General
lol in nad
What does lol in nad mean?
Shorthand for an elderly female patient who, after a minor fall or complaint, appears comfortable and might be better cared for at home than admitted.
"Triage note reads 'LOL in NAD' — social admission at best."
Origin
Coined/popularized in 'The House of God' (1978); NAD = 'no apparent distress' or 'no abnormality detected.'
Frequently asked questions
What does 'LOL in NAD' mean?
It stands for 'Little Old Lady in No Apparent Distress,' describing an elderly female patient who seems comfortable despite a minor complaint.
What does NAD stand for?
NAD means 'no apparent distress' or, in some usage, 'no abnormality detected.'
Where does 'LOL in NAD' come from?
It was popularized by the 1978 medical satire 'The House of God.'
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