Unattached Call -- Doctor/Patient Relationship? --> Re: R

[Guest guest]

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> both

> 1 How can you sleep at night seeing an INR of 6.0??

Let's not mix legal with moral.

I believe the question was about legal obligation and I think you should talk

with the malpractice insurance and have their lawyer fax a nice letter to your

ER. The patient should be provided with your phone number to call but no labs

should be faxed to you until after you actually agree to see the patient. The

physician who orders the test is the one who follows on the test. I get the same

from our hospitalist group, sometimes they " refer " a patient to me after

discharge and I get the discharge summary in the EMR, with my name on it. What

if one of these patients needs a follow up CXR because of a lung nodule but he

never calls to actually see me in the office ? Do I start chasing him down,

sending certified letters and so on ?

About the moral part... we are all adults able to decide for ourselves how to

conduct our moral life.