• Have you ever noticed a big difference in "service, attitude, and level of care" from one facility to another?

    Asked by GregP_WN on Sunday, October 27, 2019

    Have you ever noticed a big difference in "service, attitude, and level of care" from one facility to another?

    In 11 years of dealing with Vanderbilt, I don't believe we have ever encountered a bad day, a bad nurse, doctor, pissy attitude, or disrespectful person. But our little local hospital could take lessons from Vandy. When we had to go to the ER last night the doctor on call came in the room and asked what brings you here tonight? I proceeded to give him the history of my day, starting with the surgery, and my blood pressure being 220 over 110, when he cuts me off and said, "let's cut to the chase, I saw something on your chart about chest pains". So I stopped talking and just said, yes, I have chest pains. I figured from there on out he could ask what he needed to know. I don't care for someone that has that type of attitude and I will let them know it. On the other hand, those who are very nice, very good at their job, I always am sure to let them know that too. But this has long been a problem with this facility, they all need to take lessons on bedside manner and how not to act like

    17 Answers from the Community

    17 answers
    • meyati's Avatar
      meyati

      Anna Kasemann is one of the pitts in NM. I met a woman with a broken leg. Her friends got her an ambulance and it took her to Kaseman ER. After 3 hours they left her and would check on her. 5 hours later they found out that she wasn't even checked in- still on the gurney.

      After that I got one of those plastic tooth picks with arrow like feathers stuck in my side teeth. I tried real hard to wiggle it out. I cut the point off that was tearing my cheek up. I took scissors and cut it off along with the inside of my cheek. I was really bleeding, so I stuck a wad of gauze in my mouth and went to Kasemann. It's 2 blocks from my house. I sat there for over an hour and I wasn't signed in. I kept fiddling with the pic with my tongue. The pic popped out, my mouth was still bleeding, and I thought of the fights I had as a kid. My mouth healed really well. So I went home. Iced the outside of my cheek-changed the gauze. For a while I had a loose flap inside my mouth, but somehow it healed. Boy! Did I ever enjoyed explaining that to Kasemann staff.

      I go to doctors in another county to escape Kasemann-- The ER is great now. I can't get a CAT scan without an argument most of the time. I solved that by dialing the doctor that ordered the scans. So, I go to a different county for scans, ENT, and Oncology. In Oncology the nurses were rude- Head cancer- no undressing at dr visits, etc and the onc nurses called me and Levi perverts because he was my care taker that drove me there, provided a non-stop supply of bleached clean towels, wash cloths after surgery and during radiation.

      I had a bone density test and the Kasemann tech grabbed me and my legs like I was a sick calf. I do not like being treated like a dog or livestock. I grab my dog and say--OPEN WIDE and I pry her mouth open and shove meds down her gullet. She's a dog that spits out meds. She doesn't know to open her mouth or move a leg-but I do know how to do those things.

      Then Kasemann spent a year trying to get my car keys in the different clinics. They finally gave up. They are just rude. Like call my name to go in and an oncology nurse stopped and talked to somebody else about 15 minutes. I should have walked over to the desk and complained.

      My primary care doctor is good-and I'm thinking of leaving her and getting a new Dr. Everything goes well until she starts talking about what the CDC-Medicare-and the health system says. I'm either given something that makes me horribly ill or doesn't work at all. Or I'm told that I'm too old for an antibiotic. My radiologist thought that I'd be a mouth breather with horrible sinus infections. I can breathe through my nose, but I still get horrible sinus infections. I'm getting better, but I need help in getting better-not poisoned

      about 1 month ago
    • meyati's Avatar
      meyati

      I forgot to finish about the woman with the broken leg. Her friends tried to get her checked in again but it quickly became an argument. -So they called another ambulance and it took her to another hospital ER. She was checked and had her leg set.

      about 1 month ago
    • GregP_WN's Avatar
      GregP_WN

      Meyati, that would classify as a terrible ER for sure. I hope you're doing as well as you can!

      about 1 month ago
    • LiveWithCancer's Avatar
      LiveWithCancer

      I hope you're doing okay, Greg. That's some high blood pressure! Did they get it to come down? What did they say about the chest pains? Since my son died (today marks a year since the last time I ever saw him alive - I know because it is also his wedding anniversary) after complaining of chest pains ... and having tests of all kinds run and even being kept overnight ... I am more nervous about heart issues than cancer.

