Triple Rule Out

Most patients over a certain age, with a certain body habitus, or with certain diseases in their medical history (including prior heart attacks, high cholesterol, or diabetes) will get admitted to the hospital if they present to the hospital with chest pain. This isn't a knock on ER docs because they do things day in and day out that I cannot or will not do. However, in the day and age of CYB (cover your butt) medicine, chest pain (CP) gets admitted. Often, their diagnosis is "ACS r/o" or "acute coronary syndrome rule out." This involves checking heart enzymes, getting a few EKGs, etc. Where the ER docs practice CYB by admitting, floor docs (such as myself for the next 4 months) practice CYB by extending "ACS" to "triple" rule out - acute coronary syndrome, pulmonary embolism, and aortic dissection. All can present with chest pain. All are very actue serious problems if the patient has one...or more.
ACS r/o (if truly negative) is relatively simple. An echo of the heart here. A stress test there. The other two, however, require scans of the chest and abdomen. And dye. Which can hurt the kidneys. Sigh. Unfortunately, these diagnoses, if missed, can result in suits. Hence - CYB medicine. This isn't a political statement. Just a statement.
On to more pleasant things...food!!!
I lied. I have yet to actually move on to more pleasant things. Matt and I joined my college friend Sarah (who lives in Omaha) and some of my college teammates here a couple weekends ago. Growing up, we went to "The Old Spaghetti Factory." Deep down inside, I feel that Spaghetti Works is trying to be OSF. This wasn't my first choice. It wasn't even close to my top 20 of choices downtown. One of my teammates, however, was bringing her 18 month old, and Sarah wanted to be sure we went to a "family friendly" place. Sigh. This is a meal I will never get back. The place is huge but wasn't too crowded on a Friday night, which was nice. We got a drink at the bar while waiting for them to arrive. The bar is RIGHT next to the door and almost makes you feel that you are being judged by all the people coming and going. We get seated and look over the menu - many of your standard "Italian" dishes. Nothing outside the box. No made up words for food (like Olive Garden does...but that is okay because there food at least has flavor). All meals come with a trip through the salad bar. I get a little excited because I love a good salad bar. Disappointed. The plates where maybe, MAYBE 4.5 inches in diameter. The choices were all picked over and hard to put on the tiny plates. I got a meatball sandwich with a side of fries. For some odd reason, the fries appeared a good 5 minutes before my sandwich. No texture. No flavor. Most likely pulled from a bag from the freezer. The sandwich was okay. It had just the right amount of cheese compared to sauce compared to balls. The bread left a lot to be desired. Matt got the chicken parm sandwich. Meh. All my friends got pasta, which, on the whole, looked and tasted boring. It was all something I could have opened a can/box/jar of at home. Here, however, you had the great chance to pay $13 for a small portion AND get bad service. Our server made no attempt to see us as people and not just wallets. He wasn't rude by any means just not concerned for anything outside of his bubble. Wow. I sound really negative. But honestly all 3 people that read this, save your money. There is a lot more bang for your buck you can get in downtown Omaha

Service: poor. Incredibly poor.
Cleanliness: below average; not sure if it was because it was a little later or because it was "family friendly"
Ambiance: cool building. Nice high ceilings. Decor neither offended nor impressed
Menu: if you are simply a "meat and potatoes" person, this place is great for you. The term "plating" doesn't apply to anything here
Taste: bland. Pasta dishes looked sad; sandwiches were okay but lacked any sort of pizzazz. 
Overall: 0. Never again. Even if my entire family came down from Spokane and only wanted to go here. I would say, "I'll meet you somewhere afterwards. I don't want to toss my money down the drain there"

Spaghetti Works on Urbanspoon

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