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[Shelbyville Times-Gazette]
Shelbyville, Tennessee ~ Wednesday, December 3, 2008
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Healthy Talk About Health Care...Part Two
Posted Friday, August 31, 2007, at 12:58 PM
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On a blog posted earlier, a solicitation was made for comments on what is needed at our new hospital. I think this is a great idea and I encourage folks to do this, both here on the blogs and with Hospital personnel.

Speak out folks! Now is the time to have your voices heard about the place we should ALL call OUR hospital!


Comments
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For all the negative comments about mistreatment and long waits just to be told nothing is wrong...I garantee you can find just as many of the same complaints about every other respected hospital in middle Tn from patients that visit them as well. I have always received great care at the Bedford Co. Emergency room and other dept's. I understand that if I have to wait, usually there is others with more severe problems being treated before me. I do however think that we all can run into disinterest and lack of empathy from staff (medical and other) but it is usually more to do with that specific employee that is there for a job and not a sense of duty. That happens anywhere though, you just have try and manuver around the road blocks sometimes(frustrating as that may be), but try not to group those who do wish to serve and do so, in with those who lack the same work ethic, there are many great people serving Bedford County.

-- Posted by Bedford Co. fan on Sat, Mar 1, 2008, at 2:16 AM

I have followed these articles for the past few weeks. Yes, each of us feel that our emergency should be handled first sometime or another. I can honestly say that I have been on both sides of the fence with the hospital situation. When I have had an unsatisfactory dealing, yes, I pass it along to the proper channel. I would like to say this past Sunday, I had the honor to be proud of OUR er . My mom was on her way there and I of course wanted to get things rolling, but there were steps that had to taken by the staff that made me slow down. Not once did that employee treat me any way but nice...(yes, she followed the rules, but made me feel she was on my side.) Once inside, and a hundred questions later, my mom received excellent care. The doc on staff was very efficient and ALL the nurses helped us in one way or another. We were fortunate that the patient count was slim, but each patient there that day received the top care. Just remember that we all have bad days, and how many days do we wish that our day on the job was over so we could leave. Again, thanks to all that worked Sunday. Thanks for being there for us.

-- Posted by Menza Tune Cantrell on Mon, Sep 17, 2007, at 9:12 PM

This forum for suggestions for the new hospital looks to have turned into a field day for bashing the Emergency Department at the existing hospital. I am sure there are some valid complaints but most of the ones who have sent theirs in here really only make the writer of the comment look bad. You really have no right to speak about what the nurses/doctors are doing behind the desk because you simply don't know!! What looks like "flirting,socializing,joking" to you most likely is concerned and caring individuals discussing your's or your loved one's plan of care or treatment options. This is our workplace and we are co-workers. We enjoy our jobs here, otherwise we would work elsewhere because the market for nurses is booming. While I'm thinking about it let me complain about the abuse we take while we are trying to get our jobs done. We are verbally and sometimes physically assaulted on a daily basis while at work. We call the police to come in here to protect us quite frequently. Don't talk about us until you walk a mile in our shoes as they say. You might not think it is as easy as it looks.

-- Posted by A concerned RN on Mon, Sep 17, 2007, at 6:51 AM

I have 3 children and when they have been sick and the Dr's office is closed and I feel they need antibiotics I have always taken my kids to BCMC. And I will continue to do so. I trust that they will be taken care of by a licensed physician not a student doctor or a student nurse. Did you know that's what you get when you think your getting the best, at what alot of you think is a top notch facility. I'm sure that alot of you have legit reasons for not wanting to go to BCMC but dont let impatience be your main reason to bad mouth the facility. Everyone who comes to the ER believes that they are emergent even if it is for a cough or an ear ache and alot of times those cases are what is making the other more serious cases have longer wait times--the fact that the ear ache got to the ER before you and they are already back in a bed and now your here with a laceration and have to wait for ear ache to be discharged or someone else who is back there. The ER staff have to treat everyone the same no matter what your there for: they cant exactly ask the ear ache person to go back out into the hall because someone has just gotten here with a laceration and they are more important. How would you react if you were told that. I believe there is a saying "you can't make everyone happy!" It seems to me that the lot of the complaints on this blog are due to impatience not poor staffing or incompitent staff and yes everyone makes mistakes nobody is perfect. So when your sitting in the ER waiting room remember what you have just read.

