May I have your opinions? - page 2
Hi, I am not a nurse. I'm just a patient. :) I just wanted your opinion on something. I am almost 6 months pregnant and recently checked into the hospital with extreme nausea, vomiting, and... Read More
Nov 6, '02Occupation: Retired Specialty: 15 year(s) of experience in Corrections, Psych, Med-Surg ; From: US ; Joined: Aug '02; Posts: 2,246; Likes: 48Joint Commission for the Accreditation of Healthcare Organizations.
Nov 6, '02Occupation: midnite RN Specialty: cardiac ICU ; Joined: Jun '02; Posts: 230; Likes: 120Demerol every four hours for FIVE DAYS? Wrong, wrong, wrong! Demerol should NEVER be used when pain is expected to persist for more than 24 hours. Meperidine (Demerol) has a neurotoxic metabolite, normeperidine, which can cause seizures. It has a half life of more than 24 hours and its effects are not reversible with Narcan. Very bad idea for a patient who is six months pregnant--or for ANY patient, for that matter. I thought Demerol was being phased out.
Nov 7, '02Joined: Nov '02; Posts: 15OMG! I had no idea that Demerol could cause seizures. It seemed like they did change it to stadol at some point....I don't remember. I was just in too much discomfort/vomiting/pain med fuzzy to remember. It was really a rough hospital stay overall.
Unfortunately, it has kindof clouded my mind a bit on the whole medical profession. I can't tell you how helpless it felt. At one point, after the accusal that I was a drug seeker, my DH and even my own mother began calling the doctor at his office to ask if we could have a second opinion, etc. He actually refused our calls! He refused to allow me a second opinion, and he sent a message through his secretary that the only second opinion he would allow was a psychiatrist. There I was, writhing in pain, and this jerk would not even accept my calls. And of course since he said all this about the drug seeking stuff in front of the nurses, I felt that it was all over the maternity ward....and now I'm very upset and worried that if I have preterm labor like in my last pregnancy, that I may have nurses who won't take me seriously because of everything this doctor said.
Anyway, thank you all for your opinion...I really appreciate them. Mostly I just wanted to know how this whole scenario sounded to a total stranger. Of course my friends and family think the whole fiasco was unbelievably ridiculous, but they are biased in their opinion since they know me so well. The nurses at the hospital don't know me, so all they can believe is what this doctor has said.
Nov 7, '02Occupation: E.R. Nurse Joined: Aug '02; Posts: 190; Likes: 1Yeppers...Pain is what the PATIENT says it is ...as a nurse, if the patients even states that a pain exhist...i report it to the doctor/and say "what would you like him/her to have".....Why are you so worried about what the nurses "said" or "think"...I agree with a past poster. They probably think he is a A-hole... Nurses are just stuck in the middle of THE PATIENT & THE DOCTOR. He gives the med order...Maybe you need to write you senator, congressman, the AMA, JCAHO, your lawyer...and tell them to pass legislatation to allow Nurses to prescribe medicines.......hope you are feeling better now ..
Nov 7, '02Occupation: E.R. Nurse Joined: Aug '02; Posts: 190; Likes: 1Oh and Nurses do their OWN ASSESSMENTS and we do NOT know or treat our patients JUST by what the "doctor" says..The "nurses" at that hospital should only get to "know" you when they assess and are in direct care of you..
Nov 7, '02Occupation: sabbatical Joined: Aug '02; Posts: 19; Likes: 1S&P: You definitely need a new doc! I fired mine after she told me that my abdominal discomfort was from not enough roughage. (Hell, my middle name is roughage! I "go" up to three times a day.) She said this without asking one single question about my diet.
She said "western medicine has gone as far as it can for you; you need acupuncture" (apparently her latest thing).
I would have done acupuncture, but I was sure something was going on besides a bit of colon trouble, and I wanted to move quickly as abdominal problems can be serious.
Yes, indeedy, my "roughage problem" turned out to be a mature dermoid cyst (teratoma) of the left ovary. Not life threatening but also not something that can be left in. I had the ovary out (a different doc) and then changed to a new primary care provider.
(This is the same gal who misdiagnosed my breast cancer; said it "probably wasn't anything" but I could see a surgeon if I was really concerned. Yeah, right!)
Trust yourself. And get a copy of your medical record. If there is something defamatory in there, you might want to talk to the JCAHO folks. Good luck with your new doc.
Nov 7, '02Joined: Apr '02; Posts: 38,750; Likes: 16,271I just wish to offer my support as a member of the board and an OB nurse. I have nothing of wisdom to add that was not said here. Just to say, the pain is what YOU say it is, not the dr. the nurse or the psychiatrist/psychologist. You alone judge your experience. I suggest you follow up the way suggested here to your satisfaction. I am so very sorry for your ordeal. Oh, and, welcome to the board!
Nov 7, '02Occupation: RN Joined: Aug '02; Posts: 129; Likes: 13Second opinion not allowed?? I don't think so. You have every right to ask for a second opinion from a physician outside of that guy's practice. A few years ago I had a hyperemesis (severe "morning sickness") pt who fired her doctor while she was an inpatient. In this instance, the doctor was not really a problem, but since the pt had been in the hospital for four days and she wasn't "cured" yet she felt her doctor didn't know what he was doing. The pt was just feeling sick and was becoming frustrated that she wasn't responding to treatment. Anyway, the pt has every right to change doctors and in this instance, she was assigned a new doctor from the "doc of the day" list. Our hospital has a policy for such a patient and in all of my years there, I have only seen a pt "fire" her doctor this one time.
What kind of insurance do you have? Many insurance companies will pay for a second opinion and if this doctor is an "in-network" doctor for an HMO or PPO, I would also complain to the insurance company about his refusal to allow a second opinion.
Nov 7, '02Occupation: L&D RN Joined: Apr '02; Posts: 956; Likes: 3This guy sounds like an incredibly arrogant jerk. I wouldn't worry about the nurses at the hospital, they probably know him well. Well enough to know that he's an @ss; I'm sure they won't be biased by his opinion of you. If you were receiving good nursing care, I would go back there for your delivery (assuming your new cnm/md does deliveries there).