Angry mom treated rotten in ER today - page 5

I just am not sure what to do. I'm sure if i call the hospital tomorrow to complain i'll get transferred here and there and finally to an answering machine or get hung up on or no one will return my... Read More

  1. by   BLONDIE1630
    It sounds like your mom really needs to see another GYN. I'm not sure how it works in other ERs, but the registration department is not allowed to ask for insurance information until after the patient is seen by the doctor at our hospital. As for the ER - they are there for emergencies - not as long term care givers. Please don't take that the wrong way. I am not saying that your mom was not having an emergency (i was not there). What I am saying is that is it a real problem in our country when people come to the ER for basic medical care and do not have a regular physician, that may be why we have the long waiting times. I have seen people come in by EMS with the hiccups!!! (we promply triage that person and he/she is sent to the waiting room). Anyway, I hope your mom finds the appropriate care and they help aleviate her symptoms.
  2. by   LooAndDoo
    It sounds like the ER folks might have messed up.....but, sounds MORE like there is MORE to this story....
  3. by   Victoriakem
    Still no feedback from all the advice we have given purple princess about her mother & the ED visit.
    Some people think the ED has a magic wand to cure their problems, when the ED is all about rescue & stabilization, not for chronic problems. Can't fix everything, but can help save your life if you are truely unstable, as in "fixin to die."
  4. by   grannynurseretired
    Quote from Victoriakem
    Still no feedback from all the advice we have given purple princess about her mother & the ED visit.
    Some people think the ED has a magic wand to cure their problems, when the ED is all about rescue & stabilization, not for chronic problems. Can't fix everything, but can help save your life if you are truely unstable, as in "fixin to die."
    Unfortunately, for the uninsured, poor and even middle class, the ER is often their only source of medical treatment. And in many communities, physicians will not accept new patients without insurance or the money to pay their fees at the time of the visit. So, the comments regarding the purpose of ERs is moot. I worked in one of this countries largest ERs---Kings County, Brooklyn. We saw a large number of chronic problems as well as Level One traumas. And we treated everyone, making no distinction between chronic or acute, unless you were actively bleeding, in acute respiratory distress, suffering from chest pain. I am so tired of hearing nurses complain about people cluttering up THEIR ER, with their non-emergency problems. The 'purple princess' felt the extent of her mother's bleeding was an emergency, even when some do not believe it was. Hate to tell you this but you are there for the convenience of the patient. The patient is not their for your convenience.

    Grannynurseretired
  5. by   babynurselsa
    "she's had the problem for almost 2 years and apparently little can be done. she's falling asleep and uncomfortable in the waiting room like she might pass out. after 3 hours of waiting i finally told them she had better get examined right quick. "
    "she had to go to the bathroom and told them that but they wouldn't even give her anything to cover with to go out in the hall. i won't say what my loving mother did next but well a mess was made"

    I have read and reread this a couple of times. THese 2 quotes just continue to jump out to me.
    THis is a chronic condition and the OP never mentions that anything new, worse or different happens. I do understand that persons waiting to be roomed are not feeling well nor are they comfortable BUT demanding to get roomed right away does not magically make a room available. Once she was roomed labs were drawn and she was deemed to be stable.
    It was sompletely appropriate to ask why the IV was needed, but sometimes if I am busy I may simply ask a coworker to go and start a line for me and they may not know anything about the particulars of a given patient. Yes, that person could have gone to glance at the chart and see what the plan was and returned to fill them in. I sense much hostility on behalf of the patient and her mother also, as evidenced by the above quotes. So it may be that when she said NO he took her at her word, at which time she was refusing treatment and they discharged her. If you are not going to agree to treatment then there is nothing more that can be done and you may go.
    THe second quote sounds like (feel free to correct me if I am wrong) that since she was not offered a gown that she proceeded to void right where she was. THIS IS NOT APPROPRIATE behaviour. It is also mentioned previously that she had already been discharged.
    Most ERs do not have the resources to give out extra clothing and blankets to everyone who soils themselves. Can you only imagine the expense involved in this? This was not a new problem, hence all the chairs in your home are covered in towels, then you should have had the forethought to bring a change of clothing.
    I am sorry for the troubles that the Op's mom is having and I hope that she has been able to find a resolution to these. Good luck to you both.
  6. by   wildmountainchild
    I had a similar problem a few years ago. My OB/GYN was satan incarnate. I told her that I could not take birth control pills b/c they effectively made be depressed and crazy. Well, she ended up using her authority as a doctor to bully me into taking BCP. She basically said it was my duty as a ptient to try new things and that the BCP's available now were of much lower doses than available previously. She said if I didn't take them that I wasn't being a good patient...yadda, yadda, yadda.

    I took them even thoug I knew they were going to make me depressed, I believed the Dr knew best. What ended up happenning was horrible. I went into some kind of horrible BCP induced delerium. I was trashing my house, acting utterely insane, and attempeted suicide twice before my husband found me. I stopped taking the BCPs and in a few days everything was back to normal. That Dr., by not listening to me, almost cost me my life.

    I went to another OB/GYN who when I told her I couldn't take BCPs, just said "O.K., let's look at tother options to stop the bleeding." I had a D&C to stope the bleeding and it worked. I haven't had any other problems since.

