Wednesday, July 1, 2015

It's What I Do

   I posted what I thought was an accurate Cliff's Notes Version yesterday. Then today I thought I'd plump it up a bit with more fun details (in red).
   So this will be what I hope is a funny look at my day yesterday. A friend of mine said "I'm sorry you had to go through this". I didn't have to "go through" anything other than sitting on a chair for 7 hours listening to mom repeat herself and teaching myself how to plug and unplug all of the wires she was hooked up to. I actually learned a lot, self diagnosed a current issue I have, and concluded that it wouldn't matter what insurance I am paying through the nose for, it would suck equally. The whole industry is a freaking debacle.

     When we were kids, my mom would do something goofy like put the iced tea in the cupboard, and she'd say "I think I've had a stroke."


  • Kryssi Martin A)Kaiser sucks. This is an ongoing theme in my life.
    Like · Reply · 1 · 16 hrs
  • Kryssi Martin B) Mom called an ambulance this morning that took her to Swedish, even though she said "I have Kaiser, take me to Lutheran". When I arrived at Swedish---before the ambulance, which I had to flag down because they missed her house---she had her driver's license, Kaiser card and two pieces of paper out. One had written on it mine and my sister's names with our phone numbers. The other said "I was feeling dizzy, I was afraid I was going to pass out. I called 911".Just in case she passed out before they got there she was ready. I said "I'll take you to Lutheran mom, don't pay for an ambulance" but she was determined. She said you get quicker care if you come in an ambulance. FORESHADOWING.
    Like · Reply · 16 hrs
  • Kryssi Martin She had been up since four am very dizzy and thought she was going to pass out. She called me and I got there before the ambulance. She was on the phone with the ambulance when I got there (7.15ish?)
    Like · Reply · 16 hrs
  • Kryssi Martin We went to Swedish Mom in the ambulance, me in my car. I arrived at the ER ten minutes before the ambulance. Mom said they had to wait in line behind several other ambulances before she was unloaded.
    Like · Reply · 16 hrs · Edited
  • Kryssi Martin We left Swedish at 3.30 pm.
    Like · Reply · 16 hrs · Edited
  • Kryssi Martin In between it was sort of -ish determined that the likely cause of her severe dizzy spell was the fact that she had taken herself off of one of her meds---(Silixa, Cinemax)---cold turkey. On the ambulance ride in mom couldn't remember any of her meds. She'd written them down somewhere, but did not bring them, once they looked them up and told her the name of the med, she kept forgetting so we just called in "cinemax"Which is stated in bold print never to do according to whatever the nurse looked up, but mom swears "IT DIDN'T SAY ANYWHERE NOT TO STOP SUDDENLY". I know not to stop any med cold turkey and I'm in theatre for pete's sake. So they gave her an IV, put her back on the Cinemax, gave her drugs for nausea and dizziness, said they were checking her in, then said Kaiser wouldn't approve a check in but would approve an MRI, then they were checking her in, Then they asked if she wanted the MRI 
    We're letting patients decide what they need?
  • so she asked "what for" and they said "stroke" and she stuck out her tongue and said "Say a simple sentance" and put her hands over her head and said no thank you, can I not have the MRI i feel better. Mom spent most of our 7 hours repeating herself, and repeating the stroke test which only made me think she'd had a stroke. Except she kept passing the stroke test. She said she did it in the ambulance as well.Along the way she was walked down the halll several times, I had to take a nurse hostage to get her IV unplugged Mom  hit her "call" button to no avail. I went into the empty hall which made no sense as every ER room had a patient in it, all elderly women with their husbands. I went to the nurse's station where there were at least 30 people, all clearly deeply immersed in working on charts or on phones dealing with insurance, or on computers, I had to wrench someone away to sheepishly ask if they could unplug mom's IV so she could pee. I had figured out how to unplug everything e baed on past bathroom adventures when nobody answers the call button. I'm not sure why they have it. at one point there were three call lights on in  our little hall of four rooms. I almost went in to see what I could do, as nursess were working, doctor's were not present and two administrators just strolled past with their coffee.so she could use the bathroom, Kaiser sent in THEIR Doc because clearly the ER doc at Swedish is a 'tard, We didn't even see a doctor until 1pm. The PA was around-ish, we saw the nurse more than any one, and she was clearly overwhelmed.I learned how to unplug and plug everything back in so she could pee because nobody works at Swedish, she asked the same questions multiple times and told the same stories because her brain was fuzzy.
  • Kryssi Martin In short, I just spent 7 hours in a crowded ER with Dory from "Finding Nemo". If I check my texts I can clock how long it was between each nurse/ PA visit, but I would estimate an hour. When they said they were checking her in the PA said "The hospital doesn't have any open beds, so we'll check you in and you'll just chill here for ten  hours or so." UMMMM....I'm sorry, am I in America?  Yep, that was some "quick, emergency" care.
    Like · Reply · 16 hrs
  •      Also, I started thinking maybe mom had a small stroke. She was definitely not firing on all cylinders, but I couldn't see what an MRI saying 'Yep, it was a stroke" could prove other than "Yep, it was a stroke". "Was" being the operative tense. Except she passed the repeated stroke tests by sticking out her tongue. Maybe a better test would be to give her a pitcher of iced tea and watch where she puts it. 
  • Kryssi Martin She's home and in bed. You can text her. She may not reply, she's been up since four. She needs to sleep.
    Like · Reply · 16 hrs
  • Kryssi Martin C) Kaiser sucks.Swedish is not a "Kaiser" hospital, you have to go to Lutheran or St. Joe's for Kaiser. Which is phenomenally convenient for those not living downtown or in Wheatridge. But the PA and Nurse both said there was a "Kaiser Doc" on staff at Swedish, and I guess it's his job to determine if you should be admitted. Because he knows more than the ER doc? So another hour of waiting for a "Kaiser Doc" to examine mom, and to make the same determination that the ER doc and PA made: Whatever it was has passed, putting the med back helped  and MRI's are expensive but you can have one if you'd like. *** Both the nurse and the PA rolled their eyes at the word "Kaiser" and the PA said "We have a Kaiser Doc on staff, we're used to dealing with them." She seemed to think she knew how to word it so they would admit mom, but she was wrong. If they had taken her to Lutheran, they would have done the ER there and then transferred her to St Joe's for admittance, if they had room. Because that's just good  Business. 
    Like · Reply · 16 hrT
  • The  nurse (who looked like a 60 year old Chelsea Handler and was my favorite) said they get all the "neurology" patients at Swedish because that's their strength. So that's cool, as long as you don't have Kaiser, apparently. According to my mom's neighbor, whose daughter is a nurse, Lutheran is known for "being terrible", and from personal experience I know St. Joe's is too small and they boot you out fast to get the bed.
  • FYI DO NOT GO TO ST ANTHONY'S NO MATTER WHAT YOUR INSURANCE IS IT WON'T MATTER. THEY FUNCTION AS IF THEY ARE A FOR PROFIT BUSINESS. DO NOT GO THERE!! 

