My reputation preceded me at the hospital. I could almost feel the dread the nurses felt when they heard we were there to see the babies. We had been in the NICU for all of a minute before we were told they had called for the fellow on call. How is that for service? We've been going to that hospital for two weeks now, and I can count the number of times I've talked to a doctor face to face on one hand. If getting irate was all I needed to do to get to talk to one, then I should have done it a long time ago.
I was not a happy camper and everyone knew it. I had already had a run in with the security guards when I entered the hospital* so I was in the mood to have a knock down drag out with whoever pissed me off.
The fellow came within five minutes. He had a little resident flunky with him and introduced himself. The flunky remained nameless--probably in her best interest. He went into a little spiel about how he was there to answer any questions we may have and other such dribble. He asked for it...
I drilled him with questions about the babies' treatment and why the doctors were doing what they were doing. I was doing my best to listen to him and not be argumentative. It was still evident that I was royally pissed off and not happy, but I wasn't being difficult at that point.
And then he made his fatal error.
He literally asked us if we understood what the intubation tube was for. My mouth dropped as I stared at him. Surely his question was rhetorical. My boys are 12 weeks premature and are 6 weeks old. I have seen my fair share of breathing tubes and have a clear understanding of what they are for.
Have you have ever watched the television show "Scrubs"? You know how the main character, JD, has these weird fantasies about things? I had one of those fantasies. In my mind I had reached over and beat the shit out of that stupid doctor. He was in a bloody heap on the floor. I stood over him with a huge smile of satisfaction.**
When I came to, the silence had lasted too long. He was serious. He really thought we were idiots. Is.aac finally gave him an answer.
I had had enough. Things again went down hill from there. I started hushing him when he annoyed me. (I literally held up my hand to shut him up quite a few times.) I kept redirecting him to the whys, and he really couldn't answer me.
Now I get that the treatment for the babies should be dictated by what the babies are doing and needing. If they show they need something, then that is what is done. But, when you can't tell me what is happening to the babies that suggests the treatment you are following, then we have a problem.
At one point, he took us over to look at the x-rays for Ja.son. Yes, his right lung collapsed. Apparently, the breathing tube wasn't in the correct place and his right lobe wasn't receiving air to keep it open. They fixed the tube and the latest x-ray showed the lung is opening. At least they addressed that problem they created. (Good God they better hope that this didn't damage his lung.)
So I asked whether Sh.awn had x-rays and what they showed. Can you believe he tried to tell me that HIPAA said he couldn't show me Sh.awn's x-rays and that he shouldn't have showed me Ja.son's?
So what that he had left Ja.son's x-ray up on the screen for the remainder of the time we were there. Seems to me that leaving Ja.son's x-ray up for everyone in the NICU to see for hours was much more of an invasion of private health information than talking to the minor patients' parents about an x-ray.
So what do I do?
I need to be able to have some trust that this place and the doctors there will do what is best for the babies. I am definitely not there, and I am not sure I will ever get there at this point. Short of being at the hospital all the time, I don't know how I can ensure that the babies are well taken care of.
I asked for them to put in the charts that I need to be notified of all changes for the babies. Didn't happen. Both babies had blood transfusions and I wasn't notified. In fact, if Ja.son didn't have his transfusion going when we got there, we again probably wouldn't have known that they both had them. I told them it was in the chart that I need to be notified, and low and behold no one wrote it down when I had told them to before. (I had told the attending doctor to make sure it was added to the chart.) I asked them to write it then. Watched them write. Now will I be notified? I will be surprised if I am.
They thought I was a problem this morning. They haven't seen anything yet.
*After two weeks of going to the hospital with my camera, they wouldn't let me take it in with me today. They said I needed written proof that the nurses will allow me to use it. They wanted me to take it back to my car and not bring it into the hospital. Let's just say that they began to rethink this error in judgement after I said a few choice words and demanded to talk to their supervisor. It is a good thing they thought better, because I had already sized up the guards and was about to take them out one by one.
**This propensity for violence really isn't like me. I don't like conflict and try to avoid it at all costs normally. I try my best not to offend people or be rude. That all went out the window now that we have the babies. You better stay out of my way, or I'm a gonna take you down!
