Cardiac Symptoms

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Mamaof5

Guest
The ombudsman does not have over sight of the hospitals, but he does over the ministry of health.

I had to miss work today because of this stuff, I don't know about tomorrow and I can't afford to miss work that much. I'm rather disheartened (pun intended). This doctor didn't even know that chronic dental infections cause pericarditis or myocarditis...she even has a restricted license to practice (whatever that means).
 

flutterby

Fly away!
There is no excuse not to run the bloodwork. FWIW, though, all of my EKG's have been 10 seconds. However, my EKG was normal when I was having a heart attack. It was the bloodwork that told them.

I hope you can get some resolution. Maybe next time she accuses you of being a coke addict, tell her to blood test you - and while she's at it run the tests for the heart enzymes.
 

InsaneCdn

Well-Known Member
If she had a family doctor, they could run the bloodwork... but she doesn't have a family doctor, either.

Is there a clinic around anywhere that has a good Nurse Practitioner? I've had more success with NPs for jumpstarting stuff, than with MDs. They tend to take time to listen. (now there's a concept!)
 

Mattsmom277

Active Member
How about a walk in clinic? You could ask for a full blood work up and mention your concerns, plus you won't have to wait hours and hours like in the ER and odds are the docs working the ER don't also work the walk in clinic. A walk in clinic doctor could also refer you to a specialist in a bigger city, either Sud or the Sault. Depending on your income, OW might also pay your travel expenses (actual expenses, not limited to the northern ontario travel grant program, although you would have to sign over the travel grant to the OW program). There's got to be some way to get around the quack at the ER. And a restricted practice to me sounds as though the board of physicians and surgeons has already placed limits on this doctor for some reason. I believe there is a data base online to check Canadian doctors status with the board. Might be worth looking into. I'll try googling it for you to see if I can find it.
 

flutterby

Fly away!
Or maybe just go in when that doctor isn't there. See if another doctor is any better. A CBC, ESR (sed rate - for inflammation) and CRP (also checks inflammation, but is linked to heart disease as well) can tell them a lot. A walk in clinic could definitely do those tests - they're standard.
 

keista

New Member
Wow, a 'great' bedside manner AND a restricted license. No wonder she's the only doctor accepting patients!

Keeping fingers crossed down here that some things materializes for you.
 

InsaneCdn

Well-Known Member
If the walk-in has a NP, get the NP... lots of people would rather wait for the MD, but... if you're "willing" to take the NP you get in faster... and in my experience, NPs are good. (as in, 2 fam docs couldn't get me into the specialist I need... but the NP only needed one appointment with me, and the specialists are getting lined up).
 
M

Mamaof5

Guest
http://www.cpso.on.ca/docsearch/details.aspx?view=5&id=%2086158

well that is interesting. The doctor, the ONLY doctor, I like here is the one supervising her practice. There is NO walk in clinic here. You need a doctor and you need a referral for the health clinic here (not a walk in). You can't get anything done here without a requisition from a GP, no blood work, no lab work, no tests, no nothing, can't even go to the health clinic without a requisition from a GP or being a client. I'm screwed and I'm scared. This stinking cesspool of a town is going to kill me...
 

InsaneCdn

Well-Known Member
M5 - Do NOT allow the negativity to drag you down. There ARE answers. Somewhere.

Meanwhile... start a log. Every time you get symptoms... what you were doing, what happened, how long did it last.
Then... whenever you get angina pains, or any other symptom like it, go back to the ER.
Might be a russian-roulette-style shoot-out... how many trips to ER before you get the real doctor?

Next.. are there (ok, I haven't looked at an Ontario map for a while, but...) ANY smaller centres between EL and Sud/Sault? Anything that might have a doctor or a clinic? All it takes is ONE gp who is willing to do the initial screening, and they can start the ball rolling.

If travel expenses is what keeps you from getting to Sud/Sault for an appointment there, contact Kinsmen or similar and see if they would fund this... I know it happens here. Explain the whole story... might be worth a chance.
 

trinityroyal

Well-Known Member
If the walk-in has a NP, get the NP... lots of people would rather wait for the MD, but... if you're "willing" to take the NP you get in faster... and in my experience, NPs are good. (as in, 2 fam docs couldn't get me into the specialist I need... but the NP only needed one appointment with me, and the specialists are getting lined up).

I know that Ontario was considering allowing NPs to handle routine medication care incl prescriptions, but I don't think the bureacracy has finished the back-and-forth yet. I don't think NPs are an option here.

Mof5, I'm glad to hear that the hospital CEO and mayor are advocating on your behalf. It might be worth getting the Minister of Health involved as well, directly rather than going through the ombudsman.
When my difficult child had an issue with his health card renewal earlier this year (need a driver's license to renew, can't get a driver's license because of his disability, can't renew without the DL...), the local MP worked closely with the Minister of Health and between them they changed the provincial regulations. (Have you heard of that new special ID card for non-drivers? That's largely as a result of my difficult child's complaint).

