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Pat Iyer, president of a legal nurse consulting company since 1989, has extensive experience reviewing medical records, particularly in litigation. In a recent program for the New Jersey Institute of Continuing Legal Education, Iyer asked attorneys about their biggest challenges with medical records. A key concern raised was the completeness of certified copies of medical records received from facilities. Attorneys noted the difficulty in verifying that all pages are included, as discrepancies such as missing nursing notes, progress notes, operative reports, and physician orders can occur, leading to potential complications during legal proceedings.