Can you come to the hospital?” When I asked for details, the nurse simply asked how long it would take for me to get there. As I watched his blood pressure plummet downward to a critically dangerous level, I finally screamed to get a doctor. He was high on life! There is a clear explanation. As I learned the pieces to my story, I wrote my book to help others understand how one failed moment in surgery, for example, can cause unquantifiable suffering and enduring hardship, for patients and their loved ones: ANATOMY OF MEDICAL ERRORS: THE PATIENT IN ROOM 2, by Donna Helen Crisp, JD, MSN, RN, PMHCNS-BC. She was a surprise since I was 43 (at time of conception) and all attempts to become pregnant had failed since our son was born 5 years previous (including 4 miscarriages). Instead, Glenn was given an inappropriate fluid—first at a rate too high, and then at a rate far too slow. The only other treatment was a continuous IV infusion of a potent vasodilator called Remodulin. Clearly, as a physician, I have a huge advantage that most afflicted family members don’t: I understand medical records, how hospitals work, and the hierarchy in medicine. She weighed 1 pound 5 oz. The nurse stood in the doorway: “Doesn’t he look like he is just sleeping? The immediate reaction by the team was to attempt to relieve acute elevated intracerebral pressure. It was confirmed 2 days following her death that she had been given 2-3x the amount of Digoxin she was intended to have. At eleven years of age, Candace was prescribed an antidepressant, not for depression, but for test anxiety at school. Then she reached to open Nora’s line. Nancy and Melissa (Glenn’s daughter) are now advocates for the disclosure of medical errors. We had planned a belated birthday and a cancer-free party for her. When our mother passed away on Friday, November 9, 2018, the funeral home had to follow up with the hospital on November 23 because they had not received the death certificate from them. The bed rail was not sterile, but the nurse did not start her hand washing over again. She had moderate vascular dementia and, I now realize, a delirium. Even so, his pain was difficult to control. That condition required two brain surgeries and annual MRIs to monitor his condition. She was released two days later, still not eating or sleeping, with flu-like symptoms, and ebbing and flowing hallucinations. While heart disease and cancer are the two leading causes of death in this country, between 250,000 and 500,000 patients die every year from medical errors, making medical errors the third leading cause of death in the USA. The mother, Dottie, died during the third trimester of her pregnancy. We need to have someone with us at all times (if possible) to be our advocate and witness. FamilySearch Terms of Use (Updated 2019-12-10) | Privacy Notice (Updated 2018-09-01), © 2020 by Intellectual Reserve, Inc. All rights reserved. Another team of doctors came in, however, and decided Mark wasn’t ready for dialysis. Diamox caused a cascade of irreversible harm; first, ten episodes of diarrhea in two days, and then worsened breathing due to drug-induced acidosis. It was in that conference room that the crumbling of my neat little world would reach its pinnacle. On July 15, 2010, just six days after beginning the medication, following a regular lunch with a business associate, Stewart left his office and walked to a nearby train platform of a train he never took. They usually refer to data extracted from death indexes and death certificates, therefore they include personal details about the deceased (Name, Time of Death, Cause of Death, Place of Death). (Throughout the day and evening, his vital signs were giving indication of possible patient distress, but these were dismissed as well.) In 2014, the HAI Prevalence Survey published findings showing there were approximately 722,000 HAIs in acute care hospitals in 2011 in the USA; and these infections caused the deaths of 75,000 patients during their hospitalizations. Below is a list of elephants who died at AZA-accredited zoos between 2000 and the present, excluding newborns and infants under the age of 2. No one involved with the case would talk to the family, and Justin’s original medical records were incomplete and inaccurate. It transpired that 2 patient records had been mixed at the doctors’ surgery. For us, that would be a 2-1/2-hour trip that would seem like forever. There is much hope in my fight for truth. Five days later Alex was seen by a family practice physician the cardiologists had recommended. Later, Mark’s parents had his records reviewed by an independent physician who said that their son’s rapid decline was caused by a condition called propofol infusion syndrome. He was diagnosed with second degree burns over 30% of his body, mostly on his back. We were so happy. Nile was in a medical emergency, but the truth of his condition had not yet been diagnosed. Elephants breed poorly in captivity and experience high infant mortality. This change was prescribed by an on-call doctor who was never informed of John’s sleep apnea. My family has been completely destroyed by the preventable and tragic death. She had arthritis in her hips, knees, and elbows. Later, he changed that recommendation to a proposal to enroll Dan in an industry-sponsored clinical trial for which the psychiatry department was aggressively recruiting enrollees. He recovered and was taken by ambulance to the emergency room, where tests showed a low potassium level and an abnormal heart rhythm called a long QT interval. You must enter an organization before you may register. He was a soccer player, a saxophone player, a writer, an actor in community theater, one of the top students in our state of South Carolina. Urge Suburban Auto Group to Drop Archaic ‘Trunk Monkey’ Ads, Horses in New York Are Being Beaten to Run Faster—Take Action NOW. Died from a severe infection following surgery to remove a dead fetus, Collapsed during transport to Hogle Zoo and was euthanized upon arrival. Eleven minutes into the surgery, the surgeon noticed things didn’t look right. Finally they taught my husband and I how to feed her through a tube so that we could bring her home. In the end, what killed my daughter was a complete lack of knowledge of her condition which instrumentation and broader, specialized knowledge would have alleviated. Emily’s treatment had been so successful that her last MRI showed there wasn’t even any residual scar tissue. The necropsy revealed death by emaciation and endotoxic shock from a bacterial infection. By submitting this form, you are agreeing to our collection, storage, use, and disclosure of your personal info in accordance with our privacy policy as well as to receiving e-mails from us. Pacerone has a half-life after stopping the drug. The nurses and doctors responsible for John’s care did not appreciate the dangers of the respiratory depressing effects of opioids upon patients with sleep apnea. To raise his life-threatening low blood pressure, the hospital pumped large amounts of IV fluids in a short amount of time. He enjoyed travel, skiing, dining, joking around with his family and friends and an occasional great cigar. Emily went completely limp and the nurses began to resuscitate her. The physical therapy team tried to get him on his feet the next afternoon and both times he collapsed backward onto the bed with eyes rolling. They were, however, able to get a retraction of the coroner’s erroneous report that their son had died as a result of substance abuse. I was incredulous that the hospital had told me nothing, not one word – as  though I did not exist, and had never been a patient there for a month. So, it was with great shock that I received that phone call on the morning of day five. Perhaps searching can help. : 5 November 2020. Emily spotted her mother’s can of Coke that she had on the tray and begged to have a sip. Residents and young nurses were left alone to perform jobs for which they were inadequately trained, with no ability to recognize a declining patient and no one to turn to when questions arose. The soles of her feet were so eroded that she had to wear sandals. Jerry’s hospital stay was prolonged by an elevated creatinine level, which his physician thought was discontinued. In the summer of 2018, Carol had a cough that would not go away and she became progressively more unsteady on her feet. She later tested positive for tuberculosis, Developed complications related to pneumonia, Euthanized after she began to have difficulty standing and lost the ability to move her trunk, Euthanized after an irreversible decline in her health, Euthanized because of lethargy, loss of appetite, weight loss, and labored breathing. Join the community of family history enthusiasts and FamilySearch employees to ask questions and discuss potential product enhancements.