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Social Issues Hospital Negligence That Has Cost Life

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TS101011001
post Jul 26 2017, 04:21 PM, updated 7y ago

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This is the letter we wrote in to the hospital whose negligence has caused the life of our father. Knowing the attitude of these people, we know our effort will be futile but we still choose to let the world know.

I am writing to report the negligence and unethical act of Hospital Sultanah Aminah Johor Bahru (HSAJB) that has cost the life of our father.

On 23/06/2017 morning, our dad was admitted to the A&E at HSAJB due to breathing difficulty. We sent him to hospital as the O2 machine we got from the palliative care at home was not functioning. At this point of time, he was conscious and able to communicate normally which is his normal self despite breathing difficulty which he experienced at times due to his asthma. Heart and pulse rate were normal according to staffs at A&E. On the same day itself, he was admitted to Ward D1 and bed 11 of HSAJB. He was fine at this point of time and was able to communicate with us the usual way.

Around 11PM on the same day, he was fine and was able to see us walking towards his ward through the window and waved at us. We chatted with him normally and everything was normal. He was nervous and worried as doctor will be removing the fluid from his tummy on the next day due to water retention. We told him not to worry as this is just a simple procedure which will be done in his bed and it won't be taking too long. A male nurse then came to empty his urine bag. He was normal at this point of time. We left for home afterwards and asking him to take a rest and we would be back the next day. It was 11.30PM.

This was where the unexpected and unfortunate which we could not believe had happened. The next day when we arrived at about 11AM, he was already unconscious and gasping. We were asking him to come around but to no avail. We could see tears from the side of his eyes but no movement at all. We could sense the helplessness in him. We were begging him to come around but if only he was conscious. A male doctor briefed us on his conditions. He said his liver "cancer" has spread and because he was on palliation nothing will be done except morphine would be administered to ease his gasping. We asked if the morphine would affect the chances of him coming around but the doctor said no. With regard to the morphine, not too long after the doctor left, a male nurse brought the morphine but it was only administered at 11PM at night. We were with him the whole day hoping he could come around but to no avail and he was gasping. Please note that throughout the day no one has come to check his blood pressure or glucose level despite his diabetic condition. We have been thinking and could not bring ourselves to believe that his "cancer" condition was so bad that he had gone unconscious in a night. Thinking back no tests were done on him to establish the cause of his unconsciousness. We were told by the patients in front him that the last time they saw the conscious him was at 4AM when he told the nurses that he wanted to poo and that was also the time when nurses put diapers on him. He never worn diapers before as he was able bodied and could move on his own. Towards the afternoon at around 4PM, I recalled he did go semi conscious at home due to low blood glucose and I asked a doctor to check his blood glucose which he ordered a male nurse to check. It seems like what we didn't expect actually happened. The glucose meter shows Lo! We didn't have much hope now as we know his unconsciousness was very likely due to hypoglycemia which had gone unnoticed for so many hours. At this point, he was gasping and we noticed frothy foam from his mouth. The same doc who ordered the blood glucose test was trying to put cannula on his arm but to no avail and told us he was sorry and he could not help and will try to get someone to help. No other doctors were there and we were going to the nurses at the counter several times but to no avail. The nurses could have call for doctor but they didn't. One of the nurses eventually gave glucose water to him at around 6PM through the nose or mouth as we were asked to leave. After a while, the glucose level shows 1.9. Then we saw the doctor A the one we spoke to this morning and asked him for help. He put cannula on his neck. Nurse administered glucose via that cannula and the glucose level went up to 2.9. Please note that there is no urine in his urine bag throughout the day as there was no water intake and no one bother to check. We have mentioned this to the nurses but instead got slammed and they kept telling us that they were following doctor's instructions. Imagine going without water for the whole day!

