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Should I file suit?

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CBF26

Junior Member
What is the name of your state? Pennsylvania

I went to a Planned Parenthood location to have specific tests done, on 04/19/06. When I went in they advised me they were going to do a full PAP test on me. I told the assistant that I did not want a full PAP done because I had one recently and wouldn't be due for another until September of this year, she told me that I would need to tell this to the examining clinician. When I went in for examination I told the clinician that I did not want a PAP done, and she said ok. I also asked for a specific test to be done besides the others, and she told me that I did not need the test, which upset me. After the results came back (all test were same day resutls) I was given a prescription, and told to take it twice a day for 10 days. I was not given an information sheet with the prescription (i.e. uses, side effects), and I was not given a prescription for something else they told me I had. I started the prescription that evening, and the next day I started getting headaches, not knowing this was the beginning of an allergic reaction I disregarded it thinking it was just a normal headache. Over the next 4 days, I started getting pain, but I thought it was part of the ailment I had, I also got sick where I was getting dizy, and nauseated along with other things. On the fourth and final day, I woke up to find my entire body covered in red spots ( a rash) that eventually developed into hives. Since the clinic was not open I called a number my fiance had for health information, and the nurse told me that I was suffering from a severe allergic reaction and to stop the medication immediately. All of the symptoms went away within a day of me stopping the medication. If I would of had the informational sheet I would have recognized the syptoms a lot sooner. I also called them to see if I could get another appt. or what I should do. She only advised me to stop the medication as well and said they would not issue me a different medication to take care of the ailment I had. On the 11th of May I received a letter from the clinic saying my test results were in and that I needed to call immediately (there shouldn't have been any further test results from the 19th of April). When I called they told me that my PAP test had come back unsatisfactory, being scared and not thinking I made an appt. to go back for another test. After realizing that I was not supposed to have this test run in the first place I called the following day. They told me that this is routine, and I advised the lady that I requested the test not be done. She asked me what I wanted her to do, and I told her I wanted an explination as to why something was done to me when I specifically asked for it not to be. (Isn't that my right as a patient to deny services?) She said she didn't know and that the clinician who ran my tests was not in to answer anything either. Is there something more I should do about this, or is there even anything I can do?
 


loveumms

Member
I'm assuming you went in there b/c you had an STD - since you were given 10 days of medication and thought you had another problem, I'm assuming it was either GC/chlam. Anyway, it doesn't really matter which one - if I am correct, the fact that you were going in there to get treatment for any STD puts you at risk for any other one.

There is a virus called HPV that can cause cervical cancer. It is routinely tested for in Pap smears, when it come back abnormal they automatically do a HPV screen. So, it can be reasoned that b/c you were getting treated for an STD, the clinician thought it appropriate to re-screen you for cervical cancer under the assumption that you have one STD, the chance you have another are great and catching cervical dysplasia early can lead to much better treatment results.

Was the test free?

As far as the medication. No doctor, nurse or anyone else for that matter can be held responsible for your specific reactions unless you told them you are allergic to a similar reaction. That is just part of taking the medicine - some people have severe reactions, some have none. Unfortunately, that is b/c each of us had a different chemical makeup and can tolerate different things. I am almost positive that the clinician that saw you asked if you had any questions, that is when you should have asked ... not eveyrwhere gives you information packets on your disease and treatment. Furthermore, take initiative of your own care and look it up on the internet. If you can come onto a law forum to get advice, you can certain go to the CDC or webmd to find out about your disease.
 

