Posts Tagged ‘Customer service’

Peg tube nonsense…

Monday, September 6th, 2010 by annemarie

As I begin to use this appendage that Dr’s were so keen to get me into 6 months ago, it’s becoming crystal clear that they paid absolutely no attention to what I wanted to use it for and have never had to use one themselves. After all the pain, interruption and infection it took to get this piece of peg into me the damn thing is unweildy and borderline useless. It was to support my nutrition…but it is too small to carry even my vitamins ground to powder and mixed with 5 parts water with out clogging up and making a big fat mess much less handle the vitamin and fiber rich shakes I make for myself.

I use an old fashioned ratting comb( a dupont Black Diamond number 40 comb) with a 5 in metal pick on the end to punch through the clogs allowing the mixture to spit up on whatever I have wrapped around me at the time, so I can continue to inject the vitamins/water mix into the tube through a 60 ml syringe tilted at an angle to avoid the clogging of the supplement sediment. This is the half hour process I go through to take my vitamins and supplements as I can no longer swallow them and many do not come in liquid form. It is such an exhausting process that even though I’m supposed to take the supplements 3-4 times a day I end up doing it once before I get dressed. My favorite part is how the cap on the tube regularly comes undone so that it drains the content of my stomach down the right side of what I am wearing~ it’s disgusting and apparently my bile smells like mangos. BLECH.

The whole thing is absolutely unmanageable and vexing. I’m so dissappointed and feel misled and unheard all over again, as I remember repeatedly asking about the uses of the tube and how it could work for me. I’m clear I need a larger tube and hopefully a shorter tube~ the one I have hangs 12 inches out from my stomach. What shocks and amazes me is the lack of customer service demonstrated by my former hospital, there was no interest over there in my experience as the end user of the peg tube…there was alot of pushing me to get the procedure done asap…before I was ready. However there was no asking me questions to make sure I was getting the right tube for my needs, infact they didn’t ask any questions at all while they didnt listen to what I did say my needs were.

The distinctions called CUSTOMER SERVICE and PATIENT CARE were wholely missing from my procedure at Northwestern from the procedure~ which I’ve relayed in this blog…to the lack of listening to my requests and needs as their patient. It was simply not a concern for them. I call bullshit Northwestern! Your public relations campaigns are lying about your focus. I am not alone in this conclusion. 6 months later after having healed from the infection and the harrowing experience around my procedure I am again left feeling bilked and taken for a ride by those who promised to care for me. I am not someone who is interested in being wounded…It’s annoying to me! I have enough to do with out being reminded by an open wound in my stomach that isnt working for me…it’s time it began serving me for crying out loud. Let’s hope my new team at UIC’s MDA clinic can provide some answers and keenly listening ears… that would be a nice change. Perhaps they can make some sense of it, I’d be happy with a bit more workability.

  • Share/Bookmark

A Thank you to the Staff at Naha

Sunday, July 11th, 2010 by annemarie

Good service is expected at a restaurant. Great service is sincerely appreciated. Exceptional service time after time after time and being welcomed like family is a very rare and special thing. I don’t get out as much anymore, and I can hardly be considered a regular anywhere…but when I do have the energy to go out to eat or meet friends for a drink I tend to gravitate to where I am known and don’t have to explain myself. It may seem a small thing but if I don’t have to strain my self asking for an extra napkin or explain why am ordering by pointing at the menu and I can no longer eat certain things it’s a blessing.

This is a special Thank You to the Staff, Management and Owners of NAHA at 500 N Clark Chicago, Illinios.

Everyone from the busstaff to the Chef have made me feel at home. They have never once looked at me funny when I need another napkin or just order soup and a glass of wine, because that’s all I can swallow that day. I recommend it so often because I have NO doubt that anyone I send there will be cared for just as I am. Thank you for taking care of me, for welcoming me and treating me as a normal human being who just wants to be out for a nice evening with friends…Thank you for your service. For the excellence of your food and the care evident in it’s preparation. Thank you for your consistent high level of service and for treating my guests as if they were family too. Most of all thank you for being a safe haven where I can go by myself and know I’ll have help to the cab if I need it between my cane and my to-go boxes. I know for you, you are just doing what you do which frankly makes it all the more remarkable. I appreciate you.

