Hi, I want to share an experience that happened to me at MGH (Massachusetts Generall Hospital) in Boston, MA If anyone has any suggestions or ideas please let me know or even call the hospital and let them know what you think!
Here is my letter to the Patient Advocacy Office about this incident. I took out my real doctor's name and other staff who did not have anything to do with this horrible incident. The note the doctor wrote is first then my response to Patient Advocacy. ANY suggestions please post on here!
10/29/2010 Behavioral Concerns Folasade P. May, M.D.
Patient (ME) was admitted for abdominal pain and diarrhea to Dr. (PCP) Private Service on Bigelow 9 on 10/27. During his admission, he has been under the care of Dr. Zachary and our AHS NP's.
Patient (ME) was treated and discharged by Dr. (PCP) at 11am on 10/29. After his discharge, the patient remained in his hospital bed to eat two meals and wait for his ride home. At 5:40PM, he rose from his bed to leave the hospital and suddenly complained of back pain. His nurse went to see him and asked our floor PCA to check his vital signs given his status change.
The PCA for the floor went to his room to attempt to take vital signs. The patient refused. Our PCA then stepped out of the room to make the NP (Halary Leblanc) on the floor aware that the patient "refused vital signs."
The patient then came out of his rooms with the belongings. He approached the work area and stated to me, "that was your major mistake." When asking the patient what his concern was, he stated "he did not want his vitals checked because he had been discharged." I explained to the patient that I was not his attending of record but that we typically try to reassess patients if they complain of pain, even if they have technically been discharged. I also explained too him that our PCA was only attempting to assess him given his complaint of pain. I also explained that although I am the attending for several of the patients on the floor, I am not his attending of record and have little, little to do with his care.
At that point, the patient leaned over and raised his voice in my face. Several nurses of the floor became concerned about his aggressive behavior. Peg Bartlett, R.N. called security out of concern for the safety of the care team. The security team responded and patient was escorted back to his room. He then allowed physical examination and assessed by his RN and covering NP.
He was given Motrin for his pain and then stated that he would like to leave.
Security was called to escort the patient to his ride in the lobby, however, the patient left before security escort arrived.
PCP has been made aware of this incident.
-Fola May, M.D.
OK folks-- here is my letter to Patient Advocacy. You tell me what is wrong with Dr. May's note and what should I do!!!
Ms. Linda Kane, Patient Advocacy
Massachusetts General Hospital
15 Parkman Place, WAC 018
Boston, MA 02114
November 1, 2010
RE: Medical Record Note, dated 10-29-10 by Folasade P. May
Dear Ms. Kane:
It was a pleasure to speak to you this afternoon regarding the above captioned matter. As you are aware I had received my medical records from Health Information Services this morning as I was suspecting a note about this incident.
I would like to make a statement in regards to Dr. Mays note on 10/29/10, RE: Behavioral Concerns, Threatening Behavior. The following is my interpretation of the events that happened and are true to the best of my knowledge.
Dr. May was the attending doctor for the inpatient service of Bigelow 9 during my stay at MGH from 10/27/10-10/29/10. I was admitted the hospital by my primary care doctor; of Infectious Diseases on the afternoon of 10/27/10. Dr. (PCP) had told me that there were no beds available in the hospital at the time and that I would have to be admitted via the ED. I was escorted to the ED by my doctor's Administrative Assistant.
After several hours in the ED and consultation with the ED attending I was assigned a room in Bigelow 9 around 10PM. Upon arrival to the unit I was admitted by Dr. Christian and Nurse Sasha. During my interview with Dr. Christian he had told me that Dr. Fola May would be taking care of me thorough out my stay in Bieglow 9. He stated that Dr. May would be interested in my health presentation due to the fact that she would be getting a new job on the West Coast in (GI) Gastrointestinal Medicine and that my presentation would be fascinating to her.
I am very concerned that the note that Dr. May wrote about the incident of Threatening behavior is overly fabricated, times of incidents are inaccurate and her goal is to have me deemed as a unruly patient and that she did not care about me as a patient and wanted to put all of the pressure on Dr. Zachary.
First I want to mention that on a few occasions with Dr. May she had seemed nice in her demeanor but talked to me as I was a text-book. Instead of using everyday words such as pills or medications she would say .agents referring to the medications I was taking. She also seemed to have an attitude with a lot of the other staff under her supervision which I could pick up on. There was no real patient-care with this doctor. I had a clear view of the doctors station from my room and I would say that 90% of the day she was as she mentioned to me camped out all day at the computer. I do not know how a doctor can treat patients while being glued to a computer terminal 90% of the entire day.
I would like to reiterate the events of my discharge on October 29, 2010 as Dr. May seems to be very inconsistent with her times and quoting of events:
1.) I was discharged to home by Nurse Dominique at around 1:23PM not 11AM, this was on the discharge report created by Dr. (PCP). Dr. May changed the times to satisfy her own judgment about my behavior and fabricated this is her Behavioral Concerns note on 10/29/10.
