PDA

View Full Version : Grrrr!!!!!!! Large rant.....Bad ER experience..


Fayelle
04-12-2007, 02:45 PM
Yesterday was bad bad bad!!!!!

My IBS symptoms have been acting up......I ended up with some strange blood in my bowel movement and I panicked a little.....It was dark and looked like old blood, plus it had mucus as usual.....So I called my doc to ask what to do and she didn't have any slots open, and it will take a few weeks to get a referral to a GI doc no shock there......

So she suggested if I were concerned to go to the ER, hubby pushed the issue and off I went foolish me......

Well I of course have a plethora of conditions along with my fibro....Diabetes, hypothyroidism, asthma, allergies, IBS, sleep problems, neuro issues, and newly mild hypertension, as well as a new cluster headache issue.....I take many meds.....In my regiment I also have a mild narcotic (tylenol3) and a muscle relaxer (flexeril) as well as a sleep aid (5 mg ambien) and 150 mg effexor for depression that goes along with this fun stuff......

So being a good patient I did not take any meds, and I did not eat anything right before hitting the ER because I am worried about the blood.....I have to admit right now I am a bit paranoid I just watched my dad die from lymphoma after getting it at 39 he died in my house so he could die in a home, and my grandfather in law died 2 months ago from complications related to his diabetes one of them being he had kidney failure many years ago and the dialysis stopped helping much.....So at 33 with diabetes I was afraid with low back pain, abdominal pain, and rectal bleeding (dark blood not bright red) that it might be something to be concerned about......I took all of my meds with me to the ER.....

The first problem is that I was afraid, the second problem the ER was full and I became low on the list because I was not in serious condition which I understand.....After 4 hours I was extremely uncomfortable and had developed a really bad headache (did I mention the new cluster headache problem?) So finally after 4 hours and 30 minutes they get me into a room....The doc comes in and I am in a bad way, trying to do anything to dampen the increased back pain, and not worry terribly about the other things I am concerned about.....

So the doc wants to know my conditions, I name them off and of course the fibro comes out......I explain that the pain is quite bad and that I am used to pain with a chronic condition and all......He leaves and no one comes back in for another hour......The nurse comes in and puts in an IV start for pain meds she then gives me phenergin and morphine....Well with low blood sugar of course the morphine does nothing for the headache I have but dampens the back pain......So I am on morphine and have a nasty headache......I am sent for a CT to see about kidney stones (of course there are none) and the CT tech asks me after the scan if I have diabetes (which yes I do) and if I have had cancer which I have not.....But of course that sets off my already fear laced mind and I am upset all over again......Soon the doc comes in and tells me there is nothing wrong with me as usual and tells me that while he believes me that I am in pain that I need to seek a pain management specialist and that I need to rethink my medications because he doesn't know what to give me narcotics wise because I am already so medicated......He doesn't want me to continue towards addiction......

So he is going to gift me with 12 vicodin and suggest I seek pain management help.....I told the nurse I don't like vicodin because it makes me feel strange, I am not actually allergic but I don't like how it makes me feel.....

Now keep in mind that I am a HUGE advocate of med monitoring and management, I have been on tylenol3 for 4 years and only go through about 60 pills in 4 months thats .5 of a tylenol3 a day.....

He also goes on to tell me I am wrong about my own pain, that because I have chronic pain I am in less pain but feel it more.....Interesting.....I am the person who insisted I went through natural childbirth with my second child, who I felt minimal pain and pressure with until they broke my water, and wanted to go natural with my 3rd (he was a preemie they were trying to stop labor ended up on an epidural)....I was able to breathe through my contractions and stay alert, aware and in good humor during my daughters birth, and do it all by myself because we had no babysitter, 13 hours of labor.....I think this doc misunderstood me, because in all honesty I am in pain somewhere every moment of every day and do not take anything unless it is so bad it is effecting my ability to concentrate on anything else......

He also went on to mention that doctors do not know what they are doing and addict patients to narcotics, that I am well on my way there.....That it even happens to smart people, even some of the doctors at that very hospital he says......

In review I did not fill his 12 vicodin script, I had 3/4 of a bottle of t3's in my bag of meds plus a few in my emergency pill box in my purse. Why would I need to fill the vicodin? There was no real concern about the blood in my bowel movement. I am an addict because I take 60 t3's in 4 months and my effexor should be helping to control my pain...He could not in good conscience give me anything more for pain because my regiment was already out of control....I need a good pain management doc because my doctor is obviously doing such a poor job of taking care of the issue.

