Mather Hospital Mather Hospital Port Jefferson New York
Mather Hospital Deviation from “Accepted Medical Standards”.
1/14/13,My Mothers ER Visit at Mather Hospital
““This is a well developed, well nourished patient who is awake, alert, and in no acute distress”, ” (John T. Mather Hospital Physician Documentation, Constitution Con’t., 1/14/13, page 2, Constitutional:)
1/30/13 Admission at Mather Hospital
“Awake, Alert and Oriented X 3, (Discharge Summary, 2/1/13 under Neurological)
“Awake and alert, GCS 15, oriented to person, place, time and situation. (Physician Documentation Cont’. 1/30/13, page 2, Neuro:)
Awake, Alert and oriented x 3, (John T. Mather Hospital Discharge Summary Dis Date: 2/2/13, Physical Examination:)
No deficits noted, patient oriented X3, eyes open spontaneously and obeys commands. Level of consciousness is awake, alert. ( Mather Hospital Nurse’s Notes Con’t, 1/30/13, page 2, 17:06, Neuro:)
“Mild Dementia”. (John T. Mather Hospital Admission Profile, 1/30/13, page 4, Neurological Comment.)
“Further, on admission, your mother was found to be ALERT, and ORIENTATED and fully concurred with the visitation restrictions ”. (Mather Hospital Administrative Director, Maryanne B. Gordon, letter, 7/17/13).
10 Days Later In Mather Hospital ER, 2/9/13, Hospital was Negligent in Identifying Carbon Monoxide Exposure Symptoms.
“Unresponsive”,(Mather Hospital Nursing Assessment, 2/9/13, page , under Coping,/Observed Emotional State. 2/10/13 09:00),
“Non Verbal”, (Mather Hospital Nursing Assessment, page 3 & 4, under Coping/ Verbalized Emotional State),
“Semi Comatose” (Mather Hospital Nursing Assessment, page 7, Cognitive/Perceptual/Neuro under level of consciousness, 2/12/13)
“Disoriented x 4” (Mather Hospital Nursing Assessment, page 7, Cognitive/Perception/Neuro under Orientation).
“Deceased” within a month, ( Death Certificate 2/12/13).
On or about 2/7/13, my Mother was exposed to Toxic Levels of Carbon Monoxide.
Confirmation of this can be done by examining the records of individuals Hospitalized at Mather Hospital for Carbon Monoxide Poisoning, 2/7-9/13 and confirming their addresses.
On or about 2/7/13, 3+ Patients Admitted to Mather Hospital, Diagnosed and Treated for Carbon Monoxide Poisoning.
3 individuals in my mother’s apartment and a family in an apartment directly above my mother were hospitalized.
On or about 2/7/13, 3+ Patients were Exposed to Carbon Monoxide at my Mothers Address with my Mother Present.
Confirmation of the address can be done by examining the records of individuals Hospitalized at Mather Hospital for Carbon Monoxide Poisoning, 2/7-9/13.
Confirmation of my mothers residence is found in a Mather Hospital letter dated 7/17/13, where the Hospital Administrative Director Maryanne B. Gordon, states: “Further, she advised your mother resided with her, which you do not dispute”.
Port Jefferson Volunteer Ambulance Corps. Invoice, 2/11/13, for services rendered for my mothers transport to Mather Hospital on 2/9/13, confirms this address as well as the Certificate of Death.
2/9/13 My Mother’s ER and Admission at Mather Hospital request made to not “Diagnose or Prognose”.
“Child states the patient is dying” (Nurses Notes 2/9/13) “Patient is actively dying, as per daughter” (Physician Documentation, 2/9/13, 21:04, page 1) Requesting no “vital signs” being taken, “defers blood work and diagnostic work-ups” (Physician Documentation, 2/9/13, page 1) “HCP states she does not want anything done to patient no labs, work up or anything that will “disturb” her”( Nurses Notes, 2/9/13, 20:10, page 1 and 2 under assessment). “Daughter-resistant to obtaining pt’s vital signs, I explained need for assessing vital signs and rationale for same”(Nursing Progress Note, 2/10/13, 12:33, page 1).
