what it meant.
Looks like the handwritten prescriptions we get at work. Loving the vlogs.
As a former medical secretary it is not just the writing that can be problematical. Some doctors are atrocious at dictating their letters - mumbling, rustling things & asking you to find out weird things like the name of a consultant with a particular number plate!
Great video!! my Chemistry teacher had the habit where he just wrote Alu+a bunch of waves for Aluminum
Last time I was at vet (I'm vet tech student) he wrote the list of topics for me to write about and his cursive handwriting was pretty nice. That left me wondering if vets write better than docs.
Their handwriting is better than my friend's. She once couldn't read HER OWN handwriting.
can you make video "doctor react to dr. stone anime and manga"!
glad to see that even an actual doctor has issues with reading doctors handwriting, thanks for yet another very interesting video
When I used to dispense the ONLY mistake I made was with a 15 year old lad who came in with a script for Cr. Chloramphenicol (or chloromycetin). In the 60s chloramphenicol was much used in eye drops, EAR drops and topical creams. Doctors used to mix it up with latin hence Cr. chloramphenicol was 1% chloramphenicol cream (cremor). Sometimes ear drops were written in latin and that was auristillae chloramphenicol . They frequently left the amount to guess work and the directions the same. He came back with his father the next day with cream sprouting out of his ear asking how to use it ........ and yes I should have asked him why he had been prescribed it. During the 70s and 80s you were not allowed to include the name on the labelling hence "The Drops" or "The Mixture". The British National Fomulary would say if no amount has been prescribed 1 ounce shall be dispensed or 4 ounces or whatever.
I can't tell you how many times as a x-ray technologist that we get scripts where it is difficult to figure out what they are ordering. Occasionally we've called the providers office when it's really bad for clarification as we want to be sure we are doing the right test!
As someone studying Chinese GCSE at Hong Kong that Chinese note makes absolutely no sense.
In Mexico, their laws called NORMAS and there is one NORMA for doctor's handwriting , but it still happens
I had to fill out a survey thingy today and my doctor told me about how the hospital has switched to fully digital records and prescriptions now for readability reasons ... which is such a diplomatic way of telling me there's room for improvement in my handwriting.
I've heard people say they were taught to have intentionally bad handwriting to make it difficult to forge.
I think the first one says "XXX gr= 30 grain (1 gr= 65 mg) Sig one every 4 hours as needed for pain
dancechica seems like a lot of Codeine but ok.
@@Jozenchill Oops you're right. I see the IV at the top so I think it's 4 grain, which is 260 mg.
I have never seen cursive Chinese letters until now. It's like some sort of crazy calligraphy with ballpoint pen.