At about 10.30PM, we asked one of the new batch of nurses what was the last glucose reading and she told us that she just checked and it was 5.4. We stayed with our dad by his bed throughout the night and no one came to check on him. We were looking around for nurse but there was no one until 4AM when we saw one of the nurses walking out from the room. All the nurses were in the room. We asked her to check on him and she has not been very helpful and boldly said there was a check at and the reading was 8! We were there by his bed whole night and there were no one came to check on him and the nurse could boldly said they checked and the reading was 8! She finally came to check at 4 and the reading was 2.1. They administered glucose via the needle on his neck. At around 6.30, the same nurse came to take his reading and it was still showing 2.1 and again glucose was administered. Right after that, the pulse rate getting weaker and weaker from 90 to flat.

You can see the helplessness in the patient and, negligence and the unethical hospital nurses who fabricated the glucose reading in the whole episode. We started to doubt the tests done by the hospital all these while. If a simple glucose reading could be fabricated, what else cannot be done?

1) No neckline despite dad's size and water retention in the body which makes veins hard to reach.
2) No blood glucose check despite he has diabetes. Not even when he was hypoglycemic. Nurses have been hesitating to check his blood glucose and we have to beg them to check.
3) No sense of urgency despite a life was at stake. When the doctor could not insert cannula on his arm so that glucose could be administered, no escalation being done despite the terribly low blood glucose level. We had to grab the doctor who passed by eventually to insert cannula on his neck.
4) Unethical nurse(s) that fabricated reading. We were there whole night and there was no one who came to check on him. Where was the reading come from?
5) The critical time before he went unconscious was around 4AM when the patients in front of him witnessed him calling nurse to bring him to toilet but instead was put on diapers. No one bother to call the doctor to check on him. He was already hypoglycemic at this time but no one discovered as no check was done. If only his condition was realized earlier, he would not have gone unconscious. The whole episode began with his unconsciousness that no one would have thought the reason.
6) We came to realize why the morphine was there since morning but not administered to him until 11PM at night. The cannula on the back of his palm was not working. Imagine our father had been gasping for the whole day and no relief. This is inhumane and unethical.
7) No action from the nurses despite informing them that the urine bag was empty throughout the day.

He is a patient on palliation but he has been doing well and deserves the same treatment like any other patients. In fact he seldom uses the O2 machine at home and he could move freely. He never felt a single pain at home. On top of the appointments with the hospital, we did bring our father for blood tests at BP Healthcare and we can see his health was making progress for the better. We could not bring ourselves to believe that his liver "cancer" has caused his unconsciousness over the night. It seems like patients on palliation would not receive any treatment and test even a simple blood glucose test despite the fact the patient is diabetic. The so called specialist "doktor pakar" could not be bothered to find out the cause of his unconsciousness it seems because he was on palliation.

When we found out he was hypoglycemic, it was already more than 12 hours. It was hypoglycemia that had gone unnoticed for too long that caused his unconsciousness and eventual death. He was hypoglycemic even at his last breath. No thanks to the negligence and unethical act, we lost our father.

It is to our belief that doctors and nurses save lives but in this case they indirectly take away our father. We regretted sending him to the hospital at the first place or I would say the timing was not right as it was festive season. What's done is done and we could not bring our father back. We accepted the fact that our father is now gone.

We hope the relevant departments will look into this matter seriously to prevent losing unnecessary lives. The same incident will repeat itself again if go unchecked. If it could happen to us, it can happen to anyone else.

This post has been edited by 101011001: Jul 26 2017, 04:24 PM
MeToo
post Jul 26 2017, 04:26 PM

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I think you are confused on what "RWI" mean....

Try posting that in FB instead.
TS101011001
post Jul 26 2017, 04:32 PM

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QUOTE(MeToo @ Jul 26 2017, 04:26 PM)
I think you are confused on what "RWI" mean....

Try posting that in FB instead.
*
Thanks for pointing that out.

Moderators, please feel free to move this thread to an appropriate section or remove it if necessary. Thanks.
SUSslimey
post Jul 26 2017, 09:30 PM


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QUOTE(101011001 @ Jul 26 2017, 04:21 PM)
This is the letter we wrote in to the hospital whose negligence has caused the life of our father. Knowing the attitude of these people, we know our effort will be futile but we still choose to let the world know.

