Guest guest Posted March 29, 2009 Report Share Posted March 29, 2009 I’ve had mine come back with no gallbladder, too. Sometimes you wonder… The antibiotics usually take effect very quickly… Keep us posted! From: [mailto: ] On Behalf Of Barbara Bickmore Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2009 Report Share Posted March 29, 2009 Hope things get better soon. Not to excuse the radiologist, but to explain how it can happen. Some hospitals allow “canned” text. For example, a hospital may do 100 chest x-rays per day for surgical patients. Most of them will be normal. In some hospitals the radiologist may just say “Normal Chest”. The transcriptionist then just hits a key and a paragraph or two is inserted into the report. Whenever there is something out of the ordinary the doctor must revise the normal text or dictate the entire paragraph. The error this physician made is not excusable and I would complain to the Director of Quality or the Patient Advocate. They need to know that this happened. You are in my thoughts and prayers. From: [mailto: ] On Behalf Of Barbara Bickmore Sent: Sunday, March 29, 2009 3:55 AM To: Subject: has Cholangitis We spent most of the day in the ER with fevers and chills. It appears that has Cholangitis so they gave him IV antibiotics and sent us home with a prescription for Levaquin. He is still having fevers and the little bit of Tylenol he can have doesn't help much with that and not at all for his really bad headache. I questioned the ultrasound report because it described 's gallbladder as being normal with no thickening of the walls. HE HAS NO GALLBLADDER! One of my big concerns is that the radiology reports are examined and interpreted by anyone who is there at the time and gets diagnosed based on that. I even told the nurse about the gallbladder but he either didn't mention it to the doc or they chose to just let it go because it shows as a final result. Very frustrating. I am calling the coordinator in the a.m. if is not better and ask her to ask the tx doc in the hospital to pull the ultra sound and read it. We are feeling that this might be the beginning of an adventure to transplant. We'll see. Please keep him in your thoughts and prayers. Barbara (wife of - PSC 07, Listed) ALL IS WELL - WE ARE SAFE - WE ARE LOVED! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2009 Report Share Posted March 29, 2009 Hope things get better soon. Not to excuse the radiologist, but to explain how it can happen. Some hospitals allow “canned” text. For example, a hospital may do 100 chest x-rays per day for surgical patients. Most of them will be normal. In some hospitals the radiologist may just say “Normal Chest”. The transcriptionist then just hits a key and a paragraph or two is inserted into the report. Whenever there is something out of the ordinary the doctor must revise the normal text or dictate the entire paragraph. The error this physician made is not excusable and I would complain to the Director of Quality or the Patient Advocate. They need to know that this happened. You are in my thoughts and prayers. From: [mailto: ] On Behalf Of Barbara Bickmore Sent: Sunday, March 29, 2009 3:55 AM To: Subject: has Cholangitis We spent most of the day in the ER with fevers and chills. It appears that has Cholangitis so they gave him IV antibiotics and sent us home with a prescription for Levaquin. He is still having fevers and the little bit of Tylenol he can have doesn't help much with that and not at all for his really bad headache. I questioned the ultrasound report because it described 's gallbladder as being normal with no thickening of the walls. HE HAS NO GALLBLADDER! One of my big concerns is that the radiology reports are examined and interpreted by anyone who is there at the time and gets diagnosed based on that. I even told the nurse about the gallbladder but he either didn't mention it to the doc or they chose to just let it go because it shows as a final result. Very frustrating. I am calling the coordinator in the a.m. if is not better and ask her to ask the tx doc in the hospital to pull the ultra sound and read it. We are feeling that this might be the beginning of an adventure to transplant. We'll see. Please keep him in your thoughts and prayers. Barbara (wife of - PSC 07, Listed) ALL IS WELL - WE ARE SAFE - WE ARE LOVED! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2009 Report Share Posted March 29, 2009 In some hospitals the radiologist may just say “Normal Chestâ€. The transcriptionist then just hits a key and a paragraph or two is inserted into the report.>>> Hmm, maybe that is why the path report came back after my tx saying I had PBC and also made a comment on the gallbladder's presence which is interesting since I had it removed over 10 prior to the tx. Because of this error (the PBC part) the UNOS report is wrong so now I'm in the process of trying to get it corrected which one tx coordinator said can't be done. I will not give up on getting the correct info into UNOS - otherwise what good are their statistics? Barby - KS Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2009 Report Share Posted March 29, 2009 In some hospitals the radiologist may just say “Normal Chestâ€. The transcriptionist then just hits a key and a paragraph or two is inserted into the report.