      My hospital's ER can be better, but the clinics, etc. can't be beaten. Like your experience with Vandy, everyone is pleasant, even friendly, caring, take their time with you... ER ... oh boy ... fortunately, I've only dealt with them a few times because they lack a lot.

      about 1 month ago
    • meyati's Avatar
      meyati

      I've been treated well the last 18 months. People are checked in-and that shouldn't be a problem-getting checked in. I don't get it, because I don't curse or whine. I have one tattoo on my ankle that's usually covered with a sock or trousers. I say "Please, thank you-- excuse me." I don't ask for pain killers. If they offer any- I have refused Oxycontin-because my inner radar went off-years before now. I can't handle anything with Tylenol in it because I lose my balance and my ears really hurt-etc. I like Fentanyl and Codeine. Morphine jangles my nerves, and I start shaking. Then I get lectures about being a drug addict. Fentanyl works by cutting the dose or patch in half. I told my doctors that too.

      Some other older people agree with me that we went 40, 50, 60, 70 years without being a druggie when jugs of pills were passed out like candy, so maybe we KNOW how our bodies work, so please help us. .

      about 1 month ago
    • Molly72's Avatar
      Molly72

      I spent weeks in the U. of MI hospitals--- huge place, rude staff, sub-standard medical care, and horrible food--- if & when you were served any! One might think this hospital was in a third world country.

      Another week spent at our small local hospital--- lovely place full of kind and competent staff, doctors who treated you with respect and competence. Excellent food, and most important, the attitude that you are a person, not just a number.

      about 1 month ago
    • cllinda's Avatar
      cllinda

      We have two hospital systems in our area. And they have both been taken over by bigger groups. My last experience at the one that is farther away from us was crazy. I needed an xray and a blood draw. It took over an hour and a half to register because of a new system that had just started that Monday. This was Saturday. I have both Medicare and private insurance and I wanted Medicare billed first. After all the trouble and time, it wasn't done right. I had to call on Monday to straighten things out. The lady was apologizing but she should have been trained better.
      I'm going there in Friday for knee surgery. And I'm hoping for good nurses and care.

      about 1 month ago
    • Bengal's Avatar
      Bengal

      My experiences have been mostly good. Nurses, doctors, technicians and other staff are mostly polite, friendly and seem to actually care. One annoying experience was at my ophthalmologist 's. We hear all the time, if you have questions or concerns talk to you doctor. Well, I tried bringing up a concern with the doctor and, like your experience, Greg, he cut me off and said "we need to move this along"! Apparently I was taking up more than my allotted time, this after I had sat in the waiting room for ever. Thankfully, he wasn't my usual doctor and I haven't had to see him again. Another bad experience happened just prior to being diagnosed with breast cancer at a different hospital than the one I ended up at for my treatment. The tech administering the ultrasound was pressing down really hard and hurting me. When I mentioned it she just brushed me off and said "this is the way we do it." When I mentioned this at the other hospital they told me pressing down does nothing to improve the image, they just have to run the device over the surface - gently. Sometimes a whole facility has a bad rep but sometimes it's just luck of the draw in the person you get.

      about 1 month ago
    • andreacha's Avatar
      andreacha

      I live in a small town in rural North GA. All of my surgeries were done at St. Joseph's in Atlanta because the hospital here at the time was lucky if they could take someone's tonsils out. I was out of it for those 10 weeks in Atlanta because I was critical but there was someone with me at all times.

      Our local hospital closed, thank the Lord. Like all of you said, the attitude of staff, waiting for everything and I won't describe the swill they served. The hospital had a 100 bed nursing home attached which they kept operating, and converted the hospital rooms to accommodate more. - that was where the money was.

      For over a year we had to go to the next town to their hospital's ER, which was excellent. They were a branch of a large hospital system in Atlanta. That hospital was able to secure a very long term lease on the ER section of the hospital that closed here. After a 2 million renovation the ER looks great. I can't say one negative thing about this ER or the 10 times I have been admitted to the hospital in the next town. Transport staff, nurses, doctors, techs for imaging, dietary, lab and I could go on and on.