CBF26

Junior Member
loveumms, it is very rude of you to assume that I have or had an STD. I'm an engaged woman in a monogamous relationship! Furthermore, I did not mention the name of what I had because quite frakly it's no ones business and has no bearing on if what they did was right or wrong. But since you want to assume things, let me correct you. I went in to see if I had another Urinary Tract Infection because I am prone to them or to see if I had something called Strep B again, neither of those are STD's. The meds for the UTI is the 10 day prescription I received. I also told the clinician to test me for candidiasis since the meds for a UTI can cause them. Another test I told the clinician to do was a screen for PID (but she wouldn't) since I hadn't been screened for it before. The reason I went to Planned Parenthood is because I don't have health insurance at this time and they were the only place I could afford since my fiance's income is too high for a discount. When the clinician was finished with the exam she told me to get dressed and she would be back. Needless to say, I didn't see her again, another assistant came in and told me to wait in the waiting room. When they called me back it was a different assistant who told me I had a UTI and gave me the meds for it. She asked me if I was told anything about it and I told her no. She told me to take it twice a day for the next 10 days and to buy an OTC for the candidiasis instead of giving me a prescription for that as well, and sent me on my way. When you go the pharmacy to pick up meds there is a paper attached telling you what the drug is used for, possible side effects, HIPPA and so on. I wasn't given anything like that. Had I had this information the first day my symptoms began, I would have known to stop taking them. I did get on the Internet and look up the drug after my symptoms became worse, and when I read about it I called Blues On Call and spoke with a nurse. She was the one advised me I was having a severe allergic reaction and to stop taking the meds immediately. So I did take initiative on my own health.

The other issue is them running a test on me that I specifically told them not to run. I know what HPV is, and I've been screened for it in the past. Also, if you've had a PAP done before, you know it comes back as negative, abnormal or with the results of mild, moderate or severe dysplasia. I didn't say it came back as any of those, I said it came back as unsatisfactory, which means they didn't have enough cells to do the test. They didn't have enough cells becuase the clinician knew I didn't want the test done and did not collect for these cells. When you get a PAP they use a wooden instrument that looks something like a tongue depressor and scrape the cervix and put it on a galss slide, then they use an instrument that looks like a wand with a brush on the end and do an endocervical scrape. They put this into a liquid solution or on a glass slide and spray it with a solution and send it for testing. None of those things were performed on me. Do you know why it wasn't performed on me? Becuase the clinician knew it shouldn't have been done in the first place. Why would they run a test on me when they could clearly see they did not have the proper specimens to do so, and after they were told by me, the patient, that I didn't want the test? The question I asked was simple and required only a yes or no answer, and if someone wanted to explain why I should or shouldn't get legal advice is fine. There was no need to bring up what I had or didn't have as you did being ignorant. So next time, before you go assuming things about people, ask first, but make sure the questions you ask are relevant to the information you're seeking.
 

loveumms

Member
Well then I was right - PID stands for pelvic inflammatory disease. It is caused by STDs that ascend the genital tract.


CBF26 said:
loveumms, it is very rude of you to assume that I have or had an STD. I'm an engaged woman in a monogamous relationship! Furthermore, I did not mention the name of what I had because quite frakly it's no ones business and has no bearing on if what they did was right or wrong. But since you want to assume things, let me correct you. I went in to see if I had another Urinary Tract Infection because I am prone to them or to see if I had something called Strep B again, neither of those are STD's. The meds for the UTI is the 10 day prescription I received. I also told the clinician to test me for candidiasis since the meds for a UTI can cause them. Another test I told the clinician to do was a screen for PID (but she wouldn't) since I hadn't been screened for it before. The reason I went to Planned Parenthood is because I don't have health insurance at this time and they were the only place I could afford since my fiance's income is too high for a discount. When the clinician was finished with the exam she told me to get dressed and she would be back. Needless to say, I didn't see her again, another assistant came in and told me to wait in the waiting room. When they called me back it was a different assistant who told me I had a UTI and gave me the meds for it. She asked me if I was told anything about it and I told her no. She told me to take it twice a day for the next 10 days and to buy an OTC for the candidiasis instead of giving me a prescription for that as well, and sent me on my way. When you go the pharmacy to pick up meds there is a paper attached telling you what the drug is used for, possible side effects, HIPPA and so on. I wasn't given anything like that. Had I had this information the first day my symptoms began, I would have known to stop taking them. I did get on the Internet and look up the drug after my symptoms became worse, and when I read about it I called Blues On Call and spoke with a nurse. She was the one advised me I was having a severe allergic reaction and to stop taking the meds immediately. So I did take initiative on my own health.

