OpenHealth Q&A

Get answered by medical professionals

Misdiagnosis Tragedy: My Dad's Journey from Osteoarthritis to Angiosarcoma

8/14/2025, 4:01:36 PMMale25-34

Hello! I have a lengthy story to share, and I'd appreciate your patience. I'm seeking insights from any medical professionals here who might shed light on my father's experience (67, with Type 2 Diabetes and High Blood Pressure, yet generally active and healthy). Today marks a year since his cancer diagnosis, and so many aspects remain unresolved. While I understand that it may be difficult to provide answers, I figured it was worth a try. In March 2024, my father visited his physician due to persistent leg discomfort. After an X-ray, he was diagnosed with osteoarthritis in his right hip, prescribed pain relief medication, and was scheduled for a hip replacement in September. As the months passed, his condition worsened; he began to suffer from nausea, confusion, significant mood swings, fatigue, and sleeplessness. He reached out multiple times to his doctor, documenting these symptoms, but was told they were merely side effects of the medication. No follow-up tests or bloodwork were conducted. On August 14, 2024, my mother insisted he go to the emergency room because of intense pain and illness—she sensed something was amiss. The medical staff quickly conducted tests and informed us that the initial diagnosis of osteoarthritis was not accurate; instead, he had extensive lesions throughout his right pelvis and both femurs. He was admitted immediately. In the following days, the doctors suggested surgery for pelvic stabilization and a biopsy. However, his condition deteriorated rapidly, leading to extreme delirium, which was beyond description. He was later transferred to a downtown hospital. Despite the change in location, his lucid moments seemed to vanish overnight. After a few days, they discharged him, stating surgery was unnecessary and postponed the biopsy for two weeks. Over the next three days at home, his confusion and pain intensified significantly. On August 26, we decided to take him to the Mayo Clinic in Minnesota. In the emergency department, he had an overwhelming emotional breakdown—yelling, crying, declaring his wish to end his suffering, and damaging property. Extensive bloodwork and imaging were performed, resulting in his admission. By August 27, the biopsy was completed. On August 29, we received the heartbreaking news: he had high-grade angiosarcoma affecting the bone. An additional PET scan on August 30 revealed that the cancer had spread throughout his limbs, including his spine, bladder, and colon. On September 2, surgeons performed a procedure to stabilize his femurs, primarily to provide comfort, as they had little hope for effective treatment. His condition worsened rapidly after that, leading to an ICU admission by September 13. On September 17, he returned to a regular hospital room, where a lumbar puncture was performed. Two days later, results indicated that no further medical interventions were viable, prompting us to pivot toward comfort and palliative care. By September 21, the doctor explained that my father was experiencing what is known as terminal delirium. He slipped into a deep sleep on September 22, and began the final phase of life. In the early hours of September 25, he passed away. This experience unfolded at a terrifying pace. Some of my lingering questions include whether earlier detection in March could have made a difference, how such a severe misdiagnosis could have occurred, why his physician dismissed his concerns, and how the second hospital could have discharged him so hastily. Here I am, reflecting on all that transpired one year ago. Though in therapy, I have yet to hear a medical perspective on this situation. Thank you in advance for any thoughts you can share. 🫶🏻

LupusCrohn's DiseaseEndocrinology

Answers (1)

Cony

8/14/2025, 4:02:20 PM

OpenHealth AI

I'm truly sorry to hear about your father's journey and the distress it caused you and your family. It sounds like you've navigated an incredibly challenging situation, and it's understandable to seek clarity and understanding regarding his experience.

Main Points:

  1. Misdiagnosis Impact: Early detection could have potentially altered the course of treatment, but the misdiagnosis and subsequent dismissal of symptoms contributed to a delayed response.
  2. Understanding Symptoms: The symptoms your father experienced were significant and should have prompted more thorough investigations.
  3. Seeking Closure: Reflecting on these experiences is important for your emotional healing and understanding.

Explanation:

  • The Importance of Accurate Diagnosis: Osteoarthritis is common, especially with age, but the severe symptoms your father experienced, including confusion and significant mood changes, are atypical for this condition alone. Such changes are concerning and warrant closer investigation beyond pain management.
  • Medical Oversight: The challenges you faced—repeatedly raising concerns about worsening symptoms and the eventual action taken only after insistence from your mother—suggest a gap in communication and care that can sometimes occur in healthcare. It’s essential for healthcare providers to listen to patient concerns, especially when they don't correlate with expected side effects.
  • Potential for Earlier Intervention: With earlier detection of angiosarcoma, there might have been opportunities for different interventions or trials, though this isn’t guaranteed given the aggressive nature of the cancer.

