What's become of hospital care?
By cobrateacher
@cobrateacher (8432)
United States
November 17, 2008 11:27pm CST
One week ago, I had surgery in an excellent hospital. At least it always was, when I've been there for other operations and treatments. They have a new unit for follow-up after surgery, called Short Stay. Patients are supposed to be there for 23 hours so they can be billed as out-patients. It felt like I'd stepped back in time to some sort of small-town no-tech facility.
First, I have a very severe latex allergy, and I can't even be in the same room with it. As soon as I came out of anaesthesia, I was choking on my swollen tongue, and I begged the speaker (no nurse came) to get the latex out of the room and give me a shot of epinephrine NOW, or I'd die. The speaker said they'd try to find someone. I had to yank out the IV to get to my purse to get the shots I always carry, because nobody came. There was a message board that gave a number to call if nurses were needed, but there was no answer. I had to call the surgeon's office to finaly get help. Since his office is in the hospital complex, one of the office nurses came, searched the room and took away the open box of latex gloves that had almost killed me, then she stayed to monitor me until I was back to normal.
About an hour later, someone brought the liquid lunch I was expected to drink (the surgery was on my dislocated jaw, so I can't eat solids). There was not a single thing on the tray I could drink, because I'm diabetic and it was all heavily sugared stuff. When I asked the woman deliivering trays if I could have a diabetic tray, she said a regular tray was ordered for me, so she couldn't give mme anything else. I tried to reach a nurse by phone, got no answer again, and leaned again and again on the emergency call button. A nurse finally showed up, and tried to convince me I'm not diabetic. After almost half a century of diabetes, somebody found a CURE!!! Then she said a little sugar here and there never hurt anyone. I asked her to take away the tray and went back to sleep. The same thing happened at dinner, so I asked for a couple of cups of coffee, some sweetener and cream, figuring I'd drink it black if they screwed up. They got the coffee right, and brought me a club sandwich to go with it! Jaw surgery!!! When I brought that up, the nurse said she couldn't speak English, even though we'd been having a very nice conversation in perfectly good English until that sandwich showed up.
No, I did not yell or get sarcastic, or act up in any way. I had enough trouble getting attention when I was nice, so I feared bodily harm if I were rude.
I asked where the restroom was, and it was down the hall and around two right turns! I didn't know they had any rooms without bathrooms in them. Since it was in use, I had to wait. and wait. and wait. By the time I finally got in there I was sure I'd be soiling myself, and glad it was their "nightgown", not mine. Being a little disoriented from a ton of drugs, I couldn't find my room. A nurse I tracked down told me I was supposed to have somebody with me If I were a special needs patient. I think she thought I was mentally handicapped or stupid. I was just on a lot of drugs and in a lot of pain, and I didn't know where to make left turns to compensate for the right turns I'd made to get there. She laughed and talked to me as if I were a backwards three year-old.
When my friend came to pick me up to go home after the doctor signed the releases, the nurse told her it was really a bad idea to allow mentally impaired people to be alone in the hospital, and that she should stay woth me at home! Many of you know, I'm absurdly overeducated, an in no way impauired. Surgery does involve a lot of drugs, though.
Should I ever need surgery again, I plan to ask the doctor to make it a couple of days' stay so I can gt real hospital care. I know there are a lot of cut-backs and shortages, but I really think a unit made for people to wake up after surgery should do a better job. Do you agree, or should I just be glad I survived?
Thanks for letting me rant, my friends. I'm looking forward to the incisions closing enough for me to go back to work!
2 people like this
8 responses
@taface412 (3175)
• United States
19 Nov 08
I hope you remember the names of the nurses on shift while you were there...because this is what I would do if I was you. Contact whomever is over this ridiculous idea of a recovery unit and tell them that you are not only going to contact them, but the local press as well. Because if it is how you said, and trust me I do believe there is a high chance of it, then they need and I mean NEED to be corrected.
First of all, who are they to tell you you are not Diabetic? I have gone round and round, my father has gone round and round, and even her doctor has gone round and round with Nurses who claim to know how to handle a brittle diabetic (which as you may know is the hardest to control especially through insulin) in addition to THIER diabetic protocol....I cannot count how many times a Nurse has reassured me she would be treated the way we told her (the same her doctor told them) only to walk in and find her in a reaction. I have taken her glucose readings myself when the CNA did not believe me and then the Nurse makes snide comments about me checking her blood sugar.....like I told her I don't care that is my mother...plus I was right...she was in a reaction...
And this is another point I would drive home to whoever is in control, because since you were sedated (obviously they thought you were handicapped-unable to make a decision, or even wander about alone) then they should have followed your diet orders as the doctor has set forth. Obviously your doctor should have had this on your medical chart. If they were just too lazy to go get a new tray...which is possible...and say you had it well...they are neglient of your care because what if you fell into a reaction....hell you already were experiencing anaphylactic shock from the gloves...
yeah the more I respond the more I urge you to contact the idiots who run such a joint and even ifyou cannot do so I would contact the media....this is crap no matter what is going on with shortages or cutbacks....these are lives at stake no matter the type of surgeries.....
Let me know what happens....this is why I REALLY want and cannot wait togo back to school for Nursing...because unlike some of those yahoos out there I actually care and those who do listen to their patients as well as fulfill their needs and desires efficiently....so yeah they should be fired in my opinion.
Ugh I have to go.
Glad you recovered and survived.
2 people like this

