When doctors have to be reminded how to act like human beings

It’s a sad commentary when human beings have to be reminded how to act like human beings, especially when they’re in the helping profession.

Loni Hildebrandt was a 29-year old certified nursing assistant who was pregnant with her first baby. Make that two babies because she was pregnant with twins. Hildebrandt considered her pregnancy miraculous because she had infertility and was a diabetic since the age of one. Together, she and her boyfriend saved their money and obtained fertility treatments. Her mother, Jo Novtny, a nurse of 30 years was ecstatic when she saw the ultrasound of her two grandbabies but her happiness was short-lived. One day after the procedure, Hildebrandt began to bleed so they went to Sarasota Memorial Hospital in Florida.

Sarasota Memorial Hospital has an excellent maternal fetal medicine (aka high-risk obstetrics) department but Hildebrandt never made it there. She got as far as the hospital’s emergency room where she was attended to by one of its physicians. Despite repeated requests to have her blood sugar checked, Hidebrandt had to wait six hours before it was done. An ultrasound at the hospital revealed a blood clot that was causing the contractions and the ER doctor told her that he could probably save one by “suctioning the clot so the labor would stop.”  According to The Herald Tribune, the physician suctioned the clot and one of the twins as well.

Hildebrandt allegedly began bleeding more, passing bright red blood clots. They called for help but no one came. According to the newspaper report, a nurse put the afterbirth in a bedpan and left it near Hildebrandt’s head where she was lying. Her mother moved it and placed it under her daughter’s bed. Novtny ultimately delivered the second twin because no one else was around.  The ER doctor returned to the room saw the fetus in Novotny’s hand took it from her and put it in a bucket.

Novtny states her daughter did not receive proper treatment until her personal physician arrived and remained in a pool of blood for over 10 hours. Hildebrandt’s iron count was dangerously low because of the bleeding. Her mother’s request to speak with the hospital administrator was met with no response so she wrote a letter to the governor instead.  An investigation was done, gross negligence was found, the ER doctor resigned and Hildenbrandt’s nurse was cited for “lack of critical thinking skills.” The hospital will now have unannounced federal inspections in order to keep their Medicare payments. The hospital administrator issued a public apology.

Perhaps one day hospitals will do the right thing, even when no one is watching.  Hopefully, Hildebrandt will become pregnant again and have a better outcome.

Linda Burke-Galloway is an obstetrician-gynecologist and author of The Smart Mother’s Guide to a Better Pregnancy. She blogs at her self-titled site, Dr. Linda Burke-Galloway.

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  • Anonymous

    All negligence aside, I think it’s also sad social commentary that an unwed women was actively trying to get pregnant. Where is the family unit, how would these children be raised, and how much financial assistance would be required? These are also major problems facing our society.

    • Brennan Ochoa

      It’s very odd to me that the story underlined a gross negligence of this person’s pregnancy, but you bring up the point of her being unwed? Times have changed. Not everyone feels marriage is mandatory before making a decision like this. I wonder if she was a married woman with a “family unit” if she would have received better treatment. 

    • http://www.facebook.com/people/Linda-Emmons-Bailey/100000892421648 Linda Emmons Bailey

      “ Together, she and her boyfriend saved their money and obtained fertility treatments.” Apparently, she and her boyfriend had jobs. The family unit may not have been traditional, but from the article, it seems there was one in place to care for the children, had they not been lost to the gross negligience of those being paid to care for her.

      Other major problems we are facing as a society is the widespread lack of compassion for the poor (however they became that way) and the misplacement of blame toward those who are suffering. The first line of the article says it all and maybe you need some reminding as well.

      • Linda Galloway

        Thanks, Linda. I couldn’t have said it better myself. 

  • http://www.facebook.com/lana.krichevsky Lana Krichevsky

    In the long hospital shifts, where patients are passed along a system similar to that of an assembly line in a factory, we must often remind ourselves that this is not just another textbook case, but a human being; someone’s daughter/son/ mother/father.  We must not forget that “the colon cancer in room 12″ has a name, and many reasons to live.  It can be a nurse/doctor who ended up on the other side of the stretcher.

    • Linda Galloway

      As a physician who HAS been on the other side of the stretcher I can tell you it was not a pretty sight. I ended up telling my story on CNN with Elizabeth Cohen. I avoid hospitals like the plague. How’s that for a vote of confidence? Thanks for your comments, Lana. Very thoughtful and very profound.

