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Operative Note for First Gallbladder procedure at All Angels Hospital
At 64 years of age, Roosevelt went to All Angels Hospital to get her gallbladder removed. She had biliary pancreatitis and underwent a laparoscopic cholecystectomy. There were no complications. Operative Note for All Angels -
Roosevelt is presented to All Saints Hospital
At 9.29 PM, Evelyn Roosevelt (Age 75) was presented to All Saints Hospital ER with complaints of chest pain. A past surgical history of cholecystectomy and/or gallbladder removal was noted by the ER physician, triage nurse and admitting nurse. Emergency Department Treatment Record. Jesse, Kerry, Lana were the siblings present during the ER and they were in the waiting room when nurses were with Evelyn. Kerry Roosevelt Dep. 14:20-3. -
Roosevelt was admitted
At 12:38 AM, Evelyn Roosevelt was admitted to All Saints Hospital by her family physician, Clarence Thomas, M.D. Dr. Thomas recorded a past history of kidney stone surgery and shoulder surgery; however, Dr. Thomas did not note or record that Mrs. Roosevelt had prior gallbladder surgery. Admissions Summary for Adult Patients. -
Emergency Department Treatment Record by Dr. Smith
At 9:56PM, Dr. Smith conducted an Emergency Treatment Record of Evelyn Roosevelt, while Kerry Roosevelt was present. Kerry Roosevelt Dep. 17:2-25. Dr. Smith ordered an EKG on the area that was sore and tender, she told the first Dr. Smith about the past gallbladder surgery. Kerry Dep. 18:12-25. She had sat on the ER stretcher for a few hours because of the shift change. Roosevelt Dep. 18:1-7. -
Dr. Thomas ordered an abdominal ultrasound, cardiology consult and gastrointestinal consult
At, 5:30 AM, Dr. Thomas evaluated Evelyn Roosevelt and ordered an abdominal ultrasound, cardiology consult and gastrointestinal consult. Under the Admissions Summary Report and Jesse Roosevelt Dep. 24:19-22. -
Dr. Gremillion's Consultation
After being admitted for chest pain syndrome, Roosevelt was consulted by Dr. Gremillion, a cardiologist, The lab findings determined abnormalities with glucose of 137 BUN 24 and MB negative. There was an abnormal abdominal ultrasound, and heart is felt to be enlarged. Patient presents chest pain that is not actually cardiac, and Dr. Gremillion suggested she be evaluated for other noncardiac causes. He noted her gallbladder abnormality. His impression is Atrial arrhythmias. -
Dr. Roberts Gastro Consultation
Notes reported kidney stone surgery but not gallbladder, he noted on his physical examination that the abdomen had a small supraumnilical scar, without a hernia. He noted Roosevelt's acute attack of midsternal chest pain that lasted 10 minuted on Nov. 6 and then resolved. Further, while in the hospital she had an episode that lasted 5 minutes. His recommendations is that it is a possible esophageal spasm. Need to check gallbladder ultrasound for completeness. -
Ultrasound Record taken by Anthony Kennedy, MD
At 2:56 PM, Dr. Kennedy noted, "Instead of a normal fluid filled distended gallbladder, the gallbladder region displays high level of echoes with posterior shadowing suspicious for a contracted gallbladder contianing stones, assuming that the gallbladder is still present." His impression was that the abnormal gallbladder region suspicious for contract gallbladder possibly containing shadowing stones. -
Patient Consent for Surgical Procedure of Esophagogastroduodenoscopy
At 1:20PM, Evelyn Roosevelt gave her Consent to have a Esophagogastroduodenoscopy. -
Dr. Sotomayor's Consultation
Noted that Roosevelt since admission has a negative cardiac workup, and her ultrasound revealed the presence of an abnormal gallbladder with contraction and stones. No dialated bile ducts. She noted two previous surgeries: Kidney stone removal and left shoulder surgery. Her impression was chronic cholecstitis with cholelithiasis and recent biliary colic. She recommends a laparoscopic cholecystectomy for later today. She explained the procedure to the patient and the risks. -
Consent Form Attachment For Cholecystectomy with or without common bile duct exploration
Signed and dated by Evelyn Roosevelt. Who agreed to the risks of the Cholecystectomy. -
Jesse Roosevelt informed Dr. Thomas about possible gallbladder removal
Prior to surgery, Jesse Roosevelt, admised Dr. Thomas that she thought Mrs. Roosevelt had her gallbladder removed years earlier. Mrs. Roosevelt's daughter suggested a review of Mrs. Roosevelt's past medical records to confirm her past medical history prior to surgery. Complaint Section XI and Jesse Roosevelt Dep.14:20-23 -
Operative Report of Sotomayor for Laparscopic exploration
Initial diagnosis was chronic cholecystitis and cholelithiasis but post operative found evidence of previous cholecystectomy. The report states the patient only gave previous history of kidney stone surgery and no gallbladder removal. Further, that the ultrasound revelaed the presence of gallbladder with stones. The exploration showed 7-8 surgical clips and no gallbladder. -
Roosevelt's Hemocrit drop
Roosevelt's hemocrit dropped to 26.9. -
Patient Consent to Medical Treatment of Laparoscopic Cholecystectomy
At 9 AM, Jesse Roosevelt signed Consent form for Dr. Sotomayor to do a Laparoscopic Choleystectomy to remove the gallbladder. Sotomayor signed on 11/8. -
Informatiom on Blood Transfusions Consent
Jesse Roosevelt at 9AM, signed Information about Blood Transfusions Consent form and patient information for Evelyn Roosevelt. -
Operative Report of Dr. Richard's Esophagogastroduodenoscopy
The Operative Report states, "In the distal body in the proximal antrum there are some erosions which have signs of recent bleeding. They don't appoear to be the chronic type we usually see. They appear to be relatively fresh, raising the possibility of esophagogastric tube trama." -
Roosevelt Renal Failure
Plaintiff suffered renal failure and required dialysis. During dialysis she coded and was resuscitated. -
Supportive Measures
All Supportive Measures were removed from Eveyln Roosevelt. -
Roosevelt Died
Evelyn Roosevelt died November 15, 2001 -
Jesse Roosevelt Dep.
Jesse Roosevelt's Deposition before he died in 2005. This deposition and any writing can come in through the stipulations. -
Anthony Kennedy Dep.
Conducted the ultrasound report and gives reasoning for his vague descriptions. -
Medical Review Panel of Dr. Sotomayor
Badar Ginsburg (M.D.) was on the Medical Panel, which decided that Dr. Sotomayor's clinical impression of cholecystitis was bolstered by the ultrasound report and resulted in an appropriate recommendation for surgery. Proceeding with the surgery, even though Roosevelt was on Lovenox and Plavix was acceptable, and patients post-operative hemorrhage was clinically unapparent in the first 24 hours. By second day when it became apparent Roosevelt was in acute renal failure. -
Ginsburg Dep
Expert in general surgery, used as the expert for the defendant. -
Kerry Roosevelt Deposition
Kerry Roosevelt acting as the Plaintiff in Court. Was there when the monitors were showing a normal pulse but he didn't think that was correct.