I had a family I was working with in my field of work who was seeing Dr. Bhuskute for care. This family had a two year old who had severe reflux and was having a very difficult time keeping food down and gaining weight. When I'd contacted the facility to gather a little more history on the child's health, the Nurse I spoke with then noticed that this family had been inconsistent with Immunization and Well-Child checks. When I asked the Nurse what their protocol was for ensuring that the children they see are up to date with Immunizations and well-checks, she reported that they did not have a tickler system to determine who was behind or up to date. Apparently despite the number of times this child was scheduled for an appointment, NO ONE bothered to check to see if this child was up to date with immunizations or well-checks. Saying that, this child continued to be way below the norm in weight and this family continued to feel helpless.