Hi-
I have read your notes carefully. What is your question?
I understand your frustrations... she is lucky to have such a vigilant (and knowledgeable) mom...
Well, if her HTN is from pre-eclampsia, it usually resolves once the baby is born, sometimes it takes about 1 month. She may or may not require treatment. However, I would certainly treat a BP of 177/110.
Protein should definately be checked in her, as well as liver function tests
Sugar is usually checked in pregnant women for gestational diabetes
The weekly checks are done when a pregnant woman his 36 weeks.
She should be seen by a physician or midwife daily while she is in the hospital- it is a requirement for billing. They are responsible for seeing her in the hospital. Once she leaves though, she needs to find her own follow up for 6 weeks.
I would definately ask to consider these questions and I think that you, as her mom, should stay as involved as possible. Congratulations on your grandbaby!
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Thanks for your reply. What is she to do when no one IS SEEING her while in the hospital? She is still there (48 hr min stay I guess in fla for vag. del) and she has seen NO ONE since delivery. The floor nurses are doing fundus checks, etc-baby has seen a pediatrician-but no one, seriously, no one, but the floor nurses-and that's a stretch, have been in the room. Now let me find someone's note in her chart claiming they were there for billing. I understand about the pro and sugar, the point was this clinic never checks, and only started seeing her weekly at 38 weeks because she questioned them. I've not heard of mothers-to-be not giving urine specimens each visit, let alone monthly visits to 38weeks. They never treated the bp aside from 'lay on your side honey' and are not now either. So being as no one has seen her since delivery just after midnight 3/20, should I call risk managment and see if they can find a doctor??
I would contact the charge nurse and ask what is going on. Sometimes the doctor DOES see the patient, but the patient is not aware that it is a doctor (particularly if it is a female doctor).
Risk management does not need to be involved- they are used for bad or unexpected outcomes. The charge nurse would be able to tell you when the doctor has seen her (or when is expected to).
Doctor
American Board Certified in Emergency Medicine
Why don't you contact the adminstrator on call- they might be able to help you
I understand your frustration. It is negligent that those things have not been done. You can certainly make a complaint to the Florida Medical Board, I would encourage you to do so.
However, if you are thinking of suing the hospital, it may be difficult if there has not been an adverse outcome- you need to prove damages.
If you have any other questions, please don't hesitate to ask.