Great comment. I know that our ED keeps adding more and more things to cover their ass, but it's ridiculous. Thins like:
Rapid strep antigen: positive
Rapid strep control: positive
But MDM is the best thing they have added. Plus I learn from what they were thinking. There is a double-edged sword. I had a patient go in with paresthsias of the left foot from a B12 deficiency, they went in for something else. In the MDM the doctor stated he didn't think it could be B12 because the other symptoms weren't present, i.e. macryocytic anemia.
I wanted to jump through the computer and ask him if a deficiency would necessarily present with every B12 problem at once, i.e. brain issues, etc.
We don't have a great way to have a dialogue with ED doctors which would be helpful although some get defensive if you email them.
I had one ED doctor write something to the effect that the PCP wrote for XXXX. Then opined I am not sure why he would use that....unfortunately the patient can't always recite MDM.
