I would like to commend Dr. Tim he was the PA staff at the time of my visit to the ER. Very nice doctor, made himself when I asked for him regarding questions for clarification of test results. My only issue with Dr. Tam is that upon discharge he stated that all my test came back good he didn't see anything wrong and I believe him but I knew I still wasn't feeling quite well. Then something told me to open up my LiveWell app, and when I opened up that app, I'm looking at the exact test CT report that I was told 'looked great and no stones were found and he didn't know why I feel this way.  Well My LiveWell app showed differently and showed the doctor that I was in my app and that I was looking at the CT and ask for clarification on what that meant and so he said "it was a tiny stone and it would not cause an issue".  I asked about my potassium level because it was on the low end of normal.  So he suggested that I take some potassium to get me up to a nice number or perhaps that would help me as well with my energy. So I agreed to the potassium. One of the things that bother me is that as a patient I'm trusting that doctors nurses Are taking my help serious. I should never half to bring to the attention of the doctor or nurse about things saying on a test. If something is abnormal or no or what ever I expect for them to divulge that information to me because that is why I am in the ER . I need them to doctor. Information on my health should be forthcoming. I did not even want to come to the ER but I felt like I had no other choice. Now, I did it to Dr. Tim, he did a good work out good bedside manners, and easy to talk to explain them self where I could understand. All I have to say is doctors should tell patients even if it's something small that this could be part of the problem. And I came in there for what I felt was a kidney stone. I had all the symptoms. But don't tell me that all my test looked good because I just wasn't true. I know doctors are busy in the ER but be honest with patients when it comes to their health. I would've been happy and satisfied to hear the doctor say, I do see a bit of a small stone and that may be why you're feeling the way that you're feeling but that's not something they were treat. He did say that it would pass, and you probably wouldn't even feel it, since it was so small. Note that that information was only given to me after I showed him my report. He should've been forthcoming in the beginning without in my health because I am there for care. I should not have to do their job.  Now for the nurse who was taking care of me was haphazardly doing her job with me. Everything I asked her was a no or did you mention that to the doctor. Her bedside manners were horrible. When I asked her about what my bloodwork show her answer was a question. Did you ask the doctor about that? I said to her "no I did not, but since you have my chart open, I'm hoping that you could tell me." So I asked her what was my potassium and she got real Technical with me about the number by saying "3/10"…. Or of whatever. So I asked her to explain in layman terms  please. And i did ask her if it was high or low to normal".   I said you can send a doctor and if you can't answer my questions and don't want to help me. I could see that she definitely did not want to help me. I did nothing to her, but I asked for clarification on things. I asked for a bag of fluids and she said "did you ask the doctor?" I said "well I asked you earlier if I could get fluids and you said you would send a message ". Now whether she did the first time or not, I'm not sure of.  After that, a bag was brought to me.  A couple of other things that made me upset with her was when she told me they didn't have any Coband. I'm on blood thinners. So she took out my IV, put one gauze and a piece of light tape on me. Well, I bled through that and I brought it to her attention. I asked her for some Coband for pressure so as not to bleed. She told me they did not have any and I said her "I can't believe the ER doesn't have any Coband  for patients who are on blood thinners." Her response to me was, "well believe it because we don't." so I asked her if she could get me a ace bandage to wrap my arm because I was not leaving with a potential of bleeding through this small gauze. The next day that irritated me about her is I asked her to cut off my bracelet because I didn't want to leave the hospital with it on and she said she couldn't do that. So again, her answers to me always "NO". Next I asked for Tylenol before I left for pain in my back. She came back with it. She went to scan for my bracelet, and I told her "I took it off since you couldn't cut it off and I threw it in the garbage". She reaches in the garbage scares that bracelet and then she proceeds to reach over to the Tylenol She was going to give me and try to open them. I said "I can open that because your hands where in the garbage so technically, they're dirty now and contaminated." I was horrified that she thought that would be OK. So at that point she went over and put some hand sanitizer on her hand and came back to open the pills that she was going to give me. At that point, she wasn't even thinking about washing her hands and patient safety wasn't a concern to her which is the point that I want to drive home about her. She could have cared less about my health at that point. If it wasn't for me advocating for myself at that time, she would've been OK using her dirty hands to dispense my medicine for me to ingest. I have never been treated so horribly by an ER nurse in my life.  That nurse needs to be reprimanded for her behavior, not washing her hands after reaching in garbage to scan my band and thought it was ok to open my meds.  That's how people get sick.  Clearly she did not have patient care and hygiene at the top of her list with me.  I hope I never come across her again in the ER there.   Again, the PA on staff that day was fabulous, but my issue is telling everything looked great when it wasn't.  Sometimes things may seem small or not of a real concern to the doctor, but it may be part of what is bothering the patient and that the patient would not be sitting here in the ER room if nothing wasn't wrong. So I feel that  doctor should address anything whether it's felt that this is a big issue or not and be forthcoming with information that relates to the patient's health so that they know what direction to go in next.  If you all need to talk further, Please feel free to give me a call if need be.    
ASLMC ED