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secstate

These are too funny: https://www.empr.com/home/features/the-strangest-and-most-ob...

Choice selection:

V91.07X - Burn Due to Water Skis on Fire(?!)

W61.42XA. Struck By Turkey, initial encounter. If a duck is involved, there's a code for that too. (W61.62X)

R46.1. Bizarre Personal Appearance.

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R46.1 is more sensible than it might seem. Personal appearance that's far outside the norm may indicate a neurological deficit or psychiatric condition.

Either that or they work in art, fashion or entertainment.

"Bizarre" probably refers to something both more extreme than Marilyn Manson or face tattoos and far less interesting/well-coordinated.

At the clinic mom used to work at, they used "FLK" instead of R46.1, which stood for "Funny Looking Kid". It was shorthand for "Something doesn't look right with this patient, and we need to find out why"

Yup. My grandma was a nurse and she used this. Many genetic disorders have characteristic facial features, such as the Pierre Robinson sequence.

My favorite: T63.012D: Toxic effect of rattlesnake venom, intentional self-harm, subsequent encounter

So basically you have a case where someone not only intentionally wanted to harm themselves with rattlesnake venom once, but at least twice!

> So basically you have a case where someone not only intentionally wanted to harm themselves with rattlesnake venom once, but at least twice!

No, you misunderstand the terminology. "Subsequent encounter" means with the doctor not with the rattlesnake. AKA followup care during or after recovery.

> No, you misunderstand the terminology. "Subsequent encounter" means with the doctor not with the rattlesnake

You can reference ICD codes with the schema.org/code property of schema.org/MedicalEntity and subclasses. https://schema.org/docs/meddocs.html

"Subsequent encounter" is poorly defined. IMHO, there should be a code for this.

> "Subsequent encounter" is poorly defined.

"Poorly defined" is poorly defined. Explanations of when to use the D make perfect sense to me.

"The 7th character for “subsequent encounter” is to be used for all encounters after the patient has received active treatment of the condition and is receiving routine care for the condition during the healing or recovery phase. Examples of subsequent encounters include cast change or removal, x-ray to check healing status of a fracture, removal of external or internal fixation device, medication adjustments, and other aftercare and follow-up visits following active treatment of the injury or condition. Encounters for rehabilitation, such as physical and occupational therapy, are another example of the use of the “subsequent encounter” 7th character. For aftercare following an injury, the acute injury code should be assigned with the 7th character for subsequent encounter."

Some people (actually, just heard of one) inject themselves with snake poison for various benefits.

This guy has been doing it for 30 years now: https://www.youtube.com/watch?v=AcbqB0pFRPA

And also a longer but older documentary-short about the same person: https://www.youtube.com/watch?v=8q_m-rDUNw0

Edit: Apparently, the same guy (Steve Ludwin) actually has his own snake show on VICE nowadays. You can see all videos about him (and ton of snakes) here: https://video.vice.com/en_uk/topic/steve-ludwin

Like cutting near the bite and trying to suck out blood?

Why would I suck blood out of a venomous snake? :3

At least it isn't poisonous.

Y92.253 - Opera House as the Place of Occurrence of the External Cause

Operas are so painful to watch there's even a medical code for it.

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