Sorry Jillio, but I don't agree with you. Protocols change over time. There was a time (not really that long ago) where meningitis vaccinations didn't even exist, then there were but they weren't required, then there was one vaccine, now I think there are two. Protocols change over time, and individual physicians, as a whole, are reluctant to change their clinic protocols without recommendations from higher authorities, like the FDA, the AAO-HNS, or the manufacturers. What happens if it turns out 20 years from now that this new meningitis vaccination causes cancer or infertility? Then everyone would be screaming at the doctors for having a blanket requirements that everyone get these shots when the risk of meningitis was so low? Extreme example, I know, but you get my point.
Physicians cannot assume a lifetime of responsibility for a patient. They are responsible for the services they provide and ongoing care as long as the patient remains part of that practice. If the device is raising the risk of meningitis, then it is the device manufacturers' responsibility to notify patients of the changing nationwide recommendations. They have the money, and they have more up to date contact information for the patients. That is how patients implanted 10 years ago when meningitis vaccinations either didn't exist or weren't done should be contacted about getting their shot records examined and updated.