The first link is the Minister's info page, the second is to the e-mail submission form.

http://www.health.gov.on.ca/en/ministry/minister.aspx
http://www.health.gov.on.ca/en/common/default.aspx

Th
ey need to deal with this. They need to get you in to see a doctor who can help you.

Trinity
 

Steely

Active Member
You know M5 - the same thing happened to Matt - TWICE -when we lived in that small town in AZ. They both times - too his face - accused him of drug seeking and refused to run any tests on him - even though he was presenting with what could be severe symptoms. I was SOOOO mad - as was he. I just can't understand what would cause a medical services entity to do this!!!! I do wonder if it is a small town thing, with little accountability. It is actually the MAIN reason I moved Matt and I to a larger town - because his medical problems were getting ignored. Infuriating.

I wish I had more to offer you in terms of advice - but the others have already said it all - hugs and strength.
 
M

Mamaof5

Guest
This is what I wrote to the CEO of the hospital:

Here is the run down of what happened from the 14th backwards to what prompted me to seek medical attention.

Septermber 14 2011


8am


Shortness of breath, extreme fatigue, back pain and shoulder, jaw, shoulder blade pain. Throat pain. Dull ache in left side and extreme indigestion unresolved by OTC medications. Leg weakness, irritability and elevated heart rate with thumping in chest. Extreme nausea and feelings of being over heated. Forearms ached and burning sensation in wrists and hands. Finger tip numbness.


12pm
Saw Dr. XXXXXXXX in ER with list of symptoms and she refused to do blood work. Took short listen to heart and breathing. Did 10 sec EKG. Proceeded to dismiss my concerns and did not monitor heart rate for the duration of my ER stay. She proceeded to say these were all symptoms of cocaine use and asked me when I last used. Said I am too young to have a heart attack.


330pm
Elevated heart rate, burning sensation in ribs and in between ribs, jaw pain and left side of head pain. shortness of breath and dizziness. Weakness in legs. Intermittent coughing, fuzziness in chest. Lower back pain and hip pain.


9pm


Pounding feeling in chest, burning sensation across shoulders and shoulders blades, pain in jaw, neck, throat. Weakness in legs, shortness of breath, coughing attack, numbness in underside of arms. diziness and fullness in chest. Nausea. Lower back pain and hip pain. difficulty breathing or taking in deep breaths.


September 13 2011


Nausea, weakness in legs, burning sensation across shoulders and shoulder blades, diziness, pain in jaw, neck, ear and throat. Shortness of breath, difficulties getting around. Pain in forearms and wrists and arms.


September 12 2011 (lasted all day and most of night)


Shortness in breath, headache, dull throbbing ache in chest, left breast and ribs. Lower ribs, upper abs, indigestion and tingling and burning. Pain in jaw, neck throat, eat and shoulders\shoulder blades. Extreme, sudden onset of fatigue and gasping. Couldn't stay awake. tightness and pressure in chest and ribs. elevated heart rate, palpitations and "spasm" like feelings in chest. extreme shakiness and weakness. Slept all day and fell asleep at 11pm.


September 11 2011


Shortness of breath, headache, dull throbbing ache in chest, left ribs and breast. Pressure and tightness. Elevated heart rate. Felt like heart was ready to tear through the chest. Weakness and pain in the shoulders, shoulder blades, arms, wrists and hands. Neck, throat, ear pain (dull throb). gasping.


NOTE: These symptoms have been persisting off and on since January 2011. They had been mild until 4 months ago where a duration of about 3 days where the symptoms worsened and palpitations were the worse symptom. It literally felt like my heart was trying to vacate my chest. I decreased my caffiene intake from nearly 3 pots a day of coffee to two or three cups, eliminated energy drinks altogether and limited my soda intake to once or twice a week. This did lessen the symptoms to an extent and they returned to intermittent symptoms until September 11 2011 where another 3 days of extreme symptoms occured prompting me to seek medical advice on September 14th, 2011.


This is the list I provided Dr. XXXXXXXX that she removed from the file and handed back to me:


- chest tightness, pressure, soreness- light headed-ness, feeling faint (aka syncope)
- elevated heart rate, palpitations, fluttering, skipped heart beats
- pain in chest, radiates to shoulders, neck, under arms, jaw and ears. Between shoulder blades
- extreme and sudden fatigue
- nausea, indigestion not resolved by OTC medications
- sudden migraine headaches with aura (visual disturbances)
- inability to traverse stairs, walk across the room being completely winded
- new symptom as of 09-12-11 - pain above belly button to the left
- behind the breast (left) chest pain, dull ache
- lower rib and chest pain, dull ache
- shortness of breath both lasting hours and very sudden at times
- blood pressure drops on standing up with frequent occurances


Maternal history:
- anurism surgery
- high blood pressure and cholesterol
- 2 strokes
- recent hyperthyroidism discovery


Paternal history:


- valve defects
- cardiac disease
- congestive heart failure and death


According to the mayo clinic female heart attack symptoms can vary from textbook symptoms and male heart attack symptoms. Debra (the triage nurse who attended to me) confirmed this conclusion from the mayo clinic when I inquired if this was true. She also stated without me prompting that most women ignore these symptoms to the detriment of their health and do not seek medical attention. I am starting to wonder why us women ignore our health issues with doctors who treat us as if we are hysterical or "addicts" or hypochondriacs.


