CNN- what not to do at the ER

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FitzyK23
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Date Joined May 2005
Total Posts : 4219
   Posted 1/17/2008 7:16 PM (GMT -7)   
Saw this online.  Nothing that new to me but just interesting as always http://www.cnn.com/2008/HEALTH/01/15/ep.emergency.room/index.html?iref=mpstoryview
 
Actually, I lie, I was surprised by 2 of the things, the one about arriving in an ambulence and the one about using a house phone to call and admin.
26 Year old married female.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  Currently on Pentasa 4 pills/4x day, hysociamine prn, nexium, and ortho evra.  Good times!!!
 
 


mcleaver1969
Regular Member


Date Joined Jun 2006
Total Posts : 267
   Posted 1/17/2008 7:34 PM (GMT -7)   
The article was pretty interesting, I had no idea that patients were being treated so rudely in the ER, that's really dispicible to me. I understand that Dr's and RN's get frustrated because some people use the ER as a walk-in clinic when they could instead see their PCP...but for the most part people that go to the ER don't want to be there, they go because they are in pain. To be treated like a hypocondriac or a narc addict looking for a fix is really disgusting to me. ER staff are there to provide a service to patients in a respectful, timely manner. I was surprised to read the part about calling the on-call hospital administrator from a hospital phone...that's really good advice actually. I will remember that tip and will tell my friends and family in case they ever have a inconsiderate attendant in ER, or their wait time is ridiculously long.
Marci, 38 years young, Rockledge, FL
Dx with Crohn's disease March 2006
Currently on bi-weekly Humira, daily 6mg Entocort, daily 2-3x 5mg hydrocodone (for pain), and daily 75mg Effexor,
plus 3x per day heavy iron supplements for anemia,
calcium supplement, daily multi-vitamin,
Lasix as needed for ankle/feet swelling
Self-proclaimed "recluse"  do to CD  ;)


Blue Velvyt
Regular Member


Date Joined Sep 2006
Total Posts : 194
   Posted 1/17/2008 9:42 PM (GMT -7)   
I'm not even going to get started with my personal experiences on this topic cause I think all of us can relate....

That being said, I have had good experiences in the er, but the bad way outway the good.

It should be a crime the way hospitals work right now, and that includes insurance and pharmaceutical companies.

I will definitley be calling the admin next time if I feel it is needed, that was a good tip.

As far as being nice to the staff, of course you want to be nice to people, duh, but if they dont return the nice and give me grief... then Im turning on the "I didnt want to have to do this" mode.

I dont care if security shows up or cops, bring it on, I would love to have the local news channels show up for that story and I dont care if its me, a child or a grandmother, they all deserve decent care, and above all respect.

Yeah I know, I sounds bitter. The thruth is that I have learned that standing up for your self is important on many levels, it never has to get violent, but Im going to darn well make sure they do their jobs, that is what I pay for :)

Lol getting all worked up here, better go

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 1/17/2008 10:32 PM (GMT -7)   

Hey All,

This is Kitt and I agree the article had some very valid points, but I would like to suggest that you call the hospital administrator on duty  before you are in a crisis situation as it all comes from the top, short staffed ERs are the decision of Administration. You are told how many staff you may have on duty.  I worked for many years as the only ER nurse and I was house supervisor too as well as filled meds in pharmacy after 5 PM daily. I did staffing for the whole hospital..........It was just me and the ER physician.  No secretaries or any other staff. I went home in tears many nights because I knew I did a lousy job of giving  the care I wanted to give to my patients.

The staffing has improved now but the number of ER beds has not, our ER is land locked.  Patients lay in the hallways, no privacy. 

If you come to our local community ER (12,000 patients per year through the ER) please don't call the Administrator while your there.  You will just slow things down as you see the first call the administrator will make is to me, the manager, to find out why I am not able to keep up.  I will have to stop and talk to him/her.  The administrator on call may be the CFO........who knows nothing about how an ER operates, but a lot about the numbers of dollars coming in.

