FYI Locking Plates, Distal Radius Fracture

Here are some other locking plates. See any screws sticking out?Internal Fixation of Dorsally Displaced Fractures of the Distal Part of the Radius: A Biomechanical Analysis of Volar Plate F...

Pleasant woman in No Distress

In the report below please note under "General Condition: No distress." Also note when this document was allegedly signed. 10:00. The surgery was to start at 9:30. Why am I being evaluated at 10:00? At 10:00 I was already struggling to fight off the Versed. Also, quite contrary to every other piece of paper, my wrist is described as having "sig. deformity." This is the only time that my wrist has been described thusly. Everywhere else, there is "no visible or palpable deformity" and only "mild to moderate edema."

In the report on the right it once again states plainly "GENERAL: She is alert and oriented to person, place, and time. MOOD PLEASANT. Affect appropriate. She is in NO DISTRESS." (italics mine) So why was I given Versed? This also substantiates my claim that I was just fine before surgery.

Here we have an assessment of my mental state. Please note that none of the boxes are checked with a "Y." I wasn't anxious, depressed, didn't have ineffective coping, cognative impairment, I wasn't withholding information, had no attention seeking behavior, no disruptive behavior, no delusions/hallucinations, no potential for self inflicted injury, no other, etc. The only one marked is this one "Do you feel concerned for your safety at home? "N" Funny I was just fine here, but AFTER surgery I was obviously a nut case... I have no cognative impairment, but oddly one of the CRNA's said that I had "moderate understanding" along with "anxiety."

I am going to show medical records in here which show that I was a pleasant woman in no distress. You can tell by the tone of this blog that this is no longer the case. I will also show how I woke up. I will point out glaring deficiencies in these reports. They are from the day of surgery... Here we have on record from the hospital that "The patient is a pleasant 51 year old female..." Also of note is the erroneous statement that I sustained a "fall from a horse landing on her outstretched left wrist." This is all wrong. I was knocked down and then rolled over my arm in an awkward position! I didn't land on my outstretched wrist. Here it also shows that we had "SIGNIFICANT discussion of the risks, benefits, and alternatives. NOT TRUE! It was never revealed to me all the problems with this surgery, or the fact that this Dr. refuses to work on conscious patients. He didn't even tell me where the incision was to be. Silly me I imagined an oblique entry rather than slicing through my tendons. The alternative of an external fixator was never mentioned. The loss of the use of my hand was never mentioned. The risks of tendon injury from the devices was never mentioned. The benefit was supposed to be that I would work again... More on that in another post. Here I am, a pleasant female without history of depression or anxiety. Also of note, my descriptions of problems with anesthesia are not shown. I guess that paradoxical reactions are just a problem for the patient and not worthy of mentioning at all.

More incomplete charting and more lies

Here is the preoperative report. Note that it says that I have no history of problems with anesthetic. This is a lie. I went into great detail about my paradoxical reactions to anesthesia, my previous 4 open reductions of my femur 2 without general anesthetic (none with sedation), the reasons why they did it that way, right down to the hair loss. This is completely missing from my chart. They only list my tonsillectomy (my bad paradoxical reactions not even mentioned although I told them all about it!) and my c-section, for which I was NOT knocked out! I explained in graphic detail all the problems that I had with the first 2 femur surgeries when they used general anesthetic, along with the fact that I had an epidural and stayed awake and chatting with the operating team the whole time the last 2 times. I told them that the anesthesiologist for the femur surgeries said that I fought them the whole time under g/a. He was more than happy to have me awake. Why do you suppose that entire conversation and any allusions to it or a broken Femur are missing? HMMM?

I don't have ALLERGIES to anesthesia. I guess paradoxical reactions, waking up in restraints, depression, hair loss etc. are the patients private problems, not a problem for health care providers! They could care less. If you do not die, then it's just ducky with them.

Look what Aaron put at the bottom. "Alert pt. prior to GA if necessary." I didn't say to ALERT me. I said we would have a discussion about how best to proceed if THEY thought it would be necessary. I informed him that an additional local anesthetic such as procaine or pain medication would have to suffice. AT NO TIME DID I GIVE PERMISSION IN ANY WAY SHAPE OF FORM FOR SEDATION OR G/A! I TOLD him that general anesthetic was NOT going to be necessary, that we would just have to figure it out if the block didn't work. What I didn't say precisely (not that it would have worked) the magic words "under no circumstances." I thought that a simple "no," along with not signing an informed consent (or any consent) for this kind of anesthesia would suffice. I would have signed out AMA before I risked death etc. for a stupid broken arm. The Versed prevented this...

