Pryce or Karch?

It turns out he always picks the name you ask last- I guess he is as indecisive as his mom...
Boy, my job can add to my paranoia- today I took a claim from a woman with a one month old who was born with faconic anemia, an extra thumb, one kidney, no anus, holes in her heart, a cleft palette and Drs didn't detect one on an ultrasound??!! come on where is my peace of mind?