Cause and Effect May 31, 2017
I think I know one of the causes of my recent substantial increase in blood sugar. It is a deadly chain event.
Hershey Medical Center changed and increased my diuretics due to an increase in fluid. Elevated blood sugar followed.
I think lymphedema and AWS contributed to the increase in fluid.
Hershey removed a perfectly healthy organ on February 8, 2017 causing the lymphedema.
They did not treat this lymphedema and I wound up going to the emergency room for infection on May 12, 2017.
As of today there has still been no treatment.

Hershey failures have caused me long term suffering.



Failure number one - They did not explain to me that their lymph node biopsy was actually a massive axillary lymph node dissection. I understand this should only be done if there is good reason to think there is cancer there.
Failure number two - They did not treat the ailments caused by this surgery. Lymphedema and AWS.I tried for months to get help with my pain but the doctor said he did not know what it was but it was not related to his surgery.
Failure number three - They did not follow up with any treatment for Lymphedema after that caused me a week in the hospitital due to infection caused by the Lymphedema.
I had a perfectly healthy organ removed resulting in long term health problems.
The suffering goes on.
I think Hershey has killed me.

 Hershey.


 Hershey.


 Hershey.


 Hershey.


 Hershey.


 Hershey.


 Hershey.


 Hershey.


 Hershey.


 Hershey.


 Hershey.


 Hershey.

 Hershey.
Memorial Day Weekend
Compliments of Hershey


 Hershey.


 Hershey.


 Hershey.


 Hershey.


 Hershey.


 Hershey.


 Hershey.









I had surgery on February 8, 2017.
I believe there was more cutting than there should have been.
I saw the doctor on February 28 and again on April 11. He could not tell me what the problem was or provide any help to reduce the pain. Pain and swelling continues on May 1, 2017. I have what is apparently called cording under the arm and down to my elbow. The part going down to the elbow is getting hard to feel. I have an assortment of lumps and bumps under my arm and nearby in my chest. These lumps and swellings go clear from my chest down below my elbow. I still have no diagnosis from Hershey and no treatment for the pain. This has been going on for a long time now. It must be permanent damage. I guess if Hershey can’t figure out what all these lumps are I must assume something was left in me during surgery.

Hershey Medical Center.












May 1, 2017
I had surgery on February 8, 2017. I believe there was more cutting than
there should have been.
I saw the doctor on February 28 and again on April 11. He could not tell
me what the problem was or provide any help to reduce the pain.
Pain and swelling continues on May 1, 2017. I have what is apparently
called cording under the arm and down to my elbow. The part going down to
the elbow is getting hard to feel. I have an assortment of lumps and bumps
under my arm and nearby in my chest. These lumps and swellings go clear
from my chest down below my elbow. I still have no diagnosis from Hershey
and no treatment for the pain. This has been going on for a long time now.
It must be permanent damage. I guess if Hershey can’t figure out what all
these lumps are I must assume something was left in me during surgery.
Jim Crownover

> Good afternoon Jim,
>
> The purpose of this email is to confirm that the review of your care
> concerns is ongoing and unfortunately, not yet finalized.
> You will receive additional feedback in the near future. Thank you for
> your patience.
>
> Barb
>
> The role of Patient Relations is to respond to patient/family concerns by
> facilitating communications between our patients/family members and PSHMC
> caregivers.  Patient Relations is available to assist you with your
> communication to the patient/family member regarding this concern.
>
> 
> Manager, Patient Relations
> Patient Experience,  MCH111
> Penn State Health Milton S. Hershey Medical Center
> 500 University Drive, H1024
> Hershey, PA 17033-0850
> Ph.#:  717-531-5671,  Fax#:  717-531-0281
> Email: 
Subject:   RE: Left with no hope 
From:   "" <> 
Date:   Thu, May 4, 2017 6:33 am 
To:   "" <> 
Priority:   Normal 
Options:   View Full Header |  View Printable Version  | Download this as a file 
 
 





I understand.  I am awaiting feedback from clinicians.  I hope to be able to offer
an update very soon. 