“Pt daughter declined a full body assessment” Nurses Notes, 2/9/13. page 2) “Patient was not given aspirin because daughter states patient no longer takes medications”. (Physician Documentation, 2/9/13, 21:08, page 2).
Mather Hospital’s Neglect to “Diagnose and Prognose” Carbon Monoxide Exposure Symptoms.
Carbon Monoxide Poisoning - Topic Overview
What is carbon monoxide poisoning?
Carbon monoxide poisoning happens when you breathe too much carbon monoxide. Carbon monoxide is a gas produced by burning any type of fuel—gas, oil, kerosene, wood, or charcoal. What makes this gas so dangerous is that when you breathe it, it replaces the oxygen in your blood. Without oxygen, cells throughout the body die, and the organs stop working.
You can't see, smell, or taste carbon monoxide. But if you breathe too much of it, it can become deadly within minutes. So be sure you know the signs of carbon monoxide poisoning, what to do if you have the symptoms, and how to keep it from happening.
What causes carbon monoxide poisoning?
What are the symptoms?
Early symptoms of carbon monoxide poisoning include:
As carbon monoxide builds up in your blood, symptoms get worse and may include:
Confusion and drowsiness.
Fast breathing, fast heartbeat, or chest pain..
Vision problems.
If you have symptoms that you think could be caused by carbon monoxide poisoning, leave the area right away, and call 911 or go to the emergency room. If you keep breathing the fumes, you may pass out and die.
Carbon monoxide poisoning can occur suddenly or over a long period of time. Breathing low levels of carbon monoxide over a long period can cause severe heart problems and brain damage. See a doctor if: You often are short of breath and have mild nausea and headaches when you are indoors.
How is carbon monoxide poisoning diagnosed?
If your doctor suspects carbon monoxide poisoning, he or she can order a blood test that measures the amount of carbon monoxide in your blood. You may have other blood tests to check your overall health and to look for problems caused by carbon monoxide.WebMD Medical Reference from Healthwise
Last Updated: March 01, 2012
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
© 1995-2014 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
Mather Hospital’s Neglect to Diagnose and Derive a Prognosis of Carbon Monoxide Exposure Confirmed.
Certificate of Death, 2/12/13, Mather Hospital Physician, Natalya Titakeuko certifies the immediate “Cause of Death” as “Cardio Pulmonary Arrest” due to or as a consequence of: “Coronary Artery Disease, COPD, Dementia, Failure to Thrive and Renal Insufficiency”, Pronounced Dead at Mather Hospital, 2/12/13, 2:50PM.) Missed the Exposure Carbon Monoxide.
Discharge Summary, 2/9/13, page 2, enc #135994275, Final Diagnosis: “Cardiopulmonary arrest secondary to coronary artery disease. Failure to Thrive. Renal Insufficiency”. Missed the Exposure to Carbon Monoxide Again.
Mather Hospital’s Requirement to Obtain an Accurate Diagnosis and Prognosis, Disregarded.
According to the:
Department of Health website.Department of Health
Information for a Healthy New York
Should proxies be honored when patients are admitted to the emergency room?
“Physicians may honor decisions by a health care agent in the emergency room if the patient's diagnosis and prognosis can be determined, enabling the agent to make an informed decision. If delay to obtain information will harm the patient, treatment should be provided in accord with accepted medical standards”.
Mather Hospital Overlooks Carbon Monoxide Exposure, Relies Exclusively Upon Diagnosis and Prognosis of Unlicensed Personnel, in the Abcense of a Diagnosis from Acceptable Diagnostic Testing.