It also states at the bottom that the "Plan and Risk of Anesthesia explained to the patient/guardian; understood and accepted. This is a false statement. Yes they explained that they desperately wanted to give me general anesthetic, but I vigorously declined this! How dare they simply state this as a fact! Where is my signature stating that I accepted this? What risks were explained? I don't see any risks outlined! The hospital was cited for this. What about the risk of DEATH just to fix a broken arm? What about the risk of brain hypoxia and PTSD from their sedation. See anything at all about SEDATION?

Also on this page is an "Evaluator Signature" Who the hell is this now? Nobody knows. This is in violation of patient right laws which state that the signature must be legible. It also violates the law in that this person was never explained to me, he and his job are not listed as one of the people involved in my care. Course there is no list at all about anybody... The hospital was cited for this one. I have a right to know who is performing any tasks.

I also want to point out that nobody offered me a Bier block. See the boxes in the corner. This is the block I had to remove the hardware before I became a cripple. The Bier block worked PERFECTLY! There was no need for the dangerous and inconsistent Axillary block! No "need" for general anesthetic and positively, absolutely, no need for Versed. It is as a direct result of being poisoned with Versed that I had this horrible, unnecessary and controversial surgery at all.

Also note that the DATE is wrong. Could this be a replacement chart? It is dated the day AFTER surgery. I wasn't anywhere near this place on that date. My age is also erroneously listed as 55. I won't be 55 until next year and this was 3 years ago. I am also NOT 15'6" tall. My goodness that would be some kind of trick wouldn't it? My records are replete with false, manufactured, erroneous, incomplete and incorrect data.

Medical Records Omitted

In my chart from the hospital there should be a graph of my heartbeat and respiration. I have a piece of one that shows a sharp drop to the bottom of the chart, but I can't read it. Could I have been walloped with Versed to the point that I now have brain hypoxia? I warned them that I have paradoxical reactions to anesthesia agents, were they trying to knock me down? I wasn't the slightest bit nervous or anxious prior to the Versed injection, but who knows what happened once they totally disconnected my brain. My memory is clear right up to the point that the CRNA took out my partial and shoved a tube down my throat. Is this when I crashed? I am including this chart here. This is also the chart which contains the fact that I was given an additional 4 mls of Versed post surgery. I was in the hospital for 7 HOURS for a 70 minute operation. My BP crashed to 80 over 30 for half an hour. They gave me 1400 cc of "Crystalloid" why is that? Here is a studySecondary Abdominal Compartment Syndrome After Severe Extrem... : The Journal of Trauma that shows how dangerous this is. What is 10cc of EBL? Why did the anesthesia stop so long after the surgery? Why in the hell was I given anesthesia at all? I wanted a nerve block and pain meds. There is absolutely no excuse for this! I had 2 mls of Versed preop, apparently 1 more ml at the start and 4 more before being carted to the PACU. They charged me for more, but since they refused to release my medication chart I have no idea. They don't show the Propofol injections, the timing of the Flurane gas, Benadryl, or any of the rest of it. I have no EKG charts, nothing.

Motion for Summary Dismissal

My case was thrown out of court even though I could prove negligence and harm. I have already gone over the singular problem with getting redress for my assault with grievous bodily harm. Nobody wants to take these cases. apparently GW passed some kind of law making it nearly impossible for us patients to use our civil laws. There is a movement afoot to protect doctors and nurses from prosecution in Katrina type disasters. They were so upset that they got caught giving patients Versed TO KILL THEM BEFORE THE DISASTER STRUCK that they have conned our elected officials into giving them immunity for this kind of murder.

If you are in the health care field, do not bother posting and saying that these kind people were just trying to help. Do not even try to argue that they used Versed and an opioid. Versed alone in sufficient doses will kill you. That's why you have to be trained in airway management before you can inject Versed. In fact Versed is such a potent poison that you can only use the tiniest amounts and even then you must inject it slowly in order not to kill the patient. I don't care how many other drugs can kill people, this one is the worst of the bunch.

