I have hesitated on posting this for 3 days, but I am stumped and need some input from a impartial source. Hubby has been back in hospital, news was not so good but it could have been worse. His blood work is the pits, platelet count of 9, hematologist was supposed to see him but cancelled and made an office appointment for him. NO ONE informed hubby or me of appointment. I questioned the discharging nurse and was told someone would contact me from hematologists office. On Thursday we got a letter stating he had missed appointment and needed to reschedule but if we miss another one there will be no more made. I called office, explained I had all of the paperwork in front of me and NO where on the DC sheet was this appt. written. Told girl of instructions and she they would call Monday and reschedule hubby. Hubby has some problems going on, new ones, and I am very worried. I feel like loading him up and taking him back to hospital and telling them get someone in here now. But, that will really take hours and who wants to spend a day like that. I know this should be reported to the nursing administration but I really do not feel the discharging nurse was at fault, I know I think, who made this mistake. But, she was very busy that day, really doing the work of 2 nurses and a unit clerk. So how do I really handle this? I think this is a serious incident, hubby is having real new problems that require some investigation, and any time lost is serious, so please guys, give me a few pointers. I am afraid my objectivity is gone.
Apr 17, '05
Quote from suzanne4
Platelet count of 9???? If that is so, he has no business being at home, and the doctor that wrote the discharge with that should really have his/her hand slapped. 9,000 is just way to low, he needs platelet transfusion...........
I would take him right back to the facility...........he needs to be in-house not at home.
People with ITP maintain lower platelettes than that and are d/c'd home. It's not as unusual as you think. Depends on the diagnosis and the baseline. I know 9 sounds dreadful, but if the body is destroying the platelettes, transfusions don't always help. I know you're very knowledgable and experienced, and I mean no offense.
Last edit by Tweety on Apr 17, '05
Apr 18, '05
True enought Suzanne. Surely the hemotologist who decided to treat on an outpatient basis knew what the count was. I was only addressing those who were appalled at a discharge at that number, not trying to poo poo the original posters post.
All the time though that has based because of the missed appointment and new new problems definately require stat attention.
Any news Barefoot?
Last edit by Tweety on Apr 18, '05