Roosevelt v. Sotomayor

By Mbrittenburg

  • Evelyn presented to ER

    Complaints of chestpain
    Sometime in evening

  • Admitted to ER by Dr. Thomas

    Orders: GI consult; ultrasound

  • Physical Exam and History Conducted by Dr. Smith

    Admission paperwork shows "Surgeries: Gallbladder," past-surgical history = "cholecystectomy," signed by MD, family medical history says, "Surgeries: GB removed." (Admission paperwork #1, #2, #5)
  • Period: to

    Evelyn Roosevelt's Arrival @ All Saints Until Death

  • Tests Conducted

    • GI Consult by Dr. Roberts (consultation form's past surgical history says only "reportedly a kidney stone surgery")
    • Ultrasound by Dr.Kennedy
    • Cardio Consult by Dr. Germillion (bilirubin level 1.3) (see consultation form)

  • Pre-operation

    Hermatocrit level 36
    Decedent seen by Dr. Sotomayor
    Soto calls off gastroscopy
    Jesse Roosevelt tells Thomas about prior gall bladder surgery

  • Cholycestectomy

    Dr. Sotomayor performs gall bladder removal surgery

  • Post-operation

    Kerry Roosevelt tells Soto about prior gall bladder surgery

  • Sotomayor's Initial Consultation

    Consultation Form: "Previous surgery: Kidney stone removal and left shoulder surgery." Physical exam lacks mention of umbilical scar. General section says patient in no acute distress (argue: non-urgent). Bilirubin level 1.2.

  • Recovery from GB removal

    Hematocrit drops to 26.9 Monitoring but pulse machine is wrong

  • Complications

    o Pulse drops to 40so Appears pale and weak, family requests manual checko No FFP (fresh frozen plasma) giveno Sotomayor + Thomas suspect GI bleedo Respitory complications o Renal failureo No treatment given until eveningo Lovenox stopped (Scalia 94:24 – 94:25)o Plavix stopped (Scalia 94)o Hematocrit drops to 19

  • Exploratory Laparotomy

    o Soto does exploratory laparotomy o FFP admin’d o Soto called partner Dr. Oscar Meyer

  • Supportive measures removed

  • Decedent dies