-- Posted by mommato3boys on Mon, Sep 17, 2007, at 4:42 AM

I just read a letter to the editor from one of the OR nurses at BCMC. I agree with everything she said but the ER part. DR Monajjem did a friend of mines surgery not long ago, she said he was great. I have thought about trying DR. Moyd. I hope that I would see them in the office first. I am sure she was seen quickly in the ER, she was a co-worker. That happens in all jobs even healthcare.Why didn't she go to urgent care?

-- Posted by neveragain on Sat, Sep 8, 2007, at 9:42 PM

I do agree...

-- Posted by darrick_04 on Fri, Sep 7, 2007, at 6:42 PM

Thanks for the comments folks! Again, the right people are listening. Please keep them coming. It ALWAYS does good to complain!

-- Posted by nmonajjem on Thu, Sep 6, 2007, at 8:26 PM

I have to say that the office where you "check in" needs to be re-vamped. I signed in and waited 20 minutes for an office person to come out. I was the only one in the waiting room. I have always had good treatment from the nurses and doctors but the admitting office needs help! STAT!

-- Posted by mmp84 on Thu, Sep 6, 2007, at 9:17 AM

I have had the opportunity to make it past the joke in the ER. I have had 2 of my 3 children at BCMC, the nurses in the OB department are AWESOME! I am sure when someone reads this they will start calling some of there names and smiling, you think in your mind you did not even need your doctor. It's not all bad. My hope is the CEO questions why so many people leave without seeing a doctor. It's easier to send out bills than to address problems you know exist.It does no good to complain because you are directed to the secretary and I am sure her plate is full.

-- Posted by neveragain on Wed, Sep 5, 2007, at 10:00 PM

Doc M,

Email your phone number (or questions for that matter) to me at hsvraddoc@yahoo.com.

-- Posted by Tim Baker on Wed, Sep 5, 2007, at 9:20 PM

I personally will NEVER take any of my children to BCMC, I will pay all that I have to have them taken anywhere but there.

My beloved cousin went to the ER, not once, not twice but 3 times throwing up blood only to be sent home "nothing was wrong" they told him. Only hours after the last trip he was airlifted to Vanderbilt only to die because his liver ruptured due to a pre-existing illness that the hospital was well aware of. Vanderbilt doctors stated that if he in fact had received the proper medical care at BCMC then he would have lived.

I have also experienced 6-10 hour waits with a 5 year old running a 105 fever, while the nurses and staff were laughing and gossiping, after the first 5 hours my husband had to take my other children home and I had to take a taxi with a very sick child home at 3 in the morning. So I will go out of my way to avoid that hospital.

-- Posted by Vindicated on Wed, Sep 5, 2007, at 3:21 PM

The only person in the ER that has ever acted like he was in a good mood and happy with his work, was a tall grey headed man by the last name of Whitfield. I won't forget him, he actually is the only one who ever acted like he cared that I or my children were sick.

-- Posted by sambntn on Wed, Sep 5, 2007, at 9:02 AM

Dr. Monajjem

I woke up on a Saturday morning with a swelled hand. I toughed it out and about 4:00pm. I could not move my fingers. I did go to urgent care they told me I had to go to the ER because they could not do an x-ray. I was not lucky enough to get sick during the week. My daughter broke her arm skating 9 monthes ago, we went to Harton Hospital in Tullahoma where the skating rink was, she was seen within 15 minutes, a surgeon was called, both bones were set in her arm and we were back home in 6 hours. I kept trying to give them her insurance information and they said they would get it later. I gave it to them before we left.I have never used our hospital as a ppo provider. I have always used it because I trusted them. I know if the director of the ER at BCMC would have been present there would not have been 2 nurses working and 4 sitting down, I have never known her to sit down.

-- Posted by neveragain on Tue, Sep 4, 2007, at 10:47 PM

Yeah, but you don't send patients home with head injuries and tell them they just have a headache and to go home and SLEEP....The LAST thing you should do when you have trauma to the head is SLEEP... You also don't send them home with prescriptions for heartburn when they were having a HEART ATTACK!!!

Those are a just a few of the incidences I am familiar with. I wished it was a place I and others could go and that we could call it a 'home' place, but it simply isn't. The best thing about the ER there, is that Vanderbilt is one helicopter ride away.

