NEW YORK, July 2, 2008

Emergency Room Death Sparks Outrage

NYC Woman's Videotaped Death Recalls Similar Incident Last Year In Los Angeles

  • Play CBS Video Video ER Deaths Spark Outrage

    Shocking video showing the deaths of two emergency room patients and the failure of staff to adequately respond has sparked accusations of hospital negligence. Bill Whitaker reports.

  • Video Psych Patient Dies On ER Floor

    "Caught On Tape": Disturbing surveillance video shows a psychiatric patient struggled and died on the floor of a New York emergency room after being ignored by hospital staff for almost an hour.

  • In this still photo taken from video provided by the New York Civil Liberties Union, Esmin Green lies face down on the floor in the psychiatric ward of the Kings County Hospital in Brooklyn, N.Y., Thursday, June 19, 2008. Green, 49, had been waiting in the emergency room for nearly 24 hours when she toppled from her chair at 5:32 a.m. and lay writhing, face down on the floor. Within an hour she was dead. Photo

    In this still photo taken from video provided by the New York Civil Liberties Union, Esmin Green lies face down on the floor in the psychiatric ward of the Kings County Hospital in Brooklyn, N.Y., Thursday, June 19, 2008. Green, 49, had been waiting in the emergency room for nearly 24 hours when she toppled from her chair at 5:32 a.m. and lay writhing, face down on the floor. Within an hour she was dead.  (AP PHOTO)

(CBS/AP)  New York City hospital officials agreed in court Tuesday to implement reforms at a psychiatric ward where surveillance footage showed a woman falling from her chair, writhing on the floor and dying as workers failed to help for more than an hour.

Esmin Green, 49, had been waiting in the emergency room for nearly 24 hours when she toppled from her seat at 5:32 a.m. on June 19, falling face down on the floor.

She was dead by 6:35, when someone on the medical staff, flagged down by a person in the waiting room, finally approached, nudged Green with her foot, and gently prodded her shoulder, as if to wake her. The staffer then left and returned with someone wearing a white lab coat who examined her and summoned help.

Until the staffer's appearance, Green's collapse barely caused a ripple. Other patients waiting a few feet away didn't react. Security guards and a member of the hospital's staff appeared to notice her prone body at least three times, but made no visible attempt to see if she needed help.

One guard didn't even leave his chair, rolling it around a corner to stare at the body, then rolling away a few moments later.

Green, who had been involuntarily committed the previous morning, and had waited overnight for a bed, stopped moving about half an hour after she collapsed.

The New York City Health and Hospitals Corporation, which runs the hospital, said six people have been fired as a result, including security personnel and members of the medical staff.

The incident in New York recalls a similar situation involving another dying patient last year in Los Angeles, also caught on tape by security cameras, in which a woman collapsed in an emergency room lobby. Edith Isabel Rodriguez writhed on the floor for 45 minutes while hospital personnel stood idly by and a janitor mopped the floor around her, The Los Angeles Times reports. Excerpts of that video were made public after Green's death in Brooklyn shocked New York City this week.

Watch the Los Angeles Times video:

An attorney representing Rodriguez's children, Franklin Casco Jr., said the family had been pressing Los Angles County to view the video before it was sent anonymously to the Times this week.

"My clients and I have been working very hard with the county of Los Angeles to at least view this so they can have some form of closure of their mom's death so they can put this behind them, and the county has refused," he told the newspaper. "The county has refused to provide us with anything. It seems like they're attempting to cover up the whole situation."

The psychiatric unit at Kings County Hospital in Brooklyn had already been a subject of complaints by advocates for the mentally ill.

A state agency, the New York State Mental Hygiene Legal Service, and the New York Civil Liberties Union filed a lawsuit a year ago, calling the psychiatric center "a chamber of filth, decay, indifference and danger."

Both sides in the dispute went before a federal judge Tuesday to jointly file papers in which the hospital system agreed to a series of reforms. Under the agreement, patients in the waiting room will now be checked every 15 minutes.

Over the next four months, the hospital will attempt to shorten the median waiting time to around 10 hours. A judge is scheduled to sign off on the agreement Wednesday.

The tape of Green's wait has also been turned over to prosecutors.

Green's medical records raised the possibility that someone might have tried to cover up the circumstances of the death.

One notation said that at 6 a.m., she was "awake, up and about" and had just used the restroom. Another said that at 6:20 a.m., she was sitting quietly in the waiting room, and had a normal blood pressure. During both of those times, Green was either in her death throes or already dead.