Allow me to put this in perspective for you: the other day I walked into a restaurant to drop off a thank you card for the owner who I had met at an event…given my speech the server who greeted me thought I was a street person or something…saying ” no we don’t want any..” with out looking at the card or to whom it was addressed etc. She then turned and walked away from me with out handling what I was there for. This is just 1 example of how I am often treated as if I am retarded and contagious by people in service positions. From cabdrivers to waitresses to clerks in stores, as I lose the ability to control my face it happens more frequently.

So NAHA people~kudos to you for being so customer service oriented it’s the same as breathing for you!
I’ll see you soon.

  • Share/Bookmark

An Update in Real time…My life was meant for bigger things than this!

Tuesday, March 23rd, 2010 by annemarie

Just have to share the lunacy…I had contacted my nurse in Neurology, the fabulous and meticulous Mike Hall, and asked him to make a follow up appointment for me re my peg tube, preferably on the same day as my neurology/ALS clinic appointment. Upon my release I had not been scheduled for a follow up( I think I was supposed to be?) and as the wound from my peg tube had become more sore and more red, pussy and all around gross since last thursday I thought I’d better have this looked at. I vauguely recall Dr. Tepper saying I’d need to come in and see him for a follow up and I should have that appointment made when I’m released. I didn’t get a notice in the mail within a week for a follow up so I called Mike the meticulous.

So I just got a call from the from radiology dept. at Northwestern calling to confirm my appointment tomorrow ~ the follow up to check on my peg tube…and the nurse began telling me all kinds of directions for it -
a- come in 1 hr before, No one mentioned this when I had scheduled the appt. it said 12:30pm
b- don’t eat after 6 am , due to possible sedation. WHAT?
c- and she couldn’t tell me what Dr. I was seeing – “whoever is scheduled for that room ma’am”
Really? I don’t think so…

Luckily my assistant was over and I had her communicate for me…a) I didn’t know it was a “procedure”; b) no one told me there was any sedation required for tomorrow and as the neurology dept ~whom I have an appt with at 2pm did the scheduling there must be some mistake! Also, would they be so kind as to have my surgeon Dr Tepper or Dr Stevoff, be the person I’m seeing or have them pop in to check on me, given it’s who I’ve been working with. Please hold….was the response. The nurse then returned to say, she was gone so long because she was finding out exactly what was going on in my appointment for tomorrow, and that it was just for the t-stop removal, and actually if they were behind they could even take it out in the waiting room…REALLY? Then my assistant recapped the directions from before, no food after 6am, etc etc…”Oh no don’t worry about that!”

One wonders if she would have gotten around to correcting that point if left to her own devices…

Had I not ever so nicely PITCHED A FIT…I would have gone into tomorrow’s business meeting having fasted needlessly, been anxious over another “procedure” that was not quite explained…This is not the 1st time I have encountered this type of communication -or more appropriatley miss-communication: Is it too much to ask that a hospital knows why they are calling before they call you? Is it? really? If I called people and gave them erroneous instructions for a meeting I’d have no customers. If I called people with out knowing why exactly I was calling them and what I was setting them up for I’d be what we call an ASSHOLE. AND I’d have no clients, because I don’t know my ass from a hole in the ground. And Rightfully so!

I just can’t believe it’s that difficult to give good customer service. That would look like checking the patients file BEFORE calling to reconfirm and set up their appointment. In fact, I think they should review your file before coming into an examining room and asking you “So why are we here today??”. If common courtesy is too much to handle how exactly do they think they are going to be able to provide “personalized high quality, state of the art care that is focused on your physical,emotional and spiritual well being” as stated as their “committment” in a letter from Dean Harrison to me?

I want you to know I DON’T BLAME THE NURSE THAT CALLED ME…not one bit! The system she is working inside of has not set her up to win. She wasn’t set up to provide good customer service, either not trained or working in an ethos that encouraged to take the short cuts that would have her talk to me about prepping me for sedation when it’s not what’s wanted and needed! In fact I applaud her for putting us on hold at the 1st signs of pushback, and inspecting what was accurate…she could have not done that, and that would have sucked for me.