It is my belief that Dr. XXXXXXXX saw my tattoos and piercings and biased herself against me as an addict seeking narcotics from the ER and making up my symptoms. I have never been, nor will I ever be an addict of hard core or soft core illegal drugs. I am completely disappointed in the treatment I received and the cruelty that was doled out to me. I have already placed complaints with the Ministry of Health, yourself and the mayor of Elliot Lake. I am hoping that I do not need to place a complaint with the College of Physicians and Surgeons. However, if I have to, I will do so.

Thank you for the link to the ministry, I contacted them as well to file a formal complaint. I have 6 tattoos and 6 piercings. They were visible (considering I had to change into a gown from the hospital). There is a very large population of perk heads and addicts in both my age group and below my age group here in town. We are perhaps 11500 people or less for population and half that is the addicts (to the point we have a state of the art rehab in town) and the other almost half are the seniors on pensions literally SELLING the perks and oxies to the other half. Then there is my group of common sense, non addict group who are slammed into the generalizations of the perk head group if we don't "look normal". I fully believe this woman biased me based on my appearance now that I've had time to think about the whole situation. I'm utterly raging warrior woman at this point. I'm so irate and angry that I was treated with such a cold and callous cruelty. I haven't bawled like that in public ever.
 
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Steely

Active Member
Love your last paragraph..........I KNOW that is why Matt was told he 'was drug seeking' and refused care.........because of his long hair and tattoo.

How DARE ANYONE deny someone medical care based on appearance!!!! I would be raging too!!!!!!!!!!!!!!

Now beyond this - how can you go about getting care??? I am worried for you.
 
M

Mamaof5

Guest
Well, CEO of hospital called me this morning and asked me to write to him. Uhm, I already did. He called me without checking his email and knew nothing of this situation. Promised to call back asap and still has not called me. I made an official complaint to the College of Physicians and Surgeons, to all the MP\MPPs (Minister of health, deputy minister of health, my own MP\MPP in my district, and any other relevant MPP and minister possible including the Attorney General and Deputy Attorney General). I'm now playing hard ball. If I was the CEO of a hospital with this type of situation I would be all over it BIG TIME. Not piddling away time twiddling my thumb in my **** and hoping the problem gets swept under the rug (which I suspect is what is happening here).

This hospital is the only hospital and is complained about and has a notoriously bad reputation. Nice for being the only hospital in town. *sigh* No wonder those nurses are over worked and so stressed out.
 

InsaneCdn

Well-Known Member
Make a side-note to yourself... next time you do go in to the hospital, make sure you let the nurses know that you are aware of how they are treated and how thinly they are stretched... often, those kids of attitudes affect how they treat you.
 
M

Mamaof5

Guest
Make a side-note to yourself... next time you do go in to the hospital, make sure you let the nurses know that you are aware of how they are treated and how thinly they are stretched... often, those kids of attitudes affect how they treat you.

I always do, these nurses here are freaking awesome. I love them with all my ...well, ironically, heart (pun intended to inject humor). I have been known to bring in thank you gifts to the nurses and treats. I will go out of my way to treat those and all nurses with respect and dignity because they are the ones taking on the bulk of the work. They should be paid the big bucks, not the doctors.
 
M

Mamaof5

Guest
Well the College of Physicians and Surgeons investigator called me today. We spend a good 30 to 45 minutes going over the issues at hand. He is sending me a consent and complaint package in the mail to fill out (prefilled with what I already emailed them with). He explained the process, said they are completely transparent and will send the doctors rebuttal as well (so that I can correct any erroneous statements if any). Then they go to a 5 person panel for assessment (committee) of the situation and recommendations that need to be made.

The CEO did contact me on 15th but has since made no other contact. He did not even read the email I had sent him prior (his email was given to me by the mayor of the city). I still haven't had proper medical attention. Husband is taking me back to the ER in town himself on Friday and will be attending with me. Investigator insinuated that the process to my medical issues was to do the blood work but I can't say either way if it was siding with my side (he can't, he has to remain neutral and I agree that he should). I told him it's not like I'm seeking monetary restitution, an apology perhaps but I am a reasonable woman and would just like the unbiased medical care I am entitled to. It's my right as a human being. He agreed with me.

Now to see if the rest of my complaints go unnoticed or not. It is a 3 to 5 month process with the college and investigation by them. I don't mind though, I don't want this happening to someone else. It needs to be addressed.
 

InsaneCdn

Well-Known Member
You are on the right track.

1) The CPS doesn't take complaints lightly. The reason for the longish discussion today was most likely to validate that in fact, there is "some basis" for a complaint.

2) You still have the other irons in the fire - never know if the phone will ring tomorrow.

3) Great idea to go back to ER, but with husband along. Now, you have a witness as well as an advocate...

Keep us posted!
 
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