Medical Care – a consumer’s perspective-Cleveland Clinic Rehab Hospital

May 27, 2019 at 10:02 pm 1 comment

Part Onehttps://thatwoman.wordpress.com/2019/03/22/the-ratings-of-medical-facilities-series-it-begins/

Part Two- https://thatwoman.wordpress.com/2019/04/09/medical-care-from-a-consumers-perspective-ohio/

Part Three- https://thatwoman.wordpress.com/2019/04/22/medical-care-a-consumers-prospective-mercy-health-lorain/

Part Fourhttps://thatwoman.wordpress.com/2019/04/29/medical-care-a-consumers-perspective-mercy-health-lorain-2/

 

Cleveland Clinic Rehabilitation Hospital Avon Ohio, was NOT on the list of 34 facilities given to  us by  Mercy Health social workers – Lorain Ohio.  I  did some research  on my  own, went to  the internet and to  my  facebook page and asked local friends if they  had had good or even poor experiences with  facilities in the area. Cleveland Clinic Rehabilitation Hospital came up as being a good facility.  https://my.clevelandclinic.org/locations/rehabilitation-hospital/specialties

My  daughter and I  spent a Thursday  morning touring the facility. It has all the benefits of a hospital doctors  , rehabilitation therapists,  nurses,  aides and the focus is of course on rehabilitation. The facility  is only  a few years old and shiny  , white and extremely  clean. The rooms were large , bright and airy. We were most impressed with  the rehabilitation area and the state of the art equipment .

However, my  husband ( due to  Medicare Insurance  rules) apparently  could only stay  for 19  days.  It is my  belief  he probably  should have been released to  that facility  further along in his recovery. He was paralyzed down one side  and was on a plethora of medications. One which  was given to  him at Mercy  by the “ghost dr.” which  causes confusion etc. Again not being a physician and not knowing at the time he was even on this medication I was also  unaware  that in order to  combat the confusion ( also  he was on pain killers) he was being given another drug for Alzheimers.

I must interject here as to  hospital to  hospital transportation, I  wish  I  had something good to  say , you  really  are at the transporters “mercy”. The time arranged   leaving Mercy to  the Clinic was supposed to  be 11 a.m However, although  I  was supposed to  follow him to  the new facility  I  couldn’t by  6 in the evening after waiting hours and hours I went home and told them to  call me when he was being transported . You  see I  had to  sign the admittance papers and permission to  treat. At 9:00 p.m. I  called the Clinic who  told me that it was so  late he would probably  now be transported the following morning . I went to  bed only  to  be called at 11:15 by  the Cleveland Clinic Nurse that he had been sent to  them a few minutes prior  and could I  give the permissions verbally. ( This was not the only hiccup with transport).

I was, on the whole, extremely  pleased with  this facility  but it was not all good news. Once again the rehab staff were wonderful, and it was so  organized, you  knew exactly what he would be doing and when, I  was very  impressed with  the rehab staff, also  the cleaning staff once again were in the rooms every  day  and sometimes more than once. The nurses were for the most part very  professional and helpful as were 80 percent of the aides.

My  husband needed help  initially from two  and on some occasions three individuals to  see to  his needs. The confusion caused by  the drugs  did not help, that and the weakness and immobility of his left side. He had to  learn to  use his vocal cords  again ( which were stretched due to  the intubation) . It was a few days before I  realized he was still taking the medication for gout  which  should have been stopped at Mercy.  The medication Colchicine, can  and does cause diarrhea  and stomach  upset. The gout symptoms had abated and he really  should not have been still on this drug , especially  since it does also react with  Digoxin  but of course I  was unaware he was on this drug as well.

I  did insist since the diarrhea was an issue  they  stop the Colchicine. I also , once I  found out he was on Digoxin  ( Lanoxin),  they  stop or change that medication    BUT and here is the issue  it seems that doctors at this facility  and other facilities in the chain are loathe to  change another “specialists” diagnosis and treatment.  This was a huge problem  for us. One because we were out of our network and OUR team of physicians and specialists who  knew his history  and his courses of treatment we had to  rely  on basically  strangers to  his situation.