-----Original Message-----
From:  [mailto:] 
Sent: Wednesday, May 03, 2017 8:15 PM
To:  <>
Subject: Left with no hope

May 3, 2017
No further communication from Hershey. I guess I have to look elsewhere for help.
May 1, 2017
I had surgery on February 8, 2017. I believe there was more cutting than there
should have been.
I saw the doctor on February 28 and again on April 11. He could not tell me what the
problem was or provide any help to reduce the pain.
Pain and swelling continues on May 1, 2017. I have what is apparently called cording
under the arm and down to my elbow. The part going down to the elbow is getting hard
to feel. I have an assortment of lumps and bumps under my arm and nearby in my
chest. These lumps and swellings go clear from my chest down below my elbow. I still
have no diagnosis from Hershey and no treatment for the pain. This has been going on
for a long time now.
It must be permanent damage. I guess if Hershey can't figure out what all these
lumps are I must assume something was left in me during surgery.



> Good afternoon Jim,
>
> The purpose of this email is to confirm that the review of your care 
> concerns is ongoing and unfortunately, not yet finalized.
> You will receive additional feedback in the near future. Thank you for 
> your patience.
>
> Barb
>
> The role of Patient Relations is to respond to patient/family concerns 
> by facilitating communications between our patients/family members and 
> PSHMC caregivers.  Patient Relations is available to assist you with 
> your communication to the patient/family member regarding this concern.
>
> 
> Manager, Patient Relations
> Patient Experience,  MCH111
> Penn State Health Milton S. Hershey Medical Center
> 500 University Drive, H1024
> Hershey, PA 17033-0850
> Ph.#:  717-531-5671,  Fax#:  717-531-0281
> Email:   ======== Confidentiality 
> Notice ======== This message (including any attachments) contains 
> information intended for a specific individual(s) and purpose that may 
> be privileged, confidential or otherwise protected from disclosure 
> pursuant to applicable law.  Any inappropriate use, distribution or 
> copying of the message is strictly prohibited and may subject you to 
> criminal or civil penalty.  If you have received this transmission in 
> error, please reply to the sender indicating this error and delete the 
> transmission from your system immediately.
> ==================================
> -----Original Message-----
> From: 
> Sent: Wednesday, April 19, 2017 1:53 PM
> To: 
> Subject: RE: Expressed Concerns
>
> Good afternoon Jim,
>
> As noted, I would like to obtain an internal independent review and I 
> have shared the information you forwarded regarding axillary web 
> syndrome to our clinicians for consideration/feedback.
>
> I will respond to you with additional input as soon as possible.
>
> Thank you,
> Barb
> -----Original Message-----
> From:  [mailto:]
> Sent: Tuesday, April 18, 2017 8:22 PM
> To:  <>
> Subject: RE: Expressed Concerns
>
> I see that you have not been in communications with Dr. Neves' office.
> They did not tell me a diagnosis. I got no medication no information. 
> is it possible to find out anything from Hershey?
> Jim
>
>
>> Good morning Mr. Crownover,
>>
>> Patient Relations staff aren't clinical and as such, cannot give 
>> feedback, or comment on medical conditions, or related care.  I will 
>> share the additional information you forwarded regarding axillary web 
>> syndrome to our clinicians for consideration/feedback.
>>
>> I see that you have been in communications with Dr. Neves' office 
>> regarding your insurance company's denial of the topical cream 
>> prescribed.
>>  Your assumption that Dr. Neves' office didn't submit a diagnosis is 
>> inaccurate. They did.  However, your insurance only covers this item 
>> if prescribed for osteoarthritis. Due to the variety of insurance 
>> coverages from patient to patient, physician offices don't know the 
>> specific coverage limitations for various insurance policies. Your 
>> pharmacist may be able to recommend an over-the-counter treatment 
>> that might be effective, as Dr. Neves is not recommending additional 
>> medication.
>>
>> Thank you,
>> Barb
>>
>> -----Original Message-----
>> From:  [mailto:]
>> Sent: Monday, April 17, 2017 9:23 PM
>> To:  <>
>> Subject: RE: Expressed Concerns
>>
>> Hi Barbara
>> It is simple. I researched it.  Dr. Neves said he didn't know what 
>> was wrong and the surgery he did could not have caused it.  WRONG!
>> Axillary web syndrome is side effect of sentinel lymph node biopsy or 
