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| - Ive been a PT for 30 yrs, so I know healthcare & know my stuff when it comes to foreboding neurological signs & how to interview someone, even in most complex cases, in order to get a good history in prep. for proceeding w/ an evaluation. This last skill, esp. w/ respect to assessing someone's pain, is one that the best Drs, RNs & clinicians have learned to master. I preface my review with this so it hopefully will help others understand that I am not just blowing smoke that this ER experience was by far, a negligent,abnormal and horrible care from the intake to when we left. I say that this assessment would apply for even a profoundly disreputable hospital or clinic in some tiny backwater town. So much more true when I am talking about the reverent MAYO CLINIC HOSPITAL! I had brought my fast declining mom, specifically to Mayo, as they are world renowned for problem solving and treating the toughest cases. I needed to get her to somewhere urgently because, although she was about 5 weeks after the sudden and dramatic onset of very scary condition, we had yet to have found a cause for her symptoms that had backed off some, were managed by pain medication. Earlier in the week, all of the symptoms came back and were more intense on a continual basis. I could not get her into the neurologist we were seeing which ate up 3 days, even though she now could not communicate, being unable to conger up even simple words and names. Because of the dud response we'd gotten so far from the first hospital who ignored her pain and my concerns for her sudden change in functioning, I decided to try taking her to Mayo Clinic. I spoke with a triage nurse first to whom I told my story, wanting to know if she should go through the clinic or ER. She strongly recommended the ER and affirmed that I was not crazy to be so concerned.
After a intake by a nurse or was she the clerk? I tried to explain her recent symptom history and why I brought her to the ER. By the woman's rude posturing and gestures, I stopped, and needed to ask, "Do you have something else to do? I get the feeling that you're not paying attention, or that I am doing something wrong." She replied that she REALLY just needed [me to give her brief information and], "save the rest, for when you're in the back talking to the doctor."
A tech brought a wheelchair that was large even for me. My mom is 4' 9" tall. He was clearly awkward with the fact that the wc didn't fit and she was in a very unnatural and uncomfortable position, and yet he did nothing to help rectify the situation. Thus she was rolled to the waiting room, with her hips forward, her back leaning back slouching to connect to the back of the wc. Her legs stretched out and splayed apart so that her calves could, "rest," on the leg pads. Her feet hung dangling at the ankles over the far end of the pads. I wanted to protest or at least move her to a waiting room chair, but I needed to step I outside to make a short phone call.
When I came back in a bizarre exchange, mostly driven by a very impatient doctor who kept insisting that first my mom when I was gone, no demanding of her, that she tell her, "Why do you need to be in the ER?" and how, shaming her for being there, "I have 9 patients back there still just waiting for a bed." Implying her problem was unimportant to him. When I came back, he starts in at me, saying aloud, "Im not getting ANYwhere with HER." gesturing with his clipboard to my mom. I feel rushed, anxious to try to explain why we were there, as he interrupted me 3 x, by raising his hand to my face in order to check his text messages and then talk on the phone briefly. I have tried to accurately describe and specifically report the actual words this doctor said to me but it takes up too much room and gets too long, although this all passed within 15 mins. during which he has already told me point blank, that my mom couldn't have encephalitis and would NOT get admitted to the hospital and basically the message was, "move on." All of this done, without ever letting me complete a sentence hardly, of course no evaluation or even observation of my mom, IN THE Lobby. In the end, I concur that we've clearly wasted his and our time in coming and that we'd be leaving. He zooms off on his knee walker without another word to us. We left bewildered, still worried, dismayed and feeling hopeless because now we really don't know what to do. I guess she has to be in a live seizure or in a coma to be worth his attention. No suggestions, recommendations, NADA. My mom who has a very high pain tolerance and rather die than be seen as anything but strong was crying.
The doctor's name was Dr.Stewart. I'd stay away from him AND Mayo ER. Something is really wrong there.
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