I have a feeling the article was based on more of the inner city hospital' ERs but it is true just because you called for an ambulance does not dictate the order in which you would be seen uptown.  In our community hospital all ambulance patients are seen first as we only have 3 ambulances and we have to turn the paramedics around quickly so they are available.

FitzyK23, thanks for sharing the article here.  I took early retirement due to the problems talked about in this thread, to much pressure from above without any hope that things would improve and my staff and patients were both paying the price. 

I pray that when you need to go to the ER you are met by a compassionate staff, covered with a warm blanket and your family is by your side. I wish for you to receive your tests and treatments promptly and that you will come away feeling cared for.
Bless each and every one of you.


 
Kitt, Co-Moderator: Anxiety ~ Panic  ~ Crohn's
*~* http://www.healingwell.com/donate *~*
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
 


AmandaH01
Regular Member


Date Joined Jan 2008
Total Posts : 100
   Posted 1/18/2008 9:08 AM (GMT -7)   
During my last pregnancy with my son Halen who is today 12 weeks old. So I would say about 13 weeks ago I went into the ER here because I had a temp of nearly 103. The nurse who was very rude to me asked me why I didn't take the time to call my Ob drs. Well I did, however, what was I to do I didn't get any answer. After waiting for a bit they never took my vitals or anything. She was complaining about me going there. Finally I said I want to be seen this temp is too high and can harm the baby. They took me up to the Mother baby unit and monitored me..gave me a dose of tylenol and sent me home. There was a ton of times this happened where I had no other symptoms and the drs would just say its a viral thing...but I thought with a viral "thing" you pretty much always have some sort of symptom. I just found that totally interesting. I don't think some people should be working in certain positions.
FitzyK23 said...
Saw this online.  Nothing that new to me but just interesting as always http://www.cnn.com/2008/HEALTH/01/15/ep.emergency.room/index.html?iref=mpstoryview
 
Actually, I lie, I was surprised by 2 of the things, the one about arriving in an ambulence and the one about using a house phone to call and admin.


Amanda: age 23 happily married for 6 years
Mother to Kirstiana 5, Savannah soon to be 2, Halen 11 weeks
I have had symptoms since a young child but I was FINALLY diagnosed 1/14/2008!
  • Currently taking: Pentasa 500 mg 2 tablets 3 times daily  Darvocet 1 tablet every 6 hours as needed (I can't take due to watching my children it makes me drowsy and sick) Prednisone 60 mg to decrease by 10 mg weekly until down to 2.5mg Ranitidine 300 mg 1 tablet twice daily Women's one a day multi-vitamin with double the calcium once daily

I have no family or friends around me other than my husband and children so I very greatly appreciate this group and i'm hoping to become a regular. You are all great people! (I also need to add my father in law does live fairly close as well..I don't want to leave him out.)

 
 


Matthew
Veteran Member


Date Joined Oct 2004
Total Posts : 3932
   Posted 1/18/2008 9:50 AM (GMT -7)   
Well, I can certainly relate, as you all know. But I think I wouldn't call the Admin. office.
Of course, I've held off going to ER's on weekends because I know how long I'd wait.

Matthew

MikeB
Veteran Member


Date Joined Mar 2006
Total Posts : 1169
   Posted 1/18/2008 1:46 PM (GMT -7)   
While there are certainly horror stories related to bad ER care, anyone who has ever worked around an ER knows the primary reason for delays, etc. -- so many people using the ER as an outpatient clinic for common, non-emergency problems. They clog the waiting areas and treatment rooms with minor ankle sprains, bad colds, vague pains that could easily wait until tomorrow or Monday to be diagnosed, simple bloody noses that stopped bleeding three hours ago . . . ERs see them every day and night. Add in the cranks (the real addicted drug seekers, the alcoholics with self-inflicted problems, the hypochondriacs who want full diagnostic workups at 2 a.m. for a sore toe -- and you have an overload that too often relegates really sick people to a plastic chair in the lobby. People with chronic illnesses like Crohns or UC (or diabetes or many others) know their bodies pretty well and have a pretty good sense of when they really need emergency care and when they can monitor things at home until their doctors answer the phone or see them in the office. But all too many people do not . . . they think anything that afflicts them is an emergency, and maybe only 10% of the time it truly is.

Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 1/18/2008 4:10 PM (GMT -7)   
I usually don't use the ER. I almost always can wait it out to see my doctor. But in the last couple of years I have had a really bad string of events and ended up in the ER way too many times. At my hospital, when I have gone in with any type of belly pain, and told them I have CD, it has been straight to the head of the line. I get taken straight back to a bed and usually get a nurse to do some prelim triage and get some pain med. However, last month, I ended up in the same ER(2 days in a row) for what turned out to be a drug reaction to an antibiotic, they were completely useless. They didn't know what it was and actually sent me home the first day covered with what looked like chicken pox all over my face and body (I didn't have them when I walked in, hence the second visit). I guess it depends on what you are going to the ER for, or at least at my hospital.
Suzanne

CD 19 years offically, 29 unofficially. 3 resections '93, '95 '97
Symptoms constantly but all tests show only minor ulcerations. Currently having multiple episodes of gastritis with no known cause.


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


bentwistle
Regular Member


Date Joined Jul 2006
Total Posts : 330
   Posted 1/18/2008 5:33 PM (GMT -7)   
I question why some people go into the medical field, when it's obvious they hate relating with others. I went to the emergency feeling that something was obviously wrong - and the doctor wouldn't even allow me to describe my symptoms - he spoke over me as I tried to talk. His suggestion that my "dizziness" (his description -not mine) was related to the start of menopause was downright insulting. Visual disturbances, numbness, tingling in the limbs and then heaviness were completely ignored. I'm now going to get an MRI because of a questionable CT scan -but buddy at the ER blew me off the first time I sought help. A rush to another hospital 3 days later revealed that more investigation is definately warranted. I wonder how many others he sends home with totally wrong diagnoses? And of those - how many die?

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 1/18/2008 5:42 PM (GMT -7)   
Dear bentwhistle, This is the Doctor you need to write the letter about and send it to the Hospital Administrator. If more patients would send that letter people working the bedside that should not be there would perhaps be removed to work behind closed doors. :)

 
Kitt, Co-Moderator: Anxiety ~ Panic  ~ Crohn's
*~* http://www.healingwell.com/donate *~*
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
 


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13451
   Posted 1/18/2008 8:12 PM (GMT -7)   

I too have limited my visits to ER simply because of the rudeness, they act like it bothers them to care for you. Excuse me its their job. I went into ER in severe pain, I was doubles over, I was vomitting and had diarhea that I could not stop. When we saw there was no end to this after 3 hrs hubby said its time to go. First thing that happened was I was actually yelled at by a nurse because I had become dehydrated and she was having a very hard time getting an IV started. Her comment was you should not have waited till you were dehydrated to come here, remember I became that way on purpose. Yes, I am very ill and I really want to be talked to that way. Getting an IV started on me usually takes an anesthesiologist, I have terrible veins.

I get put in a room, I tell the nurse I am going to throw up more, she did not believe me, I threw up anyway. I have no control over my bowels, so you know what is going on while I am retching. It took a nurses aide 5 times to remind this monster I am in severe pain, before she finally came in with a pain shot. Bless that little aides heart, had it not been for her I feel quite certain I would have never been given pain medication. By this time the shott has kicked in, I have done nothing but retch and squirt and really made a mess of myself and my bed. I asked the monster if she could help me clean myself up and the bed or get someone to help me, she never responded instead she walked out of the room. She showed back up with towels and a wash rag, threw them on the counter by the sink and said you can clean yourself up over here and walked out. My husband finally gets in the room about this time, he had to drag me out of the bed, due to morphine I could not stand up. He took me to sink and tried to hold me up & clean me up at the same time & get a gown on me.

Then here comes the monster again and says they are going to do a CT of the abdomen with contrast. Great, they want me to drink contrast and puke and squirt at the same time and thats exactly what I did. She threatened me if I did not drink all the contrast and keep it down I could not have the test. Athis point my husband who is normally laid back came unhinged on this nurse, and demanded that a dr get in that room now and exam me. My hubby is a very large man, when he went out to that desk he got attention right then. A dr came in and took one look at me & my chart and I was admitted and moved up to floor.
 
