Not a doctor but I do medical research which includes chart abstractions. I was abstracting a chart on a 90+year old rancher in Montana - still an active dude without any major health issues. I was abstracting what lead up to his minor heart attack and couldn't hardly believe the ICD-9 codes so I went into the more granular notes. A storm rolled in while he was checking on the cattle so he hopped on his 4 wheeler to get home. BOOM he gets hit by lightning causing him to wreck his 4-wheeler. He must have been okay because he gets up and starts hobbling home - only to step on a rattlesnake and get bitten. Shakes that off too and manages to get home only to have a heart attack while waiting for medical services to get to his rural home. This dude had ICD-9 codes for lightning strike, motor vehicle accident, snake bite, and heart attack all on the same day. Spent like 4 days in the hospital and went home seemingly no worse for wear.
D**n I hope I'm that resilient at 90.
*Edit* There are no HIPAA identifiers here - I just did my kazillionth HIPAA training last month. Even specifying from Montana is okay. You aren't suppose to disclose age for patient's 89+ but 'such ages and elements may be aggregated into a single category of age 90 or older'. I'm not even sure the dude was over 90 - I just remember he was old-old.
D**n I hope I'm that resilient at 90.
*Edit* There are no HIPAA identifiers here - I just did my kazillionth HIPAA training last month. Even specifying from Montana is okay. You aren't suppose to disclose age for patient's 89+ but 'such ages and elements may be aggregated into a single category of age 90 or older'. I'm not even sure the dude was over 90 - I just remember he was old-old.