2.) At 4:58PM as I was already discharged I was bending over to gather my green, MGH patient belongings bag and had a very sharp pain from the pain that I was admitted for radiate my back on a 10/10 scale. Nurse Dominique walked by and I had told her she said she would be right back. I sat on the bed to wait for Nurse Dominique to come back. I was fully clothed and shoed with the green bag on the bed. At that time PCA JEN came to do vitals. At this time I thought she was doing daily rounds vital signs so I explained that I was discharged and that I did not need them done. Jen left my room and stood in front of the room on my right near the doctors station and screamed at the top of her lungs Patient in Room 962 REFUSED vitals. She made this comment about 4 or 5 times until the whole entire unit heard her and she kept looking at me as she was ready to lunge at me. Again, Dr. May has fabricated times of incident and I was generally thinking that the vitals signs were part of the daily rounds. If I had known that the vital signs were due to the part of my pain complaint then I would have NOT refused them. Again, Dr. May and PCA Jen collectively fabricated this incident.
3.) After this embarrassing moment at 5:09 PM, I wanted to just go home and page Dr. (PCP) from a more pleasant environment. As I left the room being in pain and angry I mentioned to Dr. May that what the PCA did was .a grave mistake. I attempted to leave the unit as I was already discharged. Dr. May engaged in a conversation that I did not want to have. I told her numerous times that I just wanted to go home. She refused to listen to me and went on how she was not my attending doctor and how she on multiple occasions told me this. (I only met Dr. May once in my room). She explained that Dr. Zachary was the attending doctor for me and that only he could help me. This continual discussion with Dr. May, which I wanted to end by just walking out of the unit had escalated. I do admit in raising my voice to her that I simply just wanted to leave and that since no one could help me that I just wanted to go home. She was actually smiling to the point of grinning at me while staring at her computer . I was then approached by NP, Halary LeBlanc who asked me if I wanted to get reassessed and I agreed as long as Dr. May had no involvement. At this point Nurse Bartlett came to the room as NP Leblanc was about to exam me and she said Security has been called. You are violent and I do not feel comfortable with the (NP) in the room with you alone. At this moment I tried to explain to Nurse Bartlett what happened in a calm but tearful voice and she said I do not want to argue with you, security has been called Security came (5 members of them) and Nurse Bartlett told them that he is violent and out of control. He needs to be watched NP LeBlanc explained to security (while I was in the room) that she felt comfortable with me and that Nurse Dominique would be in the room at the same time. They felt OK with that and left the unit. In this incident, both Dr. May and Nurse Bartlett had fabricated the times and incidents of the situation to meet their satisfaction. NOTE: I was already in my room and fully clothed when security arrived on the unit. I was not escorted back to my room as Dr. May has maliciously said her note and again fabricated this to make herself look good.
4) After security left the unit, NP Leblanc and Nurse Dominique came into my room at 5:32PM. I had paged my primary care doctor to my cell phone and he responded at 5:34PM. I had told him the situation at hand with Dr. May and was upset and crying to the point that I wanted to end my health care with all providers at MGH immediately. Both NP Leblanc and Nurse (PCP) advice to contact Patient Advocacy and resumed treatment to elevate the pain and was given helpful advice for home care. While NP was in my room at 6:17PM, I text messaged my cousin, Todd to pick me up at the main lobby of MGH. He told me he would be there in an hour. NP Leblanc had escorted me to the elevator down as she had told me she had to see a patient on White 9, this was at 6:26PM. Again, Dr. May has fabricated the times and events that have taken place. She said that security was called to escort me to my ride home in the lobby. (I do not know how she would know this when I had told Nurse Dominique that my friend Elaine was coming to get me by MBTA but could not make it to pick me up and I had told her that I was taking the MBTA as I thought the case manager had a taxi voucher for me. Nurse Dominique told me that the case manager had left and I just assumed to take the MBTA). Dr. May would have no knowledge of me getting a ride home from my cousin Todd when I only made arrangements with him at 6:17PM. Dr. May who seemed to have no interest in my health care or attending me seemed to know very little about my discharge and what method of transportation was happening. She states that security was called to take me to my ride home in the lobby. I believe security was not called.
Dr. May seems to have fabricated every incident that has been in this note. She has lied to make herself look good and has belittled me to the other staff and has put a mark on my medical record which makes it non-objective to other providers in the future at MGH to treat me. Nurse Bartlett has also caused the security staff with a false sense of urgency which in my mind should be treated as an inadequate call for emergency services when nothing really was at risk or an emergency. I am sure that there were more alarming situations in the MGH that needed attending too.
I am very saddened, angry and in a state of shock that a doctor and a nurse would go to such great lengths to fabricate, lie and reconstruct events to make a patient feel more at ill. It seems that the Bigelow 9 unit needs to be attended to by supervisors and medical directors. I would not be shocked if this is not the first time that Dr. May and Nurse Bartlett have displayed this type of behavior towards other patients.
I had a very good rapport with the nurses and staff during my stay. Most of the nurses thought I was comical and a pleasant patient. Nurse Dominique even went out of her way to buy me two Dream Bar brownies from Coffee Central that morning. It is very nice that she did this. I do not think she would have done that if I was the patient that Dr. May and Nurse Bartlett has made me out to be in the note by Dr. May.
I ask that the MGH place this note in my official medical record and that it is shared with directors and administrators alike. I am also placing a CC to my other doctors and social workers within my health care team. I am also going to keep a copy of the note and my letter in case I need to go to the ED in the event the staff reads this and has to have security at my visit.
If you look through my record and talk to all of my providers at MGH I have never ever had a Behavioral Concerns in my medical record. I still plan to keep my medical care at the MGH only because I have built very good relationships with (PCP), M.D., NEUROLOGIST, M.D., THERAPIST, M.D. and SOCIAL WORKER , LICSW and would not want to leave their care.
Very truly yours,