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Have a heart, Peverley...

From Dr Sarah Vaughan,

Downend, Bristol

I read with interest Phil Peverley's account of a patient of his who was admitted under the cardiologists with chest pains and who was discharged on several cardiac medications despite it having eventually been decided that she did not have angina (Columnists,

19 October). Phil blames this on the cardiologists not having the courage of their convictions.

I have a suspicion that the actual explanation was that nobody reviewed the drug chart when the diagnosis was reviewed. It's plausible that the cardiologist in charge of this patient's care simply forgot to cross those drugs off, and a junior doctor copied them onto the discharge summary without further thought.

I do hope Phil raises this query with the cardiology team responsible. From what I remember of my own hospital days and our ward rounds, reviewing the drug charts to see what could be crossed off was an area that left a lot of room for improvement, and this story might be a warning to us all of the importance of never forgetting to check.

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