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No patient follow up results in death of Patient
Posted by on
RIVERSIDE, CALIFORNIA -- My brother was tested in the hemotology clinic at Kaiser,Riverside, California for his monthly INR levels.(coumadin dosage regulator). He had a very high level,10 which should have been 3, was given vitamin K injection (anti coagulant antidote) and told to discontinue his coumadin.. Four days later he suffered a brain hemorrhage and 6 days later he died. He was not monitored in the next few days after this treatment and apparently received no instructions about restricting activity or food intake. (various foods affect blood clotting mechanisms) Apparently he had taken in large amounts of cranberry extract and had done some treadmill exercise the day he had the hemorrhage. Cranberry should not be taken while on coumadin. Friends took him to emergency and 2 cat scans revealed the hemorrhage. I was finally contacted that evening and told of the hospitalization. A neurosurgeon contacted me at 1pm the following day saying he could do surgery but my brother would be"just a vegetable" or we could let nature take its course and he would most like develop pneumonia and die. What has upset me is the lack of follow through after the initial hemotology clinic visit. Why weren't there additional test done over the next few days? this is like having a time bomb in your body. He should have been monitored. I happen to be in a medical profession myself and I am appalled that there was no monitoring after the level was so high. He had taken coumadin for 8 years without problems.
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NeveragainAmazon on 06/27/2008:
I am sorry to hear about your brothers demise! I am not sure what experience you have in the medical field, but a patient with an INR of 10 is not walking, talking or exercising. That patient is in the ICU with many monitored invasive lines, ECG, SAO2 and receiving numerous blood products. Their medical diagnosis would be documented as DIC, and the prognosis is very grave. There are exceptions to every rule, but, unfortuantely, not this one. I don't even find this post amusing, and I think you should research data before you post threads that are not true....Unless, and I will give you the benefit of the doubt, you transcribed the wrong numbers for the lab values.
Anonymous on 06/27/2008:
I do not find this post amusing either. If you are truly in the medical field why wouldn't you inquire about your brothers health? If this is post is really true and your brother had been on Coumadin for so long, then he knew what the test results meant and should have followed up with his primary care physician. I find this post hard to believe, but if on the off chance that it is true, I hope the medical staff is held responsible.
NeveragainAmazon on 06/28/2008:
When a patient is placed on coumadin. There are a written set of educational instruction given to them by the Cardiologist or the Cardiovascular Surgeon. So, yes the patient is aware of the effects of the medication. The problem lies in the fact that the INR was 10...that's astronomical for a coumadin level and NOT compatible with life. So, that fact in itself tells you something about the poster.
Mrs. V on 06/28/2008:
Um... I'm very sorry to disagree with you three, but since 2003 patients with a INR between 4.5 and 10.0 have been seen as outpatients with low-dose oral vitamin K treatments after a initial vitamin K injection.

This is done a lot (I know, my mother had this same treatment).

There are also some articles on this practice to be found online (just type in INR 10).

The only difference is that she had daily vists with her doctor and lab testing done every 2 days.
old fart on 06/28/2008:
If cranberry juice reacts with coumadin, doe the juice react with Plavix..? I know they are 2 different meds, but is the effect the same?
I know that grapefruit juice washes medications out of your system, but cranberry juice?
NeveragainAmazon on 06/28/2008:
But the question is Mrs. V...Was your mothers INR ever 10?
It doesn't matter what the prectices are...what matters here is that a patient is walking around with an INR of 10! People just don't do that, and exercising on top of that? C'mon now....Bottom line I disagree!!!!
NeveragainAmazon on 06/28/2008:
INR INR > or = to 6.5 Critical !!!!!!! I rest my case!! If you are interested in where I obtained this information just ask! I don't know why I feel I have to justify my knowledge here.
Mrs. V on 06/29/2008:
My mom's INR was 10.4, Neveragain. I also know that 6.5 can be 'critical' (I'm a nurse) but that doesn't mean that it can't also be treated as an outpatient procedure.

Treatment is tailored to each patient on an individual basis.

I am not saying that you "have to justify your knowledge here", but I also ask that you respect other peoples knowledge, also.
Mrs. V on 06/29/2008:
Old fart, It's not really known if cranberry juice interacts with coumadin right now.

There is 'some' anecdotal evidence that by inhibiting and slowing the breakdown of coumadin, cranberry juice potentially increases the INR in some people, thus further thinning the blood.

There is studies going on right now about this.

