Poor Service

Some towns just have awful medical service; unfortunately, mine is one of them.

Two weeks ago i went to the emergency room for pain, i couldn’t tell if it was my girlie parts or my back. There was nobody else there triage called me back literally as i sat down. And he got me right back into a room after doing vitals and asking questions, he told me my nurse would be in shortly.

Shortly turned in to nearly an hour before i finally got up and started making my way to the nurses station. A girl walked past me and i asked her if they forgot about me. She irritatedly replied that they didn’t and doctor would be in when she can, and kept walking. I went back to the room, which was a bed with no sheet, door and curtains wide opened and i could see the nurses station. Why was nobody checking on me?

I sat there a bit longer and decided maybe i should ask somebody at the actual nurses station. So i got up and started back over there. By the way, i didn’t push the call button because there wasn’t one.

The guy looked up and said, “can i help you?”. I asked him if they forgot about me. He rudely answered, “nobody forgot about you, you just have to wait til the doctor is free to see you.”

I went back to the bed. At this point it’s been over an hour, normally you get a nurse who introduces themself, someone does your vitals, they offer a blanket, and they shut the curtains for privacy. At least i had entertainment.

I could see the staff hanging out and enjoying their freetime. And i could hear them all laughing and making fun of the emt that called in a heart attack they were bringing in. Pretty unprofessional but whatever.

Two hours after my arrival doctor finally came in. She said she’d do an ultrasound to check for a cyst, do some blood work, gave me some pain meds and left me to be. The morphine was a relief, it didn’t kill the pain but took the edge off.

Ultrasound was normal so they decided it was a pulled muscle. They didn’t do xrays or ct anything. She said i could have damaged something, but i don’t remember the name. She said they had to test it with puncture type of test they didn’t want to do unless they had to. But if the pain gets worse or changes, come back.

At 0630 she said i can go. I signed all my stuff and right after i got dressed they came in to do my vitals! Wtf i was already released😱 they never did my vitals since triage and i was there for four hours!

The next day i called my obgyn, he is on vacation until the 8th. They had another doctor look at my ultrasound and said it was normal. They said next opening for my doctor is the 18th so i took it.

Meanwhile, two weeks have passed and im still in pain, sometimes debilitating. Last night i slept like dog shit. I kept waking up in pain, sometimes even in my dreams i could feel it. About 0400 hours i woke up and my bladder was killing me, felt like a cystitis flare up. I haven’t had a flare up in a long time. I got up and took pyridium.

Today i finally broke down and called my regular doctor, who i loathe. At first she said she’d talk to the nurse and see if they wanted to see me today or another day, then she asked about bladder issues and i told her about this morning.

She put me on hold for a few then came back to tell me to come in and do a ua and that would take at least 45 minutes for results, then they’d fit me in. So i went in and did that and went back about an hour later.

She brought me right back and did vitals and all that jazz. Then doctor j came in. He immediately chewed me out for taking pyridium before a ua. I told him i wasn’t aware at 4am that i would be coming in for a ua. He replied with, “even so you can’t take pyridium before a ua, it messes up the test.” No shit sherlock you just fucking said that you idiot.

He said despite the fact i took pyridium, the ua looked good. I told him i didn’t think i had a uti anyway, it feels like a cystitis flareup. He said, “a what?” I repeated it and he wrote down whatever… he probably had to go look it up after i left. Probably doesn’t know what cystitis is any more than he knew what glutamine is.

He asked what i was there for then. I told him about my hospital visit and ultrasound and that they did no xray or anything. He looked it up and said, “well looks like they already did the workup for me.”

He told me he’ll send my urine in for further testing but back pain takes weeks and even months to heal. He said if it isn’t better in a couple weeks to come back and he’ll do an xray. 😵

He said he hurt his back two months ago and it’s just now starting to feel better. So what is it? He’s in pain so i should be too? That was that and he sent me on my way.

I’m pretty disheartened right now, feels like nobody ive seen thus far really gives a fuck about this pain. If i was asking for pain meds all the time I’d understand, but i rarely do. I’m scared of medication. I just want this fixed, that’s all.

Chronic interstitial cystitis: a disease that causes your bladder to spasm and bleed.

Carizma’s Drug Interactions

Possible Interactions between Carizma’s prescription drugs

Check this out and tell me you don’t see something wrong with this picture. She has been on all this for years, except the benztropine, and the hospital took her off all this cold turkey. To top it, the hospital are the ones who put her on the benztropine in the first place and THEY asked ME how long she had been on it. Does the hand know what the foot is doing in this place?

NINE days she has been in the hospital for something they more than likely caused! They have every excuse in the universe what may or may not have caused her obvious serotonin syndrome, except for the actual reason. Did you know that they did not even notify her pcp until the third day in the afternoon?

Symptoms of serotonin syndrome (her symptoms are check marked)

  • Agitation or restlessness ✔
  • Confusion ✔
  • Rapid heart rate and high blood pressure ✔
  • Dilated pupils ✔
  • Loss of muscle coordination or twitching muscles ✔
  • Muscle rigidity ✔
  • Heavy sweating ✔
  • Diarrhea
  • Headache ✔
  • Shivering ✔
  • Goose bumps

HELLO!!!

