Angry mom treated rotten in ER today - page 4
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
Dec 27, '06Joined: Apr '05; Posts: 29; Likes: 2Quote from strong_willedSo what did they do to heal you? Draw labs? Huh? What was it that made you sick and how did they fix it? That would help the orginal poster.same as original post, only wasn't my mother, it was me! I would go ahead and make an appt at the gyn, then try to hang in there-as it was pointed out, this is not acute, but a chronic situation that adaptations have been made for. I got the ablation and transfused 2 units and it saved me. h+h was 2.9-my dr didn't have a clue how I was still functioning at all-or even alive really, and said she just noticed when looking back that my hgb had been dropping a little every time I came and demanded labs drawn either at her office or at ER. Within 6 mos, I was back to normal and since then have felt better than I had in years. I can really relate to the frustration, having been there myself. There are many issues with this; being tired, worn down, and susceptible to other illnesses, as well as the embarrassment of the leaks when you go anywhere. I will keep your mom in my prayers, but tell her to hang in there, and if she must find another gyn who will do something!
Let's hope you just needed a course of iron pills?Last edit by Zizka on Dec 27, '06
Dec 27, '06Joined: Oct '05; Posts: 165; Likes: 25Quote from Zizkathey gave her a UTERINE ABLATION and a TRANSFUSION.So what did they do to heal you? Draw labs? Huh? What was it that made you sick and how did they fix it? That would help the orginal poster.
Let's hope you just needed a course of iron pills?
Dec 27, '06Joined: Sep '03; Posts: 6,885; Likes: 12,486[quote=motorcycle mama;1987671And how would he know, anyway? He never even laid eyes on me, and certainly didn't offer a referral to a surgeon. It was about 2am, and the nurse called him (I guess he was in a back room somewhere sleeping) and she told him my symptoms, then she said, "just a minute" and turned around and asked what kind of insurance I had. When she relayed the message I had none, almost immediately she said okay and turned and told me the doctor said it wasn't an emergency.[/quote]
OT, but if you were discharged from an ER without an appropriate medical screening exam by a mid-level or physician, you may well have a valid EMTALA claim and should pursue it.
To the OP ... hope your mom gets good care soon from another gyne. Let us know how she's doing.
Dec 27, '06Occupation: Jack of all trades Specialty: 20 year(s) of experience in Med/Surg, Geriatrics ; From: US ; Joined: May '01; Posts: 4,438; Likes: 3,919Quote from TheCommuterMy remarks were clearer than crystal. I'll repeat it again: Healthcare in the U.S. is a commodity, not an individual right.
I was unemployed/uninsured 2 years ago and my healthcare options were very limited. Prior to that, I had supreme PPO insurance that every doctor loved to accept. I noticed that the quality of care decreased once I became uninsured.
Sadly, this is true. I have never been uninsured but I have had different types of health insurance over the years and the greater the bargain, the less my healthcare options were. I went from my Dad's BlueCross/BlueShield to my husbands military insurance to a PPO and currently we have an HMO. To say that we get the bare minimum of services is being kind. Fortunately we are all healthy.
As for whether or not the staff would treat you differently dependent on the type of insurance: well I agree that for most of us we do not know the type of insurance or even care. But there have been enough threads on this board "venting" about charity cases for me to know that it matters to some of you no matter how much you deny it.
Finally, there is a difference in the care you receive if you are uninsured. I work in a county hospital. The people who come here are clearly without other options, not because the care is substandard but because they have to jump through so many hoops to get it. It's unreal. One example of options available to the insured that are not available to the uninsured: there is a three-year wait for joint replacement surgery. Three years.
Dec 27, '06Occupation: ER-Patient Care Associate Specialty: Nursing Home,HHA,Hospital ; Joined: Dec '06; Posts: 1Hello! In responding to the original writer's situation with her mother, I agree with some of the other responses to get another GYN. Obviously, the current gyn is doing nothing for this problem with your mother and I cannot believe that her blood counts are not low to zilch. I work in the ER as a patient care associate and am a ASN Nursing student currently at our local college, and I know enough that if your mother is going through horrific complications such as these, there's definitely something seriously wrong. Our ER, as many I'm sure, as far as healthcare providers such as Nurses, Doctors and Pca's (me) do not even know if our patients that come in have insurance or not because that is not our department of expertise, however, no matter we treat everyone the same also, with dignity and respect. Happily that's the reputation that our Hospital has. I think the best answer right now is to get another gyn or get on the phone and find out if there are better surrounding hospitals in your area than the one you've already had experiences with. Good Luck!
