Hospital Procedures and Family Concerns in Cardiology Care - Cardiology

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Examination Process and Important Considerations for Family Members


Hello Doctor: Recently, my father experienced two sudden episodes of severe chest pain and went to the hospital for examination.
He was normal when not experiencing pain, but when it occurred, it was very intense.
After visiting the outpatient department, the doctor recommended immediate hospitalization for observation.
The tests scheduled include: 1.
Electrocardiogram (ECG) - he is connected to a black box for 24 hours.
2.
Echocardiogram - although he still has ECG electrodes attached, the doctor said the examination could proceed.
The examining physician preliminarily indicated that the heart tissue appears different from normal, somewhat complex, with two larger (likely referring to the coronary arteries) that may be causing the pain.
The doctor mentioned that this could be due to congenital or acquired factors, and it might also be a result of long-term use of over-the-counter medications.
3.
X-ray 4.
Basic blood tests and urinalysis.
He is currently hospitalized for observation.

However, after several days of accompanying him in the hospital, we found that after the examinations, the doctor stated that he needs to be treated in the hospital, which involves daily medication, IV fluids, blood pressure monitoring, and temperature checks.
The doctor asked about the IV, and the insertion site has become a wound, with the left hand being used for the IV and then switching to the right hand.
The doctor said that they are currently administering IV fluids to open the coronary arteries; if they can be opened, he can be discharged; if not, surgery will be necessary.
When I inquired about the cause of the illness, the doctor said to wait for the report, but it has been six days now.
I asked other colleagues, and they mentioned that their reports did not take this long, as their father's examinations were quite similar to my father's.
Here are my questions:
1.
Is it true that we have to wait around seven days to see the report? Typically, outpatient reports do not take this long, and since he is hospitalized, which indicates a more serious condition, should the report come out sooner?
2.
My father has had two fevers during these six days of hospitalization, and his appetite is poor; he mostly vomited during the first two days.
It might be due to the hospital food, so we started bringing in outside food, which he did not vomit but still has a poor appetite.

3.
Given that it has been six days and my father's condition has not improved, is there a need to consider transferring him to another hospital?
4.
At this time, aside from accompanying him in the hospital, what else can concerned family members do? Currently, we only know to wait for the report based on what we have asked the doctors.
Can treatment begin before the report is available?
My father's situation is as follows:
1.
He has been taking prescription medications for nerve pain (in the shoulder area) for many years.

2.
He occasionally takes cold medications, such as those containing pseudoephedrine.

3.
He has smoked for many years and previously drank alcohol but has been sober for over a decade.

4.
He has gastrointestinal issues, often experiencing diarrhea after meals.

I have listed these details because I am concerned that you may need to assess his usual medications.
I am worried because my father's condition seems to have worsened since being hospitalized, and I am at a loss for what to do.
I apologize for intruding on your time, and I hope you can help clarify these concerns.
Thank you.

Bao Ya, 20~29 year old female. Ask Date: 2006/07/10

Dr. Chen Guifeng reply Cardiology


Hello: The current possible diagnosis is angina pectoris caused by coronary artery disease, with symptoms of chest pain.
Generally, it is treated with medication.
If the condition is stable, it can be managed with outpatient medication.
However, if the condition is unstable, further evaluation with cardiac catheterization or catheter-based procedures may be necessary.
Nonetheless, medication remains the primary treatment approach.
Thank you for your inquiry!

Reply Date: 2006/07/10

More Info


Understanding hospital procedures and addressing family concerns in cardiology care can be a daunting experience, especially when a loved one is facing serious health issues. Your father's situation, characterized by sudden chest pain and subsequent hospitalization, raises several important questions regarding the diagnostic process, treatment, and family involvement.

1. Waiting for Test Results: It is not uncommon for certain diagnostic tests, especially those involving cardiac assessments, to take longer than expected. Factors such as the complexity of the tests, the need for specialized analysis, and the hospital's workload can contribute to delays. In outpatient settings, tests may be processed more quickly due to fewer cases being handled simultaneously. However, in a hospital setting, especially if your father's condition is being closely monitored, it may take additional time to ensure accurate results. It's essential to communicate with the healthcare team about the expected timeline for results and any concerns regarding delays.

2. Managing Symptoms and Nutrition: Your father's symptoms, including fever and poor appetite, are concerning. Hospital food can sometimes be unpalatable, and it's understandable that he might prefer outside food. However, it's crucial to ensure that any food brought in aligns with his dietary restrictions, especially considering his cardiac condition. If he continues to experience nausea or vomiting, this should be reported to the medical staff immediately, as it could indicate a need for further evaluation or adjustment of his treatment plan.

3. Considering Transfer to Another Facility: If your father's condition does not improve and you feel that he is not receiving adequate care, it is reasonable to discuss the possibility of transferring him to another facility. This decision should be made in consultation with his healthcare providers, who can assess whether a transfer is appropriate based on his medical needs and the capabilities of the receiving facility.

4. Family Involvement and Support: As a family member, your role is crucial in providing emotional support and advocating for your father's needs. You can assist by asking questions, ensuring that he is comfortable, and communicating any changes in his condition to the medical staff. Additionally, consider discussing with the healthcare team about any potential treatments that can be initiated while waiting for test results. This proactive approach can help alleviate some anxiety and ensure that your father receives timely care.

5. Understanding the Medical Context: Your father's history of chronic pain and medication use, along with his smoking history, may complicate his current health status. It's essential for the medical team to consider these factors when diagnosing and treating him. Encourage open communication with the doctors about his past medical history and any concerns you have regarding his treatment plan.

In summary, navigating the complexities of hospital care for a loved one can be challenging. It is vital to maintain open lines of communication with the healthcare team, advocate for your father's needs, and ensure that he is receiving appropriate care. Don't hesitate to ask questions and express concerns, as this is an integral part of the healthcare process. Your involvement can make a significant difference in your father's recovery and overall experience in the hospital.

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