Dr. Amanda Harrell

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 White Coat of Freeman Health System 

 “When asked for help. Harrell ordered 50+ labs, skipped the two that mattered, and got promoted anyway.” 

Nicole came to Freeman Health System armed with clarity.
She requested two precise diagnostic tests:

• An ASMA test to revisit the long-ignored question of autoimmune hepatitis (AIH)
   
• An MRI to evaluate a known adrenal mass — now strongly suspected to be adrenocortical carcinoma (ACC)
   

Dr. Amanda Harrell ignored both.

Instead, she ordered an echocardiogram and more than 50 different labs, many of them scattershot and irrelevant. The echo however produced critical data:

• Mitral valve VTI (MV VTI): 33.4 — far above normal
   
• Estimated right atrial pressure (RAP): 15 mmHg — right-sided congestion
   
• Mitral valve area had silently narrowed from 4.13 cm² (Feb 2019) to 2.57 cm² (late 2024)
   → A 37.77% loss in area — a red flag for progressive valvular stenosis
   

This wasn’t sudden. It was slow, destructive, and entirely predictable — a consequence of:

• Untreated ACC and long-term mineralocorticoid imbalance
• 2 Lipid Emboli in the Patients IVC on September 3rd, 2019
   
• Systemic inflammatory stress
   
• Years of clinical neglect
   

And yet, when faced with evidence of heart strain, hormone dysfunction, and long-standing liver damage — Harrell did nothing.

• October 15th, 2024, Nicole Requests – ASMA + MRI for autoimmune + adrenal workup
   
• Harrell’s Response – Denied both. Ordered 50+ labs and an echocardiogram
   
• Echo Results – MV VTI 33.4 / RAP 15 / MV area 2.57 cm²
   
• Her Reaction – No follow-up. No referral. No concern
   
• Nicole Called Back – 13 days later, she had to ask
   
• Official Answer – “Everything looks fine.”
   
• Meanwhile – Harrell was promoted to Chief Medical Officer, the day before the echo was even performed

• A positive ASMA (1:160) drawn in 2019, never repeated — despite ongoing liver distress
   
• A hormonally active adrenal tumor, visualized but never investigated
   
• Severe mitral valve narrowing over 5 years, now compromising cardiac output
   
• Clear signs of post-ERCP trauma, including chronic bile vomiting and hepatic dysfunction (reported as past event not current.)
   
• A patient who brought the right questions — and got institutional apathy in return

“In a JUST system, she’d be retraining in bedside manner and diagnostic medicine.
In ours, she’s Chief Medical Officer.”
 

Harrell didn’t just miss the diagnosis.
She actively rerouted the patient’s path away from it.
She ignored serious echo findings, minimized decades of endocrine-liver-heart interplay, and waved away a mitral valve that had visibly calcified over time.

All while collecting a promotion.

Nicole asked for the keys to the locked door.
Harrell walked away from it — and got a corner office.