The best thing to do is to ask your doctor his/her opinion based on your lab work ^_^
DebtorBasher on 07/07/2008:
Mrs. V...thank you for your services, we need more knowledgeable nurses like yourself...I know it's not an easy profession, but it has to be rewarding as well.
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Denial of Specialty Service
Posted by on
Where to begin? I broke a bone in my foot, the fifth metatarsal to be exact. I went to the emergency room thanks to a good medical advice nurse. After the emergency room took x-rays and immobilized the foot, they told me to see and orthopedic surgeon. This happened on Saturday evening, 4/1/2007. I called Kaiser on Monday and was on the phone with them for two days. First they advised me to see a podiatrist and the first available appointment was not until Friday. I requested to see an orthopedist as I was instructed and my primary physician approved the visit. But then I was informed by Kaiser Member Services that I was denied an orthopedic consultation. I was told orthopedic surgeons don’t handle breaks in the foot and that is the podiatrist’s specialty. I thought that was strange so I called a podiatrist I had seen in the past and trust. The podiatrist advised that I go to an orthopedist. So then I checked with two orthopedists and they both confirmed that I should be treated by an orthopedic surgeon. I went back and forth with Kaiser on this matter. Mind you, my primary care physician had approved the specialty doctor and I got a veto from the member services department. I spoke to several other member service people, and when it appeared that they did not see why I could not go ahead and see an orthopedist, they looked into it further and came back with an additional veto.

So, under their advice, I went to see podiatrist referred to me. He confirmed it was broken and put my foot and calf in a hard no weight-bearing cast for 6 to 8 weeks. A HEAVY HARD CAST. I have No help and no way to carry things. I live in a two story duplex alone and have to get up and down porch steps just to enter. The hard cast has rendered me unable to accomplish normal day-to-day necessities-- take the trash out, grocery shop, etc. Even bathing has been close to impossible.

By the 4th week, my foot began to hurt in a way it had not previously. I called my doctor and they dismissed my complaints. I had had no follow-up, so in desperation (anxious that it may not be healing correctly). I sought the outside opinion of an orthopedist. To my utter shock, he noted that I had not needed a hard cast in the first place. Now I’m utterly exasperated. I could not afford out-of-pocket treatment with this orthopedist, and still have another 2 weeks in this immobilizing cast. My foot hurts and my body aches because I am even unable to position myself for comfortable sleep, and now my mind is going to burst in frustration.

I cannot express to you how horrible this has been. I have lost confidence in Kaiser completely.
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Anonymous on 05/10/2007:
You know...Kaiser diagnosed me as having leukemia(blood cancer). They found my count too high and took me in the hospital. After which went to infusion for chemotherapy. The count came down for a couple of months and started to climb back up again. I had insurance for a whlie. So when I could no longer afford it, Kaiser gave me the brush off. This is screwy in conjunction to the health and safety code. Hospitals are supposed to take you in if your life is being compromised regardless of income and nationality. wouldn't you think that Kaiser having discovered I had leukemia and it continues to escallate regardless of chemtherapy that they have an obligation to me? I read your complaint and I have discovered that even employees within Kaiser cannot connect heads to comfirm what Kaiser is supposed to be doing.
Skye on 05/10/2007:
Kid, so sorry to hear that. That's pretty suckful.
Skye on 05/10/2007:
To the op,

Have you checked out a local church in your area? They have people who volunteer, and go into the homes of people who need temporary help. Maybe this is something offered near you??
Anti-Kaiser on 01/16/2013:
I can really relate to your problem. Every visit to Kaiser in the past three years has been nothing but a run-around. They tell you that you have to see your PCP, then somebody else, then somebody else. But nobody helps. Where does Kaiser get these so-called doctors? All the ones I've seen seem to have foreign names. I wonder if they have any real training at all. We need decent health care in this country!
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Poor Service
Posted by on
CALIFORNIA -- I was a member of the Kaiser first and then converted to Senior Advantage.
I have had many problems with receiving serices and incompetent Doctors.
I was denied service in their Reproductive Endocrinology service because my FSH was 14. They would not do any additional testing to look for my source of infertility. FSH only is a predictor of how well someone will respond to infertility medication to stimulate the ovaries.
I am 40.
I had severe pain in my ovarian area and they would not give me an emergent appointment the only appointment they would give me was 2 months away.
The Md I saw at Kaiser referd me to Endocrinology and they refused to see me. If they saw me they would have picked up the PCOS earlier.
I called to make an appointment with an ophthalmologist and was refused, I had been having blurry vision and sopts in my vision.
I had surgery in their Head and Beck service which caused me to have severe pain that left me incapacitated. The pain service wanted to place a spinal cord stimulator for pain in my ear. I contacted the manudacturer of the device and they told me it was an inappropriate use of this device.
I had countless problems with the Pharmacy, imcluding waiting in line for over an hour.
Seven years earlier I had a MD refer me to an endocrnologist because I (a medical professional) felt I had Polycystic ovaary syndrome. He told me I did not. Well I do have it and have suffered health consequences as a result of this MD's inability to make a correct diagnosis.
I waited in line for an appointment over 30 minutes just to register with the receptionist.
The Physician I worked with used experimental drugs inappropriately on infants and children placing their lives at risk. Kaiser was informed of this behavior with supporting documentation and this doctor is still working with Kaiser.

