Hospital discharges deaf non verbal autistic at 2AM

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kitesandtrainsandcats
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04 Jan 2023, 9:05 pm

ASPartOfMe wrote:
... because she just walked in.


WRONG.

First reference,
https://www.stvincenttimes.com/ny-polic ... ian-woman/
Quote:
Primus left the house between 4 and 5 a.m. on December 23rd, according to her family.

Primus was discovered around 8 p.m. that night at 190th Street and Hillside Avenue in Queens, about three and a half miles from his home.

A paramedic who saw a missing flyer would later recall responding to a call for assistance and transporting her to Queens Hospital Center that evening.


According to NYPD officials, Primus was released from the hospital shortly before 2 a.m. on Saturday.

According to her family, hospital staff mistook her for homeless and directed her to local shelters.


Second reference,
https://original.newsbreak.com/@still-u ... ter-s-home

Quote:
Primus was then reportedly found later that night in queens. She was about 3 and a half miles from her sister's home in Elmont. A paramedic saw the flyer her family had put up and remembered taking Primus to Queens Hospital Center after receiving a call about her. The NYPD says that Primus was then discharged from the hospital just before 2:00 am the next day. 

The hospital staff may have believed that she was homeless.

“They thought she was homeless, so they gave her a list of shelters to go to,” Primus’ sister, Joana, said. “Someone that’s non-verbal. She cannot read. I mean she cannot read, she’s not verbal, she doesn’t know how to navigate the system. The buses or public transportation. How could you send her away?”


Third reference:
https://localtoday.news/nj/missing-pers ... 20955.html
Quote:
QUEENS, N.Y. (WABC) – Police are searching for a 47-year-old woman with developmental disabilities who went missing from a Long Island home last Friday.

Nassau County Police said the family of Samantha Denise Primus, who was last seen at a home in Elmont around 3:30 a.m. on December 23, had filed a missing persons report.

Primus usually lives with her mother and never goes anywhere without a family member.

According to family members, Primus, who is deaf and mute and has limited sign language skills, was with her sister Joanna’s family in Elmont for a few days when she left home.

They say Primus was found later that night around 8 p.m. at 190th Street and Hillside Avenue in Queens about three miles from Elmont.

The family were told someone called 911 and emergency services answered and took Primus to Queens Hospital.


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ASPartOfMe
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04 Jan 2023, 9:07 pm

DanielW wrote:
ASPartOfMe wrote:
DanielW wrote:
ASPartOfMe wrote:
This woman apparently can not speak or hear, would that not be visable?

But they thought she needed a shelter, no insurance, just get rid of her.



Of course it would, but its not enough to automatically presume incompetence. (Unless you'd like all deaf people to be held until they can be released to the custody of a hearing person

I have been saying if she is willing make sure she has transportation to the shelter or wherever. If she is willing waiting until daybreak to discharge her would have been a good idea.


If she was willing to do anything but what she did, this never would have happened. No one forced her to leave her home at 4 am in the first place. She told her sister she wanted to go, her sister said no then left her alone to do as she pleased. You should also note that the family didn't even notice she was gone or report her as missing. If she had, there is a far better chance the hospital would have been aware of the fact she was a missing person. As would the police.

As noted in the article in the OP
“ Peck said her sister made it clear on Thursday evening, Dec. 22, that she wanted to go back to Brooklyn. But Peck said Primus, known as Denise, agreed to stay three more days.

“Among us, we have our own sign language,” Peck said, “and we really understand each other.”

Peck said her sister indicated she was fine with the plans to wait a few days.”


As I said in the OP
“I don't know enough to fully judge the sister. Sometimes you just can't leave work. Nurses now are in short supply. The sisters' house should have been better secured but Denise had not bolted since she was a teen and Joanna had short notice.

The main fault is the hospital. Hospitals discharge people as fast as possible and have been doing so for years.”

Since the sister was works the overnight shift and is a respiratory therapist not a nurse as I stated I am assuming she also works in a hospital. That should not change the fact hospital staffs are overworked meaning possibly less likely to know your sister has bolted after she agreed to stay.

But as noted in the OP the hospital is my main focus.

Good catch kitesandtrainsandcats. Did the ambulance driver to bother to tell the hospital he recognized her a missing persons poster. If not very bad on drivers part. If he did tell the hospital their actions were even more egregious.


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04 Jan 2023, 10:21 pm

Sounds like they assumed she was part of the local homeless population, especially since apparently she was looking dishevelled. With how many disabled people are homeless, it's an easy mistake to make. What else would they be expected to do besides provide a list of local shelters she could go to and discharge her? :? Really, truly, it sounds like an honest mistake.

Should there be so many homeless disabled people? No, probably not. But, there are, so I can see how the mistake was made and why a hospital wouldn't hold someone in a bed that didn't medically need it and would discharge them after treatment.


