Genevieve Piliero

My nightmare began 3/26/21 and lasted one week. My mom lived with me and had not been feeling well for almost 2 weeks before. Because of “Covid” the Dr. would not see her in person and only treated her on the phone stating it was probably nothing. She only said she was tired and lethargic. The Dr. did put her on antibiotics but by 3/26, she was really struggling with being tired and weak. Her oxygen level was 89-90 and when I spoke to the Dr., he suggested I take her to the hospital. She was annoyed he didn’t see her and believed he could not treat her properly over the phone and that he never suggested an x-ray. He was convinced it was Covid. She did not want to go to the hospital but wanted to see how she felt the next day.

 

On 3/27/21, I took my mom to the hospital not knowing I would never see her again. She had a slight cough and was weak. I was not allowed to stay with her so I waited in the car and they eventually called and told me she was positive for Covid and was admitting her but I was not allowed in.

 

I spoke to her that night and she was jovial, feeling a little better, eating, and talking to family members. I was not told anything and mom was unable to give me enough information. When I received her health records after she died, I found out she was given Dexamathasone the day she arrived, 6 mg in an IV push 1x, Remdesivir started, and Medazalam and never told. She was also put on oxygen and notes showed no distress. I never saw that in her notes online, just bloodwork results.

 

After she was admitted, I immediately called to tell the nurses that her Warfarin dosage had recently changed but was told the dr. would figure it out. After she died, I saw they gave her too much against what I clearly stated, they never listened to me and as a result of givingtoo much, it was counteracted with VK. **Oneof the causes of deathin her notes but not death certificate was: “Complications of Coumadin Coagulathapy”. They continued to give too much in spite of what I said.

 

Her pulse ox was 96 and she seemed to be improving that night.

She was tested and showed viral pneumonia bilateral directly “corresponding to Covid” with suspicious pulmonary nodules but never discussed with me.

 

Her diagnosis was covid not pneumonia with “some hypoxia” and “no distress”

She was admitted for covid NOT pneumonia. However, some pages of her health record in the beginning stated that her xrays showed pneumonia and to consider “viral pneumonia” and “extensive bilateral pneumonia; somewhat concerning for Covid 19”

 

3/28 (Sunday) somewhat ok. Not quite as jovial. Didn’t want to talk to anyone and asked me to tell everyone not to call. I spoke to nurse about warfarin and told she did not receive it

everyday or a full dose which according to her records, she was receiving too much daily.


The nurse told me she would take care of it and never followed my directions. Gave her too much and later needed VitaminK to stop bleeding all while giving the same dose of Coumadin. Given Elequis-which she was not on, gave too much, and nurses refused to speak with me about this.

 

Eventually changed to Warfarin and given incorrect dosage. Her notes listed incorrect Dr. as the admitting Dr. and no one discussed her meds/dosages with me. At this point, her pulse ox was 98. She was given Cardizam, Diltazem, CBD, all without my knowledge and I am sure her consent. She would never agree to any/all of those meds especially without talking with me.

I also found a Remdesivir Criteria Score page with this date.

 

3/29 (Monday) She was on Remdesivir already when Dr. told me and I specifically told the Dr. I wanted Hydroxy or Ivermectin as clearly stated by CDC, but he refused and said he was only permitted by the CDC to give Remdesivir. I was animate about giving Ivermectin stating it was on the CDC website at that time for Covid. He said she had covid pneumonia and would hopefully would respond well to Remdesivir but couldn’t give anything else. Was given against my wishes and according to notes appears given when she was admitted. I was lied to about Remdesivir because they told me they started it later. On the notes, it stated, they reviewed it with me, which they didn’t. She had all symptoms of Pneumonia but they said covid. I asked about treating her for pneumonia which they said Levaquin. I thought the dosage was low but was assured it was fine - 250mg 1x a day. Her respiratory was starting to decline a little 96%. They also gave her Lipitor which she was not taking and would not discuss with me. They said she discussed it with them but she would have said no. She requested to speak to the Dr. but the Dr. never came and no other notes showed any follow up. A nurse noted she wanted something other than Lipitor but no follow up.

 

They started a higher flow of oxygen and eventually moved to Vapotherm, per the Criteria for Remdesivir use and mentioned the possible use of mechanical ventilation. I asked about treating pneumonia and they were only concerned with Covid and said the pneumonia was part of the covid virus and the Remdesivir would treat both.

 

At this point her INR warfarin dosage was too high and would later need to be countered with VitK because they never listened to me. They said she had a history of blood clots which she did not but again didn’t listen.

 

The Dr. told me they moved her to the Covid floor (PCU) where she would receive “customer care” on that floor and on Vapotherm at a higher flow.

 

Notes state SARS-COV2 pneumonitis - “Continue with Remdesivir” and steroid along with antibiotic for possible secondary bacterial infection.

 

It was recommended Levaquin be discontinued because it will interfere with Coumadin and infectious disease consulted. This showed day 2 of 5 for Remdesivir but it was actually day 3. Mom was not having any issues or complaints and oxygen was 93% which was typed in a different way on the notes which was strange.

 

THIS IS WHEN THE PHONE ISSUE STARTED.


3/30 (Tuesday). They told me to bring anything important to her including her phone, blanket, snacks, etc. I did, only able to drop off. Her pneumonia was not getting better and she was starting to deteriorate. It was day 2 of 5 for Levaquin and day 3 for Remdesivir. All assessments showed covid with no mention of pneumonia. Her oxygen was 91% and again type was different.

 

3/31 (Wednesday) her notes stated “treat serious life-threatening infection” never relayed to me. WBC and RBC from 3/30-4/3 too high. Appears Levaquin was stopped and stated interference with Coumedin and now bleeding. Again, they gave her too much against the dosage given at home. There was no assessment plan to cover pneumonia, had severe sepsis (not to my knowledge) and given more oxygen on bipap. The report also stated severe sepsis alert with organ dysfunction but I was never told.

