consultations

#1, to psychiatry

this lady has history of depression on blahblah. she is admitted for termination of pregnancy for anxiety state. termination of pregnancy is now completed and she would like to take OC pills for future contraception. please kindly assess and advise on fitness to take OC pills. thank you.

and then i got this reply:

there is no contraindcation to OC pills in psychiatric patient. i don't quite understand your consultation. for drug intervention, please consult BNF.

#2, to cardiology:

this lady has history of ischaemic heart disease. she is scheduled for pelvic floor repair for genital prolapse. please kindly assess and advise on fitness for OT. thank you.

reply:

(blahblahblah... )
may i suggest:
1. trace her private medical records and coro reports
2. please dont label a patient to have ischaemic heart disease if coro negative
(and then he crossed out the last line!)

clapclapclap... well, i don't mind... it's pretty fun to read these during afternoon rounds...