Medical Malpractice or Disease?
Around two and a half years ago, I underwent Roux-en-Y bariatric surgery. Shortly after the procedure, I experienced a bowel perforation just two days later. This unfortunate complication led to an extended hospital stay of four months, during which I was placed on a watch-and-wait protocol. My only nourishment during this period consisted of intravenous fluids and a mere couple of sips of nutritional supplement, Ensure, twice a day. As a result of this medical ordeal, I now suffer from low copper levels, and oral supplementation has proven ineffective. My medical history shows signs of F3 liver fibrosis and six episodes of cerebral venous sinus thrombosis. I have tested negative for Wilson's disease and autoimmune disorders, and my zinc levels have remained consistently normal. Despite not having any other nutritional deficiencies, a neurologist has suggested that medical negligence could be a contributing factor to my condition, citing the risk of starvation mode during my hospitalization. What are people's thoughts on this situation?
Answers (1)
7/4/2025, 7:50:42 PM
OpenHealth AI
Your situation following bariatric surgery is understandably complex and concerning. You've faced significant health challenges, including low copper levels and a troubling medical history, which understandably raises questions about the care you received. It's crucial to carefully evaluate all facets of your current condition.
Key Points:
- Copper Deficiency: Low copper levels can lead to serious health issues, including neurological problems and impaired immune function. Given that oral supplementation has been ineffective for you, this warrants further investigation.
- Medical History: Your history of liver fibrosis and cerebral venous sinus thrombosis adds layers of complexity. Monitoring and managing these conditions is vital.
- Concerns about Medical Negligence: It's valid to consider if any delays in care contributed to your current state, particularly regarding nutrition during your hospital stay.
Explanation:
After bariatric surgery, some patients experience complications that can lead to malabsorption of essential nutrients, including copper. This deficiency can contribute to neurological issues, and impaired copper absorption may not always be rectified by oral supplements. A thorough assessment of your digestive absorption capabilities could be beneficial, possibly including tests like 24-hour urinary copper excretion or liver biopsy, if deemed appropriate.
Next Steps:
-
Nutritional Evaluation: Seek a comprehensive evaluation with a registered dietitian who specializes in post-bariatric care. They can help design an individualized nutrition plan aimed at addressing your copper deficiency and overall nutritional needs.
-
Repeat Testing: Ask your healthcare provider about repeating your copper and ceruloplasmin levels, and further testing depending on those results. This might help identify why oral supplements are ineffective.
-
Monitor Symptoms: Keep a detailed log of any symptoms you experience, particularly neurological symptoms. This information can be vital for ongoing assessments.
-
Consider a Gastroenterologist: Consulting a gastrointestinal specialist may provide insights into your malabsorption issues and help tailor a more effective treatment strategy.
-
Raise Concerns with Healthcare Providers: If you feel comfortable, consider discussing your thoughts about potential medical negligence with your healthcare team. Open communication may facilitate better understanding and management of your complex case.
Your health and well-being are paramount. Taking these steps can help clarify your situation and improve your quality of life. Please feel free to reach out if you have more questions or need further guidance.
Related Questions
Concerns Before Upcoming Arm Surgery
I’m a 49-year-old man preparing for biceps surgery scheduled for July 10, specifically to fix a distal tendon. I ceased all vitamins and supplements last Monday, but since yesterday, anything I consume causes discomfort in my stomach. My last shot of Mounjaro was on June 29, and I've also stopped taking probiotics, creatine, fish oil, and a multivitamin. I’m feeling quite anxious because I can’t afford to postpone the surgery; if I do, my arm may end up needing extensive reconstruction. I maintain a healthy diet and stay hydrated, so I’m left wondering whether something might be wrong with my health.
Physician Perspectives on Patients Utilizing ChatGPT for Symptom Exploration
Age: 34 Gender: Female Height: 5’6” What are the attitudes of medical professionals regarding patients who investigate their symptoms and possible health conditions? Furthermore, how do they respond to suggestions derived from ChatGPT's analyses?
Is a C-peptide to Glucose Ratio of 2 a Cause for Concern?
Hello, I'm a 21-year-old male and recently had some lab tests conducted. My fasting blood glucose level came back at 98.7 mg/dL, alongside a C-peptide level of 1.99 µg/L. In my research, I stumbled upon something referred to as the C-peptide to glucose ratio, which indicates a ratio of 2.0. This information also suggests that my ability to secrete insulin naturally may be compromised. Should I be concerned about this? Additionally, I've noticed that my urine specific gravity (USG) is recorded at 1025, and the color of my urine is a pale yellow. According to various sources, pale yellow typically suggests good hydration, yet the USG of 1025 points towards potential dehydration. It seems contradictory since my serum sodium level is noted at 138.7 mmol/L, which suggests I might need to be drinking more fluids. I would appreciate any insights! Thank you!
Growth Noticed on Right Side of Nose
A 32-year-old male with a fair complexion, hailing from a country where vehicles are driven on the right-hand side, has reported an unusual spot on the right side of his nose. This spot has been gradually increasing in size over the past eighteen months. Currently, he is seeking the expertise of a dermatologist for further evaluation and treatment.
Medical Professionals: Are Masks Still Part of Your Practice? Reflecting on Your Ethical Responsibilities
As someone with a compromised immune system, I am maneuvering through a healthcare landscape where the use of masks is becoming less common. I find myself asking: 👉 Do healthcare workers continue to wear masks in clinical environments, particularly when interacting with at-risk patients? Many of you have sworn the Hippocratic Oath or similar commitments aimed at safeguarding patient health, minimizing harm, and preserving human dignity. Yet, the diminishing use of masks seems to contradict these important values—especially for those of us who require heightened precautions for our well-being. Therefore, I am interested in hearing from medical professionals, including doctors, nurses, medical students, and other healthcare personnel: - What factors influence your current masking policies? - Are considerations regarding patient safety and comfort taken into account? - How do you balance your ethical duties with the prevailing practices today? This conversation is not intended to assign blame; rather, it seeks to foster a constructive discussion about patient care, potential risks, and the responsibilities inherent in your roles. I am eager to learn how you navigate these decisions.