The nurses could not believe the condition I was in when they took one look at me. They immediately cleaned me up and put a diaper on me and stuck me in bed. I was a mess, I had puke and crap all over me. They kept the morphine coming trying to get me comfortable. 
 
Then the gastro that took care of me gave me IV prednisone after I repeatedly told everyone including the gastro from the time I had went in at er that any steroid will send me into congestive heart failure. Three days later I am in congestive heart faiure, the nurse called the gastro to come in to see me. I will never forget what he said, "how did this happen"? Idiot had been pumping me full of prednisone 60mg which isn't alot but it doesn't take much for me. He meekly admitted he gave it to me, but then said well I was only giving you 60mg which is a low dose. When I was finally discharged from there, I came home with a new problem to deal with.
 
Will I go to er again, hell no, not if I have any say.  For sure I will never darken their doors again at that hospital. Its one of our larger major hospitals to boot. So, please do not defend to me how busy, or the drunks or druggies, its called sub-standard care. Susie


73monte
Veteran Member


Date Joined Mar 2007
Total Posts : 1496
   Posted 1/18/2008 8:55 PM (GMT -7)   
<<<Will I go to er again, hell no, not if I have any say.  For sure I will never darken their doors again at that hospital. Its one of our larger major hospitals to boot. So, please do not defend to me how busy, or the drunks or druggies, its called sub-standard care. Susie>>>>
 
I didn't want to quote your entire post, just enough to show how obviously effected you are by this whole disastrous experience. 
 
There are good and bad in every walk of life. THis obviously applies to the health care industry as well. The part that amazes me the most, and we've all had similar experiences, (but not likely as severe, as you have), is that these very nurses and Doctors will eventually have to rely on the very industry the are wreeking havoc in. They will all find themselves in times of need. Wether meeting up with disease or injury, or nearing the end of their lives. I'm sure at that point they will remember with great regret what they did to good people like yourself. I'm not saying you should be comforted by this, just stating a fact. 
My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


tinglebell
Veteran Member


Date Joined Apr 2007
Total Posts : 531
   Posted 1/18/2008 9:56 PM (GMT -7)   
I agree with sending a letter to the admin., and in the ER's I have worked in they were always addressed. I know exactly how pts can be treated and are treated. I actually had an ER clerk that would start chewing out pts that innocently came through the ambulance entrance, (we needed better signage), and that's the last thing these sick folks needed to hear. When I went to the nurse manager, she defended the clerk's disagreeable demeanor because many yrs ago she had a daughter that died. Well, that didn't sit too well for me since I was taught to leave your personal problems at home. So I went to the ER medical director, and complained. She did improve her patient advocacy after that. So complain, BIG TIME. And even a phone call to admin can do woders if you don't like to write.
DIANNE
Humira, pred and entocort 1/08
3 small bowel resections, 1 for perforation, 2 for strictures 
 


Keah
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Date Joined Nov 2003
Total Posts : 7314
   Posted 1/19/2008 12:54 PM (GMT -7)   
I worked in two ERs over the course of 14 years. I have seen the Good, the Bad and the UGLY. As a result, I only use the ER when it is absolutely necessary. One day, I called in sick and went to the ER for severe Abd pain, D and vomiting. This was before my CD Dx. The trage RN told me that I didn't need to come in, I could just call in sick. She came and apologized after I was admitted.
 
I have seen the call an ambulance backfire many, many times. Sure, on occasions you can avoid the waiting room, but that doesn't mean that you'll be treated any sooner than if you had walked in. Sometimes, patients are seated in a treatment chair, such as one normally used for asthma pts getting a nebulizer treatment or put in a wheelchair in a corridor in the treatment area.
 
