Bigcypress and Smee,
I am VERY sorry to hear about these terrible things - but, I'm also going to say that THAT is why we do NOT want tort reform.
Doctors and hospitals (not all, mind you - some are really good people), but many doctors and hospitals do ridiculous things, and, in the name of lowering medical costs and lowering malpractice insurance - they want to limit any lawsuits against them.
The only people that it will hurt ------ is more patients, because these same doctors won't have to worry about paying for any intentional mistakes.
For the record, I consider hospitals that hire incompetent doctors, because they are cheaper, intentional mistakes also.
It is a very difficult decision to "unplug" or decide not to treat a loved one. I was a hospice nurse, and I have seen it over and over. It is gut-wrenching to have to decide when enough is enough. If your loved one is terminal, and they are no longer eating - you do not want to let a doctor or hospital "just give them fluids". First - it doesn't help. Second, when the nervous system is starved for fluids, there is no pain - so, in many instances, giving fluids is not the humane thing to do. Hospice folks know that - hospitals, very often - don't care - they use that IV as a way to keep the finances coming.
Every single hospital should have what teaching hospitals have - a board that looks and talks about every single patient. They do it to teach interns, nursing staff and students. But, it serves a higher purpose - it shows what was done correctly, what could have been done differently, what could have been done better, etc.
If we had a system that did that on a regular basis - frivilous lawsuits could be eliminated, and the REAL mistakes could be compensated for. Good doctors insurance would stay low - bad doctors (and hospitals) would pay more, and hopefully - get thrown out of the business of medicine. In a teaching hospital, if you keep screwing up - you don't graduate - and, you will get thrown out on your ear. Non-teaching hospitals have staffs that seem to be there forever, and have the attitude of "you win some, you lose some". Again, of course, this is not all hospitals, nor all doctors.
I can tell you from experience - the first line of defense for you and your loved ones - in hospitals - are the nurses, not the doctors. They are the ones that catch mistakes you never hear about. They are the ones who see the changes in a patient, for the good or the bad. Get a nurse on your side, and half the battle is won. They will pin the doctors down. (again, not all - but there are many more nurses than doctors, guaranteed).
You have to be the advocate for your loved ones - many doctors think they are god, and above reproach, but I'd bet that everyone knows of at least one or two stories that proves they are just as human as anyone else.
I don't know when your mother was lost - but, a blood test six hours after a heart attack will show absolute proof of a heart attack - because there is an enzyme that goes up considerably, starting about an hour after a heart attack - usually will have topped by 6 hours. Meantime, back at the ranch, steps should have been taken to stabalize. I understand the potassium, as, if your potassium levels are low, your heart will stop beating. However, potassium and a diuretic go hand-in-hand - to make sure the kidneys do not get overloaded. (the opposite is true, also - if receiving a diuretic, potassium is lost, and must be replaced). It isn't rocket science - since it's taught to nurses - I'm pretty sure it's taught to doctors.
That is another issue in our health system today - too many patients per doctor. My mother got a certain kind of cancer, which, supposedly NEVER travels to the brain. But, it did. So, doctor's came from all over the country - yahoo-----they were not there to help, just to see. There were so many doctors, I could not keep them straight. And they all had an opinion on what to do next - which, eventually, the last step was me taking her home to die in peace, had to sign a special paper, the whole nine yards - she was miserable - she'd had brain surgery, and all these people she didn't know, poking and prodding and really not helping. Crap, I even came up from the cafeteria to find a friggin' camera team. When we got the bill for her 20% of Medicare - I sent them a bill for schooling. (I paid not one dime-and the hospital agreed to eat the cost).
Well, I've rambled enough - and I again, give you my condolences on the circumstances - it should not have happened. Our health system is NOT the finest in the world. I wish it was, but it isn't.
Beth