Mayor Michael Bloomberg said he was disgusted by the tape, and that the actions of the hospital staff were unacceptable.

"I think what they said is, 'Oh well, people sleep on the floor all the time, and I didn't pay any attention,"' he said. "They shouldn't be sleeping on the floor ... and you should pay attention."

HHC's president, Alan Aviles, said in a statement that he was shocked and distressed by the situation and promised a thorough investigation.

"We are all shocked and distressed by this situation," HHC's president, Alan Aviles, said in a statement. "We express our deep regrets to the patient's family and will ensure a thorough investigation to answer any questions that remain."

Details of the death were disclosed by the hospital on June 20, but the case largely remained unnoticed until the video became public.

According to the lawsuit, patients at the hospital "are subjected to overcrowded and squalid conditions often accompanied by physical abuse and unnecessary and punitive injections of mind-altering drugs."

"From the moment a person steps through the doors," it added, "she is stripped of her freedom and dignity and literally forced to fight for the essentials of life."

The suit was especially critical of the hospital's emergency ward, saying it is so poorly staffed that patients are often marooned there for days while they wait to be evaluated.

Sometimes the unit runs out of chairs, according to the lawsuit, forcing people to wait on foam mats or on the waiting room floor. The suit also claims that bathrooms are filthy and filled with flies, and that patients who complain too loudly are sometimes handcuffed, beaten or injected with psychotropic drugs.

The office of the city's medical examiner said it was still trying to determine why Green died. She had been brought to the hospital suffering from agitation and psychosis, city officials said.

Green was born in Jamaica, and the city has agreed to fly her body home for burial.


© MMVIII, CBS Interactive Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.

Video and Galleries from U.S.

Add a Comment See all 215 Comments
by antoniof123 July 2, 2008 12:07 PM PDT
But neocons say this Amerikastan has the best health care in the world....

Posted by dragonwagon5 at 12:03 PM : Jul 02, 2008

Of course they do because they are morons they say what there masters tell them.
Reply to this comment
by faith_in_w July 2, 2008 12:09 PM PDT
Do not listen to this liberal rubbish. Hospitals do the best they can.
Reply to this comment
by bobnjersey July 2, 2008 12:10 PM PDT
[Over the next four months, the hospital will attempt to shorten the median waiting time to around 10 hours.]

from what ... 24 hours? this is absurd ... maybe they need more than four months to get to a 10 hour median waiting time.
Reply to this comment
by georgew1956 July 2, 2008 12:12 PM PDT
that is why I and many others live in smallville usa.
people live differantly in big city''s and we in smalltowns live the way internet people like to see human beings live. get over it they will never change.
its there way of life. its no big deal to them to see people lieing on the floor where we would have died to help this person.
Reply to this comment
by kphx July 2, 2008 12:16 PM PDT
"patients who complain too loudly are sometimes handcuffed, beaten or injected with psychotropic drugs. "

Are they running a Nazi camp down there ?

The fired employees have been absorbed in another facility under the same management. Well, that''s a fitting punishment huh ...
Reply to this comment
by gbdmd July 2, 2008 12:17 PM PDT
Do not listen to this liberal rubbish. Hospitals do the best they can.

Posted by FAITH_IN_W at 12:09 PM : Jul 02, 2008


"Liberal rubbish"... What exactly is liberal rubbish about leaving a woman to die while waiting for care, she then actually dies, and her body is left unattended while hospital personnel ignore the body.

If this is an example of hospitals doing the best they can... then it''s time they did better.
Reply to this comment
by vranger July 2, 2008 12:23 PM PDT
New York City seems to have joined the 3rd World.

And for a previous poster, hospitals do NOT do the best they can. Private hospitals run with minimum possible staffs while owners and shareholders pocket the profits. And you don''t even want to think about subjecting someone to a public hospital.

Infections run rampant, because nurses can''t be bothered to wash properly between patients. Patients receive the wrong medications and the wrong dosages because the can''t be bothered to double check work that is critical to the patients'' health .... and life.

Trust me, unless you have a life threatening condition, or a chronic condidtion that may progress without treatment, you don''t want to roll the dice for your life by being admitted to a hospital.