According to their notes, Day 4 of 5 for Remdesivir but it was actually Day 5 and still on Levaquin which it was recommended they stop because of the Coumadin. Never stopped and never put on another antibiotic. Oxygen was around 94% most of the day.

 

4/1 (Thursday). Pneumonia was increasingly worse and questioned why nothing was being done to address it. Always told it was covid and they were treating it with Remdesivir which clearly was doing nothing. No one knew anything about side effects and told me it was fine and there were no side effects.

 

They continued to tell me she didn’t feel like talking and I knew that was insane because she would want to talk with me. The phone was not working and they refused to give her the phone I brought. They never gave her anything in that bag because it never changed from when I dropped it off. The only thing they gave her was her blanket the day she died. She was given Morphine, Vit K, Remdesivir. Pneumonia worsened and she was deteriorating. The notes said she was a good patient for Actemra but they don’t carry it and never told me.

 

Notes still showing severe sepsis.

 

4/2 (Friday) on Vapotherm BiPap. The issue with VitK was blamed on covid which was not the case at all. Again, SEPSIS was noted but I was not told and didn’t know until I read her medical report after death. Her report also stated a “superficial thrombus in saphenous veing” and never told. The Doctor was called at 16:45 with no reason why. Shows she was “alert/awake” and that pneumonia was covered with antibiotic but cannot find in the report. They stopped coumadin and starting Heparin, INR was elevated.

 

4/3 (Saturday) - still has a broken phone and will not give her cell phone still stating she doesn’t want to talk to anyone. I demanded they give her a phone and called the hospital asking for a new phone which she never got. She was given morphine every 15 minutes and again I was not told. Her notes states they were pulling her off oxygen, hypoxic, still on remdesivir, thrombocytopenia and palliative care. They gave her a blood transfusion and appears they ended the bi-pap oxygen therapy. They had to do an emergency transfusion to reverse issues with Heparin. Also stated her veins were done. NEVER told.


Strangely, her signature to a transfusion was supposedly on the permission paper but they were also trying to wean her off of the vapotherm because she was doing better, another discrepancy with what I was told and what was happening. No wonder they kept her from communicating.

 

There were also issues with Coagulopathy from Coumadin so needed VitK and it was noted she had a previous possible vitamin K deficiency which had someone listened to me, that was caused by the hospital who gave her too much Coumadin.

 

4/4(Sunday) Easter Sunday. I requested a virtual with the grandkids and great grandkids. They agreed and set up a call. She was back on bipap and couldn’t talk but smiled and waved. A nurse stood behind her and my mom looked scared. We could only talk to her and she wasn’t allowed to take off the oxygen. Her records state multiple doses of morphine given, she was evaluated from the door, she was unable to sign anything, my name was signed that they called me but NO ONE ever called me and told me any of this. They lied and put my name down as being contacted. Comments on her reports were removed. She was given another blood transfusion and it stated CONTAMINATION in her reports. Also stated “reactive implantable cardiac defib” NO knowledge of any of this. Pastoral consult at 16:03 and he never went.

 

4/5 (Monday) I requested after they told me they were unable to arouse her after multiple doses of morphine, she was in a coma. She was still being given Lorazepam and a rectal suppository while comatose along with 15-30 minute intervals of Morphine. They never once called to ask permission or tell me anything from the day before up to that point. They did whatever they wanted. I requested her home to die and by the time they called it was too late.

 

Her death certificate showed she was pregnant at 83 and that she died at 16:45. We were there at 4:15 and she had already passed.

 

Misc information:

 

Her mouth and lips were black and blue and filled with dried blood Vent in the room was covered with tape, no filtration in the room

In spite of being her medical person, they never called and I got yelled at when I did call by the nurses.

 

Dates are missing on consult notes. Many lies in notes. 

 

They hesitated to send me all medical and locked me out of the system which they lied about as well. I downloaded everything before they sent all history.

 

She was also given Diltiazem

 

Notes state are lungs hemorrhaged, Phyto-nadione-reaction to Vit K, cardiac respiratory arrest, dyspnea

 

Gave Lipitor, never on it at home and didn’t want it.


 Didn’t have a-fib or implantable as stated in notes. Remdesivir dates given to me were inconsistent with notes.

Morphine given 4/2,4/4,4/5 without my consent or knowledge, last day 4/5 where she was given every 15 minutes with a witness nurse. Never told.  Hep infusion

 

Given scopelamine never told me Said phone was within reach, lied

 

On the Remdesivir criteria page, the dr. had to check off certain things in order to qualify for Remdesivir. The dr. checked off NO to "hypersensitivity to ingredients” and NO to “anticipate discharge within 72 hours” THEY HAD TO ADMIT WITH COVID IN ORDER TO GIVE REMDESIVIR!

 

On4/5 my initials were signed but I never received any information or discussed any of this page with anyone.

On 4/3, there was a signature for a blood transfusion and this WAS NOT HER SIGNATURE! IF IT WAS, she clearly was not well enough and it should have been discussed with me.

 

Consultation notes were incorrect with wrong dates, i.e. admitted on 3/22 but was admitted on 3/27. All family members had Covid which was also untrue.

 

Death certificate eliminated causes that were in notes and untruths about previous illnesses as well. Riddled with more lies.

 

I requested an autopsy and all of a sudden, the hospital started calling asking why? At first, they refused so I found only 1 doctor who was permitted to do autopsies in the state of NJ. He was not permitted to autopsy her brain due to covid. They were extremely agitated I requested an autopsy.

 

The doctor, who performed the autopsy left for the midwest shortly after covid.

 

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