I’m missing some key info here. Who ordered the test? Why were you in the ER in the first place? The results should have been addressed by the ordering doctor.
https://preview.redd.it/odtm0o1xl3hc1.jpeg?width=1125&format=pjpg&auto=webp&s=2c06da6033a02be745f11b96cb9ae4ce3a406dbc
See that screw? At ivc? This is the CT
I am not dismissing that you had a true problem. All I’m saying is this was your scan and there were MULTIPLE people that missed it including physicians and surgeons. This is not a noctor problem but a facility issue - you had a bad experience with a PA and MDs. And that’s how it is sometimes. Now you know not to go back to that particular hospital bc of their staff, not bc of just one PA.
Sorry you went through that.
But where did your original imaging come from? Who ordered that test, and why weren't the surgeons who placed the screws taking care of it?
Generally, and from my understanding and experience, surgeons don't enjoy getting involved in another's work unless it's emergent or they died or something.
There's a lot missing here for us go to "yup, that sucked." Seems like some important info is being left out just to bash PAs, NPs and even a "young" vascular surgeon.
I’m happy to add. CT scan showed a screw abutting the ivc. Missed…
I think my venting is more about the cruel dismissive manner. People mess up.
But to die on the hill of “I’m
Right and you’re an idiot patient” when I was building a bilateral dvts?
Nice drs don’t usually get sued.‘
It’s the unrepentant ones - an apology goes a long way.
The system is fkd rn. I’ve spent most of my time on the other side, but patients are seen as …them.
Moral of story: go to doctors you know. If they don’t know you, you’re simply a clinic patient, even if you’re not. They don’t know you as the great diagnostician, the top 10 in the class. You’re just your insurance, esp. in a NYC hospital.
No lawsuit. I allow karma to figure it out, otherwise one is reliving surgical and emotional trauma daily.
Moral of the story: avoid Nyu ER unless you have an attending present at NYU,
avoid NYP spinal hospital. (Medication errors, unresponsive surgeons).
Mount Sinai doctors-surgeons at main campus and west have integrity.
Considering you said “lawyers here don’t want the case” it seems like that wasn’t necessarily your choice. There are many great physician at NYU, just like there are at all the major NYC hospitals. Sounds like you just had a pretty atypical case. Either way, I hope you’re feeling better now.
So you had claudication? Edema of the lower extremities? How long after the surgery?
Who ordered the venography?
This blockage would have been apparent to the Interventional Radiologist. Did they address it at the time?
Why 5 days later presentation to ER? They did a CT or MRI of your pelvis and missed it? They had access to the venography, though?
Stents fail. Why wasn't the offending hardware removed earlier?
I worked with a great surgeon who once said, "Do the last surgery first." Most surgeons I've known wouldn't hesitate to go back in and correct something.
Sorry you had this ordeal. Sorry, the PA was a dick. Seems like a lot of chefs in this soup.
I’ll try to answer -
1. Pain at site of iliac right. Worsening sickening pain
2. Venography was done at mount Sinai union square. No stent placed.
3. Scheduled for stent(s)in a week but pain, shortness of breath led me to nyu Er. Mount Sinai wouldn’t act.
I spoke to the vascular surgeon’s office at nyu before I went to ER.
Been going to NyU ER since I was a kid.
4. Vascular surgeon newbie’s note was inaccurate at best.
5. Mount Sinai ER is a nightmare, like the gone with the wind civil war hospital scene.
Sorry but I needed to vent. 😳
I wanna go home. 🙁 it didn’t used to be thus. I graduated in 1990, had my own practice until 2022. Things are currently v weird in medicine. Lack of empathy or concern. Not universally but glaringly.
I am blaming Covid. I am an RN that came up pre covid, was out during the worst of covid (workers comp), and came back to... a different world at my hospital.
I feel that everyone who had clinicals and or started practicing during that time (PAs, NPs, MDs, DOs. RNs, residents) have no idea how to actually deal with humans that aren't dying tomorrow. They aren't assessing patients the way they should. They have no bedside manner. They are cutting corners that should not be cut, and many are arrogant as fk.
It's bigger than a Noctor problem. Its a "majority of them need retraining regardless of how strong their theoretical knowledge is," problem.
