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Beyond insane easy child update GRRR ACK!
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<blockquote data-quote="dreamer" data-source="post: 173678" data-attributes="member: 1697"><p>Thank you for your ideas and suggestions. They are good. I am still stunned, beyond angry that I must redirect the docs so many times. PCs boyfriend hit the nail on head with his analogy of it, they are on autopilot, and expecting to hear the same old, even tho we are presenting facts, they simply are not hearing them, walking around like zombies, on autopilot not hearing a word and not looking and not reading the chart, inserting and um hm here and there. boyfriend was quite frustrated several times when easy child got upset answering the exact same questions not to different people but to the same people over and over and over. He said "oh, now I get it, when I was new on my job, I was nervous and messed up and was afraid I would be fired, but now that I have been there a long time, I know I will not get fired, so I hardly even pay attention" Yeah, like that except YUOUR job is flipping burgers dude, thats a little different. </p><p></p><p>I am wondering just why has it all become like this, and this is far from our first experiences of things being this way. Nor are we the only ones where things go this way. And not just at docs office. It happens with police dept, in court, at school. At the docs office, there ARE shortstaffed, have been for several years, and the clinic has grown to such a huge size and has become so impersonal. When I had my son with this doctor, she still handled eeach patient herself. Now the patients must rotate between 4 docs. There is no continuity of care. easy child has not seen the same nurse or same doctor or even same people at desks at all yet, has not seen 1 person twice. And noone seems to READ charts and seldom appear to be listening or paying attention. Each is on autopilot and filing out their forms and papers without usually even hEARING your answers. Too many levels of reception, too many desks, too many phones, too many persons, doing everything peicemeal. One person weighs you..another takes your vital signs, yet another takes your complaint or presenting problem, another comes to "ready you for doctor" another comes to discuss docs orders, another is in charge of "patient education" - that is handing you a pile of papers with your diagnosis and treatment. Very often the order in which these things happens gets rather scrambled. Like when I got my diagnosis of diabetes etc....and they were chatising me for drinking while I have liver disease and diabetes.UM, what? I dont have diabetes or liver disease and I do not drink? And thats how I found out I had my newest health problems. and when I was in at doctor to get the labs done that brought me those diagnosis'es.the doctor spent half an hour acting bizarre and on one hand berating me for not coming more often yet at same time, complaining to me that he was not sure why I was there....</p><p>There is an entire large book full of docs at this clinic. this is The Medical care facility for my town and it is lso thruout my county and my general area. </p><p></p><p>Yesterday before I heard back from 2 farther away docs...I was trying to balance things in my head. I do this often, did it with my sons eye injury, did it with difficult children mental illness issues. and yes, ultimtately son landed in a major univ teaching hospital 5 hours away.... until criminal activity increased there so bad, and we got overloaded with survivor guilt amongst the other people at the Ronald McDonald House. </p><p>Moving to care farther away creates its own logistic problems in an emergency. While in my opinion a NORMAL preg does not really require any super special knowledge (hey this is just MY opinion, and noone has to agree with me) becuz a baby will grow and a mothers body will do what it needs to do etc (I said NORMAL preg) But in an emergency GETTING to the farther away facilities might not be possible, and then would be useless. Maybe worse than useless becuz then everything is in charts and records far away instead of where the crisis is being handled, so then it increases the risk of haveing this very same problem happening. Yes we are haveing that problem here now already, but ideally, in theory, this docs office and this hospital are related, connected and here local, accessible. (in theory) </p><p></p><p>LOL I know I spell HIPPPPAAA wrong, it is a word like MISSISSIPPI to me, if there is more than 1 of any letter or number, I lose track of how many there are and cannot get it right, EVER. LOL. so it can be HIPA or HIPPPPPAAAAAAA I apologize. My eyes cannot ever get it right and then my fingers also do not cooperate. HIPPPPA ACK! </p><p>Problem I have encounterd with HIPA is that it can be hard to find who is responsible for violations. We had several FERPA violations at difficult children school- same thing- it can be hard to find the enforcers. </p><p></p><p>Not sure if I SHOULD throw this in.......our hospital group? Part of the Rezko/Obama controversies? </p><p>AT risk of sounding like a fallback to 40s and 50s and Al Capone......my personal experience is that if you can grease the right palms, most