  • Kryssi Martin D) It's possible Swedish sucks as well. Maybe they' re just HIDEOUSLY understaffed. It is unconscionable that a civilian (me) was walking into a room with a call light button on to see if I could help because nobody else----not a nurse, PA, Doc or administrator---could be bothered. The nurse must've seen me as she came out of nowhere to help.  Maybe they have a "malpractice suit" radar. So if you are in an ER and nobody's responding to your call, have your friend go wander into the next room. That'll get their attention. I kinda want to know what would have happened if I had continued.  I eavesdropped and all the woman wanted was her bed adjusted and a blanket. I could have done that. She was like 90, dude. ALSO I am positive there was ONE ER Doc. ONE. 20 nurses, a few PA's and one ER doc, plus the "Kaiser Doc" but he wasn't helping unless you were a Kaiser patient. It was crazy pants.
    Like · Reply · 16 hrs
  • Kryssi Martin Scene.
    Like · Reply · 16 hrs
  • Tracy Wyckoff Fischer Thank you!!!! Dory? Just keep swimming?
    Like · Reply · 16 hrs
    • Kryssi Martin Mostly because she kept asking the same questions, forgetting she'd already asked. I'd say "mom, that's the third time we've had this conversation, do you not remember?"
      Like · 16 hrs
FOLLOW UP Mom was able to get a hold of her neurologist via email, as all Kaiser docs function only via email. Nobody uses a phone and  if it's an emergency, well....call an ambulance. Anyway, the Neurologist  said she doubts the entire episode was the result of stopping Cinemax. So off to the MRI we will go...
     I would switch insurances if I thought the private option was any better. I used to have it, but switched when Jim was unemployed so he could be on my policy--Kaiser was less expensive than the other choice back then. which has its own issues with "In Network" docs only. I pay over $600 a month for shitty insurance, and I have only two options through school "Shitty Kaiser" or "Shitty Private". Thanks to Obama, I'm now paying even more for worse care.
       For those who do not know, Kaiser was forced to take on new customers when Obamacare was passed. No FUNDING to help them handle it, they were just told: you have to do this now. Over night they were overwhelmed with seven thousand new patients they do not have the phone staff to handle or the doctors. They were forced to change their system to accommodate the volume without the money to hire more staff, so people  like me who have been a customer for years can't get through at all. These are facts, guys, look them up. Don't yell at me for being Anti-Obama, just look up the facts. The Docs now spend a total of ten minutes with each patient. The  Kaiser psychiatrist saw my daughter for fifteen minutes once every month and made psychological  and medical and pharmacutical decisions based on those fifteen minutes. We had to pay an outside Pysc $150 an hour to untangle the mess the Kaiser Psych had made. Again, these are facts. And the psych we went to is outside all insurance systems because she was disgusted with them.


 

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