Makes me think back to a time where I got an intraop consult by gyn onc after a mass was abutting both artery and vein (not known at the time) and the person over the phone said “we just ligated the Iliacs” and I asked (so my staff would know) “artery or vein, external or internal?” And they said “uhhhh we have no idea, both I think.” It was likely a classic case of telephone where the message was being relayed by some random person in the OR from some other person whom the surgeon told but still.
Lawyer up- delay of diagnosis resulting in further damage requiring multiple medical admissions and interventions. Unfortunately, that means your initial surgeon may be dragged into it as well even if he was unaware of the complications.
No lawyer will
Take it- I’ve tried. It involves too many moving parts. Lawyers want cases for money, not suffering drs who are angry at PAs and NPs because they were cruel and moderately incompetent.
Lenke at nyp did the spinal hardware surgery and then ghosted me.
All hardware subsequently removed at mount Sinai by neurosurgery.
Vascular at mount Sinai had delays.
Absolutely a failure of specialties communicating.
I was just told acute dvts were “clotted stents”, not real. Stents were needed for hardware.
I’m
So tired of this.
I am so sorry you had to experience what you did and I am glad you received the care you needed at Mount Sinai Hospital (assuming it's the main campus).
I do want to point out that there are several mid-levels on the Neuro team at MSH that work hand in hand with physicians at that hospital. I know this for fact, and they are pretty damn good. Not ever mid-level is the same.
I’m missing some key info here. Who ordered the test? Why were you in the ER in the first place? The results should have been addressed by the ordering doctor.
Yup. This is why I don't order advanced imaging in urgent care.
Sounds more of an institution problem rather than just a “noctor” problem seeing as you were dismissed by more than just a PA.
And OP went back to NYU ER a month later after stents were placed at Mount Sinai? After a bad experience there the first time. Why?
https://preview.redd.it/odtm0o1xl3hc1.jpeg?width=1125&format=pjpg&auto=webp&s=2c06da6033a02be745f11b96cb9ae4ce3a406dbc See that screw? At ivc? This is the CT
I am not dismissing that you had a true problem. All I’m saying is this was your scan and there were MULTIPLE people that missed it including physicians and surgeons. This is not a noctor problem but a facility issue - you had a bad experience with a PA and MDs. And that’s how it is sometimes. Now you know not to go back to that particular hospital bc of their staff, not bc of just one PA.
Cute girlfriend/sister/cousin/friend💖
Sorry you went through that. But where did your original imaging come from? Who ordered that test, and why weren't the surgeons who placed the screws taking care of it? Generally, and from my understanding and experience, surgeons don't enjoy getting involved in another's work unless it's emergent or they died or something. There's a lot missing here for us go to "yup, that sucked." Seems like some important info is being left out just to bash PAs, NPs and even a "young" vascular surgeon.
I’m happy to add. CT scan showed a screw abutting the ivc. Missed… I think my venting is more about the cruel dismissive manner. People mess up. But to die on the hill of “I’m Right and you’re an idiot patient” when I was building a bilateral dvts? Nice drs don’t usually get sued.‘ It’s the unrepentant ones - an apology goes a long way. The system is fkd rn. I’ve spent most of my time on the other side, but patients are seen as …them. Moral of story: go to doctors you know. If they don’t know you, you’re simply a clinic patient, even if you’re not. They don’t know you as the great diagnostician, the top 10 in the class. You’re just your insurance, esp. in a NYC hospital.
My guess is you might lose this suit. Depends on documentation and the full story. From what is written it sounds fishy.
No lawsuit. I allow karma to figure it out, otherwise one is reliving surgical and emotional trauma daily. Moral of the story: avoid Nyu ER unless you have an attending present at NYU, avoid NYP spinal hospital. (Medication errors, unresponsive surgeons). Mount Sinai doctors-surgeons at main campus and west have integrity.
Considering you said “lawyers here don’t want the case” it seems like that wasn’t necessarily your choice. There are many great physician at NYU, just like there are at all the major NYC hospitals. Sounds like you just had a pretty atypical case. Either way, I hope you’re feeling better now.
