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Tale of last 90 minutes of woman's life [Los Angeles' King Hospital ignores patient to death]
Los Angeles Times ^ | 20 May 2007 | Charles Ornstein

Posted on 05/20/2007 10:52:28 AM PDT by John Jorsett

In the emergency room at Martin Luther King Jr.-Harbor Hospital, Edith Isabel Rodriguez was seen as a complainer.

"Thanks a lot, officers," an emergency room nurse told Los Angeles County police who brought in Rodriguez early May 9 after finding her in front of the Willowbrook hospital yelling for help. "This is her third time here."

The 43-year-old mother of three had been released from the emergency room hours earlier, her third visit in three days for abdominal pain. She'd been given prescription medication and a doctor's appointment.

Turning to Rodriguez, the nurse said, "You have already been seen, and there is nothing we can do," according to a report by the county office of public safety, which provides security at the hospital.

Parked in the emergency room lobby in a wheelchair after police left, she fell to the floor. She lay on the linoleum, writhing in pain, for 45 minutes, as staffers worked at their desks and numerous patients looked on.

Aside from one patient who briefly checked on her condition, no one helped her. A janitor cleaned the floor around her as if she were a piece of furniture. A closed-circuit camera captured everyone's apparent indifference.

Arriving to find Rodriguez on the floor, her boyfriend unsuccessfully tried to enlist help from the medical staff and county police — even a 911 dispatcher, who balked at sending rescuers to a hospital.

Alerted to the "disturbance" in the lobby, police stepped in — by running Rodriguez's record. They found an outstanding warrant and prepared to take her to jail. She died before she could be put into a squad car.

(Excerpt) Read more at latimes.com ...


TOPICS: News/Current Events; US: California
KEYWORDS: cruelty; furniture; lamlk; neglect; suit; viniusinvictus
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To: boop

see post 90


161 posted on 05/21/2007 3:15:22 PM PDT by mdmathis6
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To: retMD

One other point...the Doctor in charge of the ER is responsible for everthing that goes on in that ER, they set the tone and policies that the staff including the triage nurses have to operate under....I’ll wager that the triage nurse, if she didn’t seek help for this patient was under implied or official rules about not bothering the doc with such”trouble-some” “nuisance” cases. The Er doc’s like ship’s captains are responsible for everything that happens in their ER’s when they are on shift!


162 posted on 05/21/2007 3:22:38 PM PDT by mdmathis6
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To: John Jorsett

Do I believe this can happen? Yup !!!
16 years ago, my wife met a fresh Vietnamese immigrant (woman), in the country for 8 days. We knew her and her husband 2 whole days when she sent her husband to knock of the door at 2am. We went over and she was doubled up in pain. I thought something was serious so I piled her into my car and drove her to the nearest hospital, where they gave us clipboards. As she screamed in agony the receptionist asked if I could could keep her quiet. After 90 minutes without being seen by even a nurse, I picked her up, carried her back to the car and went to a different hospital about 15 minutes away. The second hospital’s staff examined her and prep’d her for surgury. They took out her infected appendix within an hour of coming through the E-room door.


163 posted on 05/21/2007 3:28:18 PM PDT by BuffaloJack
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To: ShandaLear
There is no difference between these remarks and the hateful vomit spewed at DU.

Except for the fact that these fools on FreeRepublic are clearly the exception; as for DU, these people are the rule.

164 posted on 05/21/2007 4:00:30 PM PDT by Diplomat
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To: mdmathis6
Where to start with all the other issues you bring up? Yes, EDs are overloaded and everyone, docs, nurses, others all get burned out and need all the help they can get. Yes, docs shouldn't yell at nurses (nor should nurses yell at docs - it happens). However, you are unaware of current law if you think the nurse would decide not to bother the ER doc about a patient. All patients must have a screening medical exam by law. The triage nurse can decide in what order patients get seen, but can't legally turn a patient away.

You make it sound like I said something bad about nurses in general. I am grateful and have great respect for most nurses - they have helped me and occasionally saved my butt by pointing things out. However, this particular nurse did not function as a good triage nurse or a good nurse in general. I agree the rot is widespread - this particular hospital has had a terrible reputation with many horrible incidents over several years, as I said in an initial post.

165 posted on 05/21/2007 5:32:43 PM PDT by retMD
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To: WriterInTX

“Based on my personal experience, Nassau County Medical Center on Long Island SUCKS!”

LOL!!!
This is the hospital I went to while on a weekend trip.
What a learning experience!


166 posted on 05/21/2007 9:20:54 PM PDT by Scotswife
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To: ga medic

Ignorance is not a conservative value.


No, it’s not. Furthermore, they are doing the exact same grouping for which they deride leftists. The idea of the individual is supposed to be a conservative trait.


167 posted on 05/23/2007 2:15:59 AM PDT by kenth (I got tired of my last tagline...)
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To: John Jorsett
Edith Isabel Rodriguez was seen as a complainer

Rule I learned a long time ago: Complainers die too.

