Clinic patient yesterday, having some chest pain. Ruled out heart attack, did some other tests, he was fine, no need to admit him.
"Can I get a note to get out of work?" he asked.
"You mean a note saying you were here and saw a doctor?"
"No, I mean, I probably shouldn't do my job for a few days, right? Because it's pretty stressful. Physically, I mean."
I look at his chart. Because I was pretty sure I'd read what his job is, and so I was a little confused.
"You're still at the same job as last time?"
"And your job is physically stressful... how?"
"It's a lot of sitting. Hours at a time."
"Yeah, I'm not sure why you can't do that job. I'm happy to write a note saying you saw a doctor, but I think you'll be okay at work."
"You don't know how it is. It's very physically taxing."
"You review television shows for a website. I'm happy to write you a note, I'm just not sure why you feel like this is physically strenuous work."
"I told you, it's a lot of sitting. And eye strain."
"Those didn't cause your chest pain."
"I think all the sitting might have."
So I wrote him a note for his employer, saying that he shouldn't sit for so many hours a day, for the next 5-7 days, to avoid physical strain. He thanked me profusely. I didn't really know what to do. I think he probably faked the chest pain for a note, so that he could, I don't know, go on vacation? I have no idea. I don't know what his motives were, what kind of website boss needs a doctor's note, what kind of boss is going to take this note seriously... maybe the patient was insane, I don't know. But he got a note.
So, people looking for doctor's notes-- apparently, I can be convinced to write a stupid note, as long as you ask me enough times and tell me a ridiculous story. Good to know, right? I'm bringing his case up in our discussion group this week, to find out more appropriate responses...