Thursday, May 03, 2007

Two Words

Why I Don't Want Government In Charge Of Healthcare.

Walter Reed. That's it. The two words that pretty much sums it up. My husband was in the military for 13 years. We experienced first hand government health care. It is a hit or miss experience, and from our position, it is mostly miss. From our own personal experience, we were glad to have some health coverage, however, how efficient, and how good it actually was is another question.

We know what it was like before tri-care, and what it was like after. Before tri-care waiting for a couple of hours on the phone to make an appointment was par for the course. After tri-care, it was much easier, and more streamlined, it improved in many ways as far as availability. It did become easier to make an appointment.

Although it became easier to actually see a health care provider, I can't say the quality of which improved all that much at all. In fact, I'm surprised my daughter and I survived the experience of her birth. All of those fancy things that people experience in regular hospitals when giving birth were non-existent in the military hospital I was in.

I ended up having a C-section. I was lucky in that, those of us who had c-sections only had one room mate, everyone else were housed in a room with multiple beds. The babies were to room in with the mothers, even if she had a C-section, unless there was something wrong with the kid. That sounds all fine and dandy except, the fathers had to leave by 8:00pm, that meant, after that you were on your own with the kid.

After my surgery I could barely move. I had her at 11:29pm at night. I woke up sometime in the middle in the night after all of the anesthesia had worn off, and felt like I had been ripped in half, I could not move one inch without horrible pain. I managed to get into one position and stay that way. My husband had already left, he could not stay for the night. I had not seen my baby yet, except for a brief instance where the nurse held her so I could see her right after she was born. I wasn't even sure where he or she was.

At some point someone came in and told me to massage my stomach, and to keep massaging it as much as possible. I still had my I.V. in, I assumed I was being given pain medication. The next day I talked with my roommate. I told her I was dying in pain, she asked if it was time for my pain medication? I said, "I don't know." She said, "You have to ask for it." I called the nurse and asked for it. Apparently, I was not given anything unless I asked for it. I assumed that after an abdominal surgery that would be given automatically, I was wrong.

It is the next day, I still have not seen my baby. I ask the nurse if I can see my baby. She says, "Pretty soon we will have you get up, and you can walk to the nursery and see her." Remember I said that babies were supposed to room in with the mother unless there was a problem? Apparently they were quite perplexed at our daughter's blood work. My husband came in. I don't remember him being there much at all. I don't remember what happened that day. I know that evening after he had left, a doctor came in and said, "We need to do a spinal tap on your baby to see if she has sepsis."

I was completely blown away. I said, "I don't know about that." He said, "We can't wait, if she has it, she could die within hours." He said, "I will bring you some paperwork to sign." Then he left the room. I didn't have a phone in my room to call my husband or anything. I was crying. I was very confused.

Later the nurse came in and said that I could get up and take a walk. I got up and slowly walked over to the nursery, there in the middle of the nursery was the doctor doing a spinal tap on my baby. I will never forget that image in my mind. I walked in the door of the nursery and made my presence known, the doctor came over and said, "You probably shouldn't be here for this" and shuffled me out into the hallway.

I found a pay phone in the hallway and called my mom in another state collect and told her what was going on. She told me to call my husband and get him down there that I was in no state to deal with this stuff. I was mentally out of it. He could not come down there, it was after visiting hours. The nurse told me to go back to bed.

Later the Doctor brought me the paperwork to sign. I asked if she was all right, He said, "We were unable to get any spinal fluid, we are going to start her on anti-biotics." That night they came and removed my i.v.

The next morning my husband came in with our baby. He brought her in the room and said she could stay in there with us. I told him what happened. He did not know what to do or think. Nobody told us anything. Nobody had any answers for us.

On the board in the nursery was our daughter's name, and several other babies, and next to all of them it said, "R/O Sepsis"-- rule out sepsis. I supposed that the other babies were given spinal taps as well. They eventually told me something was wrong with her blood, we learned years later that she had Spherocytosis. Everything they did was completely wrong, a good hematologist could have made that diagnosis without sticking a needle in our daughter's spine 13 times. Thirteen, that's how many poke marks were on our daughter's back.

I was in there for 5 days. I was not allowed to bath for 5 days. My daughter was there for a week and a half as she developed jaundice and they would not release her. The jaundice was most likely related to her spherocytosis. During the time we were in there, we were isolated from family, and they did pretty much whatever tests they wanted on our daughter. There is absolutely no reason that she needed that spinal tap, that Doctor was abusing his position and authority and practicing on innocent people. There was nothing we could do about it.

It was a horrible experience that we just wanted to put behind us. Towards the end of my stay, as my condition improved I began confronting the medical staff and demanding more answers. Basically I started throwing a major shit fit after I came to my senses and realized the number of ethics violations that were taking place. They started listening to me. I spoke with a patient representative, of course nothing was done about any of it, they are all on the same team you know. I left that hell hole hoping to never go back.