Therefore I  started asking for a daily  list of all his medications

Once he was off the Colchicine he stomach  upset went away. BUT not for long  a woman in the next room came down with  C’diff https://www.cdc.gov/cdiff/what-is.html . Now it was put to  us that my  husband came down with  this due to  the huge amount of antibiotics he was taking and had taken. BUT that is not the whole story:

IF the lady  in the next room and not had the infection first I would not have done more research thinking  it was because of the antibiotics . Although  the staff were for the most part adhering to   handwashing etc protocol not all of them did . Infact  I  would say  20  percent of the aides were lax in that area. I  actually  had to  throw away  his cellphone as it somehow became covered in fecal matter ( C’diff contamination) and was put on the bedside table. My  husband was incapable of having reached the table.  I  will say  that for the most part the aides and nurses did respond to  his call light in a timely  manner.

One aide,  in particular, left a lot to  be desired, from his treatment of my  husband  and his response times were not great, his laxness in this area and lack  of hand washing protocol  was a great concern.

 

Please understand a patient is in pain  and although  they  had been told of the back injury   it took at least a week for them to  address the situation ( it hadn’t been addressed at Mercy so  not on his record) , which  meant sitting in one position or laying ( when you  are partially  paralyzed) can be unbearable and since you  can’t move  the aides had to  do  it for him. This did cause “some ” of the aides  frustration and it showed.

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There was  another aide  who also  needed to  be retrained or let go  in my  opinion.  I came into  find my  husband half in  and half out of the bed, the top  sheet wrapped around him and soaked with  water. Actually  I  had just walked into  the room with  one of the hospital administrators, so  she did witness the situation. She immediately  went to  work taking care of my husbands comfort. The aide , when she was called , said he spilled water on himself… remembering the jug was on a table  out of his reach and he was not able to  move his left arm at all, that scenario was very  unlikely. I looked at this aide and said:

“so  he spills a jug of water all over his bedding and you  leave him laying in it?”  

The aid turned to  me and said:

“SORREEEEEEE”( in a very  sarcastic tone)

I then turned to  the administrator ( names available) and said

“she is done I  don’t want her anywhere near my  husband

The administrators at the Cleveland Clinic Rehabilitation hospital did address my  concerns but as I  told them what stopped them from getting  great review  on the place as a whole in my  opinion  was 20 percent of their “aides”  and it was those 20  percent that  caused situations that should not have happened, but it is those situations you  remember .

HEALTHCARE IS A HUGE BUSINESS AND EVEN THOUGH  WE THE CONSUMERS ARE PRETTY  MUCH  AT THEIR MERCY (NO  PUN INTENDED) WE ARE STILL CONSUMERS PAYING FOR A SERVICE.

We were assigned one doctor for my  husband and he called in others as needed  such  as another cardiologist, ultra sound  etc.  The doctor was quite nice, spoke very  softly but with  a heavy  accent so  I  was once again forever asking him to  repeat what he was saying and every time he was in the room he was costing ( according to  the bills I  received) 350 to  500 dollars for up to  35 minutes. I should go  through  the dates to  see how many  times a day  but considering I received 74 pages of bills each  page having at least 5 charges on them I am honestly  too tired to  do  the homework.

The discharge date  ( the 19 days being almost up) I was given another list of this time 54 “skilled nursing facilities ” for the next part of the journey  and this time I  did have time to do  some homework……….. To  Be continued

 

Cleveland Clinic Rehabilitation Hospital gets a B plus…. it was an A minus  But then that C’diff situation  was made worse…… more on that as we continue….

 

 

 

Entry filed under: a Cow -elle opinion, Corporate responsibility, Doctor/Physician, health, medical. Tags: , , , , .

A rusty old boat and tale of the Lighthouse. June 3rd – archeology of sorts- Chris Ritchey

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