Dec 27, '06Joined: Apr '05; Posts: 29; Likes: 2Quote from scrmblrOop's I missed that, my bad.they gave her a UTERINE ABLATION and a TRANSFUSION.
Dec 27, '06Occupation: LTC Specialty: 9 year(s) of experience ; Joined: May '04; Posts: 3,422; Likes: 1,298Quote from MLOSI'm not sure what EMTALA is...but you could file itOT, but if you were discharged from an ER without an appropriate medical screening exam by a mid-level or physician, you may well have a valid EMTALA claim and should pursue it.
10 or 11 yrs. later? Also, I still have my gallbladder, and I haven't had any serious trouble with it in years.
I remember the nurse who saw me that night. And when the doctor refused to see me she told me she wasn't going to write anything up so I wouldn't be charged for coming into the ER.
But if it's true that health care is a privledge and not a right what kind of claim could I have?
I would love to tell the name of this hospital here, boy would I ever, but I will refrain...will say it is in a no count hick town, though.
Dec 27, '06Occupation: Research Specialty: 28 year(s) of experience in Research, ED, Critical Care ; Joined: Nov '06; Posts: 154; Likes: 49Quote from sheepExtensive bleeding is not unusual in menopausal women - it is inconvenient and perhaps potentially life threatening, but not usually. Women have experienced it for hundreds of years, more now (last 100 years) as the population has aged significantly. But we have a convenient relief - used to be a hysterectomy, but now most go for ablation first. If that does not work then the hys. So, not to hijack the thread I will start a new one. Hope your mom gets help soon.Hello! In responding to the original writer's situation with her mother, I agree with some of the other responses to get another GYN. Obviously, the current gyn is doing nothing for this problem with your mother and I cannot believe that her blood counts are not low to zilch. I work in the ER as a patient care associate and am a ASN Nursing student currently at our local college, and I know enough that if your mother is going through horrific complications such as these, there's definitely something seriously wrong. Our ER, as many I'm sure, as far as healthcare providers such as Nurses, Doctors and Pca's (me) do not even know if our patients that come in have insurance or not because that is not our department of expertise, however, no matter we treat everyone the same also, with dignity and respect. Happily that's the reputation that our Hospital has. I think the best answer right now is to get another gyn or get on the phone and find out if there are better surrounding hospitals in your area than the one you've already had experiences with. Good Luck!
Dec 27, '06Occupation: Haemetology nurse Specialty: Oncology/Haemetology/HIV ; From: US ; Joined: May '02; Posts: 7,040; Likes: 7,483My regrets on how your mother was treated.
Some information. First, I do not work in the ER nor have ever worked there. And second, last Thursday, I spent 12 hours in the ER as a patient.
Having said that, I will say that as soon as labs were drawn and the results and condition of your mother was assessed, and was found to be stable and not medically emergent, the appropriate referral was made. You do not have to like the delay or being referred to a gyn...but that IS the appropriate action. And yes, it would be nice to be given nicer cover/privacy/scrub pants, but those things are often not available in many facilities.
And Emergency room is for EMERGENCIES, period. They are incredibly poor places for treating chronic/ongoing problems, and should not be used for such. And as soon as it is assessed that your problem is not threatening your life, making you bleed to death, lose a major organ, a danger to others or lose a limb, you should expect (and quite frankly appreciate) to be moved out. It is sad that it is difficult to find the Gyns that will take a patient that is poorly insured or who delays, but that is an issue with the gyn.
A question, if this problem has gone on for several years and is that severe, most of us will have fostered a relationship with our MD (gyn or IM/FP) and they will know when they need to fit us in. Even when I have been uninsured, I have always fostered a good enough relationship with my MD, that he will see me or have a partner care for me.
As a matter of note, many facilities do not carry scrub pants/extra panties/pads. I had trouble getting a pillow. And if you come into ANY facility, complaining of severe bleeding, 99% of the time they will put in an IV lock...and I really don't want to go to the one that doesn't.