A few years later, at a different military hospital, they almost killed our daughter. She had been running a low-grade fever, and was listless I kept taking her to the military hospital, a different hospital, completely different state. There, foreigners made up a great number of the staff in the "clinics", they were not even doctors, I don't know what their qualifications were to be practicing medicine. I told them my daughter was extremely pale, was listless, running a low fever, was stumbling around when she walked, was incoherent, I was told to give her some tylenol. I was told this 3 times on 3 different occasions as I kept taking her back and saying, "Something is Wrong!"

Finally, after my daughter slept for almost 24 hours straight, we took her to a civilian hospital in town. There in the E.R. they drew her blood and found that she had a hemoglobin of 4. It is supposed to be 12-18. The doctor told me she had 1/3 of the blood in her body that she was supposed to have. That had this gone on much longer she would have most likely went into congestive heart failure and died.

She was admitted immediately and within a short period of time was diagnosed with spherocytosis, and started receiving a series of 4 blood transfusions. She was in the hospital for 3 days. She was attended to, she was treated with dignity. My husband I were allowed to stay with her continuously.

When it came time for tri-care to pony up and pay for this expedition, I received a phone call from a commander at the military hospital were she had previously been seen. In a very heated conversation he told me, "I am not going to sign off on this claim, you should have brought her here and not to the civilian hospital." I said, "Well, I did take her to your hospital, 3 times, I was told to give her tylenol and take her home, if you people had done a simple CBC I wouldn't have had to take her elsewhere, I took her to the nearest hospital when I was unable to wake her up and she was practically unconscious. You guys almost killed my daughter." He replied, "Well, I hope you have lots of money saved up because tri-care is not going to pay for her visit there, what was she in there for 3 days, hope you can afford that."

I hung up and called her hematologist and told him exactly what happened, and said, "I'm sorry, tri-care might not pay." He said, "they will pay, don't worry, let me handle it." After he got done with them, they were kissing my rear. She had a special doctor assigned to her in the pediatric unit who did absolutely nothing concerning her health without consulting the hematologist, and the hematologist even went down to the hospital to teach classes on these types of cases and how not to miss them. Oh, and tri-care paid for everything. Miracle of miracles.

I stand by my position, I never want the government in charge of my health care. The Walter Reed scandal was not shocking to me in the least. Most of the military hospitals I've been in were run down, and not much better. Staffed by inexperienced, or downright unqualified people who have no business "practicing" medicine on anyone. They practiced on my daughter all right. Practiced.

6 comments:

  1. What a frightful experience.

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  2. An exceptionally powerful piece. I grew up as a Navy brat with military hospital care and I think it's safe to say conditions have deteriorated markedly -- except that I was healthy as a horse, so I don't know if they could have hurt me much if they tried!

    By the way, I read this because you're nominated on the Watcher of Weasels' weekly contest for best blog entries. You just might win.

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  3. Wow. That would be cool! Thank you for stopping by.

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  4. Anonymous9:37 PM

    I did 20 years in the Navy. Most of the healthcare was okay, but we had three major foulups.

    They almost killed our son by giving him so much gamma globulin that they killed most of the germs in his body. We have a lot of helpful germs that we need in our system. He was bleeding from the mouth and in great pain. Our Navy doctor wanted to give him more gamma globulin. My wife sensed that that was the problem. We went outside the system to a civilian pediatrician who merely gaved him a dose of friendly germs and saved his life.

    I was referred to Oak Knoll Naval Hospital for a serious impacted molar extraction. The Oral Surgeon's didn't look at the referral and the x-rays. They assigned the newest Oral Surgeon to the job, a young LTJG. After two hours of cutting and chiseling, the tooth was still in my jaw. The LTJG finally requested help. An experienced CDR came in and managed to get the tooth out. I ended up with a severed mandible nerve and a permanently numb jaw. At least they put a letter in my jacket admitting they screwed up and gave me a 10% disability due to that nerve loss.

    The third insult came when I ruptured a disc in my cervical spine while on two weeks active duty in the Reserves. I was referred to Fitzsimmons Army Hospital in Denver (where I lived) for treatment. They took forever to take a myelogram and managed to screw that procedure up royally. When they returned me to my room I had a blinding headache, which lasted for 18 hours. Two days later a pair of Neurosurgeons rushed into my room and explained what they were going to......basically they planned to open my throat, find the proper disc, and drill through it to reduce the rupture. Then they would take some bone from my hip and use it to fuse the two vertebrae together. They were too eager and too young for my taste. I was ambulatory and not in great pain. I refused the operation and left the hospital. I found a civilian Neurosurgeon and had him do the operation. It cost me some big bucks, but he did a decompressive laminectomy without fusion. It made all the difference. That was in 1975. 32 years ago and my neck is fine.

    I agree that universal health care would be much like military medicine. Those three incidents are why I'm opposed.

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  5. Anonymous8:26 AM

    This is what happens sadly when the government is in charge of your healthcare. The army doctors and nurses can't be sued so they can and will get careless. Medical mistakes happen at civilian hospitals but happen more often in military hospitals. Look at what a mess the government is now. They cant agree on much of anything and you want them in charge of civilian medical care? Thousands of people will die younger if the government goes medical.

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