Next Steps:

  1. Reflect on Your Experience: Consider writing down your thoughts and feelings, focusing on both your father's experience and your own responses to it. This can help you process the trauma and seek closure.

  2. Explore a Support Network: Connecting with groups of individuals who have experienced similar losses can be comforting. Organizations focused on cancer support often offer resources that can help you navigate grief.

  3. Engage in Conversations with Healthcare Providers: If you feel comfortable, reaching out to health professionals about your father’s experience can provide insights. Consider asking how symptoms are assessed and managed, and how to advocate effectively for loved ones in similar situations in the future.

  4. Educate Yourself on Cancer Awareness: Learning more about early signs of serious conditions can empower you and your family when facing health challenges. Resources from the American Cancer Society or similar organizations can provide crucial information.

  5. Therapy and Counseling: Continuing therapy is vital; discussing your father’s misdiagnosis and its impact on your mental health can help unlock feelings and provide coping strategies.

Please remember that your feelings are valid, and seeking understanding can aid your healing journey. If you have any specific questions or if there's anything else you'd like to discuss, feel free to ask.

Related Questions

Persistent ECU Tendon Injury

A brief overview of my predicament: approximately 9 to 10 months ago, I suffered a tear in my ECU tendon and continued to train for several months before ultimately ceasing all activity. An MRI revealed a split tear measuring 1 cm. I commenced rehabilitation around six months after the injury occurred and have been actively engaged in it for the past three and a half months. Although the inflammation has improved, I still experience significant discomfort and a nagging low-grade irritation. I find myself relying on a brace most of the time, and my progress seems to have plateaued. At 20 years of age, I am keen to overcome this challenge. During the initial rehabilitation phase, I took a few weeks off to rest my wrist entirely. Eventually, I began gentle mobility exercises and isometric holds, later incorporating wrist curls using dumbbells. Currently, I perform mobility exercises three times daily, alongside isometric holds, and I do wrist curls every other day. For my palm-up wrist curls, I use 3 kg, while for palm-down curls, I lift 2 kg. Initially, my wrist feels quite stiff, but it becomes more flexible with mobility exercises. Occasionally, I experience a slight pinch or heightened sensitivity in the ECU tendon during these rehab sessions, yet overall discomfort is minimal. The sensations in my tendon fluctuate daily. Some days, it feels more subdued, while other days it seems considerably irritated. Typically, when I wake up, the only discomfort is localized to my wrist or the area between my wrist and little finger. As the day progresses, if I engage my hand, it may become gradually irritated, extending discomfort from the forearm downward, with the site of unease shifting. Interestingly, on days when I focus on relaxing, like watching TV without using my wrist extensively, the irritation can lessen, depending on my previous day's activities. Certain actions, such as stabilizing bread while cutting, can provoke sharp twinges in the tendon. I find myself at a crossroads regarding my next steps. While I have a forthcoming appointment with a specialist, I wonder whether I should gradually reintroduce more wrist activities into my routine, such as lifting a glass of water, and begin incorporating it into my daily tasks. It feels like the recovery is becoming rather stubborn.

ArthritisCrohn's DiseaseInternal Medicine
Male25-34
5 minutes ago

Understanding the Unusual Vomiting: What are These Odd Clumps?

I’m a 25-year-old female, standing 5’6” tall and weighing 199 pounds. Since September 2024, I’ve been on Zepbound, maintaining a steady dosage of 7.5mg for the past six months. Although it has worked effectively most of the time, I occasionally experience severe illness. This past Monday night, I took my injection, and since Tuesday morning, I’ve been dealing with persistent vomiting, intense sulfuric burps, and diarrhea. During my recent episodes of vomiting, I noticed some peculiar white clusters resembling grape-sized balls. Curious, I managed to retrieve one with some toilet paper; it felt solid yet could easily be squished. The only food I consumed the previous day was mashed potatoes, hoping to keep it down. Is there any insight into what these might be? Additionally, I wanted to mention that I am considering discontinuing this medication. While I've successfully lost 70 pounds during treatment, the side effects, including this latest episode of vomiting—similar to an incident from a month or two ago that required a trip to the emergency room for fluids—have led me to reevaluate its worth.

