tag:blogger.com,1999:blog-5883634615775822475.post463307378236892238..comments2024-03-26T16:46:21.764-04:00Comments on Doctor Grumpy in the House: A very bad nutGrumpy, M.D.http://www.blogger.com/profile/09858110332436246760noreply@blogger.comBlogger33125tag:blogger.com,1999:blog-5883634615775822475.post-9077823318954995142015-11-22T05:47:05.106-05:002015-11-22T05:47:05.106-05:00Having supportive management really helps deal wit...Having supportive management really helps deal with the BS.<br />I was once called into my managers office for the following:<br />Manager: Hey Spook. Sorry to bring you in but policy states that all complaints have to be addressed.<br />Me: Ok, what's up?<br />Manager: Patient wrote on the survey that she asked for a glass of ice water...<br />Me: Yeeah. And?<br />Manager: Well, she asked for a glass with six ice cubes. You brought her a glass with about a dozen ice cubes.<br />Me: *blink* *blink* Wow! Really?!<br />manager: *throwing hands up* Just following policy Spook. All complaints must be addressed. Just keep the patients requests in mind next time, huh?<br /><br />Nope. Not making that up.Spook, RNhttps://www.blogger.com/profile/11085577662135429417noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-64444907475891078982015-05-16T18:37:22.295-04:002015-05-16T18:37:22.295-04:00Of course (as is common at the VA) the guy yelled ...Of course (as is common at the VA) the guy yelled back that he was going to write to his congressman, and left AMA. But I digress.<br /><br />Welcome to my world, Doc.<br /><br />BTW I worked at a private rehab (Saintarama) where the biggest complaint on the survey was the selection of TV channels. We did manage to bump the "willingness to recommend" scores. RehabRNhttp://rehabrn.blogspot.comnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-66601282349923877292015-05-12T23:34:12.722-04:002015-05-12T23:34:12.722-04:00Sorry about the name gaffe, Candida. I tripped and...Sorry about the name gaffe, Candida. I tripped and fell on my own nose. I apologize. Now, you made me look it up. I found that it has a beautiful meaning referring to pure dazzling, glowing white color, like neon white. And, I realize the name Candida came first, before the medical terminology. So, now I am becoming a proponent of more academic names for medical ailments, and wondering why some crank gave a particular organism such a beautiful name. If you like, you may call a chicken pox scar by my name-- Mary.-<br /><br />Still, however, I cannot completely purge the picture of my ugly plantar warts from my head whenever anyone mentions Verucca Salts. I could try, though, if I met someone who was nicer than Miss V. Salt.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-34828696289090789262015-05-12T18:52:09.468-04:002015-05-12T18:52:09.468-04:00You are right, of course. Multiple choice surveys ...You are right, of course. Multiple choice surveys that put the focus on a spa-type experience are worse than useless (unless they are sent out by some spa, of course). But I read this just before heading out to meet with a top hospital administrator about the recent time when I took my friend to the ER, and we spent over 20 minutes in the waiting room before anyone responded - other than to say they couldn't do anything for us - to our clear - and repeated - statement that my friend was suffering from severe chest pains. There's gotta be a way for hospitals to know about those incidents and to be held accountable for them. Fortunately, my friend survived.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-64632064864102690622015-05-12T09:41:00.265-04:002015-05-12T09:41:00.265-04:00To one anonymous -- hope you had an order for thos...To one anonymous -- hope you had an order for those retraints! <br /><br />To another anonymous...I knew a Sue Demonas. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-7707761630244434862015-05-12T06:32:58.045-04:002015-05-12T06:32:58.045-04:00Hey, my name's Candida!
Quick name history le...Hey, my name's Candida!<br /><br />Quick name history lesson: In the Latin, Candida is used in the scientific name of a fungus. But in the Teutonic/Germanic ancestry languages, it means "light bright" or "light white".<br /><br />The hospital where I had my kids tries their best to serve good, appetizing food -but don't you dare try to circumvent doctor's diet orders. The kitchen will check.Candihttps://www.blogger.com/profile/08746975527577742361noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-35607769636011257932015-05-12T00:49:46.805-04:002015-05-12T00:49:46.805-04:00I'm so glad you wrote about this. I think this...I'm so glad you wrote about this. I think this article also articulates the problem very well: http://www.theatlantic.com/health/archive/2015/04/the-problem-with-satisfied-patients/390684/Katehttps://www.blogger.com/profile/08255047463728054795noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-37873958551211285982015-05-12T00:48:05.214-04:002015-05-12T00:48:05.214-04:00It would be terrific to see an 'expose' pi...It would be terrific to see an 'expose' piece of investigative journalism on just how many hospital employees were sent packing as a result of P-G. However, I would settle for a black box warning on the top of each survey, stating that 'answering these questions may be detremental to your prognosis'.