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8 comments:
Go above their heads again and talk to the attending. Make sure you get the attending that the fellow is working with. Tell them what happened and present them with a list of questions. Tell the attending (again, unbelievably) that you want the note on the chart to be notified and if you aren't raise hell with them . If the nurses don't do it tell them it was Attending So and So's order.
Re: HIPAA and the xrays - BULLSHIT. (sorry, now I'm really pissed). And just how did the breathing tube get placed wrong to start with? Did they not check the placement when they inserted it??????
The mother gene has now come out. I relate. Although in my case it came out when I found out about my mother bringing in people to the NICU to see my daughters after telling her not to- and them bringing their germs next to my little helpless angels.
I am soryy you are having trouble with your NICU. Is this the best NICU in your area?
Its VERY natural to have an attitude with the staff. The other day I had asked Neve's nurse a question and she literally rolled her eyes at me. Wow- she was not expecting my reaction- I put her in her place and told her to never ever roll her eyes at me when I ask a question again. She felt badly later that she jumped to answer any questions I later had.
I say put people in their places- since there are so many other parents that dont. Wishing you and your boys strength to get through this time. Just think about the beautiful christmas pics you will be taking next year with your family~!
Unfortunately the NICU docs and nurses seem to forget that what we are going through as preemie parents is not the norm for us, depsite the fact that they deal with it every day. I know they forget names and faces after we leave and they're on to the next patient and set of parents. Has the hospital sent the social workers on you yet? I noticed that at my NICU the social worker would come around if the staff sensed parents were angry. My situation wasn't as extreme as yours but we did have bumps in the road. Just try to get through it and is there anyone you can talk to? The charge nurse, head doctor, anyone in human resources that might listen. Maybe a social worker might be able to help, at least they would have to document your complaints and wishes. It's also hard when you can't be there all day long keeping watch, so to say. Is there a Ronald McDonald house nearby? Our hospital had parents rooms available for overnights, based on need though. Good luck and hopefully your boys will be moved back to your local hospital soon!
Stacie I can't IMAGINE what you must be going through.
I also can't IMAGINE that the NICU staff wouldn't be more considerate and more understanding due to your circumstances. A) you are dealing with preemie babies who are trying to heal with set backs B) you are now traveling to a hospital WAY out of your way C) you are dealing with post partum hormones D) you are a very worried and concerned mother.
You would THINK they would know this...SINCE they deal with mothers of preemies EVERY DAMN DAY !
I want to kick their ass.
I think you need to go above their heads. Talk calmly and explain your entire situation and all of your concerns. Let him/her deal with these doctors/nurses/security people.
I'm still praying for you and those boys.
Good Luck.
Give em hell Alexis !
Stacie.. that HIPAA BULLCRAP is BULLSHIT... You are their mother. You are their guardian and are authorized to see their medical records and to discuss their medical records.
I don't understand why they are being so difficult with you. UGH.. I am so pissed.. I could punch that guy out myself!
stacie - you and isaac need to go to the chief of staff for the nicu - he/she is in charge of ALL that goes on in that unit. as for hippa - it is meant to help protect patients - and for minor children you are as guardian, required to be shown any note, xray or bit of info that would be show to you if you were the patient. and i agree with the other poster who said get a social worker. they document and really do try to help. i have followed you since your transfer and you remind me a lot of myself. i am now 11 weeks pregnant after 2 losses this year. -- you have given me strength and courage - and your story has made me cheer (when you announced pregnancy), worry (when you weren't on at all and cry - when you started this nightmare. take solice in knowing that when you "vent" - you are also helping people like me who may go thru this too. i hoep some of what i said is useful - and the chief of the department is the person who will be sure that you are "informed" -- i hope it doesn't get that far - but there is always the threat of a lawsuit for things like giving a transfusion without informing you - and improper care. i wish the best for you isacc and the boys - they are going to cross this hurdle and have a great life!
I can't believe what you're having to deal with on top of premature infants. It's just not fair.
Keep fighting.
Wow, you're a bitch. Threatening the doctors who are treating your retarded crotch dumplings. What a piece of work. Be happy that they haven't refused the little shit sacks treatment after all your attitude and bullshit.
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