“Child states the patient is dying” (Nurses Notes 2/9/13) “Patient is actively dying, as per daughter” “ Wishes for comfort care only-no medical intervention or workup”. (Physician Documentation, 2/9/13, 21:04, page 1) Requesting no “vital signs” being taken, “defers blood work and diagnostic work-ups” (Physician Documentation, 2/9/13, page 1) “HCP states she does not want anything done to patient no labs, work up or anything that will “disturb” her”( Nurses Notes, 2/9/13, 20:10, page 1 and 2 under assessment). “Daughter-resistant to obtaining pt’s vital signs, I explained need for assessing vital signs and rationale for same”(Nursing Progress Note, 2/10/13, 12:33, page 1). “Pt daughter declined a full body assessment” Nurses Notes, 2/9/13. page 2) “Patient was not given aspirin because daughter states patient no longer takes medications”. (Physician Documentation, 2/9/13, 21:08, page 2).
“Diagnosing or making treatment recommendations” is exclusively reserved and authorized for only “licensed healthcare professionals”. [New York Law, CLS Educ. S6521 "Practice of Medicine".]
Medical Examiner at Mather Hospital “Determines Cause of Death” in the absence of “Acceptable Diagnostic Testing”.
Certificate of Death, 2/12/13, Mather Hospital Physician, Natalya Titakeuko certifies the immediate “Cause of Death” as “Cardio Pulmonary Arrest” due to or as a consequence of: “Coronary Artery Disease, COPD, Dementia, Failure to Thrive and Renal Insufficiency”, Pronounced Dead at Mather Hospital, 2/12/13, 2:50PM.)
Mather Hospital in Solidarity with HCP Diagnosis and Prognosis.
According to the article: “We asked MLMIC they answered, New York County Medical Society”.
“If you feel that the proxy agent is not acting in the patients best interest, you may request a court to remove the agent and/or override the agents decisions that where made in bad faith”.
“A healthcare Proxy Agent makes medical decisions on the principals behalf that are within the best interest of the principal” (Surrogate Decision Making in New York, Salvatore M. Di Costanzo.)
Can a health care agent authorize active euthanasia? Department of Health Website Replies;
“No. The agent's right to decide about treatment is no greater than that of a competent patient. New York law prohibits active euthanasia and assisted suicide”.
Mather Hospital’s Irreversable Decision on a Reversable Condition.
70% of patients treated with SEVERE (C0) poisoning survive,”Carbon Monoxide Poisoning”, The Internet Journal of Emergency and Intensive Care Medicine, 1997.
Vol.1 N2. at a COHb level of about 40%, Carbon Monoxide starts to cause Coma and Collapse.
ALL WITH HAVING THE FOLLOWING PREVIOUS KNOWLEDGE.
Assessment Indicator Mather Hospital Recognized and Confirmed the Diagnosis by the Direct Questioning Method.
“Are you or have you been threatened or abused?”,
My Mother Replied YES!
(Mather Hospital, Admission Profile, 1/30/13, page 6, under Self-Perception.)
AMATO, DOROTHY-Enc #135958569-IPT-MED-1/30/2013
JOHN T. MATHER MEMORIAL HOSPITAL
PORT JEFFERSON, N.Y. 11777
CONSULTATION REPORT
NAME :
MR NO : 79-41-38
ACCOUNT NO: 1359585569
CONSULTING PROVIDER: SHAMIM KAHN, M.D.
PROVIDER ID: 006093
DATE OF CONSULT: 01/30/2013
REASON FOR CONSULTATION: CHEST PAIN
MEDICATIONS: AT home are vitamin D, Valium, Remeron, vitamin B12, Tylenol, and Keppra. The patient apparently was also on high dose of vicodin, which she has been abruptly discontinued for the last three days.
SOCIAL HISTORY : The patient lives with her daughter. No smoking, alcohol or drug abuse.
NorthShore Hematology/ Oncology Associates
NSHOA 235 North Belle Meade Rd
East Setauket NY 11733
Phone: 631-751-3000
Patient Name:
Patient Number: 3457930
HOSPITAL FOLLOWUP
Michael Rodriguez, D.O.
