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  #1  
Old 02-03-2002, 06:27 PM
Karl E
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Cool

Malpractice?


im from washington state.
a little over a year ago my daughter died from complications from cardiomiopathy<sp> ill be brief as i can.
her doctor for months said she had asthma and kept treating her for asthma never testing her or having chest ex-rays done. on her last visit she saw a different doctor who had chest x-rays done. she discovered her heart was enlarged and had been getting worse. she sent her to a cardiologist who immediatly had her admitted to an i.c.u. because she was in such bad shape by now.
the nurse gave her adivan to help her sleep. she started hallucinating.
the next day i was told she wouldnt need a heart transplant.
they decided to give her a central line and gave her a sedative on top of the adivan still in her system. her heart immediatly stopped and it took them from 8 to 20 minutes to start it again. long story still but everything went downhill from there. we had her transfered to another hospital where all their efforts kept her alive but discoverd she' had a stroke and had so uch brain damage she'd never come out of her coma. then her brain swelled up so much it crushed her spinal chord..we had them turn off the machines keeping her alive. there is more to this story but i tried to keep it as brief as i could
have a great day..
  #2  
Old 02-03-2002, 09:22 PM
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Join Date: Jul 2001
Location: California
Posts: 1,154
1. How old was your daughter when she died?
2. What symptoms led to asthma diagnosis?
3. Why was she not a candidate for heart transplant?
4. What was listed as cause of death?
5. Who do you believe committed mal-practice and how did they do so?
I understand your anguish but I cannot comment until I have some more information.
  #3  
Old 02-03-2002, 11:16 PM
Karl E
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re:Malpractice


I tried to condense the story but I realize more info is needed.
there is alot to this story but ill start by answering your questions.
My daughter was 12 years old.
Her symptoms that led to an asthma diagnosis were had to do with her having a hard time breathing or catching her breath. To the best of my memory she had fluid in her lungs as well. Her mother could be more specific since we are divorced and my daughter was with her the majority of the time.
She was a candidate for heart transplant at first but the hospital had a different cardiologist seeing my daughter other then the one she had to begin with and his opinion was that she would be released from the hospital when she grew stronger and jst be on meds the rest of her life.
The former cardiologist isnt happy with this decision and said she wasnt strong enough for the central line procedure. They did it anyway. We asked the hospital cardiologist if the meds in her system from the night before mixed with the sedative they gave her for the procedure could have caused her heart to stop and they said yes it was.
From what i was told the cause of death was complications from cardiomiopathy.
As far as who would be in this malpractice and how..
My daughters pediatrician first of all for not looking into her symptoms when asthma treatments werent helping for months she was getting worse . We also found out thru records that they suspected problems when she was 2 years old but never told us.
Also the hospital she was admitted in to for not only giving her too much sedative for her condition but giving her another sedative while the first was still in her system.
The night before the adavan incident they gave her benidryl and she was violently ill from it.
From what i remember her heart was only working at 40 percent and she had a blood clot in one of her heart chambers as well.
There is more but would have to speak with my ex-wife since she has all the records from the doctors and hospitals.
The first cardiologist said filing a lawsuit was a good idea and wold possibly be a witness.
and how
  #4  
Old 02-04-2002, 04:43 PM
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Join Date: Jul 2001
Location: California
Posts: 1,154
As you are already aware, there is a wide difference of subjective opinion between experts in the same field. This is only a small indication of the difficulties you will experience in filing suit. There have been studies done involving children with an original diagnosis of asthma who did not experience relief with conventional treatment. Their parents took them variously to other primary care physicians, internists, pediatricians, cardiologists and gastroenterologists. The presuming diagnosis was different in 9 of 10 cases.
You do not say when the onset of symptoms began so I have to make some assumptions in discussing this case. The symptoms you describe certainly are indicative of asthma, especially if exercise or stress or allergies triggered them. Worsening of sympoms in response to triggers support a diagnosis of asthma. Chest pain in children is usually benign and unrelated to cardiac causes almost 99% of the time. There is often a psychogenic component. It was initially reasonable to treat your daughter for this condition.
Unfortunately, your daughter probably had idiopathic dilated cardiomyopathy. Idiopathic means that no one knows why, when or how.This conditon carries an extremely high morbidity and mortality rate. It is often biventricular. Sudden cardiac death is common and the presence of the clot you described increased the risk enormously. I think the central line to which you referred was an intra-aortic balloon. That is used to measure "wedge pressure" and determine if the right ventricular ejection fraction is reduced.
The combination of Benadryl and Ativan might have contributed to respiratory failure which led to heart failure. Might have! Since her heart was so badly damaged it is doubtful you could prove that "but for" those drugs, she would have survived.
Short of a transplant it is likely your daughter's condition would have worsened no matter what was done, or not done. She might have died before a "match" was found.All studies I am aware of remain controversial.
It would require a very detailed review of your daughter's medical records to determine if there was mal-practice or negligence. I doubt it. Judgement calls are always open to debate; reasonable care and competence are all that are to be expected. There are no warranties. Good luck.
  #5  
Old 02-04-2002, 08:50 PM
Karl E
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Thank you for taking the time to read my question and being honest.
I realize there is alot involved here and without actually reading the records and knowing the whole story ,of which there is more, it would be hard to judge whether there is actually a case or not.
Once again thank you
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