Did you know that when the (director?) of the psych ward called me THREE days after she was transferred to the psych ward, he didn’t even know she was in the hospital for two days before she ended up in that unit. I repeat, do they communicate with each other at all at this place?

INTERACTIONS:

Major

cyclobenzaprine  venlafaxine

Applies to: Flexeril (cyclobenzaprine), venlafaxine

Using cyclobenzaprine together with venlafaxine can increase the risk of a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, feverexcessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nauseavomiting, and diarrhea. Severe cases may result in coma and even death. You should seek immediate medical attention if you experience these symptoms while taking the medications. Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data
Moderate

benztropine  cyclobenzaprine

Applies to: benztropine, Flexeril (cyclobenzaprine)

Using benztropine together with cyclobenzaprine may increase side effects such as drowsiness, blurred vision, dry mouth, heat intolerance, flushing, decreased sweating, difficulty urinating, abdominal cramping, constipationirregular heartbeat, confusion, and memory problems. Side effects may be more likely to occur in the elderly or those with a debilitating condition. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data
Moderate

gabapentin  QUEtiapine

Applies to: gabapentin, Seroquel (quetiapine)

Using gabapentin together with QUEtiapine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data
Moderate

venlafaxine  QUEtiapine

Applies to: venlafaxine, Seroquel (quetiapine)

Using QUEtiapine together with venlafaxine can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a rare side effect. You may be more susceptible if you have a heart condition called congenital long QT syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances (for example, magnesium or potassium loss due to severe or prolonged diarrhea or vomiting). Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications, whether together or alone. Avoid driving or operating hazardous machinery until you know how the medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data
Moderate

cyclobenzaprine  QUEtiapine

Applies to: Flexeril (cyclobenzaprine), Seroquel (quetiapine)

Using cyclobenzaprine together with QUEtiapine may increase side effects such as drowsiness, blurred vision, dry mouth, heat intolerance, flushing, decreased sweating, difficulty urinating, abdominal cramping, constipationirregular heartbeat, confusion, and memory problems. Side effects may be more likely to occur in the elderly or those with a debilitating condition. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data
Moderate

terazosin  QUEtiapine

Applies to: terazosin, Seroquel (quetiapine)

QUEtiapine and terazosin may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Let your doctor know if you develop these symptoms and they do not go away after a few days or they become troublesome. Avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you, and use caution when getting up from a sitting or lying position. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data
Moderate

benztropine  QUEtiapine

Applies to: benztropine, Seroquel (quetiapine)

Before using QUEtiapine, tell your doctor if you are also on benztropine. You may need dose adjustments or special tests in order to safely use both medications together. You should notify your doctor if you have signs of bladder problems, dry mouth, stomach painfever, blurred vision, confusion, dizziness, or reduced heart rate. You should avoid driving until you know how these medications will affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using your medications without first talking to your doctor first.

Switch to professional interaction data
Moderate

venlafaxine  gabapentin

Applies to: venlafaxine, gabapentin

Using venlafaxine together with gabapentin may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data
Moderate

cyclobenzaprine  gabapentin

Applies to: Flexeril (cyclobenzaprine), gabapentin

Using cyclobenzaprine together with gabapentin may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data
Moderate

benztropine  gabapentin

Applies to: benztropine, gabapentin

Using benztropine together with gabapentin may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data
Moderate

benztropine  venlafaxine

Applies to: benztropine, venlafaxine

Using benztropine together with venlafaxine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications. Also avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you. Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data
Moderate

venlafaxine  meloxicam

Applies to: venlafaxine, meloxicam

Using venlafaxine together with meloxicam may increase the risk of bleeding. The interaction may be more likely if you are elderly or have kidney or liver disease. Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. You should seek immediate medical attention if you experience any unusual bleeding or bruising, or have other signs and symptoms of bleeding such as dizziness; lightheadedness; red or black, tarry stools; coughing up or vomiting fresh or dried blood that looks like coffee grounds; severe headache; and weakness. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Switch to professional interaction data

No other interactions were found between your selected drugs. This does not necessarily mean no other interactions exist. Always consult your healthcare provider.

Drug and food interactions

Moderate

cyclobenzaprine  food

Applies to: Flexeril (cyclobenzaprine)

Alcohol can increase the nervous system side effects of cyclobenzaprine such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with cyclobenzaprine. Do not use more than the recommended dose of cyclobenzaprine, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you. Talk to your doctor or pharmacist if you have any questions or concerns.

Switch to professional interaction data
Moderate

venlafaxine  food

Applies to: venlafaxine

Alcohol can increase the nervous system side effects of venlafaxine such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with venlafaxine. Do not use more than the recommended dose of venlafaxine, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you. Talk to your doctor or pharmacist if you have any questions or concerns.

Switch to professional interaction data
Moderate

gabapentin  food

Applies to: gabapentin

Alcohol can increase the nervous system side effects of gabapentin such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with gabapentin. Do not use more than the recommended dose of gabapentin, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you. Talk to your doctor or pharmacist if you have any questions or concerns.

