Posts Tagged ‘Northwestern Memorial Hospital’

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.

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Self-Valuation Exercise…STOP TOLERATING BULLSHIT

Sunday, March 14th, 2010 by annemarie

Several people have been asking me lately about how I maintain an empowered mindset, and how I have the energy to address situations like I just dealt with during my surgery at Northwestern Memorial Hospital, given all the circumstances I have and all the issues one deals with merely living with ALS. The simple answer is I follow my Plan and I walk my talk, more often than not! I am by no means perfect and I do get impacted by my circumstances. Thankfully, I have the training and the discipline to not allow those circumstances to rule my days. Perhaps minutes but NOT days!

In the Science of Being Great, Wallace D. Wallace says; ” All the experiences of life are designed by Providence to force men and women into self-activity; to compell them to cease being creatures of circumstances and master their enviroment.”

To this end I share with you one of the most profound exercises I have ever done:

About a year ago I did this exercise for the very 1st time, after my experience with it I put it in my programs, both the Master Plan and the Master Class. It completely transformed the way I relate to myself as a professional, a friend, a contribution and as a hunman being. The Self-Valuation altered how I saw myself and how others saw me as well. My business increased, I tolerated MUCH LESS BULLSHIT, I got rid of some clients even some friends, who despite their best efforts were more of a space suck in my world than a contribution and a partner. It happened gradually, naturally as I got responsible for who I am for others and for myself and it happened for the best.

Here’s how it goes:
On a fresh sheet of paper list one item per line, begin listing out the traits, characteristics, skills, talents, attributes, things you’ve been trained in, and perspectives you bring to the table in any relationship. Look at business relationships, intimate relationships, partnerships, teams, friendships, neighbors, etc. Ask yourself – What can I be counted on for? What do I add to any discussion, deal, transaction etc.? What do I bring to the table?

Keep writing for 20-30 minutes, if you feel like there’s more continue until you are repeating yourself, then put it away for 24 hours. Review it the next day and add anything you see is missing. If you are having trouble generating this list ~ ask the important people in your life, what you bring to the table~ only the good and positive please. If they can’t be positive don’t talk to them about this exercise.

Lest you have difficulty with this part allow me to remind you, again in the words of Wallace D. Wattles: “There are undreamed of possibilites in the common lives all around us in a large sense, there are no “Common” people.”

Sit with this list for 1 week, then review again – add what comes up for you. For the next week review the list for 5 minutes each morning. Type it up nicely and put it up o a wall or in your journal where you will see it. Let your SELF VALUATION work on you. (Notice this does not say self-evaluation!)

If you’d like go back and highlight what aspects apply to business only, an use another colour to highlight what applies to personal or imtimate relationships only.

Be present to the Value you bring to any and all interactions. This will transform your view of yourself and your view of the world. I promise you. Here’s to not tolerating Bullshit! Happy Valuation! Let me know how it goes!!

Now as to how this relates to why I would bother meeting with every authority willing to be accountable for what happened during the beginning of my recent stay at Northwestern Memorial Hospital: I will get this resolved for myself because I can. I will also do everything in my power to speak for those who cannot, or just don’t have the energy to talk. I will do my very best to make sure that the unacceptable behavior or the staff on 3/7 and 3/8 NEVER HAPPENS TO ANYONE AGAIN.

As Wallace D. Wattles reminds me: ” Live a great life where you are, and in the daily work you have to do, and greater works will surely find you out. Big things will come to you, asking to be done.”

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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?

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