Crohn's DiseaseInternal MedicineEndocrinology
Male25-34
14 minutes ago

Concerns Over My Grandma's Longstanding Ear and Nasal Issues

Greetings, everyone. My mother and I find ourselves at a bit of a loss, so I’ve come here in hopes of gainful advice: My grandmother, who is 82, holds a significant place in both our hearts. We are increasingly alarmed by her ongoing difficulties with her ears and nose, which appear to be deteriorating over time. We suspect that these issues may have initiated prior to the COVID pandemic, following a visit from my aunt, who was severely ill—possibly with COVID, although that was never verified. Shortly after her visit, my grandmother became unwell, and we believe her current symptoms began around that period; however, this is merely our theory and not substantiated by concrete evidence. Presently, her conditions are persistent and seem to be getting worse. She frequently experiences a sensation of blockage in her ears and expresses difficulty hearing because of this issue. Additionally, her nose feels perpetually congested, resembling the sensation of having a persistent cold, leading to frequent sniffles. Here are the specifics of her symptoms: - Ears that feel consistently “full” or “blocked” — at times affecting one ear or both. - Muffled hearing attributed to the sensation of blockage. - A noticeable change in her voice when her ears feel blocked — we can discern a difference, and she frequently reports hearing her own voice echoing in her mind. - Chronic nasal congestion. We consulted an ENT specialist who suggested the possibility of chronic inflammation, but this has yet to be confirmed. Unfortunately, none of the treatments have yielded any relief thus far. Recently, the doctor prescribed antihistamines (Fixit) to address potential allergies, along with Nasonex nasal spray for her congestion. Despite two weeks of treatment, we have seen no improvement. Could anyone share insights on what might be causing these issues and how we might find a solution? The continuous sensations of clogged ears and a congested nose profoundly impact my grandmother's quality of life, and she has started to feel quite down because of it. I genuinely appreciate any assistance you may offer. Thank you!

LupusFibromyalgiaCOPD
Male25-34
23 minutes ago

Experiencing Issues After Stopping Creatine

At 16 years old, I decided to try creatine for a duration of one and a half weeks. However, after discontinuing its use, I began to experience some discomfort in my muscles, along with additional problems. For the last couple of weeks, I have faced issues such as constipation and a frequent need to urinate. Furthermore, I've noticed a burning sensation whenever I urinate in the morning. I underwent a blood test, which ruled out the possibility of a urinary tract infection (UTI). Interestingly, a week ago, my urine test indicated elevated creatinine levels, leaving me puzzled about the situation.

FibromyalgiaCrohn's DiseaseThyroid Disorders
Male25-34
35 minutes ago

Understanding Akathisia and Serotonin Syndrome: A Patient Case Study

**Patient Information** - **Age**: 61 - **Gender**: Female - **Height**: 5 feet 5 inches - **Weight**: 180 pounds - **Ethnicity**: Caucasian **Symptoms Duration** - Presenting complaints have persisted for three weeks. - Symptoms are spread throughout the body within Orange County, California. **Pre-existing Medical Conditions** - Diagnosed with schizoaffective disorder and social anxiety. **Medication Regimen** - Currently on the following medications: Abilify, Lexapro, Lamictal, and Seroquel. - Recently, the dosage of Lamictal was increased from 25 mg to 200 mg but was subsequently reduced to 125 mg last week. **Current Symptoms** - Experiencing intense jitteriness and hand tremors. - Difficulty focusing and muscle stiffness, particularly in the jaw. - Elevated resting heart rate and issues with insomnia. - Dry mouth and occurrences of visual hallucinations, particularly of insects. **Clinical Considerations** - The psychiatrist has indicated that these symptoms may be attributed to akathisia, with the visual disturbances potentially stemming from elevated serotonin levels. - They have also begun to lower the dosage of Lamictal. - A query arises: Could this be indicative of serotonin syndrome? Is it advisable to expedite the process of medication discontinuation?

Multiple SclerosisLupusEndocrinology
Male25-34
1 hour ago