Begging an Attorney

Penn's pulmonary hypertension being a pre-existing condition as well as his complete AV canal are the reasons he had surgery in the first place, and should not preclude a lawsuit on that basis. It was inevitable at some point, however, one physician at Texas Children's (where we had him transferred on September 6) suggested that Penn should not have had his surgery at such a young age, and with such high pulmonary hypertension, that they are actually contrainidications for surgery. His thoracic duct had to have been cut during surgery as well, as he developed chylous pleural effusions which dumped over 300 ccs/day on each side, with insignificant decline when put on non-fat and ND feedings. He was also given calcium to rescusitate him during the process of being given inhaled anesthia before surgery, which was never conveyed to the surgeon, and therefore he put in his note to that effect, as well as to point out that it made him suspect infant myocardium damage as Penn's calcium levels got exceedingly high on CPB.

During his course of treatment or lack thereof at Methodist, he was not given proper nutrition for most of his stay; his intake was 10-17 ccs/hour most of the time. Only upon our inquiries did the physicians increase his intake. He developed blood clots throughout his body, and it can be traced back to the medical director dc'ing his Heparin post-surgical drip order. His AT3 was not followed despite the fact that on day one post-op it was noted that he had subpar albumin, and his heparin had been dc'd. On day three it was noted that he was in mild DIC (disseminated intercoagulopathy), but that it would not be corrected due to the fact that he was not 'bleeding'. He had clots in his bilateral femorals as well as his IVC, and finally in his SVC and around his heart. There were signs of this, that were not identified by physicians, such as hematomas all over his upper body. They did an ultrasound of his SVC at the time, but couldn't find anything and never re-examined the issue, until they found a clot by trying a procedure for dialysis called CVVH, which didn't work because there was no drawback on the needle indicating a clot. They never figured out what the hematoma was from, and never bothered to really address it. There are many reasons that you should look at our case, too numerous to list in this email. I know that the case has to be intelligible to a jury. I understand that it is easier to take on cases whereby there is gross malpractice, but I beg of you to please please really consider our case. I know I cannot bring my son back, but I pray that something changes at Methodist because of what happened to my son. There are other children there that were going through very similar complications, and never should have been. Have you heard of the story about Josie King? Please I beg. Do not decline us based on the fact that you don't see 'gross' malpractice nor on the fact of proposition 12. PLEASE!

The story of Penn

When I was 37 weeks along with my son, Penn River we had a sonogram to try and determine his size. I was expanding at record rate and there was some concern that he might be very big. After the first sono tech could not get an accurate reading of his femur length, she summoned another more experienced tech. She too got roughly the same size femur, 34 weeks, with a head circumfrence of 41 weeks. The demeaner of these two women was what shocked me. It seemed as though they thought something was wrong. It was my sixth sense kicking in. I sobbed the entire rest of the day, and called my physician. He assured us that he did not think anything was wrong, but that if Penn did have some genetic issue it would most likely be something like dwarfism. However, he assured us that my husband had short femurs and so most likely Penn would just be a shorter statured male if anything. So, when after 18 hours of labor propelled my son forth unto the world, the doctor was a little shocked. After 2 hours of waiting to see my son, my physician and a pediatrician came in the room and told us that Penn had a heart defect and the pediatrician told us that he appeared to have Down Syndrome, his nose was one of the major features suggesting so.

They told us that Penn would be transferred for further testing, etc.. to Methodist Childrens in San Antonio. They did ask us if we had a preference, they were just sending him.

Being sent to the NICU in San Antonio, and being in shock from the whole new world we just stepped into set us up to follow the path that was laid out before us. We met physicians in San Antonio that would be seeing him, mainly the cardiologists. We liked them, and they were in our insurance plan. They followed Penn and led us to the surgeon. Weeks before surgery, I began to feel very very bad about it. You know how women can be sometimes, well, I thought that's just how I was being. I had a premonition about the surgery, and my birthday which layed in between all the surgery options. My first fear was confirmed which was the fact that he did not have a good time during surgery.

