My brother, 73, with MS, was treated in the Prebys Cardiovascular ICU for a urinary tract infection this past Saturday and Sunday, the third time in four months that this has occurred. This time (and last),... more he had to be intubated, his wife and I were told, because the infection had proceeded to the point where he had difficulty breathing. On Monday morning, the tube came out and he was transferred to the seventh floor of the Browning building, with no assignment to any attending physician. He received one or two of his sixteen regular medications, plus one antibiotic pill. He received no meals, as far as he knows. When I visited today, there was not even a pitcher of water in the room, although there was a lot of random debris on the counters.
This hospital, like its companion UCSD, is able to transfer a very sick elderly man around like a tennis ball in a game of catch without anyone looking to see what the record says or what he needs. The minute you complain, they are "very sorry you feel that way," and they do not acknowledge that you are actually complaining of mistreatment (i.e., they can smell lawsuits, but they can't smell the coffee). I am so very sorry that my brother moved here to San Diego to get better care than he was getting in a small town in Pennsylvania. I was so very, very wrong. The entire system at Scripps (and at UCSD as well) is an abomination. Hospitalists don't talk to outside physicians and vice versa. No piece of information given or shared can change any initial assumption. And no piece of information travels twelve inches unaltered.
As in most places, the nurses and aides are excellent, hardworking, overworked, underpaid, and badly led people. But the doctors appear to be holographic projections. What my brother needs most is for his various doctors---a primary care physician and a neurologist and someone cognizant of his entire ER experience---to hold a conference to make a plan for his care and rehabilitation so he won't keep coming to the ER on the point of death. Is that possible? No. Not under this system. The thing they seem to dislike most is, well, how to say this? Patients. They don't want patients making all this trouble for them. The best you can expect is care that won't trigger a lawsuit, and what you get is indifferently delivered (although hidden under the sweet talk of nurses), because all sorts of systems are in place to assure that anyone who really has control and could exercise it will never be able to do so. I'm sure the better doctors run screaming. If only the whole city could abandon these prized icons and medical anchors that have two entire cardiovascular centers within a stone's throw of each other--yet cannot keep track of, um, what're they called? oh yes, patients.
This has been one of the worst experiences. My twins were admitted into the NICU because all places in our area were at capacity. The NICU is great, no complaints other than a couple moody nurses. Then... more I passed out, had a seizure and was rushed to the emergency room. Ever since it has been a never ending battle of horrible experiences. My machine that's hooked up to me will beep for 10+ minutes even after I've called nurses, I've been neglected and forgotten about for several hours, the people here don't know how to draw blood and barely speak english. I want to be discharged as soon as possible because another day in this hospital will be the death of me. Getting poked 12 times in one day and having to listen to beeping consistently while being ignored and treated like a burden by nurses is not how it should feel at a hospital. I will never recommend this hospital to anyone and will continue to voice how bad they suck.
A couple of months ago, I sliced my finger and had to go to the Scripps Memorial emergency room and get 26 stitches. Two months later, I can barely move my finger and I need to have surgery on it. I... more also received a bill from La Jolla Emergency Specialists - the ER doctors' group - for $1507. I have great health insurance - nationwide carrier - so this shocked me.
Apparently the doctors' group is out of network. I have never heard of an emergency room doctors' group refusing a major insurance carrier. My insurance tried to negotiate to have them agree to accept the plan allowance for their treatment. They rudely refused. I've had several providers agree to that in the past. I understand billing is their prerogative. But, this is emergent care, not elective or primary care. By definition patients don't have time to check if the individual providers within a facility are within network or will accept comparable fees. La Jolla Emergency Specialists actions are completely unacceptable - for more costly situations, unconscionable.
I will never go their again and I hope nobody else gets caught in their trap.
Rate of readmission after discharge from hospital (hospital-wide)
Rate - 14.8% (1.2% below the national rate)
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