Ruptured Appendix...We'll wait 2 months, then do surgery...What?!?!

  1. Have you ever heard of such a thing? I've had endometriosis for yrs and have always had extremely painful, debilitating monthly cramps. The difference month before last. was that I also had a very high temp, and was nauseated and vomiting for a couple of days. My normal endometriosis cramps apparently masked the point at which my appendix ruptured. The nausea and vomiting only lasted for a couple of days, the temp slowly went down over several days time. About a wk later I was still having pain in the lower right abd quad and still had a low grade fever.

    So, I went to my doc who ordered a CT which was clearly appendicitis. The Dr who read the CT called me before I even got home from having the test done and told me to get to the ER immediately. He said I had the worse case of appendicitis he had ever seen on an outpatient CT. He said he would call the ER, and tell them I was coming so they could have an operating room ready. Well, when I got there, a surgeon, who just happened to be in the ER for a trauma, saw me and said he was going to admit me for a couple of days of IV antibiotics...send me home on antibiotics for a couple of wks... and then I was to come back in 2 months for the appendectomy!! Huh!?! What!?!

    I was convinced that this surgeon was clearly out of his mind with his plan of care and that I would die within that 2 month period. I mean, come on, who runs around with a ruptured appendix for 2 months and lives through it? It has always been my understanding that if your appendix ruptured unless surgery was done immediately that you'd die. I can't imagine all that bacteria and waste draining into the peritoneum all that time could be a good thing.

    Well, I was admitted on a Sat evening. Needless to say, I called my primary doc the following day and told him of this ER surgeons plan of care and he said that was crazy. He took that surgeon of my case and sent in his own preferred surgeon for a consult the following day. This second surgeon did another CT and took me straight into surgery. This CT confirmed that indeed my appendix had ruptured and I had a very bad case of peritonitis. Not only that, but, I had a thrombus in the superior mesenteric vein. All of which he explained to be life threatening conditions. He was baffled himself as to why this other surgeon hadn't taken me immediately into surgery, nor had he started me on blood thinners for the clot since I had been admitted two days earlier.

    I developed an ileus, spent over 2 wks in the hospital, and have been giving myself injections of Lovenox twice a day now for the last 7 wks!! Fun Fun Fun!! I have a follow up CT scheduled for later this wk to check the status of the clot. I just hope I don't have to take blood thinners the rest of my life because of that idiot ER surgeon. :angryfire The man could've killed me!! If the second surgeon hadn't have stepped in who knows what may have happened. My primary doc of 15 yrs flat out told me I was lucky to be alive when I saw him a wk after I was discharged. :uhoh21:

    Have any of you ever heard of such craziness?!? Sorry this post was sooo long, I didn't realize how long winded it was until I just read back through it. Thanks for letting me vent.
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  2. 24 Comments

  3. by   UM Review RN
    You're apologising for a long post? Good grief, I'm so glad you made it through that ordeal alive!!

    Praying for a speedy recovery for you, Gator. ((((hugs))))
  4. by   Levin
    From the complaints in press gainey scores topic,
    "I know more about pancreatitis than that ER doctor. Get some doctors that actually know something."
    Link: http://allnurses.com/forums/f8/funni...ml#post2093249

    BUUSTED!

    Jokes aside, I hope things work out for you.

    Just out of interest, was the surgeons name Patel? (Yep that what it reminded me of when reading it)