>> axillary lymph node dissection.  So that is what it is and the 
>> surgery caused it. I cannot get the pain cream he prescribed because 
>> he did not give the diagnosis and therefore insurance will not cover 
>> it so the pain goes on.
>> What should I do?
>> Jim Crownover
>>
>>> Good morning Mr. Crownover,
>>>
>>> I am researching internally, to see what we might be able to provide 
>>> in the way of an independent review and follow up advice.
>>>
>>> Thank you,
>>> Barb
>>>
>>> The role of Patient Relations is to respond to patient/family 
>>> concerns by facilitating communications between our patients/family 
>>> members and PSHMC caregivers.  Patient Relations is available to 
>>> assist you with your communication to the patient/family member 
>>> regarding this concern.
>>>
>>> 
>>> Manager, Patient Relations
>>> Patient Experience,  MCH111
>>> Penn State Health Milton S. Hershey Medical Center
>>> 500 University Drive, H1024
>>> Hershey, PA 17033-0850
>>> Ph.#:  717-531-5671,  Fax#:  717-531-0281
>>> Email:  
>>>
>>> -----Original Message-----
>>> From:  [mailto:]
>>> Sent: Wednesday, April 12, 2017 8:47 AM
>>> To:  <>
>>> Subject: RE: Medical Records Release Form to be Completed and 
>>> Returned
>>>
>>> Hi Barbara
>>> Left axillary sentinel lymph node
>>> I have done some research since my visit and I think I have found it.
>>> It happens to a lot of people who have this surgery. If doctor Neves 
>>> doesn't know about it there is something wrong. Maybe he should not 
>>> be doing this.
>>> Axillary dissection should be reserved for patients with proven 
>>> axillary disease preoperatively or with a positive sentinel node 
>>> biopsy. It looks like the axillary node should not have been cut, 
>>> Axillary web syndrome is side effect of sentinel lymph node biopsy 
>>> or axillary lymph node dissection.  I need to find out more about it 
>>> before I can understand.
>>> Cord Composition
>>> Tissue samples of axillary cording are limited, but do implicate 
>>> lymphatic thromboses, venous thromboses and fibrosed lymphatic 
>>> vessels as the most frequent tissues comprising axillary webbing
>>>
>>> Problem unresolved
>>> Thank you
>>> Jim Crownover
>>>
>>>> Good afternoon Jim,
>>>>
>>>> I have been in touch with Barb Twigger, who is the Supervisor in 
>>>> our Medical Records/ Health Information Services (HIS)  Department.  
>>>> She is going to help to get the operative report to you as soon as 
>>>> possible.
>>>>  She
>>>> will  give you a call to explain the Internet option.   After you talk
>>>> to
>>>> her, you can decide whether you prefer internet or a CD.  There is 
>>>> a CD charge, but we will waive this charge for you.
>>>>
>>>> Additionally, I believe you are now scheduled for a follow up with Dr.
>>>> Neves on 4/11/17, to talk about your 2/8/17 surgery.  We can have 
>>>> someone from Pt. Relations participate in this discussion, with the 
>>>> goal of improved satisfaction from your viewpoint.
>>>>
>>>> I hope this helps.
>>>>
>>>> Thanks,
>>>> Barb
>>>>> -----Original Message-----
>>>> From:  [mailto:]
>>>> Sent: Tuesday, March 21, 2017 3:12 PM
>>>> To:  <>
>>>> Subject: Re: Medical Records Release Form to be Completed and 
>>>> Returned
>>>>
>>>> Hi Barb
>>>>
>>>> If I check in medical records via internet would that come by email?
>>>> If I can't get them on the internet I guess I would need the cd.
>>>> What about these per page charges?
>>>> Thank you
>>>> Jim Crownover
>>>>>
>>>>> Good afternoon Mr. Crownover,
>>>>>
>>>>> As promised, I have attached the form we discussed in our 
>>>>> conversation yesterday afternoon.  This form will allow our 
>>>>> Medical Records department to release your records to you.
>>>>>
>>>>> Please complete the form, sign it and date it.  You can scan the 
>>>>> completed form and send it to me via email (to 
>>>>> >>>> e
>>>>> du>), or you can send it via US Mail to my attention at the 
>>>>> du>address
>>>>> listed below.
>>>>>
>>>>> Thank you,
>>>>> Barb
>>>>>
>>>>> The role of Patient Relations is to respond to patient/family 
>>>>> concerns by facilitating communications between our 
>>>>> patients/family members and PSHMC caregivers.  Patient Relations 
>>>>> is available to assist you with your communication to the 
>>>>> patient/family member regarding this concern.
>>>>>
>>>>> 
>>>>> Manager, Patient Relations
>>>>> Patient Experience,  MCH111
>>>>> Penn State Health Milton S. Hershey Medical Center
>>>>> 500 University Drive, H1024
>>>>> Hershey, PA 17033-0850

>
>
>
Jim Crownover got screwed by Hershey,



 
 
 
 
>

Hershey Medical Center.





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