An MRI is needed when doctors think there is inflammation, a tumor, or something medically wrong with the brain that we can't see on the outside.
I think that the physician and the medical assistant, Meredith, have an equal part of responsibility. Meredith because you are trained and know that you should always document the correct vital signs every time and for every patient, especially blood pressure. If she was having a problem getting a correct reading, she should have asked for help from another assistant in the office or have tried another sphygmomanometer. Also she did not review Mr. Wallace's file and I assume she didn't ask what was the cause of visit.
Answer: "Hey are you doing ok?" "You have been acting not like yourself lately" "Hey, i'm coming over we need to talk" "Do you need help with anything? Seems like you are not doing ok"
Explanation:
Doing stuff they usually like doing, if they do not seem like they're having fun or enjoying it then you can see that something is up and ask what's going on.