I am writing to report the negligence and unethical act of Hospital Sultanah Aminah Johor Bahru (HSAJB) that has cost the life of our father.

On 23/06/2017 morning, our dad was admitted to the A&E at HSAJB due to breathing difficulty. We sent him to hospital as the O2 machine we got from the palliative care at home was not functioning. At this point of time, he was conscious and able to communicate normally which is his normal self despite breathing difficulty which he experienced at times due to his asthma. Heart and pulse rate were normal according to staffs at A&E. On the same day itself, he was admitted to Ward D1 and bed 11 of HSAJB. He was fine at this point of time and was able to communicate with us the usual way.

Around 11PM on the same day, he was fine and was able to see us walking towards his ward through the window and waved at us. We chatted with him normally and everything was normal. He was nervous and worried as doctor will be removing the fluid from his tummy on the next day due to water retention. We told him not to worry as this is just a simple procedure which will be done in his bed and it won't be taking too long. A male nurse then came to empty his urine bag. He was normal at this point of time. We left for home afterwards and asking him to take a rest and we would be back the next day. It was 11.30PM.

This was where the unexpected and unfortunate which we could not believe had happened. The next day when we arrived at about 11AM, he was already unconscious and gasping. We were asking him to come around but to no avail. We could see tears from the side of his eyes but no movement at all. We could sense the helplessness in him. We were begging him to come around but if only he was conscious. A male doctor briefed us on his conditions. He said his liver "cancer" has spread and because he was on palliation nothing will be done except morphine would be administered to ease his gasping. We asked if the morphine would affect the chances of him coming around but the doctor said no. With regard to the morphine, not too long after the doctor left, a male nurse brought the morphine but it was only administered at 11PM at night. We were with him the whole day hoping he could come around but to no avail and he was gasping. Please note that throughout the day no one has come to check his blood pressure or glucose level despite his diabetic condition. We have been thinking and could not bring ourselves to believe that his "cancer" condition was so bad that he had gone unconscious in a night. Thinking back no tests were done on him to establish the cause of his unconsciousness. We were told by the patients in front him that the last time they saw the conscious him was at 4AM when he told the nurses that he wanted to poo and that was also the time when nurses put diapers on him. He never worn diapers before as he was able bodied and could move on his own. Towards the afternoon at around 4PM, I recalled he did go semi conscious at home due to low blood glucose and I asked a doctor to check his blood glucose which he ordered a male nurse to check. It seems like what we didn't expect actually happened. The glucose meter shows Lo! We didn't have much hope now as we know his unconsciousness was very likely due to hypoglycemia which had gone unnoticed for so many hours. At this point, he was gasping and we noticed frothy foam from his mouth. The same doc who ordered the blood glucose test was trying to put cannula on his arm but to no avail and told us he was sorry and he could not help and will try to get someone to help. No other doctors were there and we were going to the nurses at the counter several times but to no avail. The nurses could have call for doctor but they didn't. One of the nurses eventually gave glucose water to him at around 6PM through the nose or mouth as we were asked to leave. After a while, the glucose level shows 1.9. Then we saw the doctor A the one we spoke to this morning and asked him for help. He put cannula on his neck. Nurse administered glucose via that cannula and the glucose level went up to 2.9. Please note that there is no urine in his urine bag throughout the day as there was no water intake and no one bother to check. We have mentioned this to the nurses but instead got slammed and they kept telling us that they were following doctor's instructions. Imagine going without water for the whole day!

At about 10.30PM, we asked one of the new batch of nurses what was the last glucose reading and she told us that she just checked and it was 5.4. We stayed with our dad by his bed throughout the night and no one came to check on him. We were looking around for nurse but there was no one until 4AM when we saw one of the nurses walking out from the room. All the nurses were in the room. We asked her to check on him and she has not been very helpful and boldly said there was a check at and the reading was 8! We were there by his bed whole night and there were no one came to check on him and the nurse could boldly said they checked and the reading was 8! She finally came to check at 4 and the reading was 2.1. They administered glucose via the needle on his neck. At around 6.30, the same nurse came to take his reading and it was still showing 2.1 and again glucose was administered. Right after that, the pulse rate getting weaker and weaker from 90 to flat.