The other issue is them running a test on me that I specifically told them not to run. I know what HPV is, and I've been screened for it in the past. Also, if you've had a PAP done before, you know it comes back as negative, abnormal or with the results of mild, moderate or severe dysplasia. I didn't say it came back as any of those, I said it came back as unsatisfactory, which means they didn't have enough cells to do the test. They didn't have enough cells becuase the clinician knew I didn't want the test done and did not collect for these cells. When you get a PAP they use a wooden instrument that looks something like a tongue depressor and scrape the cervix and put it on a galss slide, then they use an instrument that looks like a wand with a brush on the end and do an endocervical scrape. They put this into a liquid solution or on a glass slide and spray it with a solution and send it for testing. None of those things were performed on me. Do you know why it wasn't performed on me? Becuase the clinician knew it shouldn't have been done in the first place. Why would they run a test on me when they could clearly see they did not have the proper specimens to do so, and after they were told by me, the patient, that I didn't want the test? The question I asked was simple and required only a yes or no answer, and if someone wanted to explain why I should or shouldn't get legal advice is fine. There was no need to bring up what I had or didn't have as you did being ignorant. So next time, before you go assuming things about people, ask first, but make sure the questions you ask are relevant to the information you're seeking.
 

loveumms

Member
Wow - I hate to break it to you but, I have seen a lot of patients come in who are married and told they have trich, chlamydia, GC or anything else under the sun. So, just b/c you think your in a monogamous relationship doesn't mean 100% that you are. It sucks but, that is they way it is. Sorry that I assumed wrong but, your story sounded like that was what was going on - its an anonymous website anyway so who really cares?

As far as your response. If you have had so many UTIs in the past, then it is likely that you got the antibiotic many time before. Most clinicians use the same antibiotics to treat UTIs - cipro is a big one for recurrent infections. Also, if you have had several UTIs in the past you should be familiar with them and know possible side effects from thre treatments. I'm sure someone along the way told you what could/would happen. Doesn't matter - get a check up b/c UTIs can turn into something more serious if not treated correctly (pyelo). Best of luck.
 

CBF26

Junior Member
For your first response, yes PID does mean pelvic inflammatory disease, and yes it does come from STD's a majority of the time. But if you look it up you will see that it can devlope from other things. Such as douching, which I was guilty of until not too long ago.

As for your second post, I don't think I'm in a monogamous relationship, I KNOW that I'm in a monogamous relationship. I'm sorry for other women who think they are and find out otherwise, but thankfully I am not one of them. Having an STD wasn't something that ever crossed my mind or made me worry. So no need to say "sorry that's the way it is" to me. I know that's something that happens to people. As for me having a UTI, I know that I need to get it treated and will when my appt. date arrives. As for me being aware of what side effects can happe, I don't sit there and memorize what the info sheet tells me each and every time I read one. Especially since I haven't had a reaction in the past. I also say that I'm prone to them because that's what my Dr. told me since I've had 4 in the last 2 years. Either way, it doesn't matter, my medical history and things that I've had/not had are not your business and are not the issue here. I'll go elsewhere to have my questions answered because I can see that I'm not going to get the answers here.
 

CBF26

Junior Member
I didn't have to go to a pharmacy. They gave me the prescription right there at the clinic. That was the first time I had ever gone there. I am going to take the pills to a pharmacy to see if they are in fact what they say they are. With all the meds I've taken for the problem, I've never had an allergic reaction. They are supposed to be Sulfamethoxazole, USP 800 MG, Trimethoprim USP 160 MG. I know I've taken a sulfa drug in the past for this, and I was fine. I also read that this combination can cause something called Stevens-Johnson Syndrome, which is a rash that developes all over the body. I had a rash that developed, and that's when I stopped taking the meds because the nurse told me I was having a severe allergic reaction.
 

ecmst12

Senior Member
You never get an allergic reaction the first time you take something. Always the second time or later. Something about your body having to be exposed to the substance at least once before it can have a reaction...my doctor explained it to me when I developed the same reaction after taking Keflex for a UTI, I'd taken the same drug before with no reaction, and now I can't take any penicillian derivative!