I hate to say this but when dealing with a health care institution I have now come to believe it behooves me to have a combative attitude, I must question each and every thing in order to be taken care of appropriately. It’s exhausting. It’s boring…I am bored with being a complaint, with having to 2nd guess and ask people to reconfirm because I can’t trust them to KNOW WHAT IS ACCURATE.

My life was meant for bigger things than this…

  • Share/Bookmark

I asked for a doctor 8 times…Northwestern’s customer service SUCKED and it didn’t have to

Thursday, March 11th, 2010 by annemarie

First of all I want to thank my surgeons: Dr. Stevoff, Dr Tepper and Dr Wolfe my pulmonary specialist, as these people did a fantastic job, and I believe a thorough job creating and managing my surgery. I also want to praise Mike Hall from neurology, who I know was meticulous in his communication on my behalf. Some of their instructions got lost in translation , but we’ll get to that… The other thing I like about the above Doctor’s is that they are staight talking, no BS people who inspire confidence. Not so much for the Nursing staff on the 16th floor east on Sunday night 3/7 at Northwestern Memorial Hospital. Yep – I’m naming names in an effort to make a difference ~ I will be meeting with the head of that department to see if I can impact the lack of communication that resulted in a completely frustrating 24 hours before surgery for me in which the preperatory medications were not administered and I the patient got no sleep the night before! The night nurse DECIDED NOT TO ADMINISTER IT (THE BARIUM) BECAUSE SHE DIDN’T UNDERSTAND THE ORDER.

Last I checked her job is not to evaluate the efficacy of the order, and what bothered me most was after my repeated requests for a Doctor, and for her to call and confirm the order, she told me no doctor could be reached to confirm the order and no doctor was available to see me. This was all happening at 11:30pm AFTER I asked the tech taking my vitals to get the nurse, Ana ( who I had met at 7pm and who told me she’d be right back in with my barium by 8pm) and ask her to administer my barium at 10:30pm…when she showed up for the above conversation it was 11:15pm. I then asked for a Doctor the first time at 11:30. I didn’t get a Physician – I got the head nurse Gayle at midnight thirty. Gayle said nothing more than the order wasn’t clear, and they weren’t sure why they should administer the barium, at which point I told them AGAIN ( and showed them a email that stated the same) I was told I had to have it inorder to have the surgery and this was THE ONLY REASON FOR THE TUBE HANGING OUT OF MY NOSE and asked again for them to confirm with the doctor- and again they said the doctor wasn’t available – I asked them to find me a Doctor right away so we could clarify the order for them and for me. I went through this process again with a hospital administrator AT 1:30 am- a pretty asian woman who did more placating than anything, but again reitterated that – a doctor wasn’t available, and there was NO ONE THEY COULD CALL TO CONFIRM THE ORDER FOR THE BARRIUM. REALLY? SHURELY YOU JEST. This administrator said she was concerned about administering the barium because she knew it was a time sensitive thing and she wouldn’t want to do it too early ( SHE IS NOT A DOCTOR BY THE WAY)…and no there was no one we could call to confirm – no one available by phone, and no doctor available to come see me …
AM I IN A HOSPITAL OR WHAT? I was one grumpy upset no sleep getting freaked out about my surgery and pissed off uncomfortable patient! Not exactly the ethos of healing and good medicine, and for sure the worst customer service experience!

As you may recall from my last post the tube that was inserted up my nose and down my throat into my stomach at 6:30pm Sunday evening was ONLY THERE TO FACILITATE THE TAKING OF THE BARIUM. You may also recall that I couldn’t sleep due to said tube as it hung 3 feet out from my nose, and was constantly being bumped which caused me to gag and try to throw it up. Therefor I got NO SLEEP the night before my surgery, and I had NO FOOD in the evening due to the tube and anticipated barium.

