I did have a local Doctor whom I followed up with. Fortunately he fellowed at HEI so I felt pretty good. The folks at House wouldn't let you go unless all is good, but yes, sometimes things happen (CSF's, etc). You can always call House for advice if you are really concerned about something and don't have a local doctor on tap to help you out. You can also ask the people at House if they have a list of docs they recommend for your area. Good luck!