On a personal note, I spent 12 hours in a hall gurney w/o curtains, was examined (abdominal pain/ intractable vomiting x 6 days) in said hall, could not even get a pillow and had to wait 2 hours for pain med. I was in the waiting area for 3.5 hours. I couldn't even get an extra blanket, and had to hike down the Hall to the BR in a skimpy gown holding up my own IV bag (no pole) - I also did not have a call light and did receive IV antemetics/narcs. I had people threaten to cath me for a urine specimen ( I haven't kept down my own mucus for several days - duhhh, do you think I might be dry????). And after tests showed that I was slightly anemic but not terribly so, very dehydrated (got 2.5 Lt of LR/D5W), and that nothing was deathly dangerous, blocked or obstructed, I was sent home.
My Complaint - the dirt for brain (single) parent that brought in three children on blankin' rollerskates that skated, screamed, hollered and threw a hard metal ball all over the crowded ER waiting area.....AND THEY WERE SUPPOSED TO BE THE PATIENTS!!!!!!!!!!!!!!!
Jan 9, '07Occupation: ER RN Specialty: 15 year(s) of experience in 6 years of ER fun, med/surg, blah, blah ; Joined: Jun '04; Posts: 273; Likes: 36Has there been any feedback to our suggestions from purple princess? Wonder how her Mom is doing now?
Jan 10, '07Joined: Sep '05; Posts: 32; Likes: 81I 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 call.
Write a letter to the administrator and find out who is in charge of the ER and send a copy of the letter to them as well. I have found this to be effective as it goes right to the people in charge. Also, even if your Mom is not Medicare/Medicaid eligible, there should be some local medical support. Especially for such a quality of life and potentially life threatening condition (that kind of blood loss is potentially very serious). Best of luck and give your Mom a hug from us all
Jan 10, '07Joined: Oct '06; Posts: 230; Likes: 14I feel bad for your mothers problems. I think the thing to rember is that if your mother is "stabel", then her problem is not concidered an emergency. Unfortunatley, many people are without adequate heath care coverage and resort to using the er as their Dr. That is why the er dc instructions say , if the problem continues fallow up with primary care etc.. I have to agree , I do not discriminate between medicade and insurance pt's . If the pt is an inapropriate admission the insurance co. will not pay the hospital either. If the pt doesn't meet admission criteria they can not be admitted. I also agree that if I gave every pt free meds, free gowns and blankets and taxi cab rides home ,the hospital would be in further financial problems. Pt's need to have a different view of the ER. If you know your mom is bleeding, take clothes with her to wear home or leave and bring some back. Don't expect free stuff, hospitals can't afford it. It's not that medical staff don't care they are just overwhelmed with pt's who are having the same problems. Granted the man doing the IV should have explained things, but stand up for yourself. If he didn't insist that someone explain. Don't just sit by. As an er nurse I find that there are many times I explain things to pt. they don't understand , don't bother to attempt to clarifie and are angry when we go ahead with procedures, when we are under the assumption they understand because they didn't ask further questions. I remember the good old days that we could do all kinds of things for pts. But those days are gone. I also remember when people only went to the er , dr etc.. when they really need to. (Your mother really needs a Dr.) It's amazing how many people go to the ER with colds, cough and fever with children that have not gotten tylenol or motrin.
Jan 11, '07Joined: Dec '06; Posts: 1Sounds like the hospital down the road from me and where I used to work. First of all, your mother definitely needs to see the gyno, sounds ( I know we aren't suppose to diagnose) like she has hyperplasia and it can be corrected without a hysterectomy. A procedure call Nova Sure does the trick. As far as the ER goes, I have found most to be cold, and impersonal. Most do not care anymore about the patient coming in for help, needing that help to reassure them all will be well. My daughter had a bad experience not once but several times with the ER dept here. The last time was the last straw, we complained and acutally got somewhere. Most hospitals have a patient complaint dept of some kind. After all they are a business now and consider the bottom line the most important factor. And just like any other business customer satisfaction carries weight. So COMPLAIN, no matter how many times you are transferred. If you don't get anywhere call the Administrator or the CEO. Good luck and God Bless.