If what you''ve got won''t kill you, they''ll try to find something that will! LOL
Reply to this comment
by faith_in_w July 2, 2008 12:28 PM PDT
gbdmd, you want our premiums to go up again?
Reply to this comment
by yankeerebel7 July 2, 2008 12:31 PM PDT
I''ve heard of New Yorkers being rude, but this is just ridiculous. Hopefully this problem isn''t systemic.
Reply to this comment
by erasmus81 July 2, 2008 12:35 PM PDT
You don''t even want to get me goin'' on this one!
SCARY.
Reply to this comment
by newsjunky5 July 2, 2008 12:39 PM PDT
"That they are endowed by their creator with certain unalienable rights."

------------------------------

The founding documents have now been privatized. Freedom is no longer free.
Reply to this comment
by lorinkundert July 2, 2008 12:47 PM PDT
Liberal socialist medicine at it''s best, and this is what you get if you allow Hillary or anyone else to create a "Universal Health" system.
Reply to this comment
by jack3213 July 2, 2008 12:50 PM PDT
IT is an OUTRAGE! And some are correct this is a result that can happen more often with universal healthcare- less qualified doctors, everyone only caring about themselves- oh, that''s right- that one things already exists!
Reply to this comment
by billpl-2009 July 2, 2008 12:51 PM PDT
Doctors looking at this video thinking "better she dropped dead on the waiting room floor rather than while they were treating her...at least they won''t get sued"

The day we stop suing the crapp out of doctors, will be the day they''ll actually give a crapp about us"
Reply to this comment
by erasmus81 July 2, 2008 12:51 PM PDT
"Liberal socialist medicine at it''''s best, and this is what you get if you allow Hillary or anyone else to create a "Universal Health" system" Posted by lorinkundert at 12:47 PM : Jul 02, 2008

You don''t even know what a "Universal Health" system is.
Reply to this comment
by jack3213 July 2, 2008 12:55 PM PDT
ZOE ( & Others) THE BUSH BASHING IS GETTING SOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OLD.
Reply to this comment
by erasmus81 July 2, 2008 12:59 PM PDT
"IT is an OUTRAGE! And some are correct this is a result that can happen more often with universal healthcare- less qualified doctors, everyone only caring about themselves- oh, that''''s right- that one things already exists!" Posted by jack3213 at 12:50 PM : Jul 02, 2008

What is an "outrage", is your thinking on "Universal Healthcare". The problem is most people don''t even know what it really is. And it isn''t the same in all countries. Here in Canada, we all have healthcare and we all get the BEST healthcare.

Reply to this comment
by latrocinor-2009 July 2, 2008 1:02 PM PDT
(badda ding)

Posted by dragonwagon5
..............

Keep spreading the hate. You''ll be surprised what it brings.
Reply to this comment
by latrocinor-2009 July 2, 2008 1:05 PM PDT
IDIOT NEOCON CORRUPT REPUBS -

Posted by zoe2006
.........
Quit bragging about yourself
Reply to this comment
by latrocinor-2009 July 2, 2008 1:06 PM PDT
America has privatized medicine you idiot.

Posted by dragonwagon5
............

It''s a government hospital you idiot so it''s socialized government medicine moron.
Reply to this comment
by beehive21-2009 July 2, 2008 1:07 PM PDT
Indicted ,huh,hope you work in a Hospital in the future,then we shall hear from you.You people need to understand, this person may have needed to move on.Please rather then whine go down to your local Hospital an sign up, oh, have fun, with death.The workers are not miracle workers, are you ?
Reply to this comment
by jboxton July 2, 2008 1:07 PM PDT
They are all lunatics! People probably thought she was mad that she didn''t get any ice cream and just decided to throw a tantrum.
Reply to this comment
by latrocinor-2009 July 2, 2008 1:07 PM PDT

I''''ll leave that up to the great divider. (err decider)

Posted by dragonwagon5
...........

The divider choice came from your brain and fingertips. Enjoy your hate and it''s consequences.
Reply to this comment
by dh21187-2009 July 2, 2008 1:12 PM PDT
I don''t blame the security guards or janitors one bit for not touching that crazy person. Why risk getting bitten, spit on, or assaulted when it''s not your job to do so. You just tell the nurse or doctor in charge and let them deal with it. If the family is now so concerned about her death, why weren''t they with her at the hospital? Oh yeah, that''s someone else''s responsibility....Now they see a big payday coming and suddenly she''s a cherished loved one they can''t live without...but could abandon in a hospital to die.
Reply to this comment
by floydzepp2 July 2, 2008 1:12 PM PDT
It''s a government hospital you idiot so it''s socialized government medicine moron.
Posted by Latrocinor at 01:06 PM


"The New York City Health and Hospitals Corporation, which runs the hospital,"

Read the article lamo.