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IsabellaLinton
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04 Jan 2023, 10:57 pm

I hate to repeat this topic but do Americans without medical insurance need to show photo ID for treatment? Doesn’t everyone? Wouldn’t that show her address and prove she wasn’t homeless?


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kraftiekortie
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04 Jan 2023, 11:01 pm

One cannot be refused treatment for serious conditions in the US. Or something like a fracture. Even without ID.



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04 Jan 2023, 11:03 pm

OK but she had a sore leg and got Tylenol. It wasn’t fractured and they would have known that at triage. Wouldn’t they want ID for billing? Or am I being delusional? How would they bill her?


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goldfish21
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04 Jan 2023, 11:05 pm

People aren’t refused medical care in Canada for not having ID, either. Especially in emergencies.

Many homeless people don’t have ID. My guess is sometimes they provide their name, and other times they get filed under John/Jane Doe or something like that.


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IsabellaLinton
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04 Jan 2023, 11:08 pm

I know people aren’t refused in emergencies.

She did have an address though, whether she carried ID or not. I’m sure they asked her for an address at some point even without ID and they either had an interpreter or showed her the question on paper. They would have known she wasn’t homeless in my opinion.


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kraftiekortie
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04 Jan 2023, 11:11 pm

I wish I was there to tell you exactly what happened.

I truly sense there was a lack of common sense exhibited somewhere, though I don’t really know.

They would want ID for billing—of course.

It’s possible she had a Medicaid card on her.



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04 Jan 2023, 11:13 pm

Also if she was a deaf adult wouldn’t she know ASL or read lips or have a hearing aid? I’m sure she hasn’t spent her whole life completely helpless and unable to hear. They didn’t mention anything about an intellectual disability either, or maybe I missed that.

This story is just bizarre imo.
None of it makes sense.


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ASPartOfMe
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04 Jan 2023, 11:14 pm

IsabellaLinton wrote:
I hate to repeat this topic but do Americans without medical insurance need to show photo ID for treatment? Doesn’t everyone? Wouldn’t that show her address and prove she wasn’t homeless?

We don't know if she had any ID on her never mind a cellphone.

IsabellaLinton wrote:
Also if she was a deaf adult wouldn’t she know ASL or read lips or have a hearing aid? I’m sure she hasn’t spent her whole life completely helpless and unable to hear. They didn’t mention anything about an intellectual disability either, or maybe I missed that.

This story is just bizarre imo.
None of it makes sense.

According to the story "“Among us, we have our own sign language,” Peck said, “and we really understand each other.”
She was apparently able to communicate that she had a sore leg.
None of it makes sense due to the paucity of information


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Last edited by ASPartOfMe on 04 Jan 2023, 11:22 pm, edited 1 time in total.

kraftiekortie
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04 Jan 2023, 11:16 pm

There would probably be sign-language interpreters in a Queens hospital.



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04 Jan 2023, 11:18 pm

ASPartOfMe wrote:
IsabellaLinton wrote:
I hate to repeat this topic but do Americans without medical insurance need to show photo ID for treatment? Doesn’t everyone? Wouldn’t that show her address and prove she wasn’t homeless?

We don't know if she had any ID on her never mind a cellphone.


I understand that. I’m just very detail oriented so I’m trying to figure out how it all went down. They would have asked her for an address regardless. Maybe she indicated she had no address so they wouldn’t bill her. Maybe the injury was so minor they didn’t bother billing her. Maybe she was a frequent flyer who had been there a lot and they just brushed her off.

Sorry for so many questions but I’m trying to figure out what went wrong.


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04 Jan 2023, 11:21 pm

Don’t forget: she was found “on the ground.” In this case, she had to be treated.



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04 Jan 2023, 11:26 pm

I have a fractured rib and I was thinking of going to ER. I would have given a play by play report of the identification and discharge procedures for my own interest lol. I would have asked them what happens for people without ID. All things being equal I’m sure they’d go through triage but probably be treated later than those who have it. Idk I’m just guessing.

I’d likely be there until morning and there’s nothing they can do for it anyway so I’ll just sit here with an ice pack and get high on morphine. Whoops. :x


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04 Jan 2023, 11:26 pm

IsabellaLinton wrote:
OK but she had a sore leg and got Tylenol. It wasn’t fractured and they would have known that at triage. Wouldn’t they want ID for billing? Or am I being delusional? How would they bill her?

You think they send bills to homeless people who come in with a sore leg? Mail them to where ? Be paid with what money ?

Chances are they just confirm someone doesn't need serious treatment, donate a couple tylenol samples or whatever and send them on their way.

What would you do differently ? Or expect to be done differently ?

Homeless person, doesn't speak, no ID, sore leg.. not broken. Here's a tylenol and a list of places you can seek shelter.


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