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Can Someone Help This Hernia Victim?

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joeclarke

New User, Becoming EHEALTHy
Joined: 26 Jan 2005
Posts: 2
Location: akron ohio
Can Someone Help This Hernia Victim?
Posted: 01-26-05 17:50pm

Webpage is at http://snyder.Sitesled.Com/ouch /



richard a. Snyder (45 years old)
ras1us@n etscape.Net

hernia documentation page:

surgery performed at summa medical

akron city hospital

i guess I should start by telling how this whole mess started, then let people make up their own minds. All I wanted was fixed, but now no doctor wants to talk with me and no attorney will return my calls.
It was the first part of november in 2003, and I purchased a shop press that weighed 250lbs from a tool outlet. I did not take my truck because my elderly uncle wanted to go, and he can't ride in a rough riding 4x4

when I arrived home, I had to park in my lower driveway. Since I have moved weight twice this weight, I felt I could lift this press with no difficulty. I lifted the press from the trunk, and carried it over to the garage that is about 80-100 feet from the car. I had no trouble until I went to lay it down.

While bending over to place the box on the floor, I felt my chest literally rip apart. I went down to my knees and was clutching my chest for nearly 45 minutes. I thought I had a heart attack. Since I had no insurance, I just waited until the pain subsided and decided to monitor my own condition. The pain let up about 45-50% after 45 minutes.

I decided to soak in a hot bath to see if it would do any good. When I tried to get out of the tub, I noticed a bulge from my breast bone to my navel. I knew right then, that I had my chest rip apart and I had the starting of a serious problem. Possibly a hernia. I continued to monitor the situation and the bulge kept getting larger, then finally it exploded out of my navel. I knew right then I had to consult a doctor. My family doctor did exactly what he should have done, and sent me directly to the hospital. They did surgery in less then 4 hour after I entered the building.

The only problem is that the hospital ignored everything that I told them, and only fixed the navel part of my hernia. I even went back and they refuse to admit that more should have been done while I was in the hospital. I told them all of the above and no one in that emergency room would even listen to a word I had to say. There was never a cat scan or mri performed, and only an x-ray was taken.

I am now almost bed ridden for most of the day, and vomit every night unless I sleep in a total upright position, or lay face down on a pillow so it keeps my stomach inside where it belongs. The medical facility even went as far as trying to diagnose me with a condition that happens in newborns, and women that had their stomachs stretched by having to many children. This should anger anyone that reads this as much as it angers me.

Please read on, and ask yourself: how can something like this happen to someone in 2003-2004?


These are photos before surgery

1 shows how hernia and whole belly area was inflamed.
2 shows a closer view
3 shows how belly appears when head is elevated off pillow
4 relaxed state shows almost normal condition except for slight swelling,
5 slight stress shown (as if rising from the bed normally)
7 umbilical hernia shown when strain was applied as in rising from bed
8 shows belly from different angle when trying to rise from bed.
I, richard snyder took his mother to the doctor on 11-14-03 and showed the doctor, which is my own doctor also, the problem. He said to go to the emergency room asap. I had to wait until the next day to make arrangements. I took the above pictures the day of the surgery before I left for the hospital. I signed in the emergency room about 10:30am on 12-15-03 and went upstairs to have the surgery at 4:30pm the same day.

After the normal wait which was expectable in a hospital room, I constantly tried to bring the attention of the doctors to the extent of the problem, but it seemed they would only focus on the umbilical part of the hernia. I tried to show them how I had a bake-potato sized problem in my chest, but every time I tried to show them, they said not to strain because the hernia that was actually sticking out of my umbilical cord area could rupture and cause immediate problems.

I repeatedly told the many doctors that came in the room before emergency surgery about the larger problem, but it seemed no one would listen.

I now have gone from having an ugly bulge from my belly button that was sore to the touch, to having to roll sideways to get out of bed, and having to almost give myself diarrhea to go to the bathroom. Every time I strain in any way, the upper part of my stomach hurts for hours afterwards. The area where they operated is mostly pain free.

This hospital fiasco has left me totally unable to conduct even minor daily activities without concern of the un-repaired hernia will explode causing another hospital visit

these are after surgery shots

9 shows 2 days after surgery. Belly was swelled and incision was 6" long
10 shows semi-relaxed state
11 shows how bulge is even more pronounced after surgery
12 shows after surgery, under slight strain, how huge part remains un-repaired.
The whole idea of having to bring possible legal action sickens me, and if I had never mentioned the larger problem I had, I could see how it could be missed, but I told everyone that came around me of the larger problem, and now I am in worse shape then before. This is pure negligence on someone's part, and now I am left with a climbing medical bill and no way of working. This area is now very painful when I strain even the slightest.