I didn’t see a Doctor until 6am the next morning, and that was Dr. Stevoff who had just stopped by to check on me out of the goodness of his heart! I literally burst into tears with relief! With in 10 minutes he had at least gotten to the bottom of what happened, the nurse didn’t follow the order because she didn’t understand it, and yes I did need it (the barium) to get the surgery – so now the only option was to have it inserted rectally if I was to have the surgery today as planned. YIPEE KI YAY. There was no excuse for what had happened, and it was regretable. I didn’t like it but at least SOMEONE had gotten to the bottom of what was so…after 15 hours of uncertainty and Hell… I finally felt like I was being taken care of, THAT is what he provided. A big Thank you to Dr. Stevoff! BY THE WAY EACH AND EVERY DOCTOR I SPOKE TO TOLD ME THEY WERE AVAILABLE BY PHONE AND DIDN’T KNOW WHY NO ONE CALLED THEM ABOUT THE ORDER. Dr. Wolfe even told me she had called to confirm the barrium would be administered, and had been assured by the Doctor on duty that it would be. I don’t know what physician was on duty between 8pm amd 6am the night of 3/7/2010 accountable for 16th floor east room 1618 especially but you can bet your ass I am going to find out. Thankfully things were up hill from there.

LOVE the doctors- well most of them, and HATE the system. Sounds like a job for a consultant like me…I wonder if they’ll listen?

  • Share/Bookmark

What happened to customer service?

Friday, January 15th, 2010 by annemarie

What is it about Dr’s offices – especially those in large well funded institutions- that has there be a dirth of customer service? If I pulled half the crap with my clients that the hospitals pulls on me – I wouldn’t have any clients!

Case in point- Before the holidays I went into meet with a GI specialist to get more information about the whole feeding tube proceedure. For some reason a perfectly lovely well mannered nurse came in to take my vitals before meeting with him, and after about 10 minutes of the weight, blood pressure etc. she asked me why I was there. Really? You don’t know? Isn’t there a log or a script for the Feeding tube GI lecture appointment? I was abit taken back. I said, “Didn’t they tell you?” And as she looked at me funny all I could think was if I did this to one of my clients I’d be fired. Now, this was a small thing, and apparently there was no record of why in the hell an ALS patient was there to speak to the resident feeding tube guru…but why is the burden on me, the patient, to tell you your business? MIND YOUR DAMN BUSINESS!

I recall when I first began having appointments at this same institution being referred to by the front desk staff in neurology as “Blue Cross/ Blue Shield”. I didn’t have a name I had a carrier. I thought it was interesting how my identity became synonymous with a product my company had purchased, rather than anything to do with me. I went on a mission to win over those frontdesk gals, with my graciousness and fabulous shoe collection…they quickly became my favorite part of my appointments and I ended up with my proper name. But it took something to breakthrough the monotonous wall of their routine.

Today I was alerted to an article in which a friend of mine, David deBronkhart, who happens to be the co-chair of the Society for Participatory Medicine, was quoted as saying,” What part of ‘Give us our damn data’ do you not understand?” in regards to the problem many have faced when needing to get THEIR OWN RECORDS from the hospital who THEY ARE PAYING TO CARE FOR THEM. In many cases, some laid out in this article by Elizabeth Cohen, a CNN Senior medical Corrrespondent, entitled: Patients Demand:’Give Us Our Damned Data’; NOT HAVING THEIR MEDICAL RECORDS IN HAND HAS CAUSE HARM TO THE PATIENT. What about the oath of first do no harm?

I personally have about 100 more instances of insult to injury added to my journey of testing and diagnosis, I mean I could go on and on for days …and I am 1 person. I have had the wrong test done- am MRA was done when an MRI was perscribed. I have had Blood tests lost repeatedly. I have had no less than a dozen physicians perscribe anti-depressants to me because I was visibly upset over my symptoms and the lack of a diagnosis…but not one of them recommended I see a therapist/counselor or psychiatrist for support. I actually think it was their inability to just be with my upset that made them want to throw a pill at the issue. There is a vast difference between being upset and being depressed my friends! I even had a surgeon tell me that if he were in my shoes and he was suddenly unable to do what he had trained much of his life to do, he would be depressed. Which may have been the best agrument I had heard up to that point but as a student of the brain I was crystal clear about my state of mind. I share this because I believe it was a cop out to throw a pill at a few tears and I think it happens far too often in our culture especially to women. That’s not customer service – that’s just lazy medicine.

  • Share/Bookmark