Anyway, my case was thrown out because judge Lansing Haynes said I didn't prove "causation." You would think that that meant the my case had no merit and deserved to be thrown out, wouldn't you? Actually it means that judge Haynes gets to sit up there and claim that since you didn't pay an expert witness their 25,000 dollars, that the case has no merit. You can bring in all the proof that you want, x rays, letters, medical reports etc. and it won't do you any good. You have to have deep pockets to get justice in this country. This judge very clearly stated that I am to be held to the highest standard of attorneys, representing myself. ( remember I am just a moron truck driver) The Dr. gets to slide. He is not held to a standard at all. The Dr. isn't held to any procedural deficits in his care, but the truck driver trying to get justice for an attack IS!

I had to sit quietly and listen to the attorney for the defense, Mr. Sestero go on and on about how Ms. Murray ADMITS that the anesthesia provider was not an employee of Dr. M and that Dr. M had no control over him. (the LAW says otherwise) I couldn't believe my ears! Then Mr. Sestero went on about the second Dr.  I saw trying to convince me that the screws had come out of the bone because of this "bone shrinkage" or "settling." The rest of Dr. V's statement was that he hadn't seen the x rays of my arm immediately after the surgery, or from Dr. M's office which clearly showed that this is exactly how Dr. M installed them. There was no change, no shrinkage, no settling. Either Dr. V was deliberately trying to protect Dr. M or more likely (I hope) Dr. V couldn't BELIEVE that another Dr. would be so careless as to install these screws like that.

Judge Haynes didn't allow me to read THE REST of Dr. V'sstatement where he admitted that he had never seen the previous x rays. I asked. There were also many many inaccuracies in my medical records which I was not allowed to address. I guess whatever lies Dr's put down in their reports are gospel. Since when have Dr's never told a lie? Seems to me they lie A LOT!

I was allowed to read the laws which pertain to "informed consent" into the record, along with the laws which clearly state that regardless of the anesthesia nurse not being an employee of Dr. M, that Dr. M IS, BY LAW, IN CHARGE OF THE ANESTHESIA NURSE. I heard Dr. M order Aaron to "put her out." He WAS in charge of the damn arrogant little nurse. It's the law, and apparently not even the attorney for the defense knew the law. You still think that they care? They don't even know the law, and why should they, it didn't matter anyway.

As a small consolation I observed Mr. Sestero making notes as I was reciting the laws in court. I hope he was writing down what I was citing for future reference so that nobody else has to sit there helplessly and listen to the attorney for the defense make their case for them, after the judge has ruled that there is no case. Mr. Sestero by his own testimony in court showed that the laws had been broken and that there was complete ignorance of the law, seemingly even by himself, a "super lawyer." Ignorance of the law isn't a defense for us normal people, but it is for the exalted Dr.s.

Mr. Sestero brought up that my regular Dr. put in my chart that I had been previously diagnosed with PTSD! This was quite a surprise to me. I remember him asking if I had ever heard of PTSD and I said yes I had heard of it. He said that is what was wrong with me now. I never said that I had been diagnosed with this before! It doesn't matter anyway because Dr's are infallible truth tellers. Don't ever take for granted that what is in your chart is true and accurate. You have the right to amend your chart. Take advantage of this and regularly check. In my case the clinic that I go to refused to allow me access to my chart, in violation of the law. Is this just one more law that nobody knows about and nobody enforces? I had to purchase my records or pay for a doctor to go over them with me. They feel it would be too upsetting for an "untrained" person to view their chart, but it's OK as long as I PAY to look at them. I listened to this dumbfounded. How can I ever trust another medical provider?

I brought the skeleton arm with the hardware that my doctor installed as shown in another post, all the x rays, medical reports on how the surgery I had is best performed the way I wanted it with a nerve block instead of with general anesthetic. I brought excerpts from medical journals showing where Dr. M had gone wrong, the proper placement of screws, warnings about revealing possible tendon injury to the patient etc. I brought Dr. V's ENTIRE statement. I brought the medical records from the Dr. that took the implants OUT of my arm, without Versed or general anesthetic. I brought copies of all the laws that were broken by Dr. M and the rest of the staff. I brought copies of the citations from the Idaho Board of Health and Welfare. I wasn't allowed to use any of it. It's PROCEDURE that matters not substance. You either pay somebody tens of thousands of dollars to state the obvious for you or you are out the door.

