Dr. Mudasser Mohammed Ibrahim, MD

Our visit to the Children’s Hospital ED in Omaha NE, 10/28 10PM, we received unacceptable care from Mudasser Ibrahim MD. By pediatrician recommendation, we came with our 3 day old infant who had not had a wet diaper in 24 hours. In triage we did get a very large wet diaper and then proceeded to check all vitals which were perfectly in range. The triage and nursing staff who took us back to the exam room were excellent and provided kind care. Our CNA especially was kind personable and asked me as a new mom if there was anything he could do to make me comfortable. I wish the physician had that awareness and level of care in mind. Ibrahim’s physical examination and initial conversation let us know that visual assessment told him our baby was not at risk of extreme dehydration, baby was active, non sunken soft spots, and still interested in feeding. We discussed the feeding history in the first 3 days of life (every 2 hours or on demand for 10-20 minutes per breast) but that we knew decreased urine output meant we need to start supplementing with formula which we were very open to. Ibrahim explained that he would still like to draw labs which we were fine with as we knew bilirubin could potentially be high. We asked if we could feed while we waited for nursing staff to do the lab heal prick. He asked us to wait and that it wouldn’t be that long. We waited for 25 minutes. After the heal prick I was able to breastfeed. Ibrahim had told us lab results would take 30 minutes to come back. We waited 1 hour 20 minutes, until I stepped out to ask the nurses at the station if our labs had resulted yet. They said yes, and “oh has no one come to talk to you? I think we need to get you something to drink”. There was some confusion with a nurse who was supposed to be assigned to us, she was now at the station and said to the other nurse in front of me “ I haven’t been in that room yet, I have no idea what they need”. I returned to our exam room, minutes later Ibrahim entered to discuss the results, sodium slightly high and glucose on the low side but still in range for an infant. He recommended we do a feed with formula in person and a repeat glucose test. I expressed concern and frustration that the last labs had taken so long, to which he gave the excuse the 30 minutes is best case scenario. After our visit we were able to confirm that our lab results were available after 30 minutes but we had waited the additional 50 for Ibrahim to return to our room and communicate them. At this time Ibrahim said there were indications of “Starvation”. Yes, he used the word starvation multiple times. I am not a medical professional but upon discussing it with our pediatrician afterwards, I believe this was by definition the incorrect word to use, but was used as a scare tactic to ensure we would supplement with formula. As a 3 day postpartum mother who was sitting in the ED with vaginal tears, fluctuating hormones, who had been working hard to feed my baby over the last three days this was a very aggressive choice of words. As noted above, we said we were open to supplementing formula in the initial assessment. This leads me to question either Ibrahim’s competence or his ability to listen to patients. We fed the formula, repeated a heal prick, and the results did not change the outcome or care instructions “continue routine care and supplement with formula” however this process took an additional 30 to 40 minutes. We then waited in the exam room for discharge paperwork for an additional 20 minutes, and then again went to the nurses station and asked if it would be uploaded to the portal so we could leave and get some much needed sleep as new parents to a 3 day old.