I personally LOVE the idea of contacting the Admin On Call. The last thing any of them want is a call from a patient! Serious complaints should also be addressed to your State Dept of Health, The Joint Commision (a.k.a. JCAHO) and The Health Care Finance Administration. All of these organizations can launch investigations and can have a great impact on the facility in question because in one way or another, their approval/accreditation is related to money from Medicare/Medicaid.
 
http://www.jointcommission.org/aboutUs/ContactUs/
http://www.hhs.gov/about/opdivs/hcfa.html
Keah a.k.a. Wormy
 God helps those who help themselves.
Please help us support this invaluable forum.
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stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 1/19/2008 1:38 PM (GMT -7)   

Hey All,

I know you are all upset with your bad experiences and on behalf of every bad visit I apologize as you should never have had to go through that degrading and disrespectful episode.

Here is one more website you might like as CMS is a clearing house for Medicare/Medicaid.

http://www.cms.hhs.gov/home/regsguidance.asp

I would still like to see you contact the administration with your concerns as the best way to fix a problem is to keep sending the mail to the right address.  Remember behind every good or not so good nurse is a good or not so good Doctor writing the orders.  The orders for pain meds etc come from the physician.  You should be seen by a physician within minutes of your admission to the treatment area.

I wish you peace and no more ER visits if at all avoidable. :)
Respectfully,
Kitt



 
Kitt, Co-Moderator: Anxiety ~ Panic  ~ Crohn's
*~* http://www.healingwell.com/donate *~*
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
 

Post Edited (stkitt) : 1/19/2008 5:55:00 PM (GMT-7)


curley
Veteran Member


Date Joined Mar 2005
Total Posts : 4305
   Posted 1/19/2008 2:46 PM (GMT -7)   
Oh boy,I can remember my ex-husband took me to the ER because I was so swollen and I was throwing up to the point that I could not stop.The Er doctor gave me a shot to stop me from throwing up and this is were it went down hill from there.The ER doctor asked my husband and I what did we want him to do and we told him that we needed to get some of this fluid off of me and he looked at us and said I would not touch you with a ten foot pole because you have crohns.But he did say that he would give me a pain shot and that was it.Well I told him that I did not want a pain shot that I needed to get some of the fluid off of me.Well I told this ER doctor that I wanted another doctor and told us that there was not another one on duty at the time this hospital is in a town with 4,300 people so it was a small hospital but it still did not excuse him for treating me the way that he.So we went back home and the next morning I went to my regular PCP and I was put in the hospital I have had a severe case of phenmonia and a right colasped lung.My doctor asked why I did not go to the Er and we told him that we did and told him what the ER doctor said well we filed a complaint and he was releived of his duty untill and full investergation was done and it turns out that there had been several other complaints aginst this doctor at another hospital and he was relieved of his duty's as well at that hospital.So I could have died because of this one bad Er doctor.I try my best to stay away from the Er if at all possible.I know they have a lot of people that come in there wanting drugs but the sad thing is that we have to pay the price for it.
Curley
.........
 


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 1/19/2008 5:50 PM (GMT -7)   
Just a friendly reminder. When you do have a good experience it is nice to write a thank you!! I had to go to the hospital for what I now know was crohns when I was in college. I had amazing care (also because I was very very ill)... when I told my parents how I was never alone for more than five minutes and that they had nurses watching over me to make sure I didn't go into shock or have meningitis, they were amazed. My mom wrote the hospital a letter thanking them for taking such good care of me when she couldn't be there to advocate for me. My husband was there (then boyfriend) but they were great to him too. It might make some nurse or doctor's day to know you appreciated their help.

My only complaint from that stay is that they ran TONS of tests and I never got the results. Everytime I called they were too busy or would ask someone to call me back or whatever and I never got them. I assumed that they must have been all normal because I never got a call but I know now that is not a safe assumption to make.

A nurse did call me a couple days later to see how I was doing. How is that for service!!!
26 Year old married female.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  Currently on Pentasa 4 pills/4x day, hysociamine prn, nexium, and ortho evra.  Good times!!!
 
 


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 1/19/2008 5:57 PM (GMT -7)   

Thank you FitzyK23. That was nice of you to post.