You can see the helplessness in the patient and, negligence and the unethical hospital nurses who fabricated the glucose reading in the whole episode. We started to doubt the tests done by the hospital all these while. If a simple glucose reading could be fabricated, what else cannot be done?

1) No neckline despite dad's size and water retention in the body which makes veins hard to reach.
2) No blood glucose check despite he has diabetes. Not even when he was hypoglycemic. Nurses have been hesitating to check his blood glucose and we have to beg them to check.
3) No sense of urgency despite a life was at stake. When the doctor could not insert cannula on his arm so that glucose could be administered, no escalation being done despite the terribly low blood glucose level. We had to grab the doctor who passed by eventually to insert cannula on his neck.
4) Unethical nurse(s) that fabricated reading. We were there whole night and there was no one who came to check on him. Where was the reading come from?
5) The critical time before he went unconscious was around 4AM when the patients in front of him witnessed him calling nurse to bring him to toilet but instead was put on diapers. No one bother to call the doctor to check on him. He was already hypoglycemic at this time but no one discovered as no check was done. If only his condition was realized earlier, he would not have gone unconscious. The whole episode began with his unconsciousness that no one would have thought the reason.
6) We came to realize why the morphine was there since morning but not administered to him until 11PM at night. The cannula on the back of his palm was not working. Imagine our father had been gasping for the whole day and no relief. This is inhumane and unethical.
7) No action from the nurses despite informing them that the urine bag was empty throughout the day.

He is a patient on palliation but he has been doing well and deserves the same treatment like any other patients. In fact he seldom uses the O2 machine at home and he could move freely. He never felt a single pain at home. On top of the appointments with the hospital, we did bring our father for blood tests at BP Healthcare and we can see his health was making progress for the better. We could not bring ourselves to believe that his liver "cancer" has caused his unconsciousness over the night. It seems like patients on palliation would not receive any treatment and test even a simple blood glucose test despite the fact the patient is diabetic. The so called specialist "doktor pakar" could not be bothered to find out the cause of his unconsciousness it seems because he was on palliation.

When we found out he was hypoglycemic, it was already more than 12 hours. It was hypoglycemia that had gone unnoticed for too long that caused his unconsciousness and eventual death. He was hypoglycemic even at his last breath. No thanks to the negligence and unethical act, we lost our father.

It is to our belief that doctors and nurses save lives but in this case they indirectly take away our father. We regretted sending him to  the hospital at the first place or I would say the timing was not right as it was festive season. What's done is done and we could not bring our father back. We accepted the fact that our father is now gone.

We hope the relevant departments will look into this matter seriously to prevent losing unnecessary lives. The same incident will repeat itself again if go unchecked. If it could happen to us, it can happen to anyone else.
*
hypoglycemia can cause unconsciousness.........yes.
is hypoglycemia the cause of breathing difficulty/gasping for air................no

since he is on palliative care, i would assume that the cancer is already an established diagnosis and is on stage 4.
if no sign and symptom of infection, the most likely cause of breathing difficulty is either :
1. accumulation of fluid in lungs secondary to the cancer
2. huge ascites, and subsequently decreased lung volume and mobility of the diaphragm.
3. pulmonary embolism(risk factor include decreased mobility, cancer), embolism is more likely if the shortness of breath is sudden.

i would assume the specialist already deem the condition is critical and any further intervention will just prolong the suffering. hence the lack of intervention and just letting the patient go.
Lionel90
post Jul 26 2017, 11:02 PM

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I think u should post in FB to reach larger audience.

Would be more than happy to do my part to share your unfortunate experience.

