Mr. C. is 86 years old and had a stroke years ago that left him completely paralyzed on his left side-his left arm and leg are atrophied and contracted.
I received a follow-up note from a cardiologist who had seen him recently.
Under the general physical exam section it noted that "no sensory abnormalities were noted and no motor dysfunction was seen."
There are only two possible explanations:
1. The cardiologist examined Mr. C. with his eyes closed
2. The computer generated template was not amended with the correct information
Since this seems to happen so often these days, I suspect that #2 it is!
I'm pretty sure an excuse of "the computer made me do it" will not cut it in court.
The note was signed at about 11 PM...obviously a long day for the cardiologist...just what most litigation attorneys hope for...mistakes.