That Feeling at 9pm When You Know Something Is Wrong in a Chart

You know the feeling.

You are reviewing records at 9pm. The case has been in your intake queue for three weeks. You have read the discharge summary four times. Something is wrong in this chart. You cannot articulate it clinically but you cannot shake the feeling that a physician would find it.

What That Feeling Is

So you sit with it. You consider retaining someone just to answer the question. You think about the cost. You think about the time. You think about the client who has called twice this week.

And then you either commit without the clinical clarity you need, or you decline a case that might have been the strongest matter in your intake queue all year.

Both outcomes are bad.

The feeling you are describing is clinical intuition that has no clinical training to back it up. It is your pattern recognition from years of doing this work telling you something is present in that chart that you do not have the tools to identify.

That Feeling Is Usually Right

The chart is telling you something. The question is whether you have the clinical framework to identify what it is saying specifically enough to act on it.

That is exactly what a Converge Review provides. A physician and nurse will find what you are sensing, or confirm that it is not there. Either answer is worth more than the uncertainty you are sitting with at 9pm.

caseveritas.com. Or email andrew@andrewtisserdo.com tonight.