And also, a belated condolences to you and your family
powerlinkers
post Jul 26 2017, 11:09 PM

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QUOTE(101011001 @ Jul 26 2017, 04:21 PM)
This is the letter we wrote in to the hospital whose negligence has caused the life of our father. Knowing the attitude of these people, we know our effort will be futile but we still choose to let the world know.

I am writing to report the negligence and unethical act of Hospital Sultanah Aminah Johor Bahru (HSAJB) that has cost the life of our father.

On 23/06/2017 morning, our dad was admitted to the A&E at HSAJB due to breathing difficulty. We sent him to hospital as the O2 machine we got from the palliative care at home was not functioning. At this point of time, he was conscious and able to communicate normally which is his normal self despite breathing difficulty which he experienced at times due to his asthma. Heart and pulse rate were normal according to staffs at A&E. On the same day itself, he was admitted to Ward D1 and bed 11 of HSAJB. He was fine at this point of time and was able to communicate with us the usual way.

Around 11PM on the same day, he was fine and was able to see us walking towards his ward through the window and waved at us. We chatted with him normally and everything was normal. He was nervous and worried as doctor will be removing the fluid from his tummy on the next day due to water retention. We told him not to worry as this is just a simple procedure which will be done in his bed and it won't be taking too long. A male nurse then came to empty his urine bag. He was normal at this point of time. We left for home afterwards and asking him to take a rest and we would be back the next day. It was 11.30PM.

This was where the unexpected and unfortunate which we could not believe had happened. The next day when we arrived at about 11AM, he was already unconscious and gasping. We were asking him to come around but to no avail. We could see tears from the side of his eyes but no movement at all. We could sense the helplessness in him. We were begging him to come around but if only he was conscious. A male doctor briefed us on his conditions. He said his liver "cancer" has spread and because he was on palliation nothing will be done except morphine would be administered to ease his gasping. We asked if the morphine would affect the chances of him coming around but the doctor said no. With regard to the morphine, not too long after the doctor left, a male nurse brought the morphine but it was only administered at 11PM at night. We were with him the whole day hoping he could come around but to no avail and he was gasping. Please note that throughout the day no one has come to check his blood pressure or glucose level despite his diabetic condition. We have been thinking and could not bring ourselves to believe that his "cancer" condition was so bad that he had gone unconscious in a night. Thinking back no tests were done on him to establish the cause of his unconsciousness. We were told by the patients in front him that the last time they saw the conscious him was at 4AM when he told the nurses that he wanted to poo and that was also the time when nurses put diapers on him. He never worn diapers before as he was able bodied and could move on his own. Towards the afternoon at around 4PM, I recalled he did go semi conscious at home due to low blood glucose and I asked a doctor to check his blood glucose which he ordered a male nurse to check. It seems like what we didn't expect actually happened. The glucose meter shows Lo! We didn't have much hope now as we know his unconsciousness was very likely due to hypoglycemia which had gone unnoticed for so many hours. At this point, he was gasping and we noticed frothy foam from his mouth. The same doc who ordered the blood glucose test was trying to put cannula on his arm but to no avail and told us he was sorry and he could not help and will try to get someone to help. No other doctors were there and we were going to the nurses at the counter several times but to no avail. The nurses could have call for doctor but they didn't. One of the nurses eventually gave glucose water to him at around 6PM through the nose or mouth as we were asked to leave. After a while, the glucose level shows 1.9. Then we saw the doctor A the one we spoke to this morning and asked him for help. He put cannula on his neck. Nurse administered glucose via that cannula and the glucose level went up to 2.9. Please note that there is no urine in his urine bag throughout the day as there was no water intake and no one bother to check. We have mentioned this to the nurses but instead got slammed and they kept telling us that they were following doctor's instructions. Imagine going without water for the whole day!

At about 10.30PM, we asked one of the new batch of nurses what was the last glucose reading and she told us that she just checked and it was 5.4. We stayed with our dad by his bed throughout the night and no one came to check on him. We were looking around for nurse but there was no one until 4AM when we saw one of the nurses walking out from the room. All the nurses were in the room. We asked her to check on him and she has not been very helpful and boldly said there was a check at and the reading was 8! We were there by his bed whole night and there were no one came to check on him and the nurse could boldly said they checked and the reading was 8! She finally came to check at 4 and the reading was 2.1. They administered glucose via the needle on his neck. At around 6.30, the same nurse came to take his reading and it was still showing 2.1 and again glucose was administered. Right after that, the pulse rate getting weaker and weaker from 90 to flat.

