Guess what the ER doc did?

I wish Transkat would have been the doctor! Ok, a couple of you were right. After consulting the Gastro doctor,(not the attending), the ER doc felt since there was no obvious signs of bleeding, that the blood test was flawed. So, he comes into the room and says, "Good news Bob, you are ok to go home." My husband is high on dilaudid, and is very happy. I however said, "WHAT! YOU ARE SENDING HIM HOME WITH A BLOOD COUNT THAT LOW?" Thats when he, in all his wisdom, explainded that something was probably wrong with the blood test. He said the gastro doc was more concerned about the sodium. I ask him why, since he was vomiting for two days? Anyhow, he left the room, and voiced my concerns to the nurse. She told me she was going to bring the doc back in. My husband, feeling like a new man, states"no, thats all right, if he says I'm ok, then I'm ok, I feel good." I informed him that it wouldn't last. Well, about 3am, guess what, he starts running a fever and vomiting again. I was going to call off work that morning, but he insisted he would be alright. No sooner then I got to work, his liver transplant nurse calls me and tells me to get Bob to the hospital, he is septic and needs admitted! OMG! By the time I got someone to cover me, got home, got Bob to the hospital, hours have passed. The same ER doc comes in fast, (do to my angry tone at the front desk), and asks me why I didn't get Bob there sooner! I looked right at him and said, "WHY DIDN'T YOU KEEP HIM?!!" Well, I didn't see him again. Bobs hgb was now 7, and sodium even lower. They found him a room fast, gave him 4 units of prbc to get his count up to at least a 10. Started him on Cipro, which was a waste because he has ECOLI in his blood. He came home with a PICC line and Iv antibiotics, and is ok now. Guess what me, the ICU nurse did? I won't keep you guessing, I wrote that doctor up! After the investigation, the Head Doc in the ER called me and said, "you husband was sent home on the ASSUMPTION he wanted to go home! I told him that is a stupid reason for an ER doc to send someone home. He agreed, the investigation continues..... Oh yeah, I called the Gastro doc, talked to his nurse, and she read his exact notes from that night, and the hgb of 7.8 was never mentioned.
My husband asked me what I want to come of this. I stated, "If that ER doc stops and looks harder at one transplant patient, or any patient, thats what I want." One last thing, the low blood count was due to the Ribavirin, not bleeding. He has stopped the Ribavirin, blood count is stable.

Good question, and even with the low sodium, why wouldn't you recheck before sending home?

I asked a PAC that the ER doc sent in the room how they admit people. I told her I work in the ICU where we question the type of patients they send to us all the time such as stable belly aches ect. If I was recieving a liver transplant patient in the ICU with a low blood count, I would say, "Wow, this guy needs to be here." She didn't have a good explanation for me. One thing that didn't happen that should of, ER doc should have called Bob's attending on family practice, they admit everybody!
There has been alot of story's about this doctor, I'm thinking its time for him to retire. He used no critical thinking at all. Scary....