This is my first and only negative review on yelp. I initially went to Carbon Health on 8/22 for a burn showing signs of infection, including increased redness, yellow discharge, pain, and nausea. The burn had poor healing, areas of reduced sensation, and apparent deeper tissue damage, raising concern that it may have been more severe than initially assessed. I have hEDS, MCAS, and other immune-related conditions and do not tolerate oral antibiotics well.
On 8/22, the physician and I established a treatment plan for an antibiotic injection every 24 hours and a return the following day if the wound still appeared infected. I requested a wound culture because the injection did not cover MRSA. The wound had already been cleaned, and I was told this could affect the culture results. We agreed that if the culture was positive, a compounded antibiotic could be considered, although I explained that I can have multisystem immune reactions to medications. I was scheduled for a follow-up and encouraged to return. I expressed concern about the cost and was told by the nurse/assistant that they would keep calling if I did not return and that the infection could worsen because the injection needed to be given every 24 hours. The exact words on the care plan said "follow up: come back tomorrow for a recheck. If you continue injectable therapy, you discussed you will need injections daily."
I returned on 8/23 as instructed because my bandage had new brown discharge that had not been present the previous day, there was little evidence of healing, and my pain was increasing. I also returned specifically because I had been told to return for another injection if the wound remained infected. Instead, the "follow-up" was treated as a new urgent-care visit with a different provider, resulting in another urgent-care bill.
PA Juanita Moore entered and I attempted to explain the injury history and the treatment plan from the previous day, including that a frying pan had contacted my arm, the bandage tore the blister off, and signs of infection developed two days later. I explained my immune disorder and medication limitations. When I identified hEDS, she repeated the name incorrectly and appeared unfamiliar with its relevance to medication tolerance or healing. She repeatedly interrupted me. When I asked her to let me finish, she threatened to terminate the appointment and called in the assistant who had been present the previous day. Once the assistant arrived, I was able to explain the situation without the same interruptions.
I asked whether I could record the conversation and was told it was being recorded but that I could not access it. I explained that the previous physician had obtained a culture and established a plan for another injection if the wound remained infected. PA Moore declined another culture and refused to administer the antibiotic injection I had returned for. Instead, she repeatedly questioned why I could not take an oral antibiotic since it is the most common despite my explanation that even compounded medications can cause multisystem immune reactions for me.
I requested the injection because the wound appeared essentially the same as the previous day, when it had been considered infected and treated with antibiotics. PA Moore acknowledged that it looked "pretty much the same" as the previous day. Nevertheless, she refused the injection, citing concern about resistance and stating that it was not the standard or most common treatment. I explained that the injection was the treatment plan established with the previous physician because I cannot tolerate oral antibiotics. I also explained that a 7+ day course of MRSA oral antibiotics would expose me to the medication effects I was trying to avoid. She nevertheless stated that the decision was hers and that the wound looked fine.
I pointed out that she had acknowledged the wound looked essentially unchanged, that I had been specifically instructed to return if it remained infected, and that I now had new brown, malodorous discharge. I then asked for the oral antibiotic instead, but that option was also refused.
I left without antibiotic treatment despite new discharge, increasing pain, and little evidence of healing. I was not adequately assessed regarding my increasing pain, nausea, or other symptoms. I am requesting a thorough review of whether the care provided on 8/23 was appropriate given the infection concerns, new symptoms, the treatment plan established on 8/22, my inability to tolerate oral antibiotics, and the provider's acknowledgment that the wound appeared unchanged. I also request review of the records and recording associated with both encounters, including the basis for refusing the planned injection and the decision to treat the scheduled follow-up as a separate urgent-care visit. To this date, nobody will even reply about the wound culture or provide results. read more