Page 27 - Hospitalists - Risks When You're the Doctor in the House (Part One)
P. 27
SVMIC Hospitalists - Risks When You’re the Doctor in the House
SUMMARY TIMELINE
Key
Players Dr. Murphy Dr. Carter Dr. Turner
Hospitalist Orthopedist Murphy’s Partner
Pt reports pain is better Murphy sees pt
48yo Male
Admitted 7/20 7/21 7/22 7/23 7/24
JUL 19
Carter (ortho) consulted & Nursing notes indicate
ordered “CT today” MRI performed weakness, numbness &
Nursing notes indicated hyperreflexia Report significant abnormal neuro exam
7/29 7/28 7/27 7/26 7/25
Murphy & CT f/u performed Murphy notes “Discharge Planning”
Carter Report significant Pt complains of pain
(ortho) see Murphy sees pt
CT report Murphy sees pt Notes “legs weak”
7/30 7/31 8/1 8/2 8/3
Carter (ortho) orders Murphy sees pt who complains
transfer “tomorrow” to tertiary of pain, weakness & soreness
care hospital based on CT Notes “lower extremeties negative”
findings
Patient
Died 8/4
DECEMBER
Murphy orders 2nd MRI due to
deterioration in pt condition
Patient is emergently transferred
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