S2 EP 3: The Headache That Shouldn't Have Happened
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S2 EP 3: The Headache That Shouldn't Have Happened
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A 47-year-old man with no history of migraine comes to his longtime nurse practitioner with a new pulsating headache, nausea, and light sensitivity, and nothing on the exam looks alarming. Over the next two months the NP escalates his care at every step, with an MRI, two neurology referrals, and an ER visit, until he’s finally diagnosed with a rare, devastating encephalitis. In this episode of Scrubs and Subpoenas, Dr. Wendy Wright and Dr. Sally Miller look at how a case that met the standard of care still ended in a $2 million settlement, and why the malpractice carrier, not the NP, made that call. They also share practical ways to protect yourself and your patients, including documenting ED recommendations, using the Z code for treatment refusal, and pushing back when referrals don’t give you answers.