  • http://www.facebook.com/people/Steven-Reznick/100000549195050 Steven Reznick

    This is such a horrible story on so many levels. One would assume a high risk obstetrics program would have a mechanism for being contacted around the clock rather than depending on your ER staff to handle these calls? There is a great deal of insensitivity as well which unfortunately one sees in high volume over crowded ER departments which have become the primary care physician for a  segment of the population in Florida. No social commentary is appropriate . A healthy woman of childbearing age with a high risk pregnancy came to an ER in distress and did not get to see the experts she needed to in a timely fashion while being treated callously by an overworked ER department. The discussion of her marital status and family structure is completely inappropriate. While dismissing the members of the ER team involved may give some comfort to the patient and her family, nothing is accomplished unless one investigates and determines the root cause of the behavior and decision making in this case and in each case where the outcome is not what it should be. Using that data to educate those involved, supervised those who need supervision and or removing those from practice who are recalcitrant is the only way to protect the public and improve care

    • Anonymous

      In my opinion … all publicly run hospitals should be held to a higher standard of performance than FP or NFP HCOs simply because they serve the most at risk and exist solely on the public dole. 

      Instead of setting the bar above all others … politicians provide public HCOs with “most favored” status choosing to overlook critical life robbing deficiencies which would result in a private facility losing its license … because politicians are obligated to support the public HCO employee constituents and Federally crippling ineffective and inefficient welfare and subidy programs that fund these failed institutions. 

      U.S. health care quality, effectiveness, and efficiency as measured at the highest risk end of the spectrum would be vastly improved if we simply disolved these public operations in favor of either FP or NFP run facilities.     

    • Linda Galloway

      Thanks for your comment, Steven, especially since it appears that you and I are both from Brooklyn. The mention of her marital status was reported as a fact, not an opinion and certainly not used to judge. I hope that was not a factor of the way she was treated in the hospital but who really knows? There is very little accountability that occurs in hospitals these days. Everything seems to be on automatic pilot. I am in full agreement that root cause analysis AND remedy is the only way to resolve these unfortunate issues. Thanks for your comments.

  • http://www.facebook.com/heidileesinclair Heidi Sinclair

    When I was a medical student I volunteered, briefly, in the “Charity Hospital” Emergency Department New Orleans.  They provided emergency care for Orleans Parish Prison.  In the OB “pod” with 5 other women in cubicles with half-drawn or open curtains, a young female prisoner miscarried at advanced gestation – maybe 19 , 20 weeks?  The fetus was well-formed.  The nurse put the fetus/baby in a plastic bag and invited others to come take a look.  Nurse 2 asked Nurse 1 “So, does this change your opinion on abortion?”.  Nurse 1 replied “No, THEY should all just be sterilized”.  Nurse 3 said “THEM and their children too”.  Nurse 2 said “Oh, that’s not fair, they (the children) haven’t done anything wrong YET” …. this conversation continues within hearing of the young woman who had just miscarried.  The young woman was African American.  The three nurses white.  I was a student.  I was shocked.  Is this kind of behavior, thinking, treatment considered acceptable?  Am I a “pussy”, “wimp”, “not cut out for medicine” that I found this behavior shocking and upsetting?  This is “Charity Hospital” after all – one of the busiest, craziest ED’s in the country … I said something to one of the residents who I think went to talk to the nurses saying maybe, hey guys keep it down, cut it out or something …  I wrote down the names of the nurses.  I went to talk to our student advisor … she said “I can see this is obviously upsetting to you …” and wanted to talk about my feelings but I didn’t want to talk about my “feelings”, I wanted to know what I should do … I didn’t go back to the ED as a student volunteer (though I later spent many months there as a resident and nurse 1 at least was still working there …).  I found a great mentor at a community clinic instead.  I told him about his incident and he upbraided me for not filing a formal complaint against these nurses.  I feel bad that I didn’t.  I feel bad that I didn’t try to talk to the young woman and at least offer her my personal support and condolences.  In my career and as a community memeber I am/have been involved in Juvenile Justice and Prison reform work and hope to get involved with local programs for Formerly Incarcerated Persons.

  • Anonymous

    I’m confused by this story.

    It’s hard to imagine that a hospital with a MFM program would allow procedures to be done on high-risk patients by an ER doc, especially when they have a personal physician.

  • Anonymous

    It is heartbreaking to hear about these horror stories in medicine. This was blatant disregard for another human. Unacceptable!!

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