12-16-03:

after a visit to my family doctor, he suggested I return to the surgeon that did the original surgery and discuss the pain I am in. He even wrote out the following referral slip.

Referral slip
i am awaiting a return call from attorneys to give me guidance on how to proceed. I am very hesitant to return to the same surgeon and medical service because of the neglect I received in the first place. I also do not want to be blindly tricked into signing something that will forfeit my rights.

12-17-03:

called compass medical as advised by Dr. Gary pinta, attorney paul perantinides, and was set an appointment on january 8, 2004 at 8:30am.

Compass medical required me to bring a picture id, and the following signed statement of financial disclosure.

Financial statement
i then received a call from antonios p. Tsarouhas from the perantinides law firm to discuss my situation. He also stated I should follow through with the above advise, and then keep him updated on my progress. He was very understanding and listened to all of my concerns. I told him I would contact him, most likely by email after my visit to the compass medical on 1-8-04.

12-31-03:

received by mail:

the following documents were sent by mail, that I do not fully understand. I do not understand how I can apply for a discounted rate of payment when I know I have absolutely no means of payment, and will not even be able to evaluate the means of payment until I find out if these people are going to repair the problem they missed in the first place. This problem should have been repaired when I was in the hospital in november of 2003 but was totally ignored, and I am quite unsure if the problem will be adequately addressed this time either. Now I am in worse shape then I was back then. I must therefore say that any paper I sign from this point on, I do so, not knowing what I am signing. I will sign any paper necessary to receive the medical attention I was denied in november of 2003. I must therefore make the statement that I am signing these papers under duress because I am in constant pain and must do anything in my power to get the medical attention I so direly need.

Cover letter
compas form
summa 01
summa 02
summa 03
summa 04
summa 05
1-8-04:

went to compas medical for 8:30am appointment. Was seen by michael cullado. He stated he felt there was no hernia in the area of the huge bulge. I then asked him if there was no hernia, then why was the huge bulge protruding from my chest whenever I attempted to raise from bed, or get out of the bath tub, and hurt whenever I did any kind of walking or work of any kind? He then stated that I might need a cat scan and/or mri. I asked him about a procedure they call screening. He said it was a very painful procedure and has a very high failure rate that leaves people in worse shape then they originally were in. (side note: according to the mayo clinic online, a procedure of screening has a very high success rate. Just the opposite of what the doctors at compas said)

he then stated that he wanted to get the other surgeon in the office to take a look at me. I did not get the other doctor's name. He asked me to move and try to get the bulge to appear as large as I could. I asked him to lower the table flat. I then moved as if I was trying to get out of bed. The bulge was very apparent at that point. Then the second doctor said: (ah....Now I see) he then made the statement that the problem was not a hernia, and just a weakening of the tendons that run up the front of my body. I then asked him if that was what was causing my pain. He stated that he did not know, and that the area in question should not be painful. I asked him what I should do? He said that he was just a surgeon, and his surgical opinion was nothing could be done at this time. I told him that the pain was what caused me to seek medical help in the first place. He told me to contact my general practice doctor and let him make the decision on what my next move should be. I asked him in so many words, if this bulge is the weakening of tendons, would it not be advisable to get it repaired as soon as possible? He said no, that people go for years like that. I told him I do heavy work when I get work and it seems to me that this bulge is just a sign of problems to come down the line. He reluctantly said: not necessarily. He then said that he would forward his opinion to my family doctor.

The following show pictures of the bulge after I returned from compas medical that show there is a very pronounced bulge.

01_08_04/dcp_0390.Gif
01_08_04/dcp_0394.Gif
01_08_04/dcp_0395.Gif
i actually think they do not want to fix my problem because they ignored it in the first place, and now it is coming back to bite them in the butt.


------------------------------------------ --------------------------------------

personal research into hernia, and hernia related problems


------------------------------------------ --------------------------------------

5-18-2004: day before cleveland clinic

pic 1
pic 2
pic 3
pic 4

------------------------------------------ --------------------------------------

5-19-04: trip to cleveland



this trip started at 9:00am, and by the time my friend got me to cleveland clinic emergency room, I was throwing up into my handkerchief, and could not catch my breath.

Paraphrasing the conversation I had with the emergency room chief resident rakesh engineer.

Engineer said: "mr. Snyder... Why in the world did you wait 5 months from your follow-up with the surgeons in akron to seek help, seeing that you are as sick as you are?"

snyder: I have no insurance, and everyone in the surgeons office kept telling me there was nothing wrong with me, and since I am not a trained medical person, I decided to search the internet and gain enough information on my own until I found out what was wrong with me. Why would I go back and keep running up a bill when I knew they were never going to do anything but take my money. Everyone but the surgeons can see the bulge in my chest, so obviously I was not going to get fixed in summit county.

