Anyone recognise this? I finish my morning ward round. Pleased with my self because I've said 5 people can go home. The patients were delighted. I told the team, I told the ward sister, there were no therapy issues. 3 of them are still there the next morning. Now why is that?

@Marktheliverdoc CRP of 101.

@Marktheliverdoc @Lisychka2 But then they come back 4 days later to A&E with worsening HAP, failed discharge

@Marktheliverdoc @Lisychka2 Get so many such referrals to Microbiology on these ‘incidental CRP-up”. Quite often we point out the underlying heart failure / issues I agree, never do CRP unless clinically indicated. The CRP response monitoring is a bit like sequential chest X-ray. There is a response lag.

@Marktheliverdoc @Lisychka2 My sense so far is that it’s not more junior doctors making the choice to keep people in those instances much of the time, though I wager it would be if we made more discharge decisions.

@Marktheliverdoc @Lisychka2 Facts, if CRP us elevated the medical profession should also check SAA. Chronic underlying inflammation is a killer, not always a result, sometimes a cause. But they could go home for follow up, CRP may come down, but at that level, unlikely to be normal anytime soon.