I am writing to alert others to the incompetent care provided by Stanford University Hospital ER physicians and nurses. I went to this hospital ER at the direction of my primary care physician for severe abdominal pain last Friday night. Because I have a history of pain management issues following a botched gall bladder surgery (at Stanford) which resulted in severe complications including abcess and bleeding liver because a technician put a drain into my liver instead of my abdominal cavity, I have been labeled by hospital records a "chronic pain patient". Therefore, when I sought treatment for the severe abdominal pain last friday night, the Stanford ER physician jumped to the conclusion without any tests that this was a reoccurance of the gall bladder pain and from the outset dismissed any other possible reason of the sudden onset of pain. I however would not give into this diagnosis without any tests since I knew the pain was not the same and that I had recovered from the previous episode. The doctor finally agreed to run a scan and when it came back negative she concluded no further testing was needed and refused to listed to me about the possibility of a gynelcological reason for the sudden pain. Without any relief from the pain after being in the ER for 12 hours she refused to admit me and discharged me home with no pain control recommendations. I suffered over the weekend with the same degree of pain and ended up in the Emergency room the following Monday night after seing my internal medicine doctor at PAMF who found a foreign body and felt strongly that there was a gynelcological reason for the pain. The second ER visit was worse than the first in that this ER physician saw me for less than five minutes, ordered an ultrasound and provided no pain relief for over 6 hours. I repeatedly tried to inform the nursing staff that the pain was worse and when I requested to the physician, I was ignored despite the nurse being 3 feet from me. After returning to the ER from the radiology department, my IV had clotted and was no longer functional. When I requested pain medication from the nurse and informed him that the IV was clotted, he ignored the blatant clotted IV (even though the tube was full of blood and not dripped any saline fluid) and proceeded to administer the medication which never went anywhere because the tube was clotted. When I tried telling the nurse that the IV was not working, I had no pain relief because of the non-functional IV and requested to speak to the doctor, I was again ignored. I finally got the attention of a nurse that was not assigned to me and she recognized right away and admitted that the IV was non-functional and needed to be changed to a different site. She then told this to the nurse assigned to me and he again dismissed her findings and ignored me. I demanded to see the physician as I had been there for going on 12 hours, had no tests results, no pain relief and was being ignored. This nurse finally came over and had the odacity to say to me "Well you have had this pain before and you should be used to it before and not be in the ER". I have come to find out that I have a ovarian cyst the larger than my ovary and it is uncertain at this time if this will resolve without intervention. I never did get any relief at the ER and the doctor refused to treat me further. I think ER doctors at Stanford need to slow down, not jump to conclusions and the nurses need to not ignore patients. I was sent to Stanford both times by my primary care physician who obviously felt there was a need and I do not appreciate beign ignored, mis-diagnosed, my complaints dismissed and feel their treatment falls way short of the Standard of Care. I hope that this post will help anyone else that needs to seek treatment from the Stanford ER when you are in nted of medical attention. I will never again seek treatment from this facilty and am filing a formal complaint with the california BMQA (Board of Medical Quality Assurance).