@cobrateacher (8432)
• United States
21 Nov 08
I did see these things on the chart. When I told the doctor about it, he said that's why he has an OR in his office, but I needed the regular hospital OR because of my many very serious allergies. I would think that would get me even better care, but really good health care is a thing of the past, it seems.
@taface412 (3175)
• United States
21 Nov 08
I can imagine there were other things considering what you have said here...I know it might sound crazy but as you might have noticed I do work in the healthcare field...which is a blessing and a curse. it's a blessing because I not only see how the hospital staff neglects or ignores things that are important...I also know what it is like to have a family member or patient breathe down my throat....but unlike some others I do comply with their wishes the best I can...but providing basic care and following the standard rules of the medical orders....these things are just so simple it is stupid....in other words they are lazy. It is much easier to do what you are supposed to in this profession, because when the state regulators get involved....let's just say it can get ugly.
Which is another suggestion I have for you. Contact (and I may spell this incorrectly) the Omsbudsman...or contact your state health board to find out who you should report this lack of care to...like the state inspectors. Every nursing home, every healthcare facility, etc. are inspected every year by state inspectors. They dive into charts, nurses notes, etc. If you call and report them for lack of care then they will investigate them. And I am pretty sure they will not wait for yearly inspection. Because I have seen them come in for way less than you have mentioned. And they will go over your chart and speak with every one on staff who had contact with you...and they know because they look at work schedules and floor plans....they are like the Big Brother of Healthcare.
I have sat before these people before just for general questioning and things. But they are intimidating and they are thorough...
So like I said check with your Health Department on who to contact and do so immediately. If you sent the hospital admin. a letter they most likely will assume you doing so. And you have witnesses because you had to contact several people to do their job...how can they explain that?
Thanks for the BR...but actually you deserve it because you bring a very important issue to light.

@xParanoiax (6987)
• United States
19 Nov 08
Holy cow, that's awful.
Of course they should be able to provide better care...little "mistakes" in meals like that could KILL alot of their patients. And then what? Malpractice, anyone?
*feels like cursing in wonderment*
But then, I've been hearing alot of bad stories from people coming out of hospitals...especially lately.
It makes me wonder if they laid off all the good doctors, nurses, staff and if their record-keeping/communication/computers must somehow all now SUCK.
Just today I heard a story where this seventy year old MAN was informed he was pregnant because their computer said so! (I believe he had a broken hip, but they just discharged 'em. "Oh congratulations, you're gonna have a baby in a couple months. Go home NOW.")
Did they not have eyes?!
It's just...incompetence like this that makes me swear off the health care system entirely. Heaven forbid I ever need surgery. *shakes my head*
Get better soon, Cobra! I'm glad you survived your hospital trip. Maybe you should file a complaint with administration there? Talk to a newspaper, perhaps?
Maybe your story will be the thing that makes 'em be more vigilant later on.
It might even save a life.
2 people like this

@xParanoiax (6987)
• United States
19 Nov 08
Exactly. I hope they learn how to adjust with the times, and I hope if they've been slimmed down that that'll mean they're a tighter and more efficient unit despite things.
I don't think anyone going to the hospital has a spare life.
..well, unless they've been phased out of a video game or something, heh.
@cobrateacher (8432)
• United States
19 Nov 08
Wasn't technology supposed to enhance ur lives? Robots could have done a much better job. I'm sorry if they have a shortage, but I just don't have a spare life hanging around waiting for someone who can do the job to happen along!