Gentle Hugs


 
Kitt, Co-Moderator: Anxiety ~ Panic  ~ Crohn's
*~* http://www.healingwell.com/donate *~*
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
 


Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 1/19/2008 6:07 PM (GMT -7)   
It's strange, I have always gone to the same hospital. I was born in the same hospital I still go to 43 years later. The only 2 events that I have had "bad" ER treatment have been Non CD related. The times I have gone for CD trouble or anything remotely close, I have received excellent treatment and actually been admitted right away just as a precaution, thus avoiding the nasty copayment. The other 2 times it was like I had some strange alien coming out of me.
Suzanne

CD 19 years offically, 29 unofficially. 3 resections '93, '95 '97
Symptoms constantly but all tests show only minor ulcerations. Currently having multiple episodes of gastritis with no known cause.


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


bentwistle
Regular Member


Date Joined Jul 2006
Total Posts : 330
   Posted 1/20/2008 11:23 AM (GMT -7)   
My experiences at my local hospital is that if you don't have "TEXTBOOK" symptoms, some of the ER doctors seem reluctant to believe your complaints, and act as though you're just wasting their time.
4 years ago, (at age 77) my mom (God bless her soul) fell down the basement stairs (10 of them) and was complaining of pain throughout her body. She suffered from osteoporosis. We waited at least 4 hours to see a doctor. The doctor asked her to move her limbs and she was able too -although with a great deal of pain. She said her chest and back also hurt. All he ordered was a chest x-ray. He came back in and told us she was "lucky" as she had only broken 2 ribs. She was sent home with some pain killers. She was not improving so her family doctor ordered more x-rays. It was determined that she had 9 cracks and breaks all in all throughout her body including 3 chipped vertibrae. The poor woman had been in agony for weeks.
It's funny because this is the hospital that I've had some of my best care as well as the worst. (My last horrible experience happened here). It all depends on who sees you when you enter the ER. Not all patients react the same way to the same problem. I've seen people crying their eyes out in the waiting room for a broken finger, and because they're making such a stink, get sent ahead to be seen by the doctor. Triage doesn't always catch the severity of the problem.

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 1/20/2008 12:40 PM (GMT -7)   

bentwhistle,
I am so sorry for your dear Mom, that is awful and I too have a similiar story where the xray was read wrong and my MIL walked around on a broken foot that she should have been non weight bearing on.

I agree it depends on who sees you and who reads the xarays.  All xrays are suppoes to be read by a radiologist and if the ER doc is the one who read them, they are to be over read by a radiologist who writes the official interpretation and notifies patient if original reading was inaccurate. How painful for your Mom, bless her heart. Gentle Hugs..............


 
Kitt, Co-Moderator: Anxiety ~ Panic  ~ Crohn's
*~* http://www.healingwell.com/donate *~*
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
 


gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4096
   Posted 1/20/2008 1:13 PM (GMT -7)   
This is such a complicated issue. I was very sick three weeks ago...the big D about every 20 minutes around the clock, but I wasn't vomiting, and I was keeping fluids down. When I called my GI, and he told me to to go the ER, I felt like he was blowing me off and I refused to go. I ended out getting worse and worse, and actually went downstate to the U of Michigan Hospital with the assumption that my local GI didn't know what he was doing. In the end, they didn't help me there either...ordered a CT scan which, with the contrast dye only made me way sicker yet. Finally , I called back my local GI who gave me Flagyl, which thank God finally helped. I ended out with a long office visit with my local GI, who said that if I had gone to the ER, I would have gotten IV fluids, which would have helped dramatically, and I would have had immediate stool studies, labs etc, and I wouldn't have had to suffer like I did. I have always been of the mindset that unless you feel like you are dying, you don't go to the ER.

