HW was 44 years old and had a history of heroin abuse. He developed severe back pain and then went to a local hospital’s emergency room telling the nursing staff that he was also suffering from heroin addiction and that he had experienced fever and nausea.
HW underwent testing, including an EKG, x-rays and blood work and was discharged from the hospital with a diagnosis of exacerbated back pain and narcotic withdrawal.
When the final results of HW’s blood culture were finalized it showed that he was suffering from a systemic blood infection. However, the hospital claimed that it was not able to reach HW by phone to advise him of these very dangerous results. Instead, the hospital sent a certified letter to the address that HW had given at the time of his admission. A copy of that letter was found in his medical records file. Predictably, before HW received the letter, he suffered paralysis from his chest down because of the systemic blood infection.