1/5 Jacquelyn S. 5 months ago on Google
Physical
facility
is
fine,
you
have
a
systems
and
people
problem.
Our
visit
to
the
ED,
10/28
10PM,
we
received
unacceptable
care
from
Mudasser
Ibrahim
MD.
By
pediatrician
recommendation,
we
came
with
our
3
day
old
infant
who
had
not
had
a
wet
diaper
in
24
hours.
In
triage
we
did
get
a
very
large
wet
diaper
and
then
proceeded
to
check
all
vitals
which
were
perfectly
in
range.
The
triage
and
nursing
staff
who
took
us
back
to
the
exam
room
were
excellent
and
provided
kind
care.
Our
CNA
especially
was
kind
personable
and
asked
me
as
a
new
mom
if
there
was
anything
he
could
do
to
make
me
comfortable.
I
wish
the
physician
had
that
awareness
and
level
of
care
in
mind.
Ibrahimās
physical
examination
and
initial
conversation
let
us
know
that
visual
assessment
told
him
our
baby
was
not
at
risk
of
extreme
dehydration,
baby
was
active,
non
sunken
soft
spots,
and
still
interested
in
feeding.
We
discussed
the
feeding
history
in
the
first
3
days
of
life
(every
2
hours
or
on
demand
for
10-20
minutes
per
breast)
but
that
we
knew
decreased
urine
output
meant
we
need
to
start
supplementing
with
formula
which
we
were
very
open
to.
Ibrahim
explained
that
he
would
still
like
to
draw
labs
which
we
were
fine
with
as
we
knew
bilirubin
could
potentially
be
high.
We
asked
if
we
could
feed
while
we
waited
for
nursing
staff
to
do
the
lab
heal
prick.
He
asked
us
to
wait
and
that
it
wouldnāt
be
that
long.
We
waited
for
25
minutes.
After
the
heal
prick
I
was
able
to
breastfeed.
Ibrahim
had
told
us
lab
results
would
take
30
minutes
to
come
back.
We
waited
1
hour
20
minutes,
until
I
stepped
out
to
ask
the
nurses
at
the
station
if
our
labs
had
resulted
yet.
They
said
yes,
and
āoh
has
no
one
come
to
talk
to
you?
I
think
we
need
to
get
you
something
to
drinkā.
There
was
some
confusion
with
a
nurse
who
was
supposed
to
be
assigned
to
us,
she
was
now
at
the
station
and
said
to
the
other
nurse
in
front
of
me
ā
I
havenāt
been
in
that
room
yet,
I
have
no
idea
what
they
needā.
I
returned
to
our
exam
room,
minutes
later
Ibrahim
entered
to
discuss
the
results,
sodium
slightly
high
and
glucose
on
the
low
side
but
still
in
range
for
an
infant.
He
recommended
we
do
a
feed
with
formula
in
person
and
a
repeat
glucose
test.
I
expressed
concern
and
frustration
that
the
last
labs
had
taken
so
long,
to
which
he
gave
the
excuse
the
30
minutes
is
best
case
scenario.
After
our
visit
we
were
able
to
confirm
that
our
lab
results
were
available
after
30
minutes
but
we
had
waited
the
additional
50
for
Ibrahim
to
return
to
our
room
and
communicate
them.
At
this
time
Ibrahim
said
there
were
indications
of
āStarvationā.
Yes,
he
used
the
word
starvation
multiple
times.
I
am
not
a
medical
professional
but
upon
discussing
it
with
our
pediatrician
afterwards,
I
believe
this
was
by
definition
the
incorrect
word
to
use,
but
was
used
as
a
scare
tactic
to
ensure
we
would
supplement
with
formula.
As
a
3
day
postpartum
mother
who
was
sitting
in
the
ED
with
vaginal
tears,
fluctuating
hormones,
who
had
been
working
hard
to
feed
my
baby
over
the
last
three
days
this
was
a
very
aggressive
choice
of
words.
As
noted
above,
we
said
we
were
open
to
supplementing
formula
in
the
initial
assessment.
This
leads
me
to
question
either
Ibrahimās
competence
or
his
ability
to
listen
to
patients.
We
fed
the
formula,
repeated
a
heal
prick,
and
the
results
did
not
change
the
outcome
or
care
instructions
ācontinue
routine
care
and
supplement
with
formulaā
however
this
process
took
an
additional
30
to
40
minutes.
We
then
waited
in
the
exam
room
for
discharge
paperwork
for
an
additional
20
minutes,
and
then
again
went
to
the
nurses
station
and
asked
if
it
would
be
uploaded
to
the
portal
so
we
could
leave
and
get
some
much
needed
sleep
as
new
parents
to
a
3
day
old.
I
will
be
posting
this
review
to
additional
public
platforms
for
Childrenās
and
specific
to
Mudasser
Ibrahim
MD.