laws will not apply. </p><p>I DO live in IL, Land of Gov Thompson. Drivers license scandals? (Ug I am hoping I got his name correct, yeesh) </p><p>Cook County has a strong influence on my county that is nearby.....Al Capone etc? LOL. Yes, bribes, payoffs etc all DO occur. </p><p>and our local population explosion - my towns population and my counties has doubled, tripled quadrupled in 20 years....we grow faster than the infratructure can keep up. ANd our society in general, people take less pride in their work daily, in general. Service in general, it is NOT even CLOSE to what it was say 20 years ago. There is no job security, but there are a lot of jobs noone really wants, and they have staff shortages.....malpractice insurance is very high in IL.....it drives specialists out of the state, a severe nurseing shortage which causes nurses to be so massively overworked it is unbelievable and quite dangerous to patients.....places will hire and keep bad nurses rather than have no nurses at all. Desk staff with crummy skills.....</p><p></p><p>Add in the local attitude of Medicaide and the explosion of preg teens......of which easy child is in both situations, she does have Medicaide secondary to her other insurance, which sadly is also gov issued and offers docs low payback for services in an extremely slow pattern or reimbursement.nevermind she got THAT insurance honorably enough.....dad is military service connected 100% permanant total disabled, and THATS how she got her primary insurance, providers still do not LIKE it. (It pays out nearly identical to Medicare except we do get no costs Rxs if/when we can do them thru the long time consuming mail by medications, takes 4-6 weeks to GET your Rx) She is also a TEEN. unmarried, JUST turned 18.......and the teens are a big media thing riht now with the preg issue. </p><p>The very firts thing ANY medical facility asks here is for your insurance card. NOTHING happens before that, NOTHING. SO, it all begins on the bias of oh, this is Medicaide. The 2nd thing, before anyone asks what your problem is is date of birth.ok....shes 18. THEN, you say the magic word PREGNANT, which as you know if you are pregnant is the first thing you say and then you say it to each person every step of the way over and over and over.....SO you have the uglies all there up front and it biases EVERYTHING from the start. Crummy insurance that does not want to pay out....a teen--who is preg. Teen. DRama queen? Careless? Stupid? Their eyes and ears close from the start. Oh, MOM is with? Is this an overebearing pushy mom? A mom who did not teach her child the facts of life better? A mom who thinks HER kid is an angel and perfect? </p><p>HOW or WHY easy child is preg is not an issue....whether she used BC or not is not an issue. Whether she had sex once or 10 times a day for the last 5 years is not an issue. The fact now is that she IS preg, and their minds make their opinions. She IS a preg teen and the judgements begin. I picked up an undercurrent from yesterdays doctor along the lines of "spoiled brat, didn;t anyone tell you to use birthcontrol - nevermind easy child got bc from this very same office.....dumb punk kid, do you seriously expect to feel great when preg, um, no she does not expect to feel great, but I also do not expect her to DIE. Then so many were speaking about easy child as if she were entirely uneducated, someone said something, and I cannot remember what.....but it implied they clearly had a stereotype in their mind about preg teens.....and their living situation and education and jobs etc. They were surprised to hear she DID have a job....also surprised to hear she plans to be at classes in fall....even tho the university is now likely no longer viable...university? they ask? Uh yeah, hello. why not? well, the preg was changeing some of the plans, sadly the complications are now further changeing them......but people, professionals, they CLEARLY had biases. Prejudgements. easy child is a pregnant PERSON. easy child is NOT a sterotype. NOBODY should be considered a stereotype, nobody should be prejudged. </p><p></p><p>Becuz easy child is SO ill, being ADMITTED to hospital has different policies than ER..so--- LOL nevermind the ADMISSIONS process never did happen....the DISCHARGE process DID, and the discharge person was perfectly aware admission process had not yet occured.....BUT she came, SHE was decent. She went thru her thing---do we have stairs, how many, is PCs sleeping quarters on same floor as bathroom facilities, who ishome to tend to needs etc. She commented favorably, Happy with PCs answers------"my sister and brother traded me bedrooms so I could be near bathroom, my mom cooks for me, helps me dress, my boyfriend is here, my bfs mom does this etc" Long term goals (yeah they ask) COllege in fall. work? yes....at grocery. how long there? is job in danger, almost 3 years at job, wow. </p><p>discharge planner, if she had biases did not let them show so much.or quickly seemed able to accept easy child. SHE did not go filling in blanks with what she ASSUMED the answers might be like I keep catching others doing.like I ALWAYS ctach others doing, at school, at docs etc....</p><p></p><p>well, sorry to ramble so. I better get active here and get a grip on things and decide what we are doing next. on catch up on what did onot get done while dealing with crisis at hand. </p><p></p><p>Thank you for letting me get it out.</p></blockquote><p></p>