Posted by dragonwagon5 at 01:10 PM : Jul 02, 2008
--------------

Good Lord Latrocinor, you''re even stupid over on this story. How do you get around so much?
Reply to this comment
by billpl-2009 July 2, 2008 1:14 PM PDT
"Here in Canada, we all have healthcare and we all get the BEST healthcare." --Posted by erasmus81

you can''t make that comparison. You''re a tiny country that nurses off an economic monster (us). Take the good and throw away the rest.
Without us, you''d be running around grass huts with bones in your noses.
Reply to this comment
by faith_in_w July 2, 2008 1:15 PM PDT
dragonwagon5, they are understaffed.
Reply to this comment
by floydzepp2 July 2, 2008 1:16 PM PDT
you can''t make that comparison. You''re a tiny country that nurses off an economic monster (us). Take the good and throw away the rest.
Without us, you''d be running around grass huts with bones in your noses.

Posted by billpl at 01:14 PM : Jul 02, 2008
---------

Typical RINO. You make it up as you go along, you say it and expect people to believe it just because you said it. What a hoot.
Reply to this comment
by bobnjersey July 2, 2008 1:16 PM PDT
[The day we stop suing the crapp out of doctors, will be the day they''''ll actually give a crapp about us]
[Posted by billpl at 12:51 PM : Jul 02, 2008]

studies actually show that people who sue their doctors for malpractice sue them because they don''t like them. the doctors they like could be just as culpible as those they sue ... but they don''t want to ... or wont sue the doctors they like.

so maybe they sue because the doctor doesn''t give a cr@p ... the patient picks up on this ... and that''s why they don''t like them.
Reply to this comment
by floydzepp2 July 2, 2008 1:17 PM PDT
This is what happens when you have a "Free Market" for profit medical system. Profit greed trumps compassionate care everytime.
Reply to this comment
by flreason July 2, 2008 1:18 PM PDT
In an election year, everything is political. With millions of Americans unable to afford private health care, we are in a crisis that politicians must address.

The ethics of these workers reflects the priorities and ethics of their supervisors and employers. This pattern is particularly true in professions that traditionally employed women in caregiver roles (hospitals, nursing homes, schools, etc). Big business and health care don''t mix. Big business is concerned with profit. Poorly paid and fewer workers mean larger profits. They hire a minimum of qualified people, generally underpay all their employees, with the exception of doctors and top administrators, and the results are predictable. The people on the lowest rungs of the ladder are overworked, underpaid, and resentful. That doesn''t excuse this kind of gross neglect and indifference, but it does give some insight.

When workers aren''t valued and allowed to share in the financial success of industries, everyone suffers...no matter what the industry.
Reply to this comment
by nannydue July 2, 2008 1:25 PM PDT
As one of the many that does not have insurance and live in small town America (population 10,000). I will never intentionally go to our local hospital e.r.
I recently had a severe ulcer attack, vomiting blood, blood in the stool, unable to hold down food or water for 1 1/2 weeks. I finally could not stand the pain or nausea any longer and made my way to the e.r. As I entered the e.r. my family doctor was there, he ask me what the matter was then told the e.r. staff to take good care of me as I was one of his. He could not treat me in the e.r. because the hospital was paying an e.r. doctor. There were no other patients in the e.r. at this time. The nurse took my information, vital signs and took me to another room to wait for the doctor. I was in pain, nauseated, and miserable. I waited for about an hour for the doctor to finally come in, ask me the same questions the nurse asked, and ordered blood drawn and an injection for the nausea. Still in pain, I was sent home. Two days later I was sent a letter, not a statement, which said I owed $1,287.00 for e.r. services. No itemized statement. Two days after I received the letter I received a call wanting to know when I was going to pay the bill. I have refused to pay until I receive an itemized statement of the charges which I feel were exorbitant. I am ready for Universal Health Care.
Reply to this comment
by reedtaz73 July 2, 2008 1:27 PM PDT
Excellent post flreason...society is ignorant to your many points.
Reply to this comment
by faith_in_w July 2, 2008 1:28 PM PDT
The big problem in hospitals is affirmative action. My mother was in the hospital earlier this year and let me tell you those hispanic and black women nurses couldnt move any slower if they tried.
Reply to this comment
by edgardebbins July 2, 2008 1:32 PM PDT
I guess this event temporarily brought Aviles out of his constant stuporous daydream of what to do with all that bonus money.
Reply to this comment
by floydzepp2 July 2, 2008 1:34 PM PDT
I guess this event temporarily brought Aviles out of his constant stuporous daydream of what to do with all that bonus money.

