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There is a difference between a doctor's chart in his/her office and a chart in the hospital. Those can get quite voluminous in a very short time. Lots of consults from different specialties, lots of orders, which can be conflicting. I am mindful of one consult with me over possible medical negligence, the son was quite upset because his mother had a stroke, the neurologist called after the fact ordered heparin, a blood thinner, and he thought if only this had been done sooner it would have saved her. The woman was already taking coumadin (warfarin), a blood thinner, this was not reflected in her chart. She had told the first hospital that she was taking it, but her son insisted she be transferred to a bigger hospital, and she was unconscious by the time she got there, so the information was not on the chart for the second hospital. What a mess! |