So I got medicare to allow me to disenroll outside of the open enrollment period. I requested my medical records, filed the appropriate forms. They told me and it was on their documents that it takes 10-15 days to recevie the records. I called twice to make sure they received my request and that it was being processed. I called today 22 days from request and was told a bill was sent out Nov 1 (now the 7th) and that the bill had to be paid before they would process the request and "that could take some time." I called twice to the billing department and no one returned my call. I called the Manager twice and no return call. I have 2 appointments they Ihave waited over a month to get and do not have my medical records. Both appoinments are with specialities for services I was denied at Kaiser.
I worked for Kaiser and saw the nightmare other Patients had in getting services and I would never use Kaiser again.
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John on 11/02/2012:
I have Senior Advantage and have been cut off from any direct contact with physicians via the web, since I complained regarding the lack of responsibility taking by any of the doctors I consulted. Just one doctor after another referring to someone else. It never stops and the pain continues. You would think these doctors were in the referral business as opposed to the doctoring business.

These healthy, wealthy people licensed to heal have zero empathy for the suffering who must crawl to them for services.

Dr. Kildare is a myth.
Anti-Kaiser on 01/16/2013:
John is absolutely right. I've been on the referral merry-go-round at Kaiser for three years. No help and below zero empathy. One doctor actually laughed at me. I was sick to start with. Now I'm sick and frustrated and stressed out and broke. I think I'll just stay home, sleep a lot, and eat an apple a day.
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Another Kaiser complaint
Posted by on
SAN FRANCISCO, CALIFORNIA -- I wanted to respond to the woman who wrote how Kaiser neglected her husband's care. I sympathize with her and hope that her husband gets better care and facilities than the one he got. No one deserves that. I wish them the best.

Kaiser has some of the worst care and it seems that some of it has to do with the attitudes of the people they hire. I remember a classmate recanting how her aunt had died because they had misdiagnosed her condition and gave her the wrong medicine. The hospital was insensitive to the family members when they told them that the medicine perscribed to her wasn't working.

Another person told me that a nurse had jammed a needle in her arm during a routine exam and caused this horrible bump on her wrist. She complained but they did nothing. She tried to sue them but apparently lawyers don't want to sue nurses for incompentence, they perfer bigger game like doctors.

I have my own gripes about the way Kaiser treats their patients and their families. Such as nurses and lab technicians who don't care and just sneer and gripe about patients just because they simply don't like them or their appearance. Whether it's a patient or a family member, the last thing anyone needs is to be made pig noises at and being called ugly, poor, or to have their food poked at, to be be treated and taunted like a child, or to be told they don't know what they are feeling. And knowing this, I am glad that I am no longer a Kaiser member.

And yes, there are some wonderful, genuine, and highly professional people who do work at Kaiser and they do care for their patients regardless. I've encountered a few of them visiting a friend at the hospital and they deserve the best praise. Unfortunately, it's those who are petty, stupid and childish that ruin everything for those who are wonderful. They need to be elsewhere. Perferable begging for money in the streets. I get the feeling that a lot of them are working at a hospital just for the money and that is WRONG! Those people do not deserve to work in the health care profession if that's the case.
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NeveragainAmazon on 04/16/2006:
Most of what you write about Kaiser is third hand information, and when information travels in that manner a "mole hill" becomes a "mountain."(ie, jamming a needle into an arm and creating a bump at the wrist, is not possible anatomically ) I do not know where you researched your statistics, however, nurses are involved in law suits more often than doctors. Lawyers do not care where they get their money! I also disagree with you regarding the care nurses give, and the majority of the nurses that I have encountered are professional, intelligent and caring. I feel that you are labeling a nurse because of one experience. That is not fair to the profession as a whole. Maybe it is a wise choice for you to change your health care, hopefully your next health care provider will live up to your expectations.
Anonymous on 04/16/2006:
I got to agree with this complaint.
NeveragainAmazon on 04/16/2006:
And I got to agree that you do not know what you are talking about.
Anonymous on 04/17/2006:
Anonymous on 04/17/2006:
I agree with this complaint.
Slimjim on 04/17/2006:
I think you mentioned that already pirate, unless that was your parrot repeating. Is he a Super User too?
wt on 05/11/2006:
I have written Oprah to tell her about how Kaiser is more concerned about its bottom line than its patients. I urge you to go to the website and send in your story/experiences .. if enough people write to her, she will expose Kaiser and put an end to their poor and dangerous practices.
sam35 on 03/08/2011:
Now we are getting right down to the biggest problem
with Kaiser ! Every body get paid the same whether
they treat you or not . No need to have happy customers !In fact if members don't come around that
less paper work and the same money !
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Posted by on
PARMA, OHIO -- My husband broke his hip and was finally taken to a hospital after a month of suffering due to Kaisers lack of caring. For a long time he seemed to be deteriorating in his ability to Walk, and no matter how many doctors and therapists I took him to no one seemed to know what was wrong. They would all shake their heads and say they never saw anything like it. All he could do was to lay on the sofa in the family room and painfully do some walking.

