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I'm sure we all have them. The high HEART score patient with chronic chest pain who comes back every 2-3 days. I'm curious how you handle them as I got into a fight with one of my PAs who was angry I wouldn't admit the HEART score 5 chronic chest painer with 3 admissions already this month.
I usually document "Patient has chronic chest pain, and this is unchanged from baseline. Workup shows no evidence of acute ischemia".
Some of my colleagues admit these every single time and don't seem to consider chronicity or past recent admissions.
I'm curious as to other approaches.
I usually document "Patient has chronic chest pain, and this is unchanged from baseline. Workup shows no evidence of acute ischemia".
Some of my colleagues admit these every single time and don't seem to consider chronicity or past recent admissions.
I'm curious as to other approaches.