-----Original Message-----
From: Rogers, Sharon
Sent: Thursday, March 06, 2008 9:57 AM
To: 'Craig Rigden'
Subject: FW: Care Received on February 28, 2008, E.R., 10pm

Dear Craig,

As i indicated the other day, i asked for a review of your ER experience. During this review your ER chart was reviewed by chief of Emergency Medicine Dr. A. Chopra and Dr. Friedman was interviewed.

At the outset , I should say that i was immediately asked by Dr. Friedman to share with you his apologies for the distress that you encountered in your interaction with him. As you indicated he tried to have further discussion with you when he realized how upset you were about his comment that this injuring was likely related to a wall being punched. It is standard procedure to try to associate the context in which the injury occurred, the results on the x-ray and the diagnostic name of the injury i.e. a boxer's fracture. Indeed Dr. Friedman was correct in all of these associations but clearly you perceived his comments to be belittling of you and i do apologize for that.

With respect to your fracture management, i am advised that the management was an appropriate conservation approach and all elements of that have been reviewed. It is the general opinion of the reviewers that any delay that was encountered will not lead to the kind of concerns that you raised in your note.

With respect to the pain control offered, i am advised that you were offered the appropriate pain control in this situation. There is agreement and acknowledgement that oxycontin was not offered and in the end ibuprofen was offered.

Again on behalf of all involved, please accept our sincere apologies for the upset that you encountered. sincerely yours,

Sharon Rogers