I waited 4 hours in pain at the ER BUT I did not take a single pill in the 8 hours I was there because I am such an addict.....He pressed on my back but I reported no additional pain, but I am an addict (seems to me if I were seeking I would have screamed in terror and horror at his touch so he would medicate me).....Lets not even discuss the waiting in the ER for so many hours causing a minor problem with my fibro in terms of stiffness and discomfort......The chairs there are so good for my fibro, orthopedic as can be.....

At the end I took his prescription and went home, I thought about it and cried, cried again, and then again....Then I wrote a letter, sealed it in an envelope stapled the vicodin script to it and took it to the ER leaving the message that he is lucky I did not decide to go to the hospital board.....

Not only do I follow my doctors orders, I under follow her orders when it comes to my pain meds.....I watched drug abuse, and I watched people die from it, not only physically but spiritually throughout my entire childhood....It upsets me so much that one man could do so much emotional damage to me in so little time....I am so upset not only at my treatment, but at my experience overall....

I do have facial piercings one in my lip and one in my nose, I also have 2 tattoo's on the back of my neck......my mother thinks I was profiled as well as mistreated......I am so angry, sad, humiliated, and outraged.....

I am planning on telling my doc that this er doc seems to think she is doing less than an adequate job on my care because that is what he said....Plus it is my opinion that he undertreated me because he assumed I was a drug seeker.....And finally mistreated me because he had a preconcieved notion about my intentions......

Sheesh I even get into arguments here with people over pain meds.....I am at odds with the idea that there is a difference between addiction and dependance and I work constantly to make sure I can speak about it by combatting the possibility of addiction in my own situation.....I work hard to retain my right to treat my own pain because if I abuse it I should lose that ability......So to be treated that way was an affront to my very soul......I cannot imagine how people who do have a more intense regiment than I do are treated......It is absolute crap.....

Also I have had bronchitis twice in two months, I have had blood in my sputum that has actually come up.....I thought perhaps the old blood might have come from swallowing this sputum over the last 20 days or so....

And then there is the issue of should I not be worried with my med regiment of 13 pills a day or so that my liver might be compromised, or my kidneys, or that I might even have a bleeding ulcer from medications being hard on my stomach......I guess the only true concern is my obvious addiction.....Whats even worse is now I am sure it is in some permanant file somewhere at the hospital so next time I seek hospital care I can be properly profiled and mistreated......

Ok I am done ranting......

Fay

allih
04-12-2007, 05:16 PM
I feel for you Faye. I won't even go to the ER anymore because I just don't like the way they treat me. I take a myriad of prescriptions for my medical problems and I also have a few Vicodin that I keep on hand for the days that the pain levels just get too high to handle. I take about the same amount or less of Vicodin that you do of T3 and I get the same kind of response from some doctors and other people, including one of my sisters.

The consensus is that the other meds, Effexor, Topamax and Neurontin should be enough to control any pain I am in..... yeah right, tell my body that! They help but they don't stop it all. I have ulcer problems so I can't take Aspirin or Ibuprofen, plus they make the IBS act up big time. Tylenol is a joke, plus long term use messes up your liver. So I just live with most of the pain until I just can't stand it anymore.

I can't even work full time anymore. I'm going to part time hours with my job starting in May so I can try to get a handle on the pain.

It's a sad, sad commentary on the medical profession when those of us who concientiously monitor their medications and health are labeled by people who don't even really take the time to learn what pain management involves. I bet that a pain management doctor would have you on the same regimine. The people that I know who see PM doctors are on similar regimines to what you listed and what I am currently on.

Ingranined ignorance is so hard to change. I hope that your personal doctor reams that ER dr. and lets him know what an a$$ he is.

So rant away.... we know exactly how you feel.

Alli

Fayelle
04-13-2007, 01:08 PM
Thanks Alli,

I just got so frustrated at the treatment......I know the doc thinks he was helping me, and being careful in treating me....However he just didn't know me well enough to make those generalized judgements I am not some spring chicken to pain, or to addiction issues etc.....It hit me because I am sensitive to that issue and I was there in such a vulnerable position.....

Luckily I have a very supportive husband who helped me through the feelings yesterday and friends who laughed heartily at the idea of his thinking I was enmeshed in or beginning an addiction issue....

I feel fortunate to have my support systems thats for sure.....I am grateful today that I had people to help me through it all.....It tells me a lot about my life, and my choices....

Yesterday I felt angry, victimized, and was questioning myself....Today I feel relieved, and fortunate......There was a time when I would have internalized what happened and not talked about it, taken it completely to heart and allowed him to destroy my self esteem more than it has been in the past....Today I have safe places to let go of things, and to bounce feelings off of which help me to process these things instead of allowing it to hurt my coping abilities.....

