Changes

'''Hot mess''' can sometimes be used interchangeably with [[Train Wreck|train wreck]] though most health care professionals admit there is a slight difference. A [[Train Wreck|train wreck]] typically refers to a patient with a multitude of acute issues, whereas a '''hot mess''' refers to the patient itself being somewhat disorganized or chaotic. As of February 19, 2017, neither train wreck or '''hot mess''' is part of the [[ICD-10]] code manual, but that is expected to change in the near future.