Lisa Hackler
April 2024
Lisa
Hackler
,
RN
Home Health
EvergreenHealth
Kirkland
,
WA
United States
Lisa’s first visit was our first breakthrough for help. She immediately recognized the negative drug interaction. She witnessed a full-on episode and called 911. She then contacted me to participate in decisions.
After 10 months of my desperately seeking an accurate medical diagnosis in both outpatient and inpatient (x3) with primary care, neurology, and psychiatry, Lisa Hackler, RN, diagnosed my mom with Serotonin Syndrome. Lisa accomplished this at her very first visit with my mom. Her dedication, research, and voice have never given up on helping Mom get accurately diagnosed.
In March 2023, my mother’s primary care physician prescribed Paxlovid without discontinuing her Buspirone, even though she did not need the prescription because she did not have any symptoms of COVID. Paxlovid has explicit warnings of side effects that are caused when mixed with Buspirone. There are also explicit warnings not to start this medication after five days. Both of these warnings were ignored by the prescribing physician, filling pharmacy and nursing staff that administered her medication. There were five documented near-death experiences witnessed while there could have been many more because she was living independently in an assisted living facility. As a result, mom’s ADLs, speech, memory and mobility rapidly declined.
After mom’s third hospital stay with follow-up rehabilitation, EvergreenHealth Home Care was hired for services. Lisa’s first visit was our first breakthrough for help. She immediately recognized the negative drug interaction. She witnessed a full-on episode and called 911. She then contacted me to participate in decisions. Paramedics checked her vital signs, and based on the history of hospital visits, we all agreed that it would not be beneficial. Lisa stressed the fact that this was a drug interaction that met the symptoms of Serotonin Syndrome. We agreed to progress with contacting the urgent Everett Clinic Medicare line to get in touch with her psychiatrist. We were able to speak with a psychiatrist on call. This psychiatrist did not agree with the diagnosis of Serotonin Syndrome. Lisa continued to be diligent about her clinical findings, and as mom’s durable power of attorney, I decided to discontinue one of her psychiatric medications. Lisa stayed late into the evening, extraordinarily going over and above any of the multitude of providers who had not researched or collaborated to get answers. The very next morning, she continued to contact me with additional advice on the next steps of getting the professional help that mom needed. She never gave up.
After a week of again speaking with mom’s assigned primary, psychiatrist and neurologist; I still had no success with getting any help to resolve the issues. Transporting my mom was very difficult due to the rigidity and cloning. I had asked and shared documented reports numerous times to have the professionals collaborate about my mom and not one of them would communicate to resolve the issues. Instead, they just kept replying by telling me to talk to another one of her other providers.
Lisa returned first thing in the morning to double-check on Mom. I had also arranged for Dispatch Health to see my mom the same day in hopes of obtaining support. Lisa saw that nothing had improved, and we continued to collaborate about how serious this condition was if not diagnosed. Dispatch Health arrived around 3:00 that afternoon. The ARNP walked in the door, without even examining my mom, let me know that she could not treat my mom. Mom needed to be transported immediately to the hospital because she had Serotonin Syndrome. She had seen it in Texas and knew immediately. After discussing the fact that mom had already been hospitalized three times, she suggested transporting Mom to a higher level of care. Paramedics were called, and the captain of the fire department arrived, too.
While trying to transfer my mom to the gurney, she had another major episode. The Dispatch Health ARNP, captain of the fire department and the EMTs all notified the Hospital Emergency Room that we were in transport and to be prepared. I hand-carried Lisa’s notes from her visits; as well as the Dispatch Health ARNP notes. After 4 hours in the Emergency room, the attending wanted mom to be discharged to a skilled nursing facility. I was forced to confront and call out the attending’s lack of education. I invoked my dPOA/Medicare rights. Finally, after the ER attending attempted to stand my mother up, he was convinced there was an actual problem.
