Real notes found in hospital charts: 1- Discharge status: Alive but without my permission. 2-The patient refused autopsy. 3-The patient has no history of suicides. 4-Patient had waffles for breakfast and anorexia for lunch. 5-while in ER , she was examined, X-rated and sent home. 6- Occasional constant infrequent headaches. 7-She is numb from her toes down. 8-Patient has two teenage children but no other abnormalities. 9-Skin : somewhat pale but present. 10-the patient has been depressed since she began seeing me 11-On the second day the knee was better, And on the third day it disappeared. 12- the patient was alert and unresponsive.