And, Adam, that kind of brings us full circle. Do you do something different in the chart to note that this threshold has been passed, or is your memory just a lot better than mine? Or, do you just "know?"
I also realize that there is some flexibility in all this for me, more than some of the posts above might suggest. Example: a spouse is in the waiting room, to pick up a patient in whom I have just discovered something really bad. I will usually bring him/her into the recovery room to break the news to both of them at once, figuring the mutual support trumps confidentiality.
