Quote:
Originally Posted by golfing eagles
Two points, one from each story:
1) Atrial fibrillation with chest pain is unstable by definition. If the facts are as presented, and the patient suitable, it sounds like a CCU admission with urgent treatment at the very least, and possible transfer for cardiac catheterization depending on response. Hard to believe it was 22 hours to just get MSO4. Experience tells me there is more to the story.
2) Why would they do an MRI for a kidney stone? The test of choice would be a spiral CT with "stone protocol", assuming there was nothing diagnostic on a plain film. It is an easy diagnosis on clinical grounds in most cases---flank pain, CVA tenderness, hematuria and possible radiation to the groin---about the level of a third year med student. I can't understand withholding analgesics for an imaging procedure. Again, I suspect more to the story.
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We just took my 98 year old mother in law there. Her doctor called ahead so they would be ready for us. She was having shortness of breath and pain in her arm. We got there at 3, got an xray at 4 (NO EKG or exam of any kind) at 5 they drew blood...all of this time she was sitting in the waiting room. At 8 they finally took her into an exam room and at 10 she was admitted. When I asked why they were letting a possible heart attack patient wait they said 'we're busy ma'am'. The next afternoon she was examined by a cardiologist who determined that a cath was necessary and ended up putting in a stent (she desperately needs two but because of the condition of her arteries only one could safely be placed, actually when they started the procedure she coded but they were able to bring her back. She is still in the ICU, hopefully they will be putting her into a regular room soon. By the way, the entire time she was there from Friday afternoon until Sunday morning they wouldn't even allow her to have ice chips. My husband had to insist that she at least be allowed to have a couple and the nurse said "You can give them to her, I won't". The nursing staff I have met through this experience and my time volunteering on one of the floors is the most unfriendly, miserable nurses I have ever met. This hospital has me seriously thinking of moving back to Michigan.