<br /><br />Thanks, Dr. G. and AMEN!rapnzl rnnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-58002077823708574062015-05-11T21:41:16.017-04:002015-05-11T21:41:16.017-04:00Reading all of this made me so sad. About 5 years ...Reading all of this made me so sad. About 5 years ago, I spent 6 months in the hospital with severe acute necrotizing pancreatitis. Overall, I had excellent care, because in fact, depsite very low odds, I survived and am doing great now. There were some problems, of course, in such a lengthy hospitalization. One mistake or bad decision by a nurse resulted in a 4 month use of a wound vac, in addition to nothing by mouth for several months. But I realized mistakes do happen and I tried my best to be a good patient, while speaking up when I felt I needed to. The bottom line, as Dr. Grumpy said, was I recovered, and give God, my doctors, and my nurses credit for it. Whether or not the food was all that great didn't mean a whole lot to me.nyllraphttps://www.blogger.com/profile/15572961267496705049noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-48038187859278074582015-05-11T20:11:05.041-04:002015-05-11T20:11:05.041-04:00First, I always thought Verruca Salt was a particu...First, I always thought Verruca Salt was a particularly apt name for a disgusting little twerp, although I do know someone named Candida. However, I do not know anyone at all whose name is Chlamydia. <br /><br />Second, the idea of these surveys that one finds regularly on the internet is boorish in intent. Even I have a patient satisfaction survey about me, and no one who's ever been a patient in the hospital has ever met me. But, still there I am, and people can say whatever they want at the patient satisfaction survey site because my name has been pulled from a hospital employee database. <br /><br />Third, it's been long known that these 'so called' satisfaction surveys are tipped to the balance of the default. For example, the word agnostic is derogatorily tipped to the balance of 'believers' and not to atheists to whom the descriptor means nothing if they're a true atheist. People that would fill out a survey are much more likely to respond to a singular insignificant detracting incident than the best, most euphoric response in the world. How many people are going to compliment pain relief to a '3' on a scale of 1-10 when they started at an '8' and think that complete satisfaction is '0'?<br /><br />But, the worst of it is, how often will the care-provider that is already doing his/her best do something less effective and not additive to 'care' just to recoup a more showy higher number? And, what does the patient think of their care if it arrives unaccompanied by red roses, thornless to be sure, but something ostentatious?<br /><br /> Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-12509688487692146652015-05-11T18:18:01.473-04:002015-05-11T18:18:01.473-04:00I was in the hospital twice in the last year and d...I was in the hospital twice in the last year and did not get a survey for either hospital. I am in NYS, I don't have medicare, and I have bipolar disorder. I bet I could gave a very useful information and be able to identify positive and negatives accurately. Do you suppose I did not get a survey because of my mental illness diagnosis?<br />~ladyk73Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-4044291034870038392015-05-11T15:19:17.994-04:002015-05-11T15:19:17.994-04:00I am going to get a "bad rating" from th...I am going to get a "bad rating" from the patient I had the other night. She had been extubated that day and kept pulling her O2 off. And fighting me claw and tooth every time I tried to put it back on. So I tied her hands down. I told her I wasn't trying to be mean, just trying to keep her alive. She didn't care and just gave me a look from hell. And there is where ethical care will get me. I feel like she wasn't with it enough to make rational decisions, but you can be damn sure she will tell case management that I tied her down against her will. She was still alive at the end of my shift and if I get in trouble, at least she lives. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-14614071176685573592015-05-11T14:45:23.080-04:002015-05-11T14:45:23.080-04:00I did an in-patient survey once. The first questio...I did an in-patient survey once. The first question they asked was, "What is the most important thing to you in this hospital?" and I answered, "Communication. I like when my doctors to talk to me about what is going on, what i have, how long I'll be here for, and what the plan is." <br /><br />And they stopped, and looked at their list, and turned red. So I said, "What? What's wrong?"<br /><br />And they said, "Um, there's no box for that. But you can say things like, cheap parking or variety on your menu!" FFS. <br /><br />But seriously, please don't blame the patients because the administration sucks balls. That's like blaming the cashier because head office changed the secret sauce recipe on your Big Mac. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-82372199469821721622015-05-11T13:52:16.421-04:002015-05-11T13:52:16.421-04:00Retail pharmacy is the same way. Nobody cares that...Retail pharmacy is the same way. Nobody cares that they received the correct medicine for the correct patient with the correct directions printed on it. They complain that it took 30 minutes to prepare, or that we didn't address their presence within 2 seconds of walking up to the counter.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-77743301603246281922015-05-11T11:50:37.462-04:002015-05-11T11:50:37.462-04:00+1 million. Now if we could just force news networ...+1 million. Now if we could just force news networks to read this aloud around the clock as "Breaking News." For a month. PGYxhttps://www.blogger.com/profile/04326999545370162455noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-21660673908808966382015-05-11T11:47:54.029-04:002015-05-11T11:47:54.029-04:00Yep! After hospitalization, I got that survey for...Yep! After hospitalization, I got that survey form. There was no place to tell about the 14 hours in ER on npo orders and the nurse kept trying to give me a cup of water-which she had contaminated by sticking her fingers inside the rim. Or the fact that it took 10 hours for my meds to come from the pharmacy and when they did, there was no heart pill which I should have taken about 4 hours prior but there was the medication I take only 4 times a year.