You mean an ER physician who had no history of the previous hospitalization? The family had no discharge paperwork because they left AMA. I don't think they pro

You mean an ER physician who had no history of the previous hospitalization? The family had no discharge paperwork because they left AMA. I don't think they provided an adequate history including recommendations from neurosurgery, Pulm crit, GI, physical therapy, and speech therapy. Also I don't think the ER physician was going to admit a patient for an ultimate disposition for inpatient therapy either. What I think is kind of funny is that there is a general pediatrician who was probably coordinating care and never really needed to get consent for treatment. I'm sure the neurosurgeon who did the clip got consent, GI/surgery got consent for the PEG, Pulm crit for the trach. Now this sad primary care/peds doctor is going down for not getting consent. And one last thing, primary team pediatricians/hospitalists and their assisting case managers/social workers are not excited about long and protracted patient dispositions. No one likes to have a patient sitting on their list forever, especially one who really wants to leave and is aggressive about it. This story is incomplete without Mayo's side. I don't trust any of those comments from the medical ethicists when they don't have access to the full EMR at Mayo. I suppose they were enamored with the idea of providing a comment to the journalist.