In our Lewiston practice, many calls start the same way: a patient arrived with symptoms that warranted prompt, careful evaluation, but later events raise questions about what happened in the first critical hours.
Common scenarios include:
- Winter respiratory and cardiac symptoms where early testing, monitoring, or escalation may not have happened quickly enough.
- Injury-related returns after discharge—when pain, swelling, or neurological symptoms continued to worsen but were not met with appropriate reassessment.
- Medication and allergy issues tied to incomplete histories, confusing med lists, or fast-moving triage workflows.
- “We’ll watch and wait” plans that didn’t match the risk level documented at the time of visit.
Even in a busy emergency department, clinicians are still required to meet a reasonable standard of care. The question is often not whether the outcome was bad—it’s whether the care decisions matched the presenting symptoms and the timeline.


