Please, need some really good advice

  1. 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.
    •  
  2. 14 Comments

  3. by   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.
  4. by   Aneroo
    Ditto- I think "waiting all day" is totally worth making sure your husband is ok, esp if he's having new problems.
    If the nurse told you that someone would contact you, she probably did not know there was an appointment made either. However, I am bummed she did not say anything to discharging MD about labs and the needs to still be admitted.
    Now, where is the hugs smilie? (((((HUGS))))) I am glad you posted. Don't wait so long next time. We'll be praying for you and hubby, keep us posted on how things are going. Now get to the doctor! -Andrea
  5. by   dphrn
    I don't think the scheduling mistake should be the priority here. Your husband's health has to be taken care of first and then worry about where the mistake happened.

    He was discharged with a platlet count of 9? He never should have left that hospital with a count like that! If it were me, I would load him up and take him back to the hospital now. If you insist on waiting until tomorrow and still want this doctor to treat your husband after this scheduling mistake, I would take him along with your discharge papers and demand to be fit into the schedule Monday because of the error and his counts.

    The bottom line is, your husband needs to be treated and seen ASAP! You are only going to be worring about him all day, so why not go to the ER and worry there...even if you do have to wait a while.

    It will work out. Your husband needs you to be his advocate right now. Be strong and insist on getting the care your husband needs. Don't worry about stepping on any toes or getting anyone mad at you. Do what you know in your heart your husband needs right now and that is his health to be taken care of.
  6. by   leslie :-D
    aw barefoot....

    i too, cannot believe he wasn't transfused right away rather then waiting for an appt.

    i also agree, whoever messed up, is secondary right now.
    go to the e.r. and get him the care he needs now....today!

    please keep us updated and don't wait a few days. we'll anxiously await to hear from you.

    with peace,

    leslie xo
  7. by   Tweety
    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
  8. by   Tweety
    Barefoot, keep in touch. Good luck.
  9. by   suzanne4
    If it is ITP, then he should have had much better instructions...........also depends on how well the patient is tolerating this low number, some do and some don't. If not, then a transfusion is needed. But again it depends on patient's baseline and the roiginal post, it doesn't sound like he was doing that well.
  10. by   suzanne4
    If it is ITP, then he should have had much better instructions...........also depends on how well the patient is tolerating this low number, some do and some don't. If not, then a transfusion is needed. But again it depends on patient's baseline and the original post, it doesn't sound like he was doing that well. Or she never would have posted in the first place.
  11. by   Tweety
    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
  12. by   dphrn
    Without knowing her husband's diagnosis and history (not in OP), I think most people would be shocked he was discharged with those counts.

    How are you and hubby barefoot? Hope all is well.
  13. by   leslie :-D
    if it is ITP, here's a very informative link:

    www.medscape.com/viewarticle/495548?src=search


    leslie
  14. by   live4today
    ((((((((((barefoot)))))))))) i'm so sorry to hear your husband isn't improving at all. just want you to know you are in my thoughts and prayers. :kiss

close