Lisa was the only professional who would listen to me and truly take the time to fully examine, witness, and diligently research my mom’s final diagnosis, Serotonin Syndrome, which causes minor strokes. Not one professional, out of at least 50, took the time to really hear and witness what was happening. Serotonin Syndrome is very rare, but now proven to be possible. It cannot be diagnosed with standard blood work or radiology testing. Because of this, many professionals have said that Lisa deserves a Purple Heart. She is a selfless, devoted, humble, and intelligent woman who utilizes her instincts and skills to go the “The Moon and Back” for each one of her patients. Lisa is a true Mother Teresa; she IS Mother Lisa.
In March 2023, my mother’s primary care physician prescribed Paxlovid without discontinuing her Buspirone, even though she did not need the prescription because she did not have any symptoms of COVID. Paxlovid has explicit warnings of side effects that are caused when mixed with Buspirone. There are also explicit warnings not to start this medication after five days. Both of these warnings were ignored by the prescribing physician, filling pharmacy and nursing staff that administered her medication. There were five documented near-death experiences witnessed while there could have been many more because she was living independently in an assisted living facility. As a result, mom’s ADLs, speech, memory and mobility rapidly declined.
After mom’s third hospital stay with follow-up rehabilitation, EvergreenHealth Home Care was hired for services. Lisa’s first visit was our first breakthrough for help. She immediately recognized the negative drug interaction. She witnessed a full-on episode and called 911. She then contacted me to participate in decisions. Paramedics checked her vital signs, and based on the history of hospital visits, we all agreed that it would not be beneficial. Lisa stressed the fact that this was a drug interaction that met the symptoms of Serotonin Syndrome. We agreed to progress with contacting the urgent Everett Clinic Medicare line to get in touch with her psychiatrist. We were able to speak with a psychiatrist on call. This psychiatrist did not agree with the diagnosis of Serotonin Syndrome. Lisa continued to be diligent about her clinical findings, and as mom’s durable power of attorney, I decided to discontinue one of her psychiatric medications. Lisa stayed late into the evening, extraordinarily going over and above any of the multitude of providers who had not researched or collaborated to get answers. The very next morning, she continued to contact me with additional advice on the next steps of getting the professional help that mom needed. She never gave up.
After a week of again speaking with mom’s assigned primary, psychiatrist and neurologist; I still had no success with getting any help to resolve the issues. Transporting my mom was very difficult due to the rigidity and cloning. I had asked and shared documented reports numerous times to have the professionals collaborate about my mom and not one of them would communicate to resolve the issues. Instead, they just kept replying by telling me to talk to another one of her other providers.
Lisa returned first thing in the morning to double-check on Mom. I had also arranged for Dispatch Health to see my mom the same day in hopes of obtaining support. Lisa saw that nothing had improved, and we continued to collaborate about how serious this condition was if not diagnosed. Dispatch Health arrived around 3:00 that afternoon. The ARNP walked in the door, without even examining my mom, let me know that she could not treat my mom. Mom needed to be transported immediately to the hospital because she had Serotonin Syndrome. She had seen it in Texas and knew immediately. After discussing the fact that mom had already been hospitalized three times, she suggested transporting Mom to a higher level of care. Paramedics were called, and the captain of the fire department arrived, too.
While trying to transfer my mom to the gurney, she had another major episode. The Dispatch Health ARNP, captain of the fire department and the EMTs all notified the Hospital Emergency Room that we were in transport and to be prepared. I hand-carried Lisa’s notes from her visits; as well as the Dispatch Health ARNP notes. After 4 hours in the Emergency room, the attending wanted mom to be discharged to a skilled nursing facility. I was forced to confront and call out the attending’s lack of education. I invoked my dPOA/Medicare rights. Finally, after the ER attending attempted to stand my mother up, he was convinced there was an actual problem.
Lisa was the only professional who would listen to me and truly take the time to fully examine, witness, and diligently research my mom’s final diagnosis, Serotonin Syndrome, which causes minor strokes. Not one professional, out of at least 50, took the time to really hear and witness what was happening. Serotonin Syndrome is very rare, but now proven to be possible. It cannot be diagnosed with standard blood work or radiology testing. Because of this, many professionals have said that Lisa deserves a Purple Heart. She is a selfless, devoted, humble, and intelligent woman who utilizes her instincts and skills to go the “The Moon and Back” for each one of her patients. Lisa is a true Mother Teresa; she IS Mother Lisa.