My referring providers get exactly what Leslie said: A/P and date of surgery.

For the record, I have never asked the primary doc for a "letter of medical clearance". What the hell is that anyway? What is that supposed to do? I don't know when that started or who started it. Some lawyer probably asked for it. It's total CYA and it doesn't CYA. Our orthopods do it ALL the time. Of course, I don't think they deal with anything medical so asking the patient if they have chest pain would be too much questioning about non-orthopedic issues.

There are two specialists who I've asked for clearance and that is a cardiologist and a pulmonologist. Not really to see if the patient is "clear", but to assure that the patient is on the optimal medication and recommendations for anything special post-op. A wise cardiologist said that medical clearance has never stopped a post-op MI. True. It's simple risk assessment and I can usually do that.

And, I do love to be passive-aggressive...


Travis
General Surgeon