Deuda médica de $150,000 en UCSF eliminada tras atención inadecuada que provocó shock séptico

Updated: CaliforniaToday San Francisco County

A San Francisco man endured a harrowing medical ordeal after a routine emergency room visit at UCSF Parnassus left him with a severe infection, a $150,000 bill, and a recovery that stretched over 100 days. The patient, identified as McLester, an independent wine wholesaler, arrived at the emergency department with a laceration sustained from an impact and contaminated by seawater—what surgeons later described as a 'dirty wound.' Instead of being left open to drain, the wound was stitched shut in a hallway under dim light just eight hours after his arrival.

A surgeon administered 28 sutures in a mesh pattern, and McLester was discharged at 2 a.m. He later described the experience as 'the gnarliest experience of my life.' Thirteen days later, the wound began to discolor, and a few mornings after that, McLester woke up unable to walk, his leg turning dark purple.

He returned to the emergency department, where an MRI, ultrasound, and CT scan revealed an infected pool of blood trapped beneath the flesh, unable to drain. Two weeks after his initial visit, he went into septic shock and was rushed into surgery.

Physicians reopened the wound, cleaned it, and installed drainage tubes. He was discharged three days later and instructed to pack the wound with wet gauze twice a day.

The surgeon who performed the second operation told McLester that a trauma specialist would have recognized the dirty wound and left it open for at least a week, likely healing the wound in weeks rather than months. Instead, McLester spent more than 100 days recovering, unable to work for much of that time, and expects the financial impact to last a year or two.

In a grievance filed with UCSF patient relations, McLester praised the nurses and staff, writing, 'I've never met a group of more caring and committed individuals than the nurses and staff at the ED Parnassus in all my life. They work so dang hard through so much insufficiency and higher-up malfeasance.

Like me, they deserve better.' After his persistence in appealing the $150,000 bill, UCSF forgave the debt.

Source: sfstandard.com

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