      The CEO is a woman, about 5, 2" at the most, may 95 lbs. I call her the Energizer Bunny. She misses nothing. She also is responsible for the 8 other Satellite Piedmont hospitals that serve the smaller towns. She's tough and won't put up with any, you know what from anyone. I love her. She worked her way up over the years, starting as an RN at the Atlanta Piedmont. And she's kept up her license and training all along.

      I can remember being at the old hospital here - don't know what for but I was acting very strangely. I got up and went into the next room to use the bathroom of all things - I had one of my own. I had an episode of syncope and hit the floor. Then they had to rush me in for a CT of my head because of the blood thinners I was own. I was a mess. I kept pulling my canula off and naturally the alarm would keep going off. I would keep bottoming out on the o2. I insisted on sitting on a chair in front of the nurse's station. Each of the 2 nurses had been working there for at least 20 years and were in their 60s. When I wouldn't stop pulling my canula out - and I did realize it was bad for me - I asked them to restrain me. "Oh no we can't possibly do that". I asked why and they said I would have to approve it in writing." Get the form I'll sign it." Watching the two of them attempting to properly put this restraint on me was like watching Laurel and Hardy. And that was after it took them 1/2 hour to find it! It really was pathetic. I had to help explain what they were doing wrong and they at least got me tied to the chair - which I kept slipping out of!! I don't know how I made it through to the next morning without losing consciousness again. My family finally came and got me discharged and took me to the Piedmont Mountainside hospital in the next town where the CEO thinks nothing of going to one of the hospitals with no advance notice and check on the patients. If they were awake she'd sit down and come right out and ask if there was anything that they could have done better. This was at 8, 9, and 10 at night. And she walks the halls during the day to see what was going on going on also.

      Two of my doctors work at another hospital system but have privileges at the hospital. They also have full access to patient's files on the Piedmont Server. Constant communication back and forth. One always knows what other doctors are doing with you. It works out really well.

      about 1 month ago
    • Dkatsmeow's Avatar
      Dkatsmeow

      Our local hospital sucks. It's got a good maternity ward, that's about it. I avoid it at all possible. when I broke my hip I had my husband take me to the local urgent care facility for an Xray to be sure it was broke. Yep it was. So I had him drive me the 30 + minutes to MCV. That is where I am being treated for cancer. It is also a teaching hospital. My daughter usually calls my docs to give them a heads up. i have never sat longer in the ER than 15 minutes to be seen. they thought I was crazy to drive all the way there for a broken hip instead an ambulance. But I am not going to the local hospital. I had a cousin with breast cancer. Her red blood count would drop. She went the local ER 1 Sunday. she said she sat there 2 hours & it was like the place was a ghost town. There was nobody around. No one. So I told my husband never take me there. MCV has all of my records anyway. That's where I will go.

      about 1 month ago
    • Molly72's Avatar
      Molly72

      Did you have a CAT scan Greg? LOL!!!

      about 1 month ago
    • LiveWithCancer's Avatar
      LiveWithCancer

      @GregP_WN, that's pathetic.

      How's the blood pressure been today?

      My mom's blood pressure went up ... but not THAT high ... and her doctor saw her THAT day ... and upped the amount of blood pressure meds she was supposed to take. And, her top number wasn't anywhere close to as high as yours (the bottom number was similar)

      about 1 month ago
    • LiveWithCancer's Avatar
      LiveWithCancer

      There's such a thing as a stroke to worry about on top of heart attack when your blood pressure goes nuts. Or, I think that's a true fact.

      I hope yours has come to a more reasonable rate!!

      about 1 month ago
    • meyati's Avatar
      meyati

      That type of BP also causes severe kidney and heart damage

      about 1 month ago
    • GregP_WN's Avatar
      GregP_WN

      @LiveWithCancer, my pressure came back down that night, on its own. They didn't give me anything or even address it. I am going to a doctor here as soon as I can get in to see one to have them monitor it and prescribe something.

      @Molly72, yes I did, a fluffy tabby cat came in and looked me over!

      about 1 month ago
    • meyati's Avatar
      meyati

      I'm glad to hear that Greg---

      about 1 month ago

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