The attorney for the defense didn't seem to know the law as it pertains to "informed consent" documents. He seemed to have no clue that the alleged informed consent which I had signed was actually not legal. It didn't contain all the things required by law at all. It actually only had the first 3 things, my name, the name of the procedure, and the Dr's name. The whole rest of the document was in violation of patient rights law. Even the way it was obtained was illegal. Did it matter? Hell no. JUDGE HAYNES REVEALS THAT MEDICAL PROVIDERS DO NOT HAVE TO FOLLOW THE LAW, AND IT DOESN'T MATTER IF YOU HAVE BEEN INJURED BY CARELESS ILLEGAL ACTS BY MEDICAL PROFESSIONALS. RES IPSA IS MEANINGLESS! Any questions?

My case for summary dismissal was heard on September 3rd 2009, at 10:00 in Judge Lansing Haynes courtroom at the Kootenai County Courthouse in Coeur D'Alene Idaho. I assume that this is public record and anybody can research it or get a copy. As soon as *I* get a copy I will put it up here.

Versed, Stress, Drugs and Hair Loss

One of the odd things that nobody in the health care field cares about is HAIR LOSS. You have heard about it with cancer drugs, but did you know that this is a common problem with any number of drugs? I have not been able to find any studies on this but for me and some of my friends, anesthesia causes hair loss. Maybe it's a symptom of being poisoned? I have also found references to drugs like Propranalol (Inderol) mentioned elsewhere in this blog causing hair loss. Do you wonder, like I do, what other things are going on in your body subsequent to being poisoned? If these drugs cause hair loss are they also causing more hidden problems? Can they cause sloughing of cells in saaay your BRAIN! How about kidney function? Heart problems?

For myself, every time I have had general anesthetic, I end up with hair loss. On the one hand, I have tons of hair, so I haven't gone bald, but on the other hand my luxurious thick hair has always been my signature. Ever since I the Versed incident I have had a huge die off of hair follicles. Three years later my hair is getting very thin. I have to get it cut in shorter and shorter styles. In another couple of years I guess I will have to wear a wig. My long beautiful hair clogs the drain when I wash my hair. It clogs the brushes I use and it even clogs up my vacuum cleaner. My hair covers my pillow when I get up. Maybe this is just ducky for health care providers, but it isn't just fine with me. Anything that kills off the scalp is not something that should be injected into patients on a whim.

ALL patients are being over medicated these days. There is no reason to use Versed for the convenience of the staff. There is no excuse for using general anesthetic for minor procedures. They can take their Propofol and stick it as well. I can see maybe using some of this ( EXCLUDING VERSED!) for open heart surgery, but for dental work, fractures and colonocopies? Are you kidding me? My body has been poisoned and it is showing itself by hair loss, memory loss, anxiety and obsession with the drugs in particular Versed. Versed is not safe, short term or long term. Not even for your hair!

Nurse Jacqueline's role

I honestly thought that the nurse Jacqueline was on my side. I even called the hospital to thank her. I thought that right up until the time I read the intraoperative report. Those bastards gave me 4 MORE MLS OF VERSED AFTER THE SURGERY WAS OVER!!!!!! What the hell were they thinking? What is the point of vandalizing my brain again, with a HUGE amount of Versed all at once AFTER SURGERY? Did they take heed of my paradoxical reactions only to the point of drugging me further? Why did they do this to me? This wasn't just one bad actor in this particular medical clinic, it was "standard of care" to deliberately and maliciously drug people. Is it that giving me this much MORE Versed would keep me in the PACU longer? More money for the hospital? There was no reason to do this to me and it didn't work anyway. I woke up in a towering rage, LOOSE IN THE PACU! I was trying to attack people! My own husband says he was scared of me too, when you guys went and got him! Jacqueline, I trusted you! I thought that you were my advocate! When you were laughing at my distress, I thought you were laughing because the nasty little CRNA was going to be in trouble! The horror of this will stay with me the rest of my life! Is this why you got into nursing? So you could traumatize people and laugh at their unhappiness? How could you do this to me? YOU, JACQUELINE, are the one who injected this enormous amount of ADDITIONAL Versed into my IV! Why? Was I already out of control, just like I warned you about? Why didn't you tell Aaron (CRNA) to shove it? You were there, was I fighting the general anesthetic like I told you I would? Is that why my surgery turned out so badly? I didn't even have one person on my side. Apparently even you, my favorite nurse, were only to happy to inject me with poison. I know you have seen this reaction before. Didn't you care that my life as I knew it would be over? I am crying as I write this, I hope you are happy.