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Neurodoc121's avatar

The ED doctor actually called the urologist to make sure he’d be able to make an appointment. I agree with your point that patients need to take some responsibility in managing their own care. In terms of the CTA- these are routinely ordered in patients with suspected stroke and known kidney disease. In stroke alerts- we don’t even wait for creatinine to come back in most cases.

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james do's avatar

In regards to CT-A in setting of renal disease, i usually have a conversation with the pt and family and discuss risks of ESRD, and permanent dialysis as possiblities. It's rare but so is a stroke after stopping coumadin for a few days. That said, i really hate how doctors are held for bad outcomes, which we have absolutely no control over, unless we flippantly treat outside the standard of care. In this case, the ER doctor did what all other doctors would of done.

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