Sunday, June 30, 2019

The Rest of The Story - Our Mini-Vacay in the ER

The ER
The last week in June has been the week that our family spends in Ocean City.  To accommodate the thirteen of us, we rent a couple of houses for the week. It has always been one of my favorite times.

This year because Ross has to have daily radiation treatments for his prostate cancer, we couldn't stay for the whole week.   We decided we would book a room at the nicest hotel in OC for the weekend.


Our reservations were for Saturday and Sunday night.

We had a nice day on Saturday, got in a little sun time at the pool and visited with the family at their rental in the evening.

Ross woke early on Sunday not feeling well.  We decided to head home.  Fortunately, we only live 45 minutes from OC.

A few hours after we got home, Ross' symptoms became more concerning.  Enough so that I called 911.

Our local EMT, emergency services are excellent.  Two ambulances and a police officer came within minutes.

They determined that what Ross was experiencing was not life threatening but recommended an Emergency Room visit.

This is where the real story begins.
We got to the hospital at 12:30 p.m.

Emergency room time is different from normal time.  It surely slows down in an emergency room.

There is a sign in each cubicle stating the times that one should expect to wait.  For instance, standard blood work and run of the mill X-rays might take one to two hours before results are known.
It's a three to four hour wait if you are having a CT scan.

I guess the emergency room Public Relations people thought that having an "expectation sign" posted would make the patients more patient.

Trust me, as the hours and hours go by, the sign becomes less effective.

I have a feeling that everyone reading this has had experience with hospital emergency rooms.

The mere fact that one is in a hospital emergency room is certain to bring on anxiety.

Over the years, one of the things I sadly have had to learn when dealing with medical situations is to be a patient advocate.  That also goes for times when the patient has been me.
I question everything.

For instance, before a diagnosis was specifically made the nurse came in hauling vials of medicine.
"I have your medications Mr. G," she cheerfully said.
"What are you giving him?"  I asked.
She rattled off the names of the medicines.
"What are they for?"  I asked.
She told us and I asked Ross if he wanted to take them.  He declined.
I must explain here that the medicines were for the symptoms Ross described.  Pretty much over the counter stomach soothers.
The point I am making is that the nurse was going to administer these medicines without explaining what they were why they were being given.
"I got the order from the doctor,"  she explained.  As if that was the only explanation we needed.

It's at this point that our story becomes scary.

I think by now it was about 3:00 pm.
The nurse came in with a cup filled with liquid.  She extended it to Ross and told him that he needed to "drink this".

"The doctor has ordered a CT scan," she told us.

"Why?"  I asked.

She explained that the doctor thought he saw something suspicious on one of the routine X-rays and wanted to get a more detailed picture.

I'm sure I don't have to tell you the stomach dropping, heart stopping feeling we experienced at that moment.

We asked to speak to the doctor.   A half-hour later he popped in.

He convinced us that the CT scan was necessary.

The time frame for a CT scan is this:  One hour after the patient finishes the drink, he is taken for the scan, then it takes 2-3 hours for the results.

The waiting was hard. 

After about 90 minutes the ER doc came in and explained that what he suspected was indeed true and he had ordered a surgeon to come in.  It would take about two hours for the surgeon to get to the hospital.   Then he left the room.

As you can imagine we were in shock, tired, and trying to digest what we were just told.

We asked to speak to the doctor again.

"Sorry, but he left." we were told.
Apparently his shift was over and another ER doctor, Dr. Galapos (not his real name) was then assigned to Ross.

Dr. Galapos came in to explain the condition that Ross had and depending on the severity, what the possible treatments might be.

I asked to see the CT scan results.

What happened next is still unbelievable to me.

A few minutes later, Dr. Galapos came back into the room.

"I've cancelled the surgeon," he said.
He went on to explain that the CT scan report indicated that Ross did not have what the original ER doctor suspected.

I was baffled.  No, more than that, I was relieved but furious at the same time.

Apparently the first ER doctor was in such a hurry to leave that even he didn't have the patience to wait for the CT scan results!

But, because one of the symptoms that Ross originally described could be heart related, Dr. Galapos still recommended that Ross stay for 24 hour observation.

By the way, Ross was feeling fine at this point.  All of his heart tests were negative.

We agreed for one reason alone.  Ross' cardiologist, Dr VJ would be in to see Ross the first thing in the morning.

Ross finally got into a room at 8:30 p.m.   Exhausted and hungry, I left to go home.

Dr. VJ did see Ross first thing in the morning and cleared him for release. 

By the way before the paper work was done and his IV removed, two people came into the room with orders for additional testing.  I had to explain that Ross had been released.  After verifying with the doctor they apologized and went away.

Need I say this?  Be your own patient advocate!

Aside from an occasional bout of anxiety, Ross has been doing okay. 


This is how I prefer to remember our weekend.









9 comments:

  1. Hari OM
    Well (forgive me this) CRAPAROONIES! Does that level of incompetence bordering on deceit by the first doc not warrant some kind of apology?! It really does begger belief. Sigh... I am just glad that the outcome was ultimately as good as it could. That view to the sun is definitely a salve! YAM xx

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    1. Haha! I agree it was CRAPAROONIES! We received a phone call yesterday asking us to participate in a satisfaction survey. We are thinking about it.

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  2. Egad! Unbelievable in so many ways... Glad Ross is feeling better and glad he has you as an advocate. Medical care lately has gone haywire and it's scary!

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    1. Thanks, Donna! It's a lesson for sure. Be alert and aware when in their care.

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  3. It's amazing the incompetence. So glad it turned out okay, but if you hadn't been paying attention...

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    1. Yes, agree. I'm not sure what the cause of the incompetence is. But, patient advocacy is important.

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  4. I'm glad it all worked out in the end and Ross is doing okay and it seems he didn't need too much invasive procedures. You were great as his advocate. It certainly was a roller coaster adventure for you guys as you were given partial information, incorrect information, possibly correct information all the time stressed out wondering what was really going on. I hope you don't ever find yourselves in that particular hospital again!

    Since I type medical reports, I've picked up a lot of knowledge about this or that. I'm sure when the time comes I'll drive everyone crazy at the hospital asking this, suggesting that, recommending that, refusing that, etc. But it is good to be informed and like you were, to be one's own advocate or an advocate for others.

    betty

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    1. Thanks. We are also glad that despite their "best" efforts to the contrary, everything turned out okay.
      I would imagine you have learned so much over the years.
      I hope you never have to use your knowledge in a personal way, but it's good that you are well informed.
      One of the things I found interesting was the maneuvering around of computers. It seemed as though anyone who came into the cubicle had to enter stuff into the computer they were wheeling around.

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  5. Omg. Unreal. What a horrible experience.

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