I think the problem is that doctors on call direct everyone to the ER. They don't seem to do direct admits much, and can't just call the ER and order IV's or labs without the patient going through the whole ER process. I am new to this disease, but in retrospect, I kinda wish I had gone to the ER. I agree with Kitt, that it all probably depends on timing at the ER and how lucky you are with the staff assigned to you. Our whole US medical system is such a mess. The reason people go to the ER with "minor" problems is because they often don't have health insurance and can't get care anywhere else. I know with my stupid insurance, I have no coverage for doctor visits or urgent care, but full coverage in the ER. It is the most illogical thing I can imagine, and not the ER doctors or staff's fault!
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007
currently taking Pentasa 2750 mg- 9pills/day and on and off Prednisone for flares


jodyisme
Regular Member


Date Joined Dec 2006
Total Posts : 70
   Posted 1/20/2008 4:03 PM (GMT -7)   
i read the link with interest. it is my dream someday that a ER wont be just a beginning point but the first step in good care for seriously ill patients. i envision a triage set up, with one set of patients go to a clinic type setting, who need fluids or antibiotics, for instance.
 
the other set is truly in a life or death situation (why we have paramedics who triage daily and know how) and those go to the other side, with fully trained trauma drs and nurses. they are fantastic people. board certified in trauma medicine.
 
unfortunately, this is gonna cost money. bottom line is patients are not insured, or medicaid at times which pays about a nickel to the dollar on bills. and most bottom line hospitals are concerned with one thing--profit.
 
reading the posters story of being the only nurse on duty, i can hear your pain. it is a fact that humans have 2 arms, 2 legs, and can only do so much at one time. my grandmas rest home had 1 RN for 100 patients, no house keeping or med aides at night, and 2 LVNs. that is simply physically impossible for 100 elderly or disabled human beings. but..its called money. profit. it isnt like medicine is meant, to help people. somehow that got lost in the shuffle. it became business.
 
ERs are not cost effective. they are not the money makers of the depts. and many poor MDs, (poor in ability to be one) moonlight for extra money. they assume, wrongly, trauma is not a speciality requiring intense, deep training. imagine for once a unconcious person comes in? how many possibilities could it be? 100s? at least. this takes training.
 
some level one trauma units are exceptional. absolutely fantastic.
 
some ERs, as one i wont mention in texas, has a minimum of a 14-16 HOUR wait to be seen. the same drs who resus someone also see the baby with the ear infection at 3 am.  unless you are in cardiac arrest, or arterial bleeding, get comfy. you arent going anywhere for a long time. my daughter has been in it more than once. beds are actually pushed almost together with curtains between. crowding is just appalling. if i had to work there, i would no doubt be a basket case in less than a week.
 
to all the health care professionals who try and care, i applaud you.
 
when money is no longer the bottom line, things will change. when specialists are on call, xray is ready for trauma work, and nurses are trained in emergency, it will change. until then, push for it. admins answer to boards. CEOs answer to boards.
 
health care will change when the people vote in enough politicians who care.
 
 

FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 1/20/2008 4:48 PM (GMT -7)   
Jody - Ive seen a couple ER's set up the way you describe. There is urgent care to the left (stitches, IV's, broken bones) and trauma to the right. This is a great set up because it allows doctors to work more efficiently and it also makes for a more pleasant experience for patients. My dad described a traumatic trip to the ER once because he needed stitches in his thumb. Just a few feet over, behind a curtain, was a woman SCREAMING "save my daughter." Her daughter had been hit by a car and died. My dad never forgot that moment and wished that less serious injuries could be kept seperate from the dying. Hopefully more ER's will take to this set up.
26 Year old married female.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  Currently on Pentasa 4 pills/4x day, hysociamine prn, nexium, and ortho evra.  Good times!!!
 
 


jodyisme
Regular Member


Date Joined Dec 2006
Total Posts : 70
   Posted 1/20/2008 6:39 PM (GMT -7)   
oh, i so hope it catches on. the way it is now makes no sense. we had that experience once, where a woman (we could see her hand with red nails, never forgot it) was obviously dead or dying. (was on the news later, her ex had killed her) my mom had heart trouble and was there for it. i somehow doubt it helps someone with heart trouble to see and hear such things.
 
to lay next to a heaving drunk, a baby with fever, and say..someone with crohns in terrible pain, makes no sense to me. not to mention how can a dr mentally flip so fast to keep up?
 
why wont they listen to us?:) i can imagine it must have been terrible for your dad. bless him.
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