On December 21st 2004, my husband went to take a shower upstairs ( I wasn't home ) and his leg gave out (he lost his other leg in an accident in 1984). He didn't fall but slowly slid down. He couldn't move even to get to a phone. I was gone a few hours and when I returned I had to call 911.

At Kaiser emergency the doctor said it was his sciatic nerve (the doctor wouldn't give him an xray) and gave him pain medications and released him even with my objections. I had to call my daughter and son-in-law to help get him in the house. Even with their help, we had to pull and drag him over the ground.

He stayed like that, immovable until I begged Kaiser to get him in for a bone scan and MRI. You can not believe how hard it was to get an appointment or these tests. At first they wanted him to wait much longer. It was only when I was calling every day that they relented and gave us a time for both tests to be done. That is when they saw the fracture. Of course the rest is history.

The surgeon verified that his hip was broken since the Dec 21st incident. He is now at home and recovering. However when I requested Kaiser refund the 50.00 co-pay fee we had to pay for the Dec. 21st emergency visit, they told me that the ER doctor said I should take him to pain management. Therefore, we are not expected to receive a refund.

This was almost a month of pain and suffering my husband had to endure with a broken hip and we were not even given an apology but to add insult to injury, we were billed for it.

I heard you might do a documentary on Health Care. I certainly hope you do. We need to expose the total lack of caring and insensitivity in the field.
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ejack053824 on 02/01/2005:
I would seek the advice of a Malpractice attorney. That was totally uncalled for and complete bullshyt!
NeveragainAmazon on 02/01/2005:
May I extend my empathy for the pain that your dear husband had do endure during the month of treatment before he was diagnosed with a hip fracture. Just for future reference to you, many hospitals have a patient affairs affliate who will resolve problems when you believe care is below standard. I am sorry that you were not given that option when you requested an x-ray. An analogy for you; Please remember that your treatment in one hospital setting does not necessarily mean that all hospital settings function in that manner. I hope your husband has a quick recovery and much luck to you both.
wt on 05/11/2006:
I urge you to write to Oprah and tell her of your experience. I think if enough people send her horror stories like yours, she will do an expose on Kaiser and the shoddy and dangerous service they provide. Go to oprah.com and submit your story! I already did...
wt on 05/11/2006:
I am urging you, and many others in your situation to contact the oprah show and share your story. if enough ppl do it, she will have to do a show on this issue. Kaiser spends millions of dollars on advertising but won't spend a few dollars to take care of its patients. Unacceptable! Contact the show.. I already have.
Collin on 11/10/2006:
I am sorry for what you and your husband have had to go through. I injured myself in July and have been fighting them ever since to get help. In October, I finally convinced them to do am MRI and sure enough I have two ruptured discs. But I cannot get scheduled to even meet with the NeuroSurgeon for another month and then they are telling me that I will not likely fet the surgery that I need until March. In the meantime, I hae developed an addiction to the Morphine that they prescribed for the pain. My employer is paying over $800/month so that I can have service. It feels like they are waiting till I have banked enough insurance payments to pay for the operation before they will talk to me. Is there any national/local boards of health that we should be filing complaints with? Does anyone think that the pain and suffering of the last four months warrents a lawsuit. This is affecting my education, employment, and relationship.
mimie on 07/01/2013:
I also have a hip which causes me constant pain. when I had other insurance I was told By a doctor that I needed an MRI of my hip. I now have Kaiser ins. I relayed this to a Kaiser doctor , who refused to get an MRI of my hip. He told me to go to therapy.
1 year later and still constant pain . I believe Kaiser's managed care is really mismanaged care.
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