Jul 31 2008

MRSA: Patients Ignored, Left to Die – Redux

Last January I posted three stories I had been told, all within a few days of each other, about patients who had acquired MRSA in the hospital and had been revictimized by the system that would not treat them, listen to them, or help them get well. Over the next several days, I was condemned, chastised and even told my allegations were off base…

Today another comment was left on that post, and it compelled me to follow up.  Because as disgusted as I was with the reaction to that original post, I am truly even more upset and disgusted by what this poor young woman wrote to me today….

Here’s the synopsis:

The original post was called “MRSA:  Patients Ignored, Left to Die.”  It told three stories.  The first one was about a young woman who had (to that point) been in the hospital for almost a year because her MRSA could not be controlled, and because the hospital was not taking the steps needed to help her.  Update:  The woman, Tameka, has since died, 11 months after acquiring the infection. To those of you who suggested the story was untrue — I suggest you explain that to the woman’s family.

The second story was about Maxine who had been struggling to find anyone to help her or her family get someone — anyone — to treat them for the MRSA they had all acquired.  A number of commenters told me that could not possibly be true…. yet since then I have received at least a dozen additional emails reporting exactly the same thing — plus the comment that was left today tells the same tale.

Further, a good friend, someone I work with frequently and who works in healthcare, is dealing with this exact scenario with her father.  After knee replacement surgery, and despite a spiking fever and a swollen red surgical site, her father’s surgeon kept telling her and her dad, “Looking good!”

Update on Maxine:  I have not heard from her in many months.  I don’t know if she has found treatment, and I don’t know if she has gotten past the infection.

The third story was about a young man, Jeff, who had been treated by an ungloved doctor in an emergency room who, when Jeff asked him to wash his hands and put on gloves, told Jeff that the “MRSA thing had been blown out all of proportion.”  I know that most of you reading this will be incredulous — but I can almost guarantee there are some of you who think that doctor is right.

Why the follow up today?  Because today I heard from Sarah who tells a very frightening and sad tale about the MRSA her mother acquired after surgery a few weeks ago.  I’m going to reprint her comment in its entirety below — or you can read the original here.

In effect, Sarah’s mother’s experience is a compilation of the three originals.  The very sad part is that this story is repeated MILLIONS OF TIMES A YEAR.  The CDC’s numbers are 1.7 million infections per year, but Dr. Betsy McCaughey, director of RID (Reduce Hospital Deaths) proves in this piece that that number is way too low.

So here we are, almost 8 months later, and infection rates and experiences have gone from bad to worse.  What will it take to pull those denial heads out of the infection sand?  How difficult can it possibly be for a provider to wash his hands before he touches a patient?  Why can’t hospitals test patients for MRSA before they are admitted, then care for them appropriately if they already have the infection?

Patients — my advice to you is two fold:

First:  take a can of lysol with you to the hospital.  Spray anything you will touch, or that will touch you.  TV remotes, telephones, bed rails, bed linens — any type of surface can harbor infections.

Second:  Don’t let anyone in a hospital or doctor’s office touch you without washing and sanitizing his/her hands first.  Do NOT go to any hospital that does not allow 24 hour visitation — then make sure there is someone with you 24 hours per day to be sure that anyone who touches you washs and sanitizes his/her hands first.  Plus, make sure any equipment has been sterilized — stethoscopes, IVs — even the IV ‘tree’ that holds those bags of liquid — spray it !

Of course, there are a dozen other steps you can take — but these are a start.

Yes — I know I get wound up — I can’t help it.  There are so many, many safety problems patients have to contend with when they access healthcare.  Not all of them are so easily preventable, but most of MRSA is.  It costs almost nothing for a healthcare provider to wash hands.  It costs next to nothing to test a patient as s/he enters the hospital, then to manage the care in a place removed from other patients who are not infected.

………………………………

Here is Sarah’s post.  You can find the original here.

My mom who lives in Fresno California was recently diagnosed with MRSA. She got it after a surgery. She started to have pain and was throwing up. Her doctor that performed the surgery was in denial that she had MRSA.  Before my mom had the surgery she was scared that she was going to get MRSA. She has Lupus so her immune system is not good.  She did have the surgery and 4 days later she got violently sick. The doctor would not run a test to see if she had it.

The hospital doctor had to step in and order the test and four days later sure enough the test were positive.  After that her doctor finally came by to see her ( which he had not been back to see her since she first got ill and she had requested to be tested for MRSA ) he called her some unkindly names and refused to treat her. Everything happened in front of the hospital staff. He is the one who did the surgery and now he is REFUSING TO TREAT HER!  And the scary thing is that he had orders for her to have a catheter put in her.

The hospital doctor of course did not put a catheter in her.  The hospital doctor had to treat her and the doctor for disease control is also treating her.  They discharged her after 3 weeks in the hospital. So don’t tell me that MRSA is no big deal and don’t tell me that doctors and staff will not refuse to treat someone.  I know that by law they have to but that does not mean that they will.  They will come up with some kind of reason of why they can’t.


