Thursday, October 24, 2013

Thurs 10/24/13 – Specialized WADA – Discharge – straight to ER

St Joseph's Hospital 4th Floor to Parking Lot to St Joseph's ER!

Approx 1pm… After Breck signed her discharge papers – Looking great – I headed to get the car.  Two volunteers wheeled her down to the pick up zone.  As I drove up I could see her being wheeled out of the main lobby towards me.  “Oh, No… she doesn’t look good!”  I quickly ran over to her.  She whispered “I don’t feel good”  Then her head went back, mouth turned up on the right side, right hand clenches in a distorted fist.  I quickly tell one of the girls to go get help – “She is having a seizure!”  Was very short – maybe a minute.  Breck whispers “Mmmomm”.  I can tell she is coming out of it.  But she still couldn’t lift her head and her top lip is pure white, with the bottom lip turning blue.  She is also turning blue around the nose.  We wheel her back into the lobby where a respiratory therapist runs over and slips on a device to monitor her oxygen level.  She too loudly calls over to security “This mom needs some help here… her daughter is still blue!”  Another nurse comes over – then we start pushing Breck towards the ER – I am holding her head while they push.  They are talking to her.  “Breck!!  Stay with me!  Are you here?  Breck?”  Once we made it to the ER they quickly transfer her to a gurney – they were headed out the door coming at us.   

Once she was in her ER room and connected to the Monitor – she soon started looking better.  I left to go back and re-park my car.  One of the volunteers was sweet enough to stay with my car as I had left my purse and keys on the front seat with the windows down.  How nice of her!

As soon as I got back to the ER – a young nurse came in and stated “Ok, I guess you’re being released.  You can go home.”  I looked at her and said “They just put her in the bed?”  She stated again, “No, it says right here that after resting for 2.5 hours she can go home.”  I tried to patiently explain to her that those discharge orders were from upstairs where we had just come from.  She looked at me and said “ I am confused.  Let me go look again”.

The ER Doctor was Dr. Donald J Lauer.  He asked the basic questions concerning seizures and what had happened.  I explained Breck had just had a procedure on the 4th floor – a “specialized WADA” test and that she never made it out of the wheel chair – she went into a seizure and was turning blue.  He then asked me “Do you always take her to the ER when she has a seizure?”.  I stated “No, but she just had a procedure, was turning blue and the number one risk is a stroke”  I strongly asked him to just call upstairs to Dr. Park or Dr. Albuquerque and they would tell him.  During this time – the young nurse or assistant came back in and said “Ok, you will be getting blood…”  I looked at her and said “What?  I don’t understand!?”  She then pointed to the blue band on Breck’s arm and said – “that blue band means you are getting blood”.  I explained again, “No – that blue band was put on upstairs just in case she needed blood from her procedure.”  She again stated she was confused and would go look at the chart! 

Another nurse then came and I repeated everything to her.  I asked her to please check with the 4th floor.  Especially worried about a stroke.  She left and I never saw any of them again. 

About 4:30 we met Dr Brian Beck.  At this time Breck mentioned that the right side of her cheek, lip and half of her tongue felt very strange.  Tingly.  I again repeated what transpired from the WADA test, parking lot and my worry of a stroke.  I actually said “I don’t want to take her home only to find out that we have to come back and that she had a stroke!  I want her checked out while we are here!”  He agreed.  He did the normal physical neurological testing.  Hold up your hands, palms up.  Keep them there.  Can you stick out your tongue?  Can you spell the word “world” backwards?  What’s this? A pen.  Good.  What’s this?  A watch.  Good.  What day is it?  Where are you?  Can you feel this?  How about over here?  Lift your leg… don’t let me push it down.  Point your toes.  Good.  Flex your toes.  Good.  Can you see which had is moving? (from the sides of her eyes).  Good.  Then Dr. Beck states “Well, outside of the tingling, I don’t see any evidence of a stroke. The tingling could be just a side effect of her seizure.  Has she experience this before?”  Breck tells him “no”.  He then says it will most likely go away by morning and if not to be sure to let someone know.  But for now –can go home. 



I guess there was a shift change.  Dr. Lauer had gone home – the new attending ER Doctor – don’t remember his name came in and discharged us.

At 5:30 pm after 4.5 hours She is exhausted.  I am exhausted.  I go and get the car.  Breck is wheeled out of the hospital a second time and we arrive home by 6:30pm. 


I had Breck sleep with me.  We were in bed by 8pm and slept great all night.  

No comments:

Post a Comment