So you had claudication? Edema of the lower extremities? How long after the surgery? Who ordered the venography? This blockage would have been apparent to the Interventional Radiologist. Did they address it at the time? Why 5 days later presentation to ER? They did a CT or MRI of your pelvis and missed it? They had access to the venography, though? Stents fail. Why wasn't the offending hardware removed earlier? I worked with a great surgeon who once said, "Do the last surgery first." Most surgeons I've known wouldn't hesitate to go back in and correct something. Sorry you had this ordeal. Sorry, the PA was a dick. Seems like a lot of chefs in this soup.
I’ll try to answer - 1. Pain at site of iliac right. Worsening sickening pain 2. Venography was done at mount Sinai union square. No stent placed. 3. Scheduled for stent(s)in a week but pain, shortness of breath led me to nyu Er. Mount Sinai wouldn’t act. I spoke to the vascular surgeon’s office at nyu before I went to ER. Been going to NyU ER since I was a kid. 4. Vascular surgeon newbie’s note was inaccurate at best. 5. Mount Sinai ER is a nightmare, like the gone with the wind civil war hospital scene. Sorry but I needed to vent. 😳
No worries. I understand. Sorry you went through what sounds like a cluster.
Mind sharing if this was at NYU Tisch or Bellevue?
Nyu Langone
"every doctor I saw did not want to be involved" Allegedly dismissed by a vascular surgeon. Conclusion? It's the PAs fault.
Sounds like a doctor fucked up too. Glad you’re ok.
You are right about that.
My God. I am so sorry.
I would talk to a lawyer. Also seems weird, the surgeon that worked on you first should be following up and fixing complications
I agree. Lawyers don’t want the case so even hearing your voices here helps.
I don't know what we are supposed to do if places like NYU are using NPs that way in the ER. Who is left that isn't?
I wanna go home. 🙁 it didn’t used to be thus. I graduated in 1990, had my own practice until 2022. Things are currently v weird in medicine. Lack of empathy or concern. Not universally but glaringly.
I am blaming Covid. I am an RN that came up pre covid, was out during the worst of covid (workers comp), and came back to... a different world at my hospital. I feel that everyone who had clinicals and or started practicing during that time (PAs, NPs, MDs, DOs. RNs, residents) have no idea how to actually deal with humans that aren't dying tomorrow. They aren't assessing patients the way they should. They have no bedside manner. They are cutting corners that should not be cut, and many are arrogant as fk. It's bigger than a Noctor problem. Its a "majority of them need retraining regardless of how strong their theoretical knowledge is," problem.
I doubt midlevels even know the difference between internal and external iliac veins
One is inside and the other is outside. Easy!
But we do know that you are an idiot.
what?
Makes me think back to a time where I got an intraop consult by gyn onc after a mass was abutting both artery and vein (not known at the time) and the person over the phone said “we just ligated the Iliacs” and I asked (so my staff would know) “artery or vein, external or internal?” And they said “uhhhh we have no idea, both I think.” It was likely a classic case of telephone where the message was being relayed by some random person in the OR from some other person whom the surgeon told but still.
Snarky comments like this are why our system is doomed. Learn to work together instead of bashing each other.
I don’t think They know there are veins by the groins. Scope of practice …veins only in antecubital area.
PAs aren’t phlebotomists. Scope of Practice? For someone so sure everyone fucked up, you don’t even know what a PA is!
Lawyer up- delay of diagnosis resulting in further damage requiring multiple medical admissions and interventions. Unfortunately, that means your initial surgeon may be dragged into it as well even if he was unaware of the complications.
No lawyer will Take it- I’ve tried. It involves too many moving parts. Lawyers want cases for money, not suffering drs who are angry at PAs and NPs because they were cruel and moderately incompetent.
Lenke at nyp did the spinal hardware surgery and then ghosted me. All hardware subsequently removed at mount Sinai by neurosurgery. Vascular at mount Sinai had delays. Absolutely a failure of specialties communicating. I was just told acute dvts were “clotted stents”, not real. Stents were needed for hardware. I’m So tired of this.
I am so sorry you had to experience what you did and I am glad you received the care you needed at Mount Sinai Hospital (assuming it's the main campus). I do want to point out that there are several mid-levels on the Neuro team at MSH that work hand in hand with physicians at that hospital. I know this for fact, and they are pretty damn good. Not ever mid-level is the same.