Category: | Hospital |
Address: | 1139 E Sonterra Blvd, San Antonio, TX 78258, USA |
Phone: | +1 210-638-2000 |
Site: | sahealth.com |
Rating: | 3 |
Working: | Open 24 hours Open 24 hours Open 24 hours Open 24 hours Open 24 hours Open 24 hours Open 24 hours |
MA
Marshall Beggs
WARNING.. DO NOT UNDER ANY CIRCUMSTANCES allow this hospital to treat your baby if born prematurely. My wife and I had chosen this hospital based upon the convenient location, delivering doctor’s choice, and nice appearance. My wife and I then were hit by a car and taken immediately to MSO. My wife was 30 weeks pregnant and immediately noted our son had a significant reduction in movement (Sign of fetal distress number one!). Upon arrival at the emergency room the attending doctor visited with us, minimal exam was performed, a fetal heart rate was documented as normal, lab work drawn, and an abdominal ultrasound confirmed a viable baby with no obvious signs of placental tear. The doctor planned to discharge us then when we saw an associate from our OBGYN that stated they would at least keep us overnight to monitor. My wife continued to exhibit severe lower back pain in addition to the same decreased fetal movement. That following day the attending doctor said despite the decreased fetal movement and pain my wife was in she appeared to be stable and wanted to discharge us. She continued to experience what we now know was back labor. That next day around noon nothing had changed to our knowledge and once again they planned to discharge us when she starting having documented contractions. A fetal heart rate monitor was placed and in that next 24 hours a repeat abdominal ultrasound was done, MRI, repeat lab work, etc. and then eventually after watching my wife endure so much pain they told us our son’s heart rate had dropped significantly and we needed to perform an emergency C-section. I was suspicious that they noted this when the specialist arrived however the fetal HR monitor in our room had not changed in the past hour! What lay in front of us was a litany of disappointment, poor excuses, misrepresentation, false promises, and a flat out lack of standard of care. In hind sight when the records were reviewed it was actually noted she had lost a significant amount of blood indicating a placental tear (Sign of distress/need for c-section # 2). This news was NEVER shared with us. Our son was kept in the NICU for almost 8 weeks. We maintained very direct contact with the personnel, supervisors, etc. and they assured us they were equipped to handle a neonate at his age and health concerns. This was a lie. We were later told she should have been transferred immediately. As a doctor myself we saw several warning signs from the beginning however through several direct follow up discussions we were assured things would be changed, monitored more closely, etc. I will not go into the details of our stay but I assure you we found out we had been misled. They eventually discharged us when my son was failing to gain weight, not eating properly, and still having bradycardic episodes with NO referral or follow up recommendations. I asked them personally if they were comfortable releasing him with such documented issues. Of course they were! Once we were able to get into a gastroenterologist the doctor was appalled no earlier consultation was made by the hospital. My son then needed a major abdominal surgery in addition to having a feeding tube being placed and more hospitalization. In short after the official medical record had been reviewed by expert doctors they had concluded my wife’s delivery had been grossly mishandled. I have specifically not written about this until now and only now because I have heard from current parents with all to similar situations that did not have this warning. I am not one to sling mud and I understand people make mistakes. As a doctor I also understand that you have to do the right thing for the patient every time and when there is something out of your field of expertise then the right thing to do is refer to a specialist. Do not be fooled by this hospitals appearance, their charm, or their location. Please don’t make the same mistake we did.
KE
Kelly Hamby
I went into this ER yesterday for severe upper abdominal pain and major GI issues. Beautiful lobby, but a cramped triage area. (I was never placed anywhere further than that, so I cant speak for anything beyond the pre-ER? area, except radiology.) For broken bones, curtains between beds is fine, but for a more personal issue like mine, it felt like a privacy violation to discuss the multiple health problems I was concerned about last night. The x-ray tech was very nice, as were the nurses & admissions personnel, but there were too many people tripping over each other & interrupting one another. They never got my list of current meds, an accurate health history (at least a GI-history would have been comforting) & I didnt feel like the doctor listened well enough to understand something that is a major new development for me in my GI tract. They did run several tests, but there was no real physical exam other than 4 spot-checks with the stethoscope & a pulse read. The doctor also pinched my leg to check elasticity & said I appeared a little dehydrated, yet I almost had to beg for a saline bag as she was prepping to discharge me with a magnesium citrate drink. This is sad considering her own comment and other signs of my dehydration such as dry mouth, headache, loss of concentration, loss of elasticity in my skin, and the simple fact I told the nurses & the doctor I had not been able to drink more than 3 fl oz at a time without wanting to vomit (so I wasnt drinking) and I had eaten very little since last Saturday (7 days). Additionally, I hadnt had any lower GI activity since Monday (5 days). Even though my blood work may not have indicated dehydration, there were other signs visible to contradict that finding. Thankfully, they gave me a small 500ml saline bag & then I went home. Four hours following those fluids, I think I urinated about 1/8 of what they provided. Today, after the mag cit drink the doctor prescribed, I remain where I was pre-hospital visit, except now I have an excoriated bottom where some of the citrate leaked through & extreme nausea to add to an already miserable GI tract. What do I do now? I guess Ill just wait until Monday when I can talk to a doctor who will listen to my full story. If this hospital would like a suggestion, fix your triage area & train your staff to ensure they have everything they should to ensure a safe & accurate diagnosis. Also, be sensitive about patient privacy and dont forget those are real people you are dealing with in there. Despite some excellent personnel, this ER left me feeling like a forgotten nuisance and will not be among my preferences for future emergencies.
IV
Ivon Garcia Gonzalez
The experience was horrible after the surgery was done and we were in the room. The morning shift nurses specially Trace and PCA Virginia made us feel like we were asking for too much, when the patient was asking for juice or something to drink. They kept on telling us to call room service and were arguing the whole time between themselves because that was not their jobs. The nurse was going to send us home without any prescription for pain meds since the patient didnt want to be on the morphine any longer according to her "he didnt wanted any meds", our family member kept telling her the prescription for pain meds had nothing to do with not wanting morphine. Usually is standard protocol to leave any hospital after a surgery with pain meds and antibiotics, we finally got the pain meds and a muscle relaxer after asking and asking. We heard an argument were the nurse was breaking protocol and that happened with a hernia surgery patient too, were the nurse started the discharge process and send the patient home without the proper prescriptions because they forgot to ask the doctor. The curtain in the shower had some blood and the tile in it too, the morning PCA and nurse never helped the patient walked after he had the orders to start walking from the PT. To finally get him out from the point that he was resdy to leave to when he was finally in our car took about another hour for the valet/wheelchair to arrive. And the process to get the discharge papers took about 3-4 hours to complete. The nurse and PCA kept asking if I was completely sure to leave. Once they said I was ready to leave, I still had my IV, I had to call the nurse to get someone to take it out. The PCA came in to get it out, drop a glove on the ground, didnt wash her hands and used the same glove to get my IV out. She paged the nurse to ask if it was ok to get the IV and didnt receiave any response. At least she shouldve grab a new clean glove instead of using the one that was dropped on the ground. The night shift PCA Ms Young, was great and very attentive and helpful. She offered to give a bath and was keeping up with making sure he had enough water and liquids to ensure he kept hydrated. The nurses and everyone before the surgery were amazing, very thorough, attentive, friendly and overall great. The Doctors were amazing and made us feel at ease with the whole process answering any question we had. Everyone in the admissions from surgery have awesome customer service and great bedside manners. Im giving an overall of 3 starts, 5 to the surgery department and night shift and 1 to the morning shift. Making an average of 3.