Agreed. I had a girl once who I worked up, was admitted. They did CSF oligoclonal antibodies. Seven doctors including the ED doctor who ordered them were notified electronically. No one checked.

A week later I saw her in my office. She could barely walk. I said let's start from scratch. Let's look at the labs from the hospital, etc. Right there. Over 30 oligoclonal bands. She had severe Guilian Barre. Not MS. Fixed now, but an autoimmune disease developed or started it. The hospital blamed me for not seeing forty feet down the pages there were oligoclonal bands done.

My point is, on discharge summaries, whatever is left up to the PCP -- two outstanding labs, setting up a referral should be listed at the top in bold or red, etc.


Bert
Pediatrics
Brewer, Maine