This is bad - need help from anyone with NYC connections
My grandmother is in very serious trouble. She called me about two days ago in a panic with intermittent numbness in her right arm. She also had intermittent numbness in the right leg I took her over to her regular doctor. Her pressure was skyrocketing (210/83) so he gave her clonidil to bring it down. He did a VERY perfunctory neuro workup (The nurse practitioner that saw me to do my screening for this fall took about twice as long and did many more tests) and proclaimed she had no neuro symptoms and it was just a transient effect of her high pressure. His attitude towards her was dissmissive and condecending. Like a complete moron, I believed him even though my gut was telling me there was more to this. He doubled her normal dose of atenolol and sent her home with an appointment for follow up Saturday. He also scheduled an MRI for Monday afternoon.
The next morning she calls me in even more of a panic and its worse. I went over to her house. After a while we did decide to go to the emergency room. This turned out to be an all day ordeal - I will spare everyone the details since this community knows more then enough about ERs. Bottom line the cat scan showed nothing, the EKG was "ok" and her BP was 158/79 and pulse ranged between 55 and 61. They decided nothing would be done for her in the hospital over the weekend and discharged her with a Plavix perscription. They said maybe she had had a TIA. I have to agree about weekends- because when my Dad was in the hospital I observed that close to NOTHING special gets done on the weekend unless it is very urgent. My car was parked a little way away and we had to walk over to it (another mistake on my part). She was walking ok in the morning with assistance.
Last night she was dramatically worse. She can not feel her right foot so she can't move it properly. I practically had to carry her to the car and up the stairs to her house. No neuro symptoms- right. Bullshit.
I have not had assessment or patho and I am just as clueless as the next person as to how to help. It's driving me nuts.
So I need a couple of things from my nursing buddies out there:
A doctor-GP or internist that deals with geriatrics and does not suck - is not dismissive, arrogant and condescending. Competance would be a real bonus. In the Ridgewood, Queens area. Maybe I should consider a Nurse Practitioner? If you know a good one please drop me a comment.
A neurologist that meets the same criteria.
A vulcan mind meld of the assesment and patho course so I would have half a clue and not feel so fucking helpless.