Nightmare Emergency Dept Experience from
Hell...
Earlier this week, I posted this: https://www.reddit.com/r/iih/s/xQiXCy15rd and several of you suggested going to the top research hospital in my state if my Neurologist continued to let me down, symptoms got worse and yesterday, my mom and I went. (Also a message from Neurologist saying they can no longer help me outpatient bc of serious symptoms and to go to ED now).
It was 1 of the worst ED experiences I've ever had and I've been 20+ times in just the last year bc of chronic illness and my care team making me go.
Yesterday late afternoon, I showed up for the 1st time ever to the top research hospital in state which is not easy to get to. I went to the check in desk, described my symptoms and the staff legit freaked out. The minute I said loss of sensation in my face, loss of vision worse in right eye, pulsatile tinnitus and a stiff neck (just a few of the many things happening), I was pulled right back. NO WAITING... STRAIGHT TO TRIAGE... which yall know means business bc it was packed and a level 1 trauma center.
I have nurses all around asking me meningitis and stroke questions and all the things being done - bp, fever check (none), dozens of Qs coming at me... I am then rushed to a room but then they switch me to a different negative pressure (?) room for infectious diseases.
This really dismissive nurse comes in in full N95 + PPE and talks to me like Im a child (I am Gen X so older than her), takes a lot of blood and then looks at my allergy list, proceeds to tell me I have never experienced real anaphylaxis bc Ive never been intubated (what the fuck does that even mean bc my epi works so no idea what she was on) and that I am not actually immunocompromised bc I dont have "neutropenia" (???). I said I am IgA deficient and on and off steroids + immunosuppressants and very angry at this point and my Immunologist and Rheum would disagree with her.
Then we are left in the outcast room, locked in for 4 HOURS. I have to beg to go pee and when I am let out, I get yelled at for opening the door bc of "infectious disease" (I dont have a fever and my neck has been stiff for 4 weeks, how TF would i have meningitis that long). We are treated like pariahs.
After hours, the emergency physician and resident finally come in and say my MRA was fine (I had it Wednesday bc there was a same day cancellation so no 2 month wait) and that they have no idea what to do with me bc my symptoms dont make sense so they need to page Ophthalmologist (not Neuro-opthalmologist) and Neurologist.
These 2 "specialists" finally come in and the Ophthalmologist says no Papilledema (I know, my eye clinic checked on Monday) and that whatever is going on is in my brain (no shit).
So then Neurologist steps in and asks me so many questions including Qs about the increasing fluid leaking out of my nose. They said they could test it but they only have a glucose test that isnt very reliable and they need to find the hole first (if there is a hole) from the intracranial hypertension (so FINALLY someone believes me) but that the MRV cant be done in the ED, only CTV and that I should just wait for the stat MRV my pcp ordered 2 days ago which is this coming Wednesday. No one has bothered to order a brain and neck MRI, no one bothered to do a regular CT for internal brain bleed (I legit had stroke symptoms yesterday, half my face went numb w/sudden vision loss). I said does an MRV find a CSF leak and show ICP and they are all yes (I see it may not and that I do need a brain MRI). The Neurologist walks out with my severe symptoms and just says wait, even with a suspected cranial CSF leak at this point and no imaging.
WTAF.
At this point, it is almost 2am and we are locked back in the room, I hadnt eaten all day, my mom is cancelling her vacation plans today and I am just about to rip my IV out.
I push the call button and ask to be discharged bc I would rather die at home than have subpar care from the best hospital in my entire state.
And NOT ONCE did they suggest an LP.
What now... Yall I am so angry. I have been up since 9am yesterday and spent 10+hours not getting anything but basic labs I can get any day and being exposed to very sick people as an Immunocompromised person with a sus cranial CSF leak.
How do you do this... My Neurologist... is clueless. My Neuro-otologist and ENT all say go to Neurologist.
Im exhausted. Thanks for reading if you did.
ETA: the emergency physician that took over came in at the end right before discharge... I looked at them and said why no imaging to rule out brain bleed or CVST etc (bc MRA doesnt do that) and they turned it back on me to get the heat off them being dangerous in their poor workup and said "CT is unnecessary radiation" and Im all so youre letting me go without checking for a clot...