A perfect storm....that's what I call the situation of Lisa Strong of Davie, FL.
Several years ago, with a history of kidney stones, Lisa went to the E.R. due to discomfort and fever she associated with her last bouts with kidney stones. Proactive? Absolutely...and quite necessary since kidney stones and kidney infections can (if left untreated) lead to death.
When she arrived at the E.R., Lisa explained this is probably a kidney stone...but this is where the water gets murky. Did she emphatically state this point? Was her 106 spiking fever causing any type of hallucinations? Did the doc on hand not hear Lisa's statement?
No one knows for sure, but it's well documented that Lisa's proclaimation of her history with kidney stones was not written down. This led to a misdiagnosis...a misdiagnosis that ended in a horrible way.
It seems the doctor, working on limited information, diagnosed a completely unrelated gall bladder issue. The result? Infection set in and, ultimately, all four of Lisa's limbs were amputated.
Folks, can you even imagine? I cannot. To lose one's limbs is one thing. To lose it due to a misdiagnosis is another. But to have been proactive in taking care of oneself and THEN to have a doc's mistake cost one their appendages? Unthinkable.
What does this teach us? Communication, communication, communication. Check, then double check and triple check. And listen to the patient!
Miscommunication will happen. After all, every interpersonal relationship will, at some point, lose the message sent somewhere between the speaker's mouth and the listener's ears. Yet, when something is as potentially deadly as the situation in which Lisa Strong found herself, there is no excuse for not checking, double checking and triple checking.
Learn more about Lisa at:
www.LisaStrong.org
Best of luck, Lisa...and if your situation teaches other health care pros to be more diligent in their diagnosis, I hope that will, in some small way, create something good and meaningful out of a senseless situation.
Friday, May 29, 2009
Monday, May 18, 2009
This I Used To Believe
I'm a big NPR junkie, especially of the show, "This American Life."
On a recent episode, there was a short segment on people who have changed their strongly held belief...and why they changed. One essay was by Courtney Davis, FNP. Her essay regarded her former belief: patients need happy, upbeat caregivers. From this guy (who has seen way too much happy sappy B.S. from caregivers), I'm happy to hear Courtney changed her belief. Her reason for the switcheroo? Evaluating her own actions as her mother lay dying.
"I didn't know then that I could have climbed into bed and held her, that I should have wailed when she was gone. I no longer comfort others with false cheer."
Just a few nights ago, I was at a reception with some acquaintances. One of the gentlemen asked (in that all-too-skittish way) how I'd lost my sight. I've perfected a quick answer to this question, one that gives the entire story in as few words as possible, but one that leaves the door open if that person wants to know more. However, the biggest thing I want to convey in my answer is that I'm okay. This experience didn't break me. Instead, it reinforced me.
When I gave my usual answer, it was obvious this person had more questions. I assured him I was happy to answer anything he wanted to know. Yet, he still felt the need to ask questions that punched like kid gloves. "Um, you don't have to answer this if you don't want to, but were you angry?" and "I don't mean to pry, but how did you get through that?" and "Please don't think I'm trying to insult you, but how do you use a computer?"
The overall feeling I got from this person was that he believed his questions could possibly make a bad situation worse. Not possible. And if questions are respectful, they're always welcome. Yet, he clung so tightly to the notion that questions are disrespectful or hurtful. Kinda like the mom with the kid at the store who sees an amputee and has questions. Almost always, the parent will hush the child. Why? As if the amputee doesn't know his/her legs have been removed? As if a legit question about my computer will mean I'm more blind?
Caregivers-do not be afraid of the truth. To dance around reality highlights just how horrible the situation is for the patient. They're not stupid, they're not oblivious...and it's insulting to have no one recognize and legitimize that their situation, well, just sucks.
False cheer...there's no place for it in a hospital setting. Thank you, Courtney, for your words and attitude and respect of patients.
On a recent episode, there was a short segment on people who have changed their strongly held belief...and why they changed. One essay was by Courtney Davis, FNP. Her essay regarded her former belief: patients need happy, upbeat caregivers. From this guy (who has seen way too much happy sappy B.S. from caregivers), I'm happy to hear Courtney changed her belief. Her reason for the switcheroo? Evaluating her own actions as her mother lay dying.
"I didn't know then that I could have climbed into bed and held her, that I should have wailed when she was gone. I no longer comfort others with false cheer."
Just a few nights ago, I was at a reception with some acquaintances. One of the gentlemen asked (in that all-too-skittish way) how I'd lost my sight. I've perfected a quick answer to this question, one that gives the entire story in as few words as possible, but one that leaves the door open if that person wants to know more. However, the biggest thing I want to convey in my answer is that I'm okay. This experience didn't break me. Instead, it reinforced me.
When I gave my usual answer, it was obvious this person had more questions. I assured him I was happy to answer anything he wanted to know. Yet, he still felt the need to ask questions that punched like kid gloves. "Um, you don't have to answer this if you don't want to, but were you angry?" and "I don't mean to pry, but how did you get through that?" and "Please don't think I'm trying to insult you, but how do you use a computer?"
The overall feeling I got from this person was that he believed his questions could possibly make a bad situation worse. Not possible. And if questions are respectful, they're always welcome. Yet, he clung so tightly to the notion that questions are disrespectful or hurtful. Kinda like the mom with the kid at the store who sees an amputee and has questions. Almost always, the parent will hush the child. Why? As if the amputee doesn't know his/her legs have been removed? As if a legit question about my computer will mean I'm more blind?
Caregivers-do not be afraid of the truth. To dance around reality highlights just how horrible the situation is for the patient. They're not stupid, they're not oblivious...and it's insulting to have no one recognize and legitimize that their situation, well, just sucks.
False cheer...there's no place for it in a hospital setting. Thank you, Courtney, for your words and attitude and respect of patients.
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