At any rate, did they bill you for a pap? If not, then don't worry about it.

The clinician may have told you that you didn't need a PID test because you didn't fit the clinical profile for that disorder.

You really should get a new course of a different antibiotic though. You don't want your UTI to come back in super strength if you didn't get it all with the first round (since you had to stop taking it early).
 

ellencee

Senior Member
ecmst12 said:
You never get an allergic reaction the first time you take something. Always the second time or later. Something about your body having to be exposed to the substance at least once before it can have a reaction...my doctor explained it to me when I developed the same reaction after taking Keflex for a UTI, I'd taken the same drug before with no reaction, and now I can't take any penicillian derivative!

At any rate, did they bill you for a pap? If not, then don't worry about it.

The clinician may have told you that you didn't need a PID test because you didn't fit the clinical profile for that disorder.

You really should get a new course of a different antibiotic though. You don't want your UTI to come back in super strength if you didn't get it all with the first round (since you had to stop taking it early).
Your answer is not exactly correct. An anaphylactic allergic reaction requires prior exposure, an anaphylactoid reaction does not. One may react with an allergic response on first exposure (anaphylactoid); the reaction may be immediate or months to years later.

Bactrim and Septra DS have a common side effect and common allergic responses that present as a rash or hives. (this is the medication she received) Another medication is certainly indicated and the poster should make sure to keep on her at all times the name of the medication and the reaction.

EC
 

CBF26

Junior Member
ecmst12 said:
You never get an allergic reaction the first time you take something. Always the second time or later. Something about your body having to be exposed to the substance at least once before it can have a reaction...my doctor explained it to me when I developed the same reaction after taking Keflex for a UTI, I'd taken the same drug before with no reaction, and now I can't take any penicillian derivative!

At any rate, did they bill you for a pap? If not, then don't worry about it.

The clinician may have told you that you didn't need a PID test because you didn't fit the clinical profile for that disorder.

You really should get a new course of a different antibiotic though. You don't want your UTI to come back in super strength if you didn't get it all with the first round (since you had to stop taking it early).
Yes, they did charge me for the PAP test unfortunately. And I do have a doctors appt. so I can get the UTI taken care of. I will definitely keep the prescription on me so that I can tell the doctors about it. But were they supposed to porvide me with the paper explaining the uses of the drug, the possible side effets and all the other information that's provided with meds? And since they charged me for the PAP, what do I do about that? Thanks for the help.

Oh, and the other question I had about the PAP test. Why would they run a test when they could see they didn't have the proper specimens? I was a specimen tech before, and if I would have received something marked for a PAP test, and they sent what they took from me, I wouldn't have even attempted to run the test. It would have been sent to the problem resolution dept. The only specimens they had for me was urine for the UTI and Strep B test and one swab with a sample. Other than that, there was nothing done to me.
 
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ecmst12

Senior Member
I don't think having the fact sheet would have prevented the reaction. It may have helped you recognize it sooner, but the fact remains that your symptoms resolved completely as soon as you stopped taking the offending drug, so you haven't suffered any permanent harm. Now you know that you can't take this medicine.

As for the PAP, you can call the billing and complain, say that you didn't authorize the test and weren't due for one, and don't want to pay for it; they might let it go, but honestly it's Planned Parenthood, a nonprofit that supplies a valuable service, not some big medical practice making 7 or 8 figures a year. Mistake or not, I might just pay it if it were me, unless I really couldn't afford it.
 