You can see the helplessness in the patient and, negligence and the unethical hospital nurses who fabricated the glucose reading in the whole episode. We started to doubt the tests done by the hospital all these while. If a simple glucose reading could be fabricated, what else cannot be done?

1) No neckline despite dad's size and water retention in the body which makes veins hard to reach.
2) No blood glucose check despite he has diabetes. Not even when he was hypoglycemic. Nurses have been hesitating to check his blood glucose and we have to beg them to check.
3) No sense of urgency despite a life was at stake. When the doctor could not insert cannula on his arm so that glucose could be administered, no escalation being done despite the terribly low blood glucose level. We had to grab the doctor who passed by eventually to insert cannula on his neck.
4) Unethical nurse(s) that fabricated reading. We were there whole night and there was no one who came to check on him. Where was the reading come from?
5) The critical time before he went unconscious was around 4AM when the patients in front of him witnessed him calling nurse to bring him to toilet but instead was put on diapers. No one bother to call the doctor to check on him. He was already hypoglycemic at this time but no one discovered as no check was done. If only his condition was realized earlier, he would not have gone unconscious. The whole episode began with his unconsciousness that no one would have thought the reason.
6) We came to realize why the morphine was there since morning but not administered to him until 11PM at night. The cannula on the back of his palm was not working. Imagine our father had been gasping for the whole day and no relief. This is inhumane and unethical.
7) No action from the nurses despite informing them that the urine bag was empty throughout the day.

He is a patient on palliation but he has been doing well and deserves the same treatment like any other patients. In fact he seldom uses the O2 machine at home and he could move freely. He never felt a single pain at home. On top of the appointments with the hospital, we did bring our father for blood tests at BP Healthcare and we can see his health was making progress for the better. We could not bring ourselves to believe that his liver "cancer" has caused his unconsciousness over the night. It seems like patients on palliation would not receive any treatment and test even a simple blood glucose test despite the fact the patient is diabetic. The so called specialist "doktor pakar" could not be bothered to find out the cause of his unconsciousness it seems because he was on palliation.

When we found out he was hypoglycemic, it was already more than 12 hours. It was hypoglycemia that had gone unnoticed for too long that caused his unconsciousness and eventual death. He was hypoglycemic even at his last breath. No thanks to the negligence and unethical act, we lost our father.

It is to our belief that doctors and nurses save lives but in this case they indirectly take away our father. We regretted sending him to  the hospital at the first place or I would say the timing was not right as it was festive season. What's done is done and we could not bring our father back. We accepted the fact that our father is now gone.

We hope the relevant departments will look into this matter seriously to prevent losing unnecessary lives. The same incident will repeat itself again if go unchecked. If it could happen to us, it can happen to anyone else.
*
He is on palliative care, why should government waste resources on the patient?

Yes, you were wrong, you should have brought him to a private hospital which would have made the son/daughter to go bankrupt with prolonging the patient's life for one month.
You made a big mistake by not doing that.

Secondly, you should consult a psychiatrist because you are still unable to accept the loss of a patient on palliative care follow up.

This post has been edited by powerlinkers: Jul 26 2017, 11:16 PM
TS101011001
post Jul 27 2017, 12:51 AM

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Thanks @slimey for taking the time to reply. You seem to be in this line. Perhaps, I have not elaborated enough on my dad's conditions. He was 70. He was able bodied and could move on his own. He had been put on palliative care for liver cancer. Let me elaborate on the palliative care. We got a wheel chair and O2 machine from the palliative care which my dad rarely used. The nice and kind nurse would do house visit every month to check on my dad. Nothing serious in term of his condition. The liver cancer was diagnosed solely based on AFP and ultrasound only. No MRI or CT scan was done as the scan would affect his kidneys. Please don't get me wrong. The kidneys were functioning. In fact the same week before he passed on, we got the report from BP Healthcare that his kidneys were improving. The creatinine was at 210umol/L compared to 363umol/L in Feb this year when he had been diagnosed with liver cancer.

