Posts Tagged ‘Patient care’

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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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…

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