CBF26

Junior Member
ecmst12 said:
I don't think having the fact sheet would have prevented the reaction. It may have helped you recognize it sooner, but the fact remains that your symptoms resolved completely as soon as you stopped taking the offending drug, so you haven't suffered any permanent harm. Now you know that you can't take this medicine.

As for the PAP, you can call the billing and complain, say that you didn't authorize the test and weren't due for one, and don't want to pay for it; they might let it go, but honestly it's Planned Parenthood, a nonprofit that supplies a valuable service, not some big medical practice making 7 or 8 figures a year. Mistake or not, I might just pay it if it were me, unless I really couldn't afford it.
It's not the point that I couldn't afford it, so the money isn't an issue. I am upset that they went against my wishes, but I'm more upset that they tried to run a test when they didn't have the proper specimens to do it. Either way, it's done and over with, and at least now I know not to go there again.

But, just so no one misunderstands the cost, it was a little over $100.00 since they charged me full price, so it was nowhere near being free. While that may not be a big deal for you or me, it could be for someone else. I'm not really concerned about me getting money back because that is relatively cheap when it comes to healthcare costs, but I do think their practices should be looked into. Not that I've witnessed anything other than my own experience and what I saw while I was there, but I've heard other people complain about them. While they do provide a valuable service, not all of them, as in the people who work there provide a valuable service. Since this is a place that mostly provides abortions and treatments for STD's and gynecological care for women at a low cost and focuses more on low income people, they do provide services for regular people (when I say regular people, I mean people with average or above average income, not that we're any better) , but the personal treatment is the same. The personal treatment (at least at the clinic I went to) was not great. They treated people like they were beneath them, including me. When the people who work there treat other people who turn to them for care in a not so good way, then the care they provide is going to reflect that. Anyway, I'm going more into something that is a different argument and is not needed. So again, thank you for your advice. Take care.
 
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panzertanker

Senior Member
CBF26 said:
It's not the point that I couldn't afford it, so the money isn't an issue.
Then drop it.
CBF26 said:
but I'm more upset that they tried to run a test when they didn't have the proper specimens to do it.
You have no idea if that is correct...you are making assumptions based on your "used to be a specimen tech" (never heard them called that, but whatever)
CBF26 said:
Either way, it's done and over with, and at least now I know not to go there again.
Best thing you have said thus far.

CBF26 said:
But, just so no one misunderstands the cost, it was a little over $100.00 since they charged me full price, so it was nowhere near being free. While that may not be a big deal for you or me, it could be for someone else. I'm not really concerned about me getting money back because that is relatively cheap when it comes to healthcare costs
This has ABSOLUTELY no bearing on your complaint.
CBF26 said:
but I do think their practices should be looked into.
Then complain to the proper people at the clinic.
CBF26 said:
Not that I've witnessed anything other than my own experience and what I saw while I was there, but I've heard other people complain about them. While they do provide a valuable service, not all of them, as in the people who work there provide a valuable service. Since this is a place that mostly provides abortions and treatments for STD's and gynecological care for women at a low cost and focuses more on low income people, they do provide services for regular people (when I say regular people, I mean people with average or above average income, not that we're any better) , but the personal treatment is the same. The personal treatment (at least at the clinic I went to) was not great. They treated people like they were beneath them, including me. When the people who work there treat other people who turn to them for care in a not so good way, then the care they provide is going to reflect that. Anyway, I'm going more into something that is a different argument and is not needed. So again, thank you for your advice. Take care.
Correct.
You did not want to have a test performed.
You had a test performed anyway.
You are unhappy.
You should complain to the appropriate people.
"should I file suit?" FOR WHAT?
:confused:
 

rmet4nzkx

Senior Member
You have no basis for a law suit because PP was meeting the standard of care and they are not responsible if you have an ADR. You can complain to them re their policy, but a PAP was indicated. While you may have had SJS, if the rash cleared upon D/C there should be no lasting damage, HOWEVER, you will have to be cautious re many mediations in the future. Here is a link re SJS http://www.sjsupport.org/
 

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