My husband is right, that doctor does not know me, and his opinion does not truly effect my life......I have a great PCP and after 4 years she knows me and trusts me.....I have people in my life who matter who know better than what that doc said......I also know I am careful about the pain pill issue for myself and my family not to prove anything to doctors like him its none of his business because he isn't my PCP....He needed to check me for internal bleeding and thats about it truly.....

Ok now I am done raving about myself hehe.....

Thank you so much for your support Alli,

I am happy to hear that you are as diligent in managing your meds, its not an easy task when it would be easier in some ways to take the pills more often in order to get rid of the pain.....

Having a phantom illness that is chronic and never seems to go away is a tough road.....It is hard to explain having the issue to those who do not deal with it.....

I am sorry to hear about having to reduce your workload, I understand it but I am sorry to hear that.....I have been going through the grief of losing my abilities to perform like I did in my life as little as 4 years ago so I certainly understand what making that decision means.....In some ways it is easier, in others it is a really frustrating and sad moment......

No one has mentioned any of the other meds to me to manage pain like Neurontin or Topamax, my son is on Topamax for a seizure disorder...Luckily for him the side effects do not seem to bother him much.....My dad was on neurontin for pain as well, he also had a seizure disorder any time his brain had significant chemical changes so it was tough for him to ever be off any meds.....However he was also on a pretty stringent pain medication regiment to deal with the effects of bone cancer in the last few years of his life.....It is hard to tell if the neurontin was effective in treating any of the pain or not considering he was on a methadone regiment.....

I think there I might need to look at starting a chronic pain condition awareness program here in my area....There are only 3 hospitals in the area and my insurance only covers 2 of them so its not like I have many choices as far as that is concerned......

I feel better today with things....Its just another brick in the chronic pain wall isn't it..... :)

Ok off to try to accomplish a few things....Thanks again for your support and your own experiences with this.....

Fay

BrokenBladder
04-16-2007, 08:02 AM
Fay I'm so sorry that you had to go through this.
IMO so many doctors don't even understand FMS and so they assume it's a diagnoses for drug purposes. I get so aggravated at this view point from doctors. If they only knew because if they did they would never treat us like that again.

Cry Tears
05-01-2007, 11:55 PM
I too have had the roll eyes/all in yer head diagnosis done in the ER.
Worst time was a visit to ER for dizzyness, fatigue, chest pains, freezing cold on hot day, swollen ankles.
Doc refused to order even minimal lab work...even after arguing I felt was indicated...she stood her ground,
continued to refuse, told me I was ONLY having a panic attack and inner ear virus.
Put an IV in me, gave me Valium....ug! Only made me feel worse.
Stupid, stupid doctor! Had she done her job and ordered basic blood work she would have learned the cause of my symptoms...I was missing 2/3 of my blood! Had 5.1 hgb ! Can't live long with that low blood level!

I had an intestinal anuerism bleeding away, nearly killing me! No wonder I felt this way!
Stupid stupid doctor! Motorola insurance would have paid for those test...why she refused to order any in beyond me.
I was not, nore looked like an indigant...but that should never matter, ever! My husband drug me in there wearing my PJ's as I was very ill and had been several days. A panic attack doesn't last for days!

I was soooo thrilled when my surgeon sent her a very nice letter (ha ha!) suggesting she go back for basic training and that she'd turned away a very critically ill, nearly dead patient and refusing to perform even the basics.

But you don't look ill! Yeah....and you don't look stupid!

Why she assumed I wasn't ill is puzzeling to everyone...I'd only been to that ER once in 17 years!
Not the usuall "habit" for someone who is a drug seeking-panicking-whiney-hypochondriac!

OK...I gotta comment on the nose ring peircings....this ER docs partner came in to see me one time, during another ER visit, this time for another bowel obstruction, yes...different ER doc...anyway, this "consulting" doc came in wearing a nose ring....I had a hard time feeling respect....she was going to do WHAT with my body?!?!?
I just expected more from a doctor, feel those are for younger generation, but not a professional.
All I could do was stare at that dangly nose ring and wonder if it felt like a booger!
But I'm an old lady...in my mid 50's...so you've got to understand....we just don't understand these type dangly thingy's....in our days...we wore flowers in our hair and just smoked a few joints! LoL!:D

I'm sorry you've had this negative experiences you guys....I once worked in a hospital in the lab and ER....learned that alot of those doctors have personalitys like everyone else....are not gods like some people revere.
There's some jerks, and there's some really kind doctors who really care.