    Cheers,
    Levin
    Last edit by Levin on Apr 2, '07 : Reason: Fixed tag
  5. by   Marie_LPN, RN
    I'd report him to the board. Something needs done before he risks someone else like that.
  6. by   sequelae
    oh my goodness! that doctor is CRAZYYYYY... well in here there was a case in the local hospital. the doctor who was attending the patient actually DID NOT KNOW that the appendix ruptured. my goodness it already ruptured and he did not notice??? i mean he was seeing the patient everyday and overlooked the fact that it had already ruptured. my goodness, these faulty doctors have to be reported to their respective Boards immediately
  7. by   KaroSnowQueen
    There are always docs who graduated in the bottom 10% of their class. I think you met one.
    When my DH took our DS to the ER for an appy which I "diagnosed" over the phone from work, the stupid ER doc gave 50 mg of p.o. Phenergan to DH,told him to give one dose q4h and see our PCP in the am!!!!!!!!!!!!! DH,not knowing any better, gave the kid the med and called me!!! I left work and took him right back, cursing and screaming at the ignorant ER doc (can we say irrational upset mother in the ER???). Kid had ruptured appy and peritonitis. This was 11 years ago, and DS is fine.
    Yes, there are idiots out there, and I'm sorry you ran into one. Hope you get feeling better!!!!!!!!!!!!
  8. by   creature
    So glad you survived that horrible ordeal. There are some real quacks out there, but it's reallyscary that he's working ER. Just think of the patients with no medical knowledge. I suppose they don't live to tell about it.

    Glad your doing okay!
  9. by   CCL"Babe"
    I was shocked myself the first time I heard of it. I am a reviewer for a large insurance company and do reviews of hospitals all over the country. It is a growing trend in peds to wait 2 months to do surgery. Supposedly there are less complications for the patient.
  10. by   meownsmile
    Ange is probly on the right track, the idiot surgeon probly thought they said pancreatitis instead of appendicitis and thought he let your pancrease calm down before taking you to surgery. Thank your primary care doc and hope that surgeon you saw in the ER is a intern or something who NEVER gets his license.
  11. by   morte
    Quote from CCL"Babe"
    I was shocked myself the first time I heard of it. I am a reviewer for a large insurance company and do reviews of hospitals all over the country. It is a growing trend in peds to wait 2 months to do surgery. Supposedly there are less complications for the patient.
    but is this for appendicitis or a Ruptured appendix??
  12. by   madwife2002
    When they did surgery on my husbands they couldnt even find his appendix they think it had ruptured the year before, and had been leaking slowly for all that time. So they cleaned him up and give him IV Ab's and that was that
  13. by   blueheaven
    Quote from KaroSnowQueen
    There are always docs who graduated in the bottom 10% of their class. I think you met one.
    When my DH took our DS to the ER for an appy which I "diagnosed" over the phone from work, the stupid ER doc gave 50 mg of p.o. Phenergan to DH,told him to give one dose q4h and see our PCP in the am!!!!!!!!!!!!! DH,not knowing any better, gave the kid the med and called me!!! I left work and took him right back, cursing and screaming at the ignorant ER doc (can we say irrational upset mother in the ER???). Kid had ruptured appy and peritonitis. This was 11 years ago, and DS is fine.
    Yes, there are idiots out there, and I'm sorry you ran into one. Hope you get feeling better!!!!!!!!!!!!
    You go Karo!!! Right now I am dealing with a problem with my 2.9 year old grandson. I live 400 miles away and my daughter calls me and tells me that Tristan is peeing a lot and drinking a lot (bells and whistles go off in everyone heads here???) calls her pediatrician and NP says to bring him in. Goes in, does a dip stick UA and NOTHING ELSE and basically sends them home. 2 days later, she calls and states that he is continuing to have symptoms. Back to the doc again, this time a lab UA was sent. Daughter received a phone call that that UA was clear, no infection. At no time have they done a fingerstick glucose or anything else. She borrowed her G-ma in laws glucometer and was going to get a fasting sugar on him this morning. There is an extensive hx of DM 2 on SIL side of family. Looks like G-MAMA gonna
    have to kick butt :angryfire and take names. (((((((((Hope you feel better soon))))))))))))))) Darn IDJITS!!
  14. by   tntrn
    Just last week, we had a gal, G2, P1, with a ruptured appy. They drained the nasty gunk from her abdomen, but did not go in to actually do anything else. The options were for her to come back in a couple of weeks and have the surgery to get a good look inside (after lots of antibiotics) or wait until she had her repeat section and do it then. She is 22 weeks. I guess it might be a new thing. I don't know.

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