<br /><br />But I could tell them about smiles and greetings by name.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-9920268698103891962015-05-11T11:33:56.447-04:002015-05-11T11:33:56.447-04:00Same goes for other industries, most notably, your...Same goes for other industries, most notably, your local cable "provider." Take, for example, ComCrap. Every call about the horrendous service and constant unresolved issues is a craftily worded "survey" about my "service" for that call's "TECHNICIAN." None of the questions involve satisfaction with weather the issue was actually resolved or the same one I have called about every month for 2 years about. It's all "was the person polite?" Yes, no help! Arrrrgh!HeroHoghttps://www.blogger.com/profile/02157411044318901668noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-3194211456099737432015-05-11T11:33:16.087-04:002015-05-11T11:33:16.087-04:00AMEN!!!!!!!!!!AMEN!!!!!!!!!!bobbiehttps://www.blogger.com/profile/14353836074794786357noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-21112441606224639712015-05-11T11:28:31.646-04:002015-05-11T11:28:31.646-04:00I'll admit, I'm guilty of not filling out ...I'll admit, I'm guilty of not filling out those surveys.<br /><br />With the knowledge you've provided in this PSA, though, I'll fill one out if I end up in the ER again.Tsunobahttps://www.blogger.com/profile/16997397320479430764noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-18806180844276944752015-05-11T10:56:44.754-04:002015-05-11T10:56:44.754-04:00The nurses NEVER smile at me when I drag in some c...The nurses NEVER smile at me when I drag in some combative, .25 BAC DWI for a blood draw. Who do I complain to about that???Officer Cynicalhttps://www.blogger.com/profile/04193271958353271282noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-41999192432212350412015-05-11T10:35:27.912-04:002015-05-11T10:35:27.912-04:00I continue with the standing ovation!! As a neuro...I continue with the standing ovation!! As a neurotrauma nurse, I get so many complaints when I won't let the family feed a stroke patient a big fat burger or something. Do you not hear him gurgling and choking?? No matter how many times I explain that they will probably go to ICU since they can't even manage their own secretions, the response is "But they haven't eaten since last night!" The fact that I spend most of my time setting boundaries like, the night stock of food is NOT for people that had three dinners does not seem to register. I do love my job but sometimes I wonder when I went back to serving people, not saving them. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-31632625197251036122015-05-11T10:24:16.997-04:002015-05-11T10:24:16.997-04:00As a patient I would like nurses who don't mak...As a patient I would like nurses who don't make up vital statistics for me because it's too much bother to take a blood pressure reading... but I guess that'd slow 'em down too much. (And, good lord, if you're going to lie about what you told me over the phone, at least make sure I'm too drunk or stupid to notice first. Chances are I won't complain effectively enough to make you lose your job anyway, but my opinion of you is going to go way down.)<br /><br />But, ummm... anyway. Yeah, badly written quality surveys are a stupid way to figure compensation.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-5828775779638990932015-05-11T10:21:07.674-04:002015-05-11T10:21:07.674-04:00Same goes for student evaluations of college cours...Same goes for student evaluations of college courses. While these are of some use for detecting unexpected problems, a high level of satisfaction can't be the goal. The students don't know if they've been taught well until they get to the next course and see if they were prepared. At evaluation time, all they want is for the course to have been easy.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-74484508219771400972015-05-11T09:49:24.778-04:002015-05-11T09:49:24.778-04:00I'veyet to be handed a patient satisfaction su...I'veyet to be handed a patient satisfaction survey at any healthcare facility I have had to deal with for my grandmother recently. I however will be contacting state regulatory agencies based on medication errors that occurred repeatedly. And no we arent talking not handing out morhine Quite the contrary. Overdosing patient's, lack of medication reconcilliation, and being refused a consultation pharmacist when requested. <br /><br />As you said the hospital was great with keeping room looking clean (npotived I said looking- when ou carry a toilet brush across the room dripping that aint clean no matter how you slice it!), serving meals on time etc, but those kind of things just dont matter when someone almost dies because of the errors that have occured.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-44190695809941654202015-05-11T09:48:03.508-04:002015-05-11T09:48:03.508-04:00Strange , I recently took a patient survey and it ...Strange , I recently took a patient survey and it asked questions about sanitary conditions of the facility, and went on to explain that once goal was to limit spread of hospital infections. Further it went on to ask about outcome of treatment. It asked about professional demeanor of staff. Not a think about pastrami, tv or splenda.Packerhttps://www.blogger.com/profile/10790343423937405624noreply@blogger.com