168 posted on 05/23/2007 2:20:48 AM PDT by Gamecock (FR Member Gamecock: Declared Anathema By The Council Of Trent)
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To: NonValueAdded; All
Here is the standard procedure in our ER: When a patient is discharged, the last thing that I, as a nurse, say to the patient is, "If your symptoms worsen or if you think you need to come back in, then come back in." This is just good practice. And it is common sense.

Standard protocol for a patient with abdominal pain is a full workup including CT with contrast. However, while you might think that we can spot a bum appendix using CT, it isn't always the case. Not everyone has an appendix in the right lower quadrant of the abdomen, sticking out conveniently in front.

It's frustrating when I have a patient who presents with all the classic slam-dunk signs and symptoms of appendicitis, only to have a CT report come out that reads, "Appendix not visualized." Here we have spent hours giving the patient antinausea meds so we can make them drink a god-awful oral contrast, stuck a tube up their arses and pumped contrast into their south forty, and the DI radiologist tells me he can't see the patient's appendix.

But that doesn't mean the patient doesn't have appendicitis. If everything else lines up with that Dx, (elevated WBC count, peritoneal irritability, nausea, etc.), we keep them, given them IV antibiotics, and usually end up removing a bad appendix.

If somebody comes in three times in one day with the same complaint, we usually hang on to them. In fact, if they come in a second time, we hang on to them. We take that stuff pretty seriously. But then, I work in the best frigging ER in town. Our practice is to take a patient's complaints seriously until proven otherwise- even if the patient is a known malingerer. Good medical and nursing practice is sometimes built on a foundation of corpses. It's sad but true. But we try to learn from the mistakes of others so that we can avoid doing the same thing.

169 posted on 05/24/2007 2:20:23 AM PDT by 60Gunner (ER Nursing: You watch it... We live it!)
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To: Eva
!

When a person comes in with gastroenteritis, "pumping the stomach" is not a treatment. It isn't even considered as a treatment for gastroenteritis under any circumstances.

Furthermore, a simple noninvasive abdominal ultrasound would have found a bum gallbladder and stones. Did the ER hold him until the lab results came back? Holding for lab values is standard practice.

170 posted on 05/24/2007 2:39:48 AM PDT by 60Gunner (ER Nursing: You watch it... We live it!)
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To: 60Gunner
They kept him overnight! The surgeon was appalled, he didn’t even want to discuss it because of the possible repercussions.I have to say that my son had been showing signs of gall bladder problems for years, stomach pains and jaundiced eyes. The first time that I took him to the emergency room for severe stomach pain, he was only about seven years old. They suspected appendicitis, but found no sign of it. So, they sent him home. That was in a hospital in Mission Viejo, CA.
171 posted on 05/24/2007 7:45:35 AM PDT by Eva
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To: calex59

This is the worst hospital on the JCAHO list; they haven’t had full accreditation since it was newly formed and now has none at all.


172 posted on 05/24/2007 8:02:00 AM PDT by Old Professer (The critic writes with rapier pen, dips it twice, and writes again.)
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To: toothfairy86

I doubt she was in shape to shop around while her body waste was emptying out into her peritoneal cavity.


173 posted on 05/24/2007 8:03:35 AM PDT by Old Professer (The critic writes with rapier pen, dips it twice, and writes again.)
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To: 60Gunner

An illuminating post as usual.


174 posted on 05/24/2007 8:10:55 AM PDT by dighton
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To: Eva
Hmm. Well, it's at least good that they kept him. I wish your experience- and his- was better than it was.

As an ER nurse, I think that it's critical to stay on my toes. Since everyone is different, everyone responds physiologically to disease in a slightly different way. Not in a spectacularly different way, but sometimes just enough to throw ER professionals a curve.

Then again... we had a heart attack patient a couple of years ago who had none of the classic symptoms. He came in because both of his elbows really hurt. He thought he hurt himself while gardening. Nope. Massive MI. An astute MD trusted his suspicion index enough to do an EKG. Guess what we found? "Marching tombstones," a classic EKG reading for an MI in progress.

We started moving pretty damn quick chop-chop from that point. The guy is fine now. Walks five miles a day. Comes in whenever his elbows hurt. Still scares the crap out of us.

Those are the patients that keep us up at night mumbling to ourselves.

175 posted on 05/24/2007 9:31:19 AM PDT by 60Gunner (ER Nursing: You watch it... We live it!)
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To: 60Gunner
Our practice is to take a patient's complaints seriously until proven otherwise- even if the patient is a known malingerer.

To paraphrase Kissinger: Even paranoids have enemies...

176 posted on 05/25/2007 9:44:42 PM PDT by null and void (Carter calling Bush worst president in U.S. history is like Michael Moore calling Ann Coulter fat...)
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To: retMD

Two and a half months after our discussion on King-Drew Hospital, I’ve finally gotten my hands on the autopsy report.
http://www.latimes.com/media/acrobat/2007-06/30524153.PDF

There’s also word a few hours ago that their ER is shut down tonight due to a “staffing shortage”, with a decision on when it’ll reopen to be made tomorrow.


177 posted on 08/06/2007 11:01:01 PM PDT by ArmstedFragg
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