Then there's complete and utterly horrible ones who should've gone into the after-life care business....grave diggers-morticians or pathologist! All like 'em cold, just like THEY are!

May you have a pain free moment! Cheryl

JAVISI
05-02-2007, 12:00 PM
Drea Friends,
This type of thing happens everywhere. I will admit that their are many drug seekers out there but you have to be smart enough to know who are and who are not! When I was able to work as a Nurse, I would occassionally work in the ER. I WAS SHOCKED AT HOW JUDGEMENTAL EVRYONE WAS DOWN THERE!

When I went to Nursing School to take peoples word for it if they say they are having pain, after all they are the only ones that truely know. We did have a list from the Doctors not to give Narcotics to certain people due to prescription forging ect.

I really was descusted at the way some people were treated, Oh no here she comes again I would often hear! But I will tell you of a person that I knew just wanted Narcotics, He came to our town instead of going to the ER in his local town. He said that he hurt his back a few days ago and needed some pain releif. Very beleivable but when he stared demanding that he only get Demoral because Toradol a non narcotic analgesic because he had a bad reaction to it, He beat his wife after getting it, stange reaction?? My ex was in the next bed and heard all the things he was saying and he could even tell that he was there for the Narcotics only. In the end he did get the Demerol, he didn't get a scrpt for anything and was told to go to his primary Dr for that. He eagerly agreed and left!

Unfortunatly the abuser are the ones that hurt it for others but that does not give them the right to judge everybody. I also have been on the same side of the fence that you were. I was extremely sick with chronic diarhea, the Dr admitted me from the office but his partner would be seeing me. He was a jerk. I was shaking and crying. Right away he thought it was my nerves causing me to shake. I have tremors due to myoclonus! He asked why I wasn't wearing my wedding ring! My hands were swollen. He never really listened or wanted to take the time to become familiar with my Neurological problems, He just seen my med list and made a comment about me wanting more drugs. I cried even more! I felt sio degrated. I would give up every med that I take if I could have my health back.

When he did my scope he wanted to make sure I was in pain! He gave me versed which I said does not work on me due to taking clonopin. He really didn't care. I didn't make it up my Doctor gave me that information. So the colonscopy was extremely painful, then when he did my egd, he again gave me a little versed, didn't numb my throat. I felt like I was choking and gaging. It was like it gave him enjoyment seeing me in pain!

Ever since then I have no gag reflex and have to be tube fed! Essencially he found nothing! And sent me home. When I went to the hospital again I said that I did not want anyone from that group. The Next Gastro found that I had h-pylori.

I still find a Doctor every now and then that questions why I am on all the meds that I am on! I want to say my Internist doesn't have a problem with it and he knows me quite well so instead of worrying about that maybe we can just get to the root of the problem!

Just had to add my 2 cents too! Sorry that we will probably be scrutinized off and on I have resigned to complain to their superiors everytime;)

Tootsie
05-02-2007, 04:21 PM
I am fortunate, in that the HMO where my family receives their care, also provides an appointment and advice center that is open from early morning, to late at night and even has an all night service. You can call and speak with an RN. Working from approved protocols they can advise you whether it is all right to wait and contact your own doctor, or you should go to the ER.

ER's will save your life, it the symptoms you have are life threatening. That is their purpose, but they also can deal with intractable pain. Rarely, does such pain develop in such a short length of time that you cannot reach your own doctor.

My son had to go to the ER one night. At 6 o'clock, his ear felt full and congested, at 7, it was hurting and he was told to go to the ER. By 8 PM he was pacing the halls with a level 10 pain. The doctor told him they had never known an ear infection to develop so rapidly and be so severe.

I'm glad ER's exist, but I wouldn't go unless I really had no alternative. Cheerio.

JAVISI
05-06-2007, 07:43 AM
Tootsie, you are so right about going if you really need to. I was in the ER just the other night. I hurt my back and after that it seemed to cause the nerve in my face that hurts with my trigeminal neuralgia and the nerves around my old g-tube site all to throb. I was in tears, I was taking Tegretol for nerve pain. So I did go to the ER after I could not take it anymore. When we walked in I could hear the Nurtse in a snobby voice say, I don't know where we are going to put her and she is just going to have to wait a long time in a very rude voice and tone! I almost left but I needed the help. The Dr. was nice but I can't say the Nurses were! I really hate that because I worked there and took pride in my my job and where I worked! And always tried to stand behind the hospital where I worked but I do not any more at least in the ER. people deseve to be treated with respect!
sorry I have been gone so long. My computer has not been working!! I think it is because of the storms?
Thanks, Javi