Posted by EdgarDebbins at 01:32 PM : Jul 02, 2008
-----------

Now THAT, was funny!
Reply to this comment
by nannydue July 2, 2008 1:35 PM PDT
"You don''''t just walk into a waiting room and expect professional hospital staff to wait on ya."

Yes, you do. That is why they are there and it is their job.
Reply to this comment
by floydzepp2 July 2, 2008 1:35 PM PDT
Posted by sidvicious83 at 01:31 PM

You do know e.r. stands for emergency room, right?


--------------------------------------------------------------------------------

Posted by dragonwagon5 at 01:33 PM : Jul 02, 2008
---------

sid is a blog troll that gets kicked off every week only to reappear like lice. Best Ignored. Attention seeker.
Reply to this comment
by floydzepp2 July 2, 2008 1:36 PM PDT
"You don''''''''t just walk into a waiting room and expect professional hospital staff to wait on ya."

Yes, you do. That is why they are there and it is their job.

Posted by nannydue at 01:35 PM : Jul 02, 2008
------------

sid is a blog troll. best ignored. Says things just to get a rise.
Reply to this comment
by erasmus81 July 2, 2008 1:38 PM PDT
"you can''''t make that comparison. You''''re a tiny country that nurses off an economic monster (us). Take the good and throw away the rest. Posted by billpl at 01:14 PM : Jul 02, 2008

Monster? That is about the only thing you got right. And for us being a "tiny" country, we seem to be doing a lot better than you. The U.S. is also dependant on Canada for a lot of things.

"Without us, you''''d be running around grass huts with bones in your noses." Posted by billpl at 01:14 PM : Jul 02, 2008

If that is what your inflated ego needs to believe, go ahead.

It is a good thing that I have met some "nice" people on here, otherwise I would be thinking all Americans are idiots, like you.



Reply to this comment
by nothappyatall July 2, 2008 1:38 PM PDT
"Rodriguez''s..."

Probably an illegal trying to slam the free medical care.
Reply to this comment
by lib_crusher July 2, 2008 1:39 PM PDT
sid is a blog troll that gets kicked off every week only to reappear like lice. Best Ignored. Attention seeker.

Posted by FloydZepp2 at 01:35 PM : Jul 02, 2008

LOL!!! You should talk. What happened to FloydZepp? You forget your passwd again?
Reply to this comment
by faith_in_w July 2, 2008 1:39 PM PDT
FloydZepp2 is someone who only posts to call people blog trolls. He is annoying and best ignored.
Reply to this comment
by Taildragrrr July 2, 2008 1:40 PM PDT
Nurse Ratched would fit right in at this place.
Reply to this comment
by erasmus81 July 2, 2008 1:40 PM PDT
"That is an extremely narrow minded, pathetic and incorrect view of one of America''''s greatest allies."

Thank you, dragonwagon5.
Reply to this comment
by jetlizhan July 2, 2008 1:41 PM PDT
not wanting to get involved in a fight is one thing, but my God!! this woman needed help the second she fell out of her chair. what''s wrong with humanity?? i would have been by her side in a new york minute.
Reply to this comment
by July 2, 2008 1:46 PM PDT
Simply disgraceful not only for the staff, but for the patients sitting there as well. For noone to even move a muscle after an hour is disgusting.
Reply to this comment
by chatarpatar July 2, 2008 1:47 PM PDT
I noticed no body was white in there. All were blacks.

Similar kind of incident where a man was struck by a car and lay on road, nobody doing anything... all were non white

another incident, 7-8 well build in their 20, non-white men were beating a 78 year old weak man badly, all the passer by and ''watcher'' were non-white. it was caught on tape.

Lets praise Jessi Jackson, Lets praise Sharpton, lets praise NAACP. we all love them
Reply to this comment
by jehovahwtnss July 2, 2008 1:49 PM PDT
I wish I had dragonwagon''s job, she seems to have all the time in the world. Not only does she read nearly every CBSnews article but she even has time to comment on nearly all of them
Reply to this comment
by babygfeva-2009 July 2, 2008 1:52 PM PDT
I feel bad for these people that want 2 do nursing..whats the point in being a f-ing doctor or nurse if you are not gonna help them live..both women died the same way and the stupid people in the waiting room just sit there...outraged i hate these people for that
Reply to this comment
See all 215 Comments
  • MOST POPULAR
  • Viewed
  • Commented
Latest News
Featured Blogs