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Tuesday, October, 14, 2008

Treat/Not to Treat & Other ER Horrors

by  icgrnis
Sunday, March 23, 2008
icgrnis
icgrnis
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I have had these headaches since age seven, (Iam now 54yrs....

icgrnis

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Happy Spring  to all, & may you be pain-free!

Yesterday, home alone, I was very ill, went to the bathroom for the commode fest, started choking on emesis, couldn't get a breath/vaso-vagal, and loss consciousness for an unknown time. Woke up choking and still vomiting very forcefully!  When I looked in the mirror, there were tiny venoules & capillaries that had burst around my eyes,(petechiae).  My husband, took me to the ER that evening, with treatment forms I downloaded from this site, completed.  Saw a PA, very thorough history/exam,  discussed treatment and the need for IV fluid.  Then he came back with a Dr. I had seen once before. She proceeded to stand 3ft. from the end of my gurney, and lecture me for essentially "wasting her time, and seeking narcotics"and I should avoid coming in during her shift.  (By targeting when she isn't there, it gives the impression of "sneaking around", for treatment?)  She contended that on the last visit she informed me she would only treat the nausea, and maybe give some fluid, husband suggested D5.45NS rather than normal saline, she ask him if he was a Dr., reply was he has taken care of me for the past 18yrs, and this seems to work better.  I ask my husband if I had missed her saying this,(I wear ear plugs), he said he hadn't heard her tell me this, maybe it was the PA that day.  My husband, PA, IV nurse & myself were stunned!  IV nurse put in hepplock, left said would have to wait for fingerstick/glucose before hanging fluid, 45 mins. later fingerstick showed 75mg/dl. site continued to bleed for 30 mins.  Fluid to run in at 500cc/hr. 2 more hours in er! Ask for ramp up of doseage, ok'd by PA, infusion of  500cc's with the beeping pump/ turned off and dc'd line.  Never saw the Dr. again for recheck.  IV nurse said he only dealt with the PA, as she didn't treat people like me, and wouldn't give the ok for the meds to the PA.  He informed us this happens alot with this Dr., and apologized profusely for the type of treatment I did/didn't receive.  I expressed the concern for lack of compassion, bedside manner, and the being made to feel like the lowest of the low for even seeking treatment on her shift. 

I am unaware of whom & how I should address this in the state of AZ.  I don't want anyone else to be made to feel this way, or stuck in a room and ignored while the Dr.s and nurses are talking and joking in their station.  Any information shared would be greatly appreciated.

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