>>> Hmm, maybe that is why the path report came back after my tx saying I had PBC and also made a comment on the gallbladder's presence which is interesting since I had it removed over 10 prior to the tx. Because of this error (the PBC part) the UNOS report is wrong so now I'm in the process of trying to get it corrected which one tx coordinator said can't be done. I will not give up on getting the correct info into UNOS - otherwise what good are their statistics? Barby - KS Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2009 Report Share Posted March 29, 2009 > Because of this error (the PBC part) the UNOS report is > wrong so now I'm in the process of trying to get it > corrected which one tx coordinator said can't be > done. I will not give up on getting the correct > info into UNOS - otherwise what good are their > statistics? Barby, That is exactly my point. The report says everything is the same - and it's obviously not if she saw a gallbladder. I went back and looked at all of the radiology rpts on for the last 3 years and the person that read this one has never done one of his before. This leads me to believe that since it is a teaching hospital it may have been a med student. The only problem with that is who is checking their work? I feel like the final report should have been checked by an experienced radiologist. Since this is speculation it doesn't really matter, it just means that I will pay more attention to the reports - AND since I usually wait until I get home to read the reports and check the labs, it will be best for me to do what I did this time and ask for the reports at the ER right when we are there. In this case it didn't make a difference because I did bring it to their attention and nothing was any different when I saw the final report at home. I ask myself if I am too vigilant and make a pest of myself with the docs and just when I thought that was the case, this comes up - maybe a " back door " answer to my dilemma??? Barbara (Wife of - PSC 07, Listed) ALL IS WELL - I AM SAFE, I AM LOVED Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2009 Report Share Posted March 29, 2009 > Because of this error (the PBC part) the UNOS report is > wrong so now I'm in the process of trying to get it > corrected which one tx coordinator said can't be > done. I will not give up on getting the correct > info into UNOS - otherwise what good are their > statistics? Barby, That is exactly my point. The report says everything is the same - and it's obviously not if she saw a gallbladder. I went back and looked at all of the radiology rpts on for the last 3 years and the person that read this one has never done one of his before. This leads me to believe that since it is a teaching hospital it may have been a med student. The only problem with that is who is checking their work? I feel like the final report should have been checked by an experienced radiologist. Since this is speculation it doesn't really matter, it just means that I will pay more attention to the reports - AND since I usually wait until I get home to read the reports and check the labs, it will be best for me to do what I did this time and ask for the reports at the ER right when we are there. In this case it didn't make a difference because I did bring it to their attention and nothing was any different when I saw the final report at home. I ask myself if I am too vigilant and make a pest of myself with the docs and just when I thought that was the case, this comes up - maybe a " back door " answer to my dilemma??? Barbara (Wife of - PSC 07, Listed) ALL IS WELL - I AM SAFE, I AM LOVED Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2009 Report Share Posted March 29, 2009 > Because of this error (the PBC part) the UNOS report is > wrong so now I'm in the process of trying to get it > corrected which one tx coordinator said can't be > done. I will not give up on getting the correct > info into UNOS - otherwise what good are their > statistics? Barby, That is exactly my point. The report says everything is the same - and it's obviously not if she saw a gallbladder. I went back and looked at all of the radiology rpts on for the last 3 years and the person that read this one has never done one of his before. This leads me to believe that since it is a teaching hospital it may have been a med student. The only problem with that is who is checking their work? I feel like the final report should have been checked by an experienced radiologist. Since this is speculation it doesn't really matter, it just means that I will pay more attention to the reports - AND since I usually wait until I get home to read the reports and check the labs, it will be best for me to do what I did this time and ask for the reports at the ER right when we are there. In this case it didn't make a difference because I did bring it to their attention and nothing was any different when I saw the final report at home. I ask myself if I am too vigilant and make a pest of myself with the docs and just when I thought that was the case, this comes up - maybe a " back door " answer to my dilemma??? Barbara (Wife of - PSC 07, Listed) ALL IS WELL - I AM SAFE, I AM LOVED Quote Link to comment Share on other sites More sharing options...
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