    I still feel I need to get in contact w/ my former GYN and let her know what her ego almost cost me.
  7. by   Victoriakem
    So, where is purple princess' reply to all this advice we've given her?
  8. by   grannynurseretired
    Quote from Victoriakem
    So, where is purple princess' reply to all this advice we've given her?
    Given some of the replies, I am not surprised she hasn't responded.

    Grannynurseretired
  9. by   Purple Princess
    thank you to all that have replied. Yes my mom's problem is chronic with daily bleeding but on a few occasions especially that day the amount was massive. she was weak, pale, ashen looking, and woozy upon standing. even when all this was explained she was still told she'd have to wait until march to see the gyno. they won't do a hysterectomy cause they say she's too young( 49). and if they do ablation they can't tell later if she has cancer or not. she does have abnormal cells in there and a history of polyps which were removed almost a year ago by a d and c. she has calcium deposits in her breasts. i didn't know what to do. she did see a specialist recently who ran some tests. i don't know what they'll decide. but she is on medicine, told to eat a healthy diet with protein, increase fluids and iron. i don't have insurance either right now. I'm finishing school and looking for a nursing job. I have a pcp who i make payments to. But i also make payments to anesthesia from a previous surgery, glasses, and hospital. I get county funding for mental health treatment, but meds are a worry, I work part time and don't get many hours I probably make 100 to 150 a month. but due to my assets i can't get medicaid even temporarily. I'm going to school, I work hard, care about people, but constantly worry if something happens again how i will get help to pay for it. I see a psychiatrist, pcp for check ups or illness, a counselor and then just my eyes and teeth. I know health care workers need paid too heck i will have rent, bills etc when i'm a nurse. but why is a check up 75-100 and my medication would easily cost me 200 or more a month. I just want to get better and be a productive citizen and my mom wants healthy too. it really sucks.
  10. by   Liddle Noodnik
    Quote from grannynurseretired
    Unfortunately, for the uninsured, poor and even middle class, the ER is often their only source of medical treatment. And in many communities, physicians will not accept new patients without insurance or the money to pay their fees at the time of the visit... Hate to tell you this but you are there for the convenience of the patient. The patient is not their for your convenience.

    Grannynurseretired
    Good points, Grannynurseretired!

    I guess they need to have more nurses, and more time to decompress. And we all (nurses) need more ed on compassion for those less fortunate, sophisticated, educated, American, or whatever. It is hard working in the ER -

    Patients need more education too on appropriate use of the ER - and I know that any of the insurance co's, whether private, HMO, Medicare, Medicaid, etc., do try to educate people on how to get care, who to call, what the ER and urgent care are for...

    I think it's good that this site is here to help nurses to blow off steam.

    I am really glad that you spoke up. And your ER sounds like it was a really interesting place!
  11. by   Liddle Noodnik
    Quote from Purple Princess
    thank you to all that have replied. Yes my mom's problem is chronic with daily bleeding but on a few occasions especially that day the amount was massive. she was weak, pale, ashen looking, and woozy upon standing.
    That's what I figured, that her condition worsened enough for you to feel she needed emergency treatment.

    Are you any more satisfied about how things went in the ER, now that you know it was just for the emergency, and you found out that yes, she was stable enough to go home?

    I do hope that they soon find out what to do with her. I know of women who have hysterectomies much earlier than 40 something - meanwhile, it seems that they gave her some good advice about diet and etc. She needs to get herself strong enough for IF she has to have surgery, or whatever.

    Now my advice to you is to do all you can to keep yourself strong and healthy, physically and emotionally. Then what mom is going thru won't seem as overwhelming. You DO have a lot on your plate!!!
  12. by   DoubleblessedRN
    [quote=Purple Princess;2029506]they won't do a hysterectomy cause they say she's too young( 49).

    What?! I don't think 49 is too young to have a hysterectomy. I'm only 31 and my gyn stated he may consider one for me in several years because of pelvic pain related to endometriosis. While the pain can be unbearable at times, I'm not having the problems your mother seems to be having. It sounds like she would be a good candidate for one. Is it possible to see another Dr? I am sorry that she is going through this and I hope it all works out.
  13. by   charebec65
    I can't really say anymore than what's already been said. I feel badly for your mother and hope she can get the help she needs.

    I really don't think a doctor's tx. of a pt. hinges on insurance. Non-essential tests and procedures may not be done on an uninsured pt. but basic tx would be the same. I've been uninsured and am a cardiac patient. At the time I was a single mom of two. I simply had to scrimp to come up with the money for my cardiology appointments and my medication (which was $75 a month back in 1989 when I was uninsured, a single parent and pretty much broke. It wasn't easy but I was never treated in a negative way.

    During this period I also became pregnant (not a good thing with my cardiac hx but I took that pill every morning without fail, the pill failed). I didn't qualify for state medicaid (she suggested quitting my job and living on welfare). It so happened that my daughter needed surgery (for which my ex husband carried insurance). We were in the hospital for the surgery and I was talking to her nurse. When her nurse learned I was uninsured, pregnant and a cardiac patient (and no prenatal care as of then) she became a great source of information. I was treated with the utmost respect and she put me onto a state program for the working poor that didn't have access to insurance (that the medicaid worker should have told me about). I don't remember her name but this was at St. Agnes Hospital in Baltimore and I'll never forget how wonderful she was to us.

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