[QUOTE="dreamer, post: 173678, member: 1697"] Thank you for your ideas and suggestions. They are good. I am still stunned, beyond angry that I must redirect the docs so many times. PCs boyfriend hit the nail on head with his analogy of it, they are on autopilot, and expecting to hear the same old, even tho we are presenting facts, they simply are not hearing them, walking around like zombies, on autopilot not hearing a word and not looking and not reading the chart, inserting and um hm here and there. boyfriend was quite frustrated several times when easy child got upset answering the exact same questions not to different people but to the same people over and over and over. He said "oh, now I get it, when I was new on my job, I was nervous and messed up and was afraid I would be fired, but now that I have been there a long time, I know I will not get fired, so I hardly even pay attention" Yeah, like that except YUOUR job is flipping burgers dude, thats a little different. I am wondering just why has it all become like this, and this is far from our first experiences of things being this way. Nor are we the only ones where things go this way. And not just at docs office. It happens with police dept, in court, at school. At the docs office, there ARE shortstaffed, have been for several years, and the clinic has grown to such a huge size and has become so impersonal. When I had my son with this doctor, she still handled eeach patient herself. Now the patients must rotate between 4 docs. There is no continuity of care. easy child has not seen the same nurse or same doctor or even same people at desks at all yet, has not seen 1 person twice. And noone seems to READ charts and seldom appear to be listening or paying attention. Each is on autopilot and filing out their forms and papers without usually even hEARING your answers. Too many levels of reception, too many desks, too many phones, too many persons, doing everything peicemeal. One person weighs you..another takes your vital signs, yet another takes your complaint or presenting problem, another comes to "ready you for doctor" another comes to discuss docs orders, another is in charge of "patient education" - that is handing you a pile of papers with your diagnosis and treatment. Very often the order in which these things happens gets rather scrambled. Like when I got my diagnosis of diabetes etc....and they were chatising me for drinking while I have liver disease and diabetes.UM, what? I dont have diabetes or liver disease and I do not drink? And thats how I found out I had my newest health problems. and when I was in at doctor to get the labs done that brought me those diagnosis'es.the doctor spent half an hour acting bizarre and on one hand berating me for not coming more often yet at same time, complaining to me that he was not sure why I was there.... There is an entire large book full of docs at this clinic. this is The Medical care facility for my town and it is lso thruout my county and my general area. Yesterday before I heard back from 2 farther away docs...I was trying to balance things in my head. I do this often, did it with my sons eye injury, did it with difficult children mental illness issues. and yes, ultimtately son landed in a major univ teaching hospital 5 hours away.... until criminal activity increased there so bad, and we got overloaded with survivor guilt amongst the other people at the Ronald McDonald House. Moving to care farther away creates its own logistic problems in an emergency. While in my opinion a NORMAL preg does not really require any super special knowledge (hey this is just MY opinion, and noone has to agree with me) becuz a baby will grow and a mothers body will do what it needs to do etc (I said NORMAL preg) But in an emergency GETTING to the farther away facilities might not be possible, and then would be useless. Maybe worse than useless becuz then everything is in charts and records far away instead of where the crisis is being handled, so then it increases the risk of haveing this very same problem happening. Yes we are haveing that problem here now already, but ideally, in theory, this docs office and this hospital are related, connected and here local, accessible. (in theory) LOL I know I spell HIPPPPAAA wrong, it is a word like MISSISSIPPI to me, if there is more than 1 of any letter or number, I lose track of how many there are and cannot get it right, EVER. LOL. so it can be HIPA or HIPPPPPAAAAAAA I apologize. My eyes cannot ever get it right and then my fingers also do not cooperate. HIPPPPA ACK! Problem I have encounterd with HIPA is that it can be hard to find who is responsible for violations. We had several FERPA violations at difficult children school- same thing- it can be hard to find the enforcers. Not sure if I SHOULD throw this in.......our hospital group? Part of the Rezko/Obama controversies? AT risk of sounding like a fallback to 40s and 50s and Al Capone......my personal experience is that if you can grease the right palms, most laws will not apply. I DO live in IL, Land of Gov Thompson. Drivers license scandals? (Ug I am hoping