Engineer: mr. Snyder, you definitely have what appears to be a hernia in your abdominal wall that needs attention. Although you are very sick, and your condition needs attention asap, it does not meet the criteria of emergency surgery. To be considered emergency surgery, there would have to be bowel or internal organ obstruction. Seeing that the bulge in your abdomen protrudes, and retracts, means it does not meet the criteria of "emergency" condition. This by no means, is to say that your condition does not need further medical attention asap. I am going to talk to a surgeon, and refer you to him for further medical treatment.

Here is the documentation from the cleveland clinic:

page1
page2
page3
page4
page5 page empty but included for accuracy

------------------------------------------ --------------------------------------

5-20-04: day after cleveland clinic

i was going to call berenger's office in lorain to schedule a follow up appointment but I was so sick I could not even get out of bed. I spend the whole day throwing up following a simple ride to cleveland the day before.


------------------------------------------ --------------------------------------

5-21-04: friday & 5-22-04 saturday

i called and left a message on the machine and never got a return call


------------------------------------------ --------------------------------------

5-24-04: monday: I called the lorain facility directly and discovered cleveland clinic made a mistake, and that Dr. Berenger is a geriatric doctor and not a surgeon. They said there was a different berenger that was a surgeon but not at lorain, and the surgeon at lorain was robert c warren md. I was also informed that Dr. Warren was only in on thursdays and the next thursday was to soon for me to find a ride, the next thursday he was on vacation, so the appointment was made for thursday june 10, 2004

reminder1
reminder2

------------------------------------------ --------------------------------------

6-10-04: thursday: I had a friend take me to lorain to see Dr. Warren. I think we got off very badly, but after we both told each other we were not going to be pushed around by the other, then we got along fine. He was not going to be what he called second guessed, and I made it clear that I had certain rights and we were going to respect each other, and I would have the final say on what goes on with me, per ohio law, or we were going to part ways.

I think I made a mistake by telling Dr. Warren about what the diagnosis by name, that was given in akron compass medical, because upon his first entering the room, he asked me how my injury happened. Before I even finished, he right off the bat diagnosed me identically a akron did without even laying a finger on me.

He did say that I could have more then one problem, and it was up to me how to proceed. He wanted to take me to elyria hospital for a complete workup. Cat scan, ultra-sound, abdominal x-rays, and heart ekg, and blood work. I agreed to be admitted to emh regional medical facility. All of the above mentioned tests were performed on 6-10-04



all of these tests came back negative, and the resident doctor "dr. Esch" suggested an upper gi barium x-ray. Before anything else was said, I spoke up an said I want tests taken until someone finds out what is wrong with me. The test was set up for 6-11-04

i did not sleep that night, and by this time I had no food or water of any kind since 9:00pm on 6-9-04. I had no nausea or vomiting since entering the hospital and fasting.



I turned on the room light at 6:45am on 6-11-04
upper gi started at 7:30am and finished at 10:45am (x-ray page)
2:20pm head nurse poked her head in the room and said the radiologist stated the puliminary reading is showing a hiatal hernia, and Dr. Warren would be in to explain in detail.
3:45pm: dr esch stepped into the room and said Dr. Warren was still held up in surgery, but the report showed a hiatal hernia, and Dr. Warren would be up as soon as possible.
Around 4:00pm Dr. Warren got out of surgery and was able to make some rounds. He knew I was dependant on a ride back to akron, so he came to me first.
The confusing part of this whole ordeal is that the radiologist, head nurse, and resident Dr. Esch all said I had a hiatal hernia, but Dr. Warren said I had "acid reflux" and that "acid reflux" & "hiatal hernia" are the same thing. Having already been through this with Dr. Warren, I was not going to argue this issue again. I figured the reports would speak for themselves. (the cleveland clinic's own website backs me up)
i was told by the nurse that I was to follow-up with Dr. Warren in 10 days.
I was then confronted by Dr. Warren stating if I was still having problems in 10 days, he would help me find a surgeon because he does not do that kind of surgery.
I stated that I have been extremely ill for months, and I think it highly unlikely just spending one day in the hospital with absolutely no treatment is somehow going to make me all better.
I am now left wondering if Dr. Warren does not do gastro-intestinal and hernia surgery, then why was I sent to him in the first place? It seems I am once again left to fend for myself. I am no further to recovery then the day I went to city hospital on 11-15-03. Seems like the only thing that is getting done, is a hell of a bill is getting run up, and no remedy is in site.

I was then handed release papers that had absolutely no explanation to what was found, or not found. I have nothing in writing to what is wrong with me.

Upper gi large photo x-rays (click here)
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