The entire time we were at Methodist Childrens in San Antonio, which is NOT a dedicated children's hospital, but rather a "wing" of the hospital itself, we were treated as if we were "demanding" dictators. Physicians actually put that in the psych/social section of the progress notes. We were not heard when we wanted people washing their hands, when we actually went to the Chief Nursing Administrator and Infection Control about to no avail. I had the "medical director" actually tell me in a raised voice in front of other staff and my husband's boss's wife, that "you need to stop playing doctor, and be the parents, if you want to focus on things like "hand-washing" etc, be my guest, but allow us to make the medical decisions for your child, we would be happy to help arrange a transfer for you, but you're going to have to find a surgeon to take him on, and you're not going to find anyone that is going to want to take a child that has had complications from surgery." It was an ugly scene. She then refused to treat our son when it was her shift, and she ignored a pulmonary hemmorrhage all day because she didn't want to interact with us. At the end of the day it was an emergent reintubation in order to get his lung back up, this was after giving IPV treatments the previous day, and a pneumothorax that collapsed his other lung the day before that....all things that were ignored or done by the physicians as orders, on top of him having no nutrition, other than fluids. It was the biggest joke of a hospital I have ever, ever witnessed and it came with the most lack of professionalism I have ever known. I had a nurse actually say that Penn "got pissed off". Have you ever known a 3 month old child to get "pissed"? I haven't.

Unfortunately it was too late when we got him transferred. The tipping point was when the hematologist came in while I was away and told my husband while looking at all of the medications that Penn was on, "what are we doing here?" To which my husband responded, "you don't think he's going to make it?" The hema responded, "no, it's been too long." I came in after that physician left, and the cardiologist had come in and rasied hell. I told the cardiologist that if he had endured what our family had in the last five weeks he would leave his profession, and that our son had not even had nutrition for four days.

It was such a nightmare. I relive it over in my head every day and think that there has to be a reason that my husband and I witnessed all of the inadequacies of the system and staff that we did , and that there has to be a reason that our son suffered.

Hopefully, it's to help other families not make the same mistake we did by going to some place that is not specialized.

Today is a new day...expect change

I just wanted to let everyone know that I have a blog site. I listed as "Children's Hospitals - Penn River" because I want people who are searching for a children's hospital to stumble upon this site. Hopefully it works.

In response to my son's recent passing on September 24th, 2007, I wanted to construct a place for people like me and my husband now after Penn's death, and those that were like us prior to his surgery to go.

My ultimate goal with this site is to inform parents of the necessity of checking out the hospital at which your child will undergo surgery so that the same things that happened to our son, do not happen to your child, or your friend or family member's child.

On July 27th, our son Penn River Harding underwent open heart surgery to correct an AV Canal, a congenital heart defect associated with his diagnosed Trisomy 21, spontaneous translocation.

He never made it home. We began our journey at Methodist "Children's" Hospital in San Antonio, TX. BIG mistake. We transferred him to Texas Children's Hospital, Houston, TX on September 6th, 2007, much too late. Had he began his journey at a hospital that is specialized in care for children, in a Cardiovascular Intensive Care Unit, like Texas Children's, he would be with us here today.

My big message is that despite your confidence in the surgeon, you must also do your research on the hospital at which your child will receive treatment. If a hospital is not dedicated to the care of children, such as Methodist Healthcare System, you are not going to get the best care possible, which is something you MUST do when considering a complicated surgery, like pediatric open heart.

If you have any questions, please email me at tadharding@hotmail.com, and I will be more than happy to get into contact with you.

"God grant me the serenity to accept the things I cannot change, the courage to change the things that I can, and the wisdom to know the difference between the two." This biblical verse gave me overwhelming inertia while my son was hospitalized, and still guides me today.