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example of bad referral

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A few days back, someone asked for an example of what we considered to

be a " bad " referral. It usually means the referring provider (we have

many " providers " rather than physicians in our area) put no thought

into it-- headaches that began in the setting or significant

psychosocial stressors (i.e. real examples-- the patient was raped,

lost a spouse, relative committed suicide) Or a routine referral for

something that was urgent (i.e. referral for temporal arteritis that

wasn't faxed until 2 days after the patient was seen in that

provider's office or the patient who practically crawled into the

office because he became rapidly unnable to walk over the course of a

week (cancer causing cord compresison). A referral is rarely a bad one

if the referring provider took a reasonable history. Hope that post

wasn't offensive.

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