LOL in NAD noun1 •(slang) Initialism of little old lady in no apparent distress.L.O.L.: little old lady. (Oddly, there is no male equivalent.) / N.A.D.: no apparent distress. The classic description of a patient in a state of well-being: L.O.L. in N.A.D. — 2001 formsLOLs in NAD