I got his name correct, yeesh) Cook County has a strong influence on my county that is nearby.....Al Capone etc? LOL. Yes, bribes, payoffs etc all DO occur. and our local population explosion - my towns population and my counties has doubled, tripled quadrupled in 20 years....we grow faster than the infratructure can keep up. ANd our society in general, people take less pride in their work daily, in general. Service in general, it is NOT even CLOSE to what it was say 20 years ago. There is no job security, but there are a lot of jobs noone really wants, and they have staff shortages.....malpractice insurance is very high in IL.....it drives specialists out of the state, a severe nurseing shortage which causes nurses to be so massively overworked it is unbelievable and quite dangerous to patients.....places will hire and keep bad nurses rather than have no nurses at all. Desk staff with crummy skills..... Add in the local attitude of Medicaide and the explosion of preg teens......of which easy child is in both situations, she does have Medicaide secondary to her other insurance, which sadly is also gov issued and offers docs low payback for services in an extremely slow pattern or reimbursement.nevermind she got THAT insurance honorably enough.....dad is military service connected 100% permanant total disabled, and THATS how she got her primary insurance, providers still do not LIKE it. (It pays out nearly identical to Medicare except we do get no costs Rxs if/when we can do them thru the long time consuming mail by medications, takes 4-6 weeks to GET your Rx) She is also a TEEN. unmarried, JUST turned 18.......and the teens are a big media thing riht now with the preg issue. The very firts thing ANY medical facility asks here is for your insurance card. NOTHING happens before that, NOTHING. SO, it all begins on the bias of oh, this is Medicaide. The 2nd thing, before anyone asks what your problem is is date of birth.ok....shes 18. THEN, you say the magic word PREGNANT, which as you know if you are pregnant is the first thing you say and then you say it to each person every step of the way over and over and over.....SO you have the uglies all there up front and it biases EVERYTHING from the start. Crummy insurance that does not want to pay out....a teen--who is preg. Teen. DRama queen? Careless? Stupid? Their eyes and ears close from the start. Oh, MOM is with? Is this an overebearing pushy mom? A mom who did not teach her child the facts of life better? A mom who thinks HER kid is an angel and perfect? HOW or WHY easy child is preg is not an issue....whether she used BC or not is not an issue. Whether she had sex once or 10 times a day for the last 5 years is not an issue. The fact now is that she IS preg, and their minds make their opinions. She IS a preg teen and the judgements begin. I picked up an undercurrent from yesterdays doctor along the lines of "spoiled brat, didn;t anyone tell you to use birthcontrol - nevermind easy child got bc from this very same office.....dumb punk kid, do you seriously expect to feel great when preg, um, no she does not expect to feel great, but I also do not expect her to DIE. Then so many were speaking about easy child as if she were entirely uneducated, someone said something, and I cannot remember what.....but it implied they clearly had a stereotype in their mind about preg teens.....and their living situation and education and jobs etc. They were surprised to hear she DID have a job....also surprised to hear she plans to be at classes in fall....even tho the university is now likely no longer viable...university? they ask? Uh yeah, hello. why not? well, the preg was changeing some of the plans, sadly the complications are now further changeing them......but people, professionals, they CLEARLY had biases. Prejudgements. easy child is a pregnant PERSON. easy child is NOT a sterotype. NOBODY should be considered a stereotype, nobody should be prejudged. Becuz easy child is SO ill, being ADMITTED to hospital has different policies than ER..so--- LOL nevermind the ADMISSIONS process never did happen....the DISCHARGE process DID, and the discharge person was perfectly aware admission process had not yet occured.....BUT she came, SHE was decent. She went thru her thing---do we have stairs, how many, is PCs sleeping quarters on same floor as bathroom facilities, who ishome to tend to needs etc. She commented favorably, Happy with PCs answers------"my sister and brother traded me bedrooms so I could be near bathroom, my mom cooks for me, helps me dress, my boyfriend is here, my bfs mom does this etc" Long term goals (yeah they ask) COllege in fall. work? yes....at grocery. how long there? is job in danger, almost 3 years at job, wow. discharge planner, if she had biases did not let them show so much.or quickly seemed able to accept easy child. SHE did not go filling in blanks with what she ASSUMED the answers might be like I keep catching others doing.like I ALWAYS ctach others doing, at school, at docs etc.... well, sorry to ramble so. I better get active here and get a grip on things and decide what we are doing next. on catch up on what did onot get done while dealing with crisis at hand. Thank you for letting me get it out. 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