My dad had been prescribed with Tramadol but he never took it. Not even once.

He was due for "fluid removal" from his tummy the next day but he could not make it as he was already unconscious. It was merely a couple of hours before he became unconscious from 11.30PM the night before to 4AM when he called for the nurses. My dad's weight about 100kg so I could understand the nurses might not be able to support him to the toilet but no one bother to find out why he became weak to the extent that he needed help to go to the toilet.

I can see that doctors seem to take into consideration the fact of being on palliative care in their decision. Perhaps it was a mistake on our part for showing the palliative care card to the hospital?

The suffering was rather the effect after he became unconscious in merely a couple of hours and the low blood glucose that had been gone unnoticed till late afternoon. One will die eventually but we didn't expect him to go in such condition which could have been prevented. Perhaps it was fated that he had to go.

Thanks @Lionel90.


Thanks @powerlinkers for taking the time to reply. Please don't get me wrong. This is not blaming game. We accepted the fact that my dad is no longer with us. He had gone and nothing would change it. Posting here will not bring him to life. I agreed with you the treatment would have cost us everything if not because of government hospital. We are grateful to the hospital. What happened to us doesn't represent the hospital as a whole. There are still good doctors and nurses around. No doubt about it.

But in this case, the hospital could have been more ethical and professional to prevent the losing of unnecessary life. Prolonged hypoglycaemia can kill and it could have been prevented if found out earlier. What happened to our dad could happen to anyone's else. I am doing my bits hoping that things would change for the better at hospital. No compromise and no room for mistake even though it is government hospital where the people only pay RM1 agreed?
powerlinkers
post Jul 27 2017, 05:25 AM

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[quote=101011001,Jul 27 2017, 12:51 AM]
Thanks @slimey for taking the time to reply. You seem to be in this line. Perhaps, I have not elaborated enough on my dad's conditions. He was 70. He was able bodied and could move on his own. He had been put on palliative care for liver cancer. Let me elaborate on the palliative care. We got a wheel chair and O2 machine from the palliative care which my dad rarely used. The nice and kind nurse would do house visit every month to check on my dad. Nothing serious in term of his condition. The liver cancer was diagnosed solely based on AFP and ultrasound only. No MRI or CT scan was done as the scan would affect his kidneys. Please don't get me wrong. The kidneys were functioning. In fact the same week before he passed on, we got the report from BP Healthcare that his kidneys were improving. The creatinine was at 210umol/L compared to 363umol/L in Feb this year when he had been diagnosed with liver cancer.

My dad had been prescribed with Tramadol but he never took it. Not even once.

He was due for "fluid removal" from his tummy the next day but he could not make it as he was already unconscious. It was merely a couple of hours before he became unconscious from 11.30PM the night before to 4AM when he called for the nurses. My dad's weight about 100kg so I could understand the nurses might not be able to support him to the toilet but no one bother to find out why he became weak to the extent that he needed help to go to the toilet.

I can see that doctors seem to take into consideration the fact of being on palliative care in their decision. Perhaps it was a mistake on our part for showing the palliative care card to the hospital?

The suffering was rather the effect after he became unconscious in merely a couple of hours and the low blood glucose that had been gone unnoticed till late afternoon. One will die eventually but we didn't expect him to go in such condition which could have been prevented. Perhaps it was fated that he had to go.

Thanks @Lionel90.
Thanks @powerlinkers for taking the time to reply. Please don't get me wrong. This is not blaming game. We accepted the fact that my dad is no longer with us. He had gone and nothing would change it. Posting here will not bring him to life. I agreed with you the treatment would have cost us everything if not because of government hospital. We are grateful to the hospital. What happened to us doesn't represent the hospital as a whole. There are still good doctors and nurses around. No doubt about it.