@nicholejade (2430)
• Canada
19 Nov 08
We have something similar here but its recovery or post op after surgery. Anyway I had knee surgey and since the first time I had knee surgery I didn't take to the anistectics to well they knocked me out. Which that was against my wishes. I wanted to be awake for it. Anyway I asked for water as my throat was so scratched after them pulling out the tube. Nope had to lay there and choke on my blood for about 20 minutes before I got a little tiny glass of water. I asked for more. Nope they wouldn't give me anymore. I was a little upset since I was still coughing up some blood. Well laying there I asked if they could go to my locker and grab my barbell for my tongue. I got my tongue pierced and if left out too long it will close up. Nope we don't do that she says. I said that I needed it and the nurse that I had prior to the surgery said that I will get it after I am done the surgery I just have to tell the nurse that I needed it. Another thing that happened was you need to go to the bathroom before you leave and I really needed to go. I asked if I could get some crutches so that I could go. She told me that I would have to wait till the other nurse came back. So I waited and waited. 30 minutes go by and by this point I really had to go. I screamed at top of my lungs I gotta go. She told me to wait a minute. Well everyone knows when you gotta go you gotta go. So anyways I grabbed the shunt that I had in my knee and picked it up and said I'm going. Hopping on one leg the nurse runs over and starts yelling at me you need to stay in your bed till the other nurse comes and we can help you. I told her that I have been waiting for 45 minutes and that I needed to go. If your not going to help me I'll go myself. Then the dummy brings me this cheap little walker and I'm suppose to be able to use this thing?!?! I said get me crutches or don't bother. After going to the bathroom I seen that my mom was there. I told her to go and get my stuff from my locker and that I was leaving. I ended having to re-pierce my tongue which cause some blood down the chin and the nurse says oh miss your bleeding. Well duh I'm bleeding. I got dressed and took the crutches that mom brough me in and started hobbling out of there. She told me that I couldn't leave until I was discharged. I just hobbled my way out and told her where to go.
1 person likes this
@cobrateacher (8432)
• United States
21 Nov 08
Maybe we need to bring advocates with us into the operating room and thoughout every procedure. If they're as awfulas they are to our faces, it can only worry us what they do while we're out cold!
Maybe they really do forget we're people; not just cases!
@nicholejade (2430)
• Canada
24 Nov 08
I don't even want to think about that. However I do have a story about something really odd when I was out cold having surgury that time. Well we all got a locker with a key to put out cloths in when we changed into our gowns. When my cloths were brought to me after my panties were gone. I was stunned and was like where are they. They were in there and now they are gone. I was so not impressing with the whole thing. I don't even want to imagine who took them and for what and what they did to me when I was out. EEEEEK!
1 person likes this
@cobrateacher (8432)
• United States
24 Nov 08
I thought I'd already found all the things to worry about. Most likely, nobody will ever reach the end of all the problems, because they'll come up with new ones.
@leenie50 (3992)
• United States
19 Nov 08
First of all--Yay, she's back!!!!!!!!!!
Sweetie, what a nightmare!
I thought I had had some bad experiences, but I have to say yours takes the cake. What you went through calls for a big time lawsuit!! They darn near killed you!!
It really sounds like you stepped into The Twilight Zone!!!
I'm just thankful you survived. I have been waiting to hear how things went. I wanted to give you some time to recupe. I'll email you later.xoxoxoxo
leenie1 person likes this
@cobrateacher (8432)
• United States
19 Nov 08
There were at least a coupe of dozen repitions about the shortae of staff, etc. I thnk thos were supposed to be something like apologies. The allergic reactio to the antibiotics has finally gotten inder control, so I'll get back to work tomorrow. It's going to take months to make up for almost two weeks without pay!
Thanks so much for caring!
@savypat (20216)
• United States
18 Nov 08
What an ordeal, sounds like you are lucky to be alive. I do agree that the short stay conditions are not always as good as the real hospital, we have learned never to send anyone into that situation alone. I'm sorry you had such a bad time and hope you will be better soon.
@cobrateacher (8432)
• United States
18 Nov 08
Your good wishes and those of my other friends have certainly helped. I think I'll see if any future procedures can be done in doctors' offices! At least there's somebody there. I just called the Short Stay unit, and they said they would not have allowed anyone to be there with me. I guess they don't want witnesses to their lack of attention to te patients.
On to bigger and better things for me. As for them...off with their heads!!!
@mariposaman (2959)
• Canada
19 Nov 08
Ah the much praised American health care system. I often wonder why Americans fight so hard to keep it. As crappy as I think our system is, I have never experienced it as bad as what you went through. I am glad you survived and hope you are feeling better. Sounds like next time you had better get someone to sit in with you to look after you.
1 person likes this
@cobrateacher (8432)
• United States
19 Nov 08
A neighbor is Canadian, and she maintains Canadian citizenship for matters of health care. She has two seriously ill sons, and she has to take the twins to Canada a couple of times every year. Her husband was diagnosed with prostate cancer, so they've been in Canada for a couple of months now. Why can't Americans have access to decent, affordable health care?
@cobrateacher (8432)
• United States
19 Nov 08
Incidentally, my favorite doctor quit the profession beause she didn't feel the restrictions placed on her by the insurance companies and the hospitals' rules allowed her to treat patients as they should be treated!
@cripfemme (7698)
• United States
19 Nov 08
I wonder that myself. Earlier this year I had gallbladder surgery and the people there had no idea how to take care of me. I'm disabled so I need some extra help, however, the people at the hospital weren't prepared for this. My PCAs had to stay with me the entire time I was in the operation and afterwords just to make sure I wasn't accidentally neglected or injured by people who were supposed to have a clue what they were doing.
@cobrateacher (8432)
• United States
21 Nov 08
If there were a new position at all medical care facilities -- patient advocate -- would it even help? Or would they just be rubber stamps for the less-than- good care we get?
@lynettebyc (2416)
• China
18 Nov 08
Hey, that's a long article for me to read.
Poor care i'd say, and you should feel glad that you survived. But what's more, the service needs to be improved.
Good luck, hopeyou reacover in no time

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