History of Present Illness
Dear Dr. Rodriquez:
Review of previous records from Dr. Boglia showed normal albumin; however, an SPEP revealed monocional free light chain and a Bence Jones protein that was positive for lambda type. She comes to the office today stating she feels well. She is tolerating the Lovenox at renal dosing. She denies any bleeding.
Assessment:
Coagulation defects,other
Recommendation/Plan:
An 85-yar-old lady with past medical history of seizures and anemia secondary to chronic kidney disease who presents with an acute DVT. I will perform a hypercoagulable workup, as she does have a family history of DVT’S. She also has an anemia likely secondary to kidney disease; however, she has Bence Jones protein suspicious for multiple myeloma.
3 Updates & Rebuttals
Lovanox DVT Hypercoagulation
#4Author of original report
Sat, July 12, 2014
If the hospital neglected to recommend the continuation of the daily lovanox injections with the patients history of a hypercoagulation condition and DVT there may be a wrongful death case here. The aspirin case is similar, however the patient in that case tested negative for cardiac problems. The 90 year old appearently tested positive and was not told to continue the medication and was told to wait a week or two for follow up with PCP.
The 90 year old may have suffered from a pulmonary embolism. Shoddy Hospital work it seems.
Heart Attack Verdict: $5.8 Million
2012 Medical Malpractice Trial Report
59-year-old man dies due to primary care physician's failure to
continue asprin and refer patient to cardiologist
This trial was brought forward by the family of a decedent who died in June of 2006 from a fatal heart attack. Four months earlier, the decedent had an episode of severe chest pain that lasted approximately 30 minutes. EMTs immediately responded and gave him Aspirin and Nitroglycerin. After getting the medicine, his chest pain got better. The doctors in the Emergency Department ran some initial tests (EKG and serial cardiac enzymes) that showed he was not having an active heart attack. Despite the negative testing, the hospitalist assigned to him noted that there was still "obvious concern" and ordered a nuclear stress test and a cardiology consult. The cardiologist agreed to the hospitalist’s plan. The stress test was interpreted as normal and the decedent was discharged home with instructions to follow up with the defendant, his Primary Care Physician (PCP).
The decedent had a follow up visit with the PCP 6 days after discharge. The decedent was still taking Aspirin on the date of this follow up visit. At this visit, the PCP told the decedent to stop the Aspirin. Plaintiff’s expert opined that the PCP's decision to stop the Aspirin without referring the decedent to a cardiologist was negligent because Aspirin is a powerful cardiac stabilizing medicine. The defendant PCP argued that he would have no reason to suspect a cardiac cause for his chest pain episode given that he was seeing the patient within a week of receiving a full cardiac workup and within a week of every test (EKG, serial cardiac enzymes, nuclear stress test) coming back negative for a cardiac cause of his symptoms. He further argued that the decedent had not been sent home on Aspirin by any physician in the hospital and that there was not one medical record indicating that continued Aspirin use was necessary or recommended from a cardiac perspective. Plaintiff’s counsel rebutted the defense with evidence that virtually all patients such as the decedent are sent home on Aspirin following a hospitalization for chest pain and that the PCP failed to obtain sufficient records from the hospitalization to allow him to conclude that a cardiac problem had been ruled out before stopping the Aspirin without the approval of a cardiologist. The jury specifically found against the PCP, finding him negligent in both failing to refer the patient back to a cardiologist and stopping the Aspirin.
Frank
Selden,New York,
Reporting
#4Author of original report
Fri, July 04, 2014
The following have been contacted: Joint Commission, New York State Department of Health, U S Health and Human Services Civil Rights, Medical Associations, Medical Schools, All the Manufacturers of the Medications my mother was taking.
The Knowledge and education about Health Care Proxy Law, Advance Directives and medications withdrawal and rebound effects has to be taught to all staff at Mather Hospital.
Stacey
Texas,Really?
#4Consumer Comment
Fri, July 04, 2014
Did you file a report with the Department of Health and Human Services?? JCAHO?? These are the agencies that regulate hospitals. IF you file with these departments then they have to investigate these allegations by law.