Switch to professional interaction data

Therapeutic duplication warnings

Therapeutic duplication is the use of more than one medicine from the same drug category or therapeutic class to treat the same condition. This can be intentional in cases where drugs with similar actions are used together for demonstrated therapeutic benefit. It can also be unintentional in cases where a patient has been treated by more than one doctor, or had prescriptions filled at more than one pharmacy, and can have potentially adverse consequences.Duplication

Central Nervous System (CNS) Drugs

Therapeutic duplication

The recommended maximum number of medicines in the ‘Central Nervous System (CNS) Drugs’ category to be taken concurrently is usually three. Your list includes four medicines belonging to the ‘Central Nervous System (CNS) Drugs’ category:

  • gabapentin
  • venlafaxine
  • Seroquel (quetiapine)
  • benztropine

Note: The benefits of taking this combination of medicines may outweigh any risks associated with therapeutic duplication. This information does not take the place of talking to your doctor. Always check with your healthcare provider to determine if any adjustments to your medications are needed.

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Probable Gallbladder Attack

I did end up going to the hospital yesterday, first they thought maybe kidney but quickly decided it could be a blood clot in my lung. They put me on an iv and gave me toridol and morphine.

Once the xrays and tests ruled out blood clot they became unconcerned, checked for nothing more and said it must be a pulled muscle from weight lifting. Well i haven’t lifted for nine days so tell me why did it start Tuesday and become nearly debilitating yesterday???

Well whatever, I’ll have to cure myself, I’m positive it’s my gallbladder. I started the charcoal detox at 0500, please pray i can fix myself because the doctors in this stupid town sure don’t give a shit.

You know, if i went in all the time I’d completely get why they didn’t want to take the time to figure out what’s wrong.. but i don’t, i figure out my own issues and cure myself, or rarely i go see my dr which i dislike…and yet they still sent me home in pain.

I just want it gone, fixed.
It’s not as bad as it was yesterday at this point, but if it gets back to barely being able to breathe i guess I’ll go to the next town, which has better ratings. Hopefully it won’t come to that.
Thank you everyone that has been concerned for me.

The Beginning of the End

I went in to pick up my check today, and was told that one housekeeper called in sick and the only other one one off can’t work fridays. (They were already short before that).  And that yesterday, the manager on duty had to do a run of rooms.  They asked me to do rooms and i said no.  They need to hold them over-hold the boss accountable for leaving us short staffed!  This is on her head. It is infuriating that I should even feel guilty that I don’t go in.  It isn’t my fault she did this to us.  It isn’t theirs either, and they need to do what i said and hold her accountable.

Let me tell you, before i get into details, that the reasons i am even still there is firstly; the other employees are basically the only people i physically interact with outside of my house, they’re like family. Secondly, I have an idea of what abuse to expect.  If she is allowed to treat us this way, I am terrified it could actually be worse elsewhere.  This is the only job I’ve had since i was 18, I worked at super 8 in Washington… at that time I thought that was shitty, but really looking back, that was a cake walk.

I am so sick of everyone being scared of her once she takes her goat mask off.  She doesn’t own us, she is nothing but a bully.  It is beyond me how she convinces the big wigs that she is the one holding that place together.   She can barely even cover the desk for thirty minutes, even guests tell us she has no idea what she’s doing. She doesn’t go out and check rooms outside of when her boss comes down.  She doesn’t order sufficient product so the housekeepers can get their rooms done as quick as they could be. She has dementia or something because she makes us do stuff and then gets mad at us for doing it, she forgets things constantly and swears we didn’t tell her things that we have told her multiple times.  She is just so angry 90% of the time, like typical old people with dementia/alzheimers.

She changes our schedules multiple times a week, many times without telling us. She schedules multiple people for the same shift, she leaves shifts uncovered, schedules for night audit and then for the early housekeeping shift..which is one hour later.  Obviously it gets fixed on the weekend, like everything else. There are so many more things but I will speak of those at a later time, this is mainly about lack of proper staff and incompetence-the cause of this rant.

We must quit cleaning up after her.  Imagine how great of employees we would be if we were properly staffed and not spending so much of our time cleaning up after her, and trying to appease guests while we absolutely do not want to be there. Especially when we are being yelled at by them for things out of our control; which of course later-no matter what we do it will have been the wrong thing as far as she’s concerned, because we can do nothing right, even if she’s standing there telling us to do it.

There are times where i must force myself to go to work or talk myself out of walking out the door mid shift.  The only thing that stops this is I don’t want my fellow employees to suffer.  She doesn’t cover shifts, period. When someone calls in, we do doubles or flip flop back in, and we can’t tell her no because we are all afraid of her. Anyone who has ever stood up to her has been fired, including calling corporate.

Corporate doesn’t care about us, obviously. We have all talked-which is the only reason we weren’t fired,, and nothing has been done.  Nothing will be done. She will continue to abuse her power, and the company will hurt in that that property has some really amazing employees, but everyone is working with a shadow over them, so quite frankly, we don’t give a fuck about that place,, and it is completely and entirely because of her.