Not everyone can be treated by text book. In my moms case she already had a bad immune system you would think that after knowing my moms medical history that it would make sense to test for MRSA before having the surgery. Now after being out of the hospital for 1 week she started to throw up and was having pains again.  Since she can not find a doctor that will treat her she had no choice but to go to the ER. The staff there was rude! She informed them that she has MRSA and that she currently has an open wound and she also has a vacuum that is sucking out the drainage in her belly.

she was also throwing up and they laughed when she asked them to wear gloves before touching her. Her arms were wet and moist and the triage person did not care to wear gloves even if it was to turn her arm a certain way. She then asked if they have a separate waiting room to put her in and they again laughed and said you have to wait in the main waiting room like all of the others.

Why wouldn’t they have a room for contagious people that have MRSA that is currently vomiting? Or what happens to people who have chicken pox and they sit next to someone like me who is 30 years old that has never had chicken pox. What happens to the people who have a weaken immune system and they sit out there with the healthy sick people.

My mom waited out in the waiting room for 4 hours and she ended up leaving. The next day her home health nurse made her go back to the ER because she has lost 20lbs and was still actively throwing up. She went in thru triage and immediately was sent back to a room. She is still in the hospital and they did find 3 other pockets that is filled with fluid and they need to be drained.

I understand the MRSA is different for people who are healthy. They usually can bounce back. But what about the ones who have a weak immune system.  And by the way my mom is a clean freak. So what happens when the bloggers like the ones who are on attack and are in denial of how serious MRSA really is start to blame the patient on poor hygiene when it is the hospital staff and the hospital itself that laughs when they are requested to wear gloves. And if you have ever seen some of the staff that cleans the hospital do you think they really take that much pride in cleaning. I know people who use to work sterilizing the equipment. What a big joke of workers they were. Needless to say they no longer work there. They were given the job because their mom was a head nurse and no one had the balls to say that person did not perform her job well because you do not want to have any conflict with her mom who was one of the head nurses.

This all is bad.  My mom is only 54 years old she looks terrible and who knows how much longer she will last. I wonder if those other bloggers work in the medical field.

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4 comments

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    • Medific on August 1, 2008 at 5:37 pm

    This is a bacteria designed to kill. HA-MRSA is a hopital problem affecting ill payients. CA-MRSA is affecting healthy adult and children. CDC published a satement “Children born after 200 are likley to die before their parents” Frightening, it may turn out to be true.

    • vivian geyer on August 7, 2008 at 5:00 pm

    My experiences are listed below:
    In May 2006 a serious sinus infection was not diagnosed and even after nausea and vomiting and weakness, the ER physician discharged (or threw out) without even drawing blood cultures. Two or three weeks later, was admitted to hospital with staph infection. Finally was treated by an infectious disease physician. (5 or 6 days in the hospital and three weeks at home with IV antibiotics
    However, returning to work in the fall of 2006 was not possible. Still remained very weak and unable to function properly. Forced to retire January 1, 07.Experienced right lower quadrant pain for another year and than operation for removal of adhesions Jan 08 and than another staph infection with emergency surgery and months of recovery and wound care and antibiotics by mouth. Still have staph in vagina and recurrent infections.
    .

    • Joseph Foti on September 2, 2008 at 10:45 pm

    To all those who claimed Tameka’s story could not have happend, I wish you never endure what she did. She bleed to death-her blood literally turned to acid- a P.H. of 6.9 and finally succumbed after 11 months of infection, malnourishment and mistreatment at 8:20 a.m. March 13, 2008, after coding and successfully coming back 3 times in 24hr period. Her body was riddled with sores, holes everywhere and in the end her beautiful ebony skin turned blue as the blood and circultion left her body and her organs shut down one after the other. In the end the blood poured out of the ventilator hole in her neck – a hole which stayed open all eleven months of her illness and through her mouth and nose. I know because I spent the night wipping it up with every towel, pillow case and piece of bedding in the ICU. I will forever see these images intermingled with those of our wedding and the birth of our son, when I close my eyes. I promise to work to ensure that no one ever again experiences what she did.
    Her loving husband
    Joseph

    • Thomas Sharon, R.N., M.P.H on September 18, 2008 at 6:36 pm

    Hospital-acquired contagions account for about one half of all hospital complications. Therefore, we are dealing with a problem on a massive scale.

    There are two basic pieces to learning the cause and control of this dilemma: (1) It is the nature of the beast – infected people go to hospitals because that is where they need to be. (2) Human behavior plays the largest role in the spread of infectious organisms.

    There are identifiable standards of care to prevent the spread of communicable diseases in hospitals and to prevent infections of various parts of the body arising from sloppy technique. This is an area of provable negligence that often goes unnoticed.

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