But in this case, the hospital could have been more ethical and professional to prevent the losing of unnecessary life. Prolonged hypoglycaemia can kill and it could have been prevented if found out earlier. What happened to our dad could happen to anyone's else. I am doing my bits hoping that things would change for the better at hospital. No compromise and no room for mistake even though it is government hospital where the people only pay RM1 agreed?
*

[/quote


With all due respect, you are in denial phase. You are unable to see the whole picture even when people try explaining to you.

You should consult a psychiatrist.
cfa28
post Jul 27 2017, 06:15 PM

Look at all my stars!!
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Condolences for your loss.

You're better off posting this on FB and asking your friends to share and make it viral.

There are good stories from public hospitals and there are also bad stories. Unfortunately your story is bad.

You should consider to see a mental health professional but not In this same hospital to help you overcome your grief
SUSslimey
post Jul 27 2017, 09:57 PM


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QUOTE(101011001 @ Jul 27 2017, 12:51 AM)
Thanks @slimey for taking the time to reply. You seem to be in this line. Perhaps, I have not elaborated enough on my dad's conditions. He was 70. He was able bodied and could move on his own. He had been put on palliative care for liver cancer. Let me elaborate on the palliative care. We got a wheel chair and O2 machine from the palliative care which my dad rarely used. The nice and kind nurse would do house visit every month to check on my dad. Nothing serious in term of his condition. The liver cancer was diagnosed solely based on AFP and ultrasound only. No MRI or CT scan was done as the scan would affect his kidneys. Please don't get me wrong. The kidneys were functioning. In fact the same week before he passed on, we got the report from BP Healthcare that his kidneys were improving. The creatinine was at 210umol/L compared to 363umol/L in Feb this year when he had been diagnosed with liver cancer.

My dad had been prescribed with Tramadol but he never took it. Not even once.

He was due for "fluid removal" from his tummy the next day but he could not make it as he was already unconscious. It was merely a couple of hours before he became unconscious from 11.30PM the night before to 4AM when he called for the nurses. My dad's weight about 100kg so I could understand the nurses might not be able to support him to the toilet but no one bother to find out why he became weak to the extent that he needed help to go to the toilet.

I can see that doctors seem to take into consideration the fact of being on palliative care in their decision. Perhaps it was a mistake on our part for showing the palliative care card to the hospital?

The suffering was rather the effect after he became unconscious in merely a couple of hours and the low blood glucose that had been gone unnoticed till late afternoon. One will die eventually but we didn't expect him to go in such condition which could have been prevented. Perhaps it was fated that he had to go.
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seems that you are too hung up on the hypoglycemia and missing the big picture.

again :
1. what's the cause of shortness of breath? in absence of signs and symptoms of infection, most likely it is the cancer.
2. what's the cause of hypoglycemia? the common cause in diabetic to have hypoglycemia is the overdose of insulin/antidiabetic drug or intake of the drug but with no intake of meals.
in the absence of those causes, the most likely case in this scenario is the liver cancer itself. the liver is a very important organ in gluconeogenesis which is a important pathway of glucose control.

if the cause of the hypoglycemia and shortness of breath is the cancer, and the patient is already in critical condition, there's no real role for oxygen administration or intubation or shooting dextrose to raise the blood glucose level. it will just prolong the suffering.

but, what i said here are just based on the assumption of what's the likely/possible scenario that happened, i can be wrong.
i personally think it is not right to go on the internet or viral stuff like this with no real knowing of what's happening.

either :
1. go talk to the doctor in charge (the specialist/medical officer).
2. or get a lawyer and a order to acquire the medical case notes, and proceed with legal measures.
Chrono-Trigger
post Jul 27 2017, 10:32 PM

PERPETUAL BEWILDERMENT
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sorry for your loss TS, and i hope you can get through this tough period of your life.

This post has been edited by Chrono-Trigger: Jul 27 2017, 10:34 PM

 

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