-- Posted by nascarfanatic on Tue, Sep 4, 2007, at 9:53 PM

First of all, I will start with the remarks that I am a hometown girl that has always stood by Bedford Co Hospital through thick and thin. Never once did I even think about going anywhere else. I have seen many changes in our hospital. Maybe this is progress? One of the biggest concerns that we are faced with, how many of the persons in front of you being treated even should be there--this is causing many problems for the staff and might...just might be judging the reasons of why the person is visiting the ER instead of urgent care or a family doctor. At this point our feelings get hurt because we are there for good reasons and never receive the treatment we feel we should have. Yes, there are still a few that go for true emergencies. For those with private insurance, the bills tend to mound up quickly, as the wait drags on. Our emergency room should not be your PPO, but truly an ER May our hospital bounce back and be the 'home' place we used to be able to go.

-- Posted by GOT THE T-SHIRT on Tue, Sep 4, 2007, at 9:38 PM

Doc Baker,

Please contact me off the blog. I have some questions.

Doc M

-- Posted by nmonajjem on Tue, Sep 4, 2007, at 9:12 PM

Doc B,

The ER does have a dedicated triage nurse, but all patients, once triaged go to the same general areas. If the patient is triaged emergent, they bypass all areas and go to acute ER bed, where the MD is summoned immediately. Care is time-rationed (quite appropriately) in this manner. With a little bit of analysis, it is clear that (way too) many of the ER visits are for non-emergent conditions.

I know some ERs, during the day, REFUSE non-emergents outright...sending them to an on-call clinic or primary MD office. At night, a fast-track area for non-emergents is sensible, but has to have separate staffing (MD/extender) and physical area. I cannot go into details about specific plans or policies currently in place because, as a specialist, it is outside my purview. I am very concerned about some of the comments made in this and other blogs; I have made sure that the people who really need to know about them (not this lowly surgeon :)) are aware. But I realize these blogs are not even close to a representative sample of Bedford County. There are alot of folks out there who have spoken out in other media about the life-saving care they have received in our ER and Hospital. Could it be better? Of course. Bedford Countians, keep speaking...someone is listening.

-- Posted by nmonajjem on Tue, Sep 4, 2007, at 9:11 PM

OK, I give. I clueless. Even more than usual.

-- Posted by Tim Baker on Tue, Sep 4, 2007, at 9:02 PM

Hey Tim Baker,It's great to know you are still concerned about Shelbyville,please help!You are an old family friend and I am glad to here from you.It has been "forever"

-- Posted by neveragain on Tue, Sep 4, 2007, at 8:23 PM

Dr. M

Are there plans to have a triage nurse to direct the less acute patients into a "fast track" system? This might cut down on some of the waits and frustration heard here so far. Possibly it could be manned by NPs or PAs. Just wondering since I haven't been to the BCMC ER in years.

-- Posted by Tim Baker on Tue, Sep 4, 2007, at 7:12 PM

I agree.. Healthcare in America is something that needs more attention.

-- Posted by nascarfanatic on Tue, Sep 4, 2007, at 5:17 PM

EXACTLY neveragain. A huge bill, for absolutely nothing!!

*bumping this blog, because it needs to be discussed more..

Come on folks. This could be a life or death experience for someone you know. It shouldn't be ignored!

-- Posted by jesuslovesevery1 on Tue, Sep 4, 2007, at 12:00 AM

Sorry I was not finished! A nurse came in and ask how bad my pain was,I answered her.An ambulance came in with an attempted suicide. The ER staff was yelling out the womans name and even spelled the last name outloud, I could not believe what i had heard.Still waiting,a lady came in to talk with the man next to me,she said "Are you from the Tony Rice Center"he replied yes she asked him if he worked,what he made an hour,how much he could pay a month,and when would he make his first payment. If he had not already had a heart attack I was sure he would after being interrogated and humiliated with no privacy. I had been there 4 hours,still had not seen a doctor,and another ambulance on the way, I chose to leave so I could get me some motrin at the store,they never asked if I needed anything. The only thing I got from this side show was a bill for $488.

-- Posted by neveragain on Mon, Sep 3, 2007, at 2:28 PM

I am a mother of 3 children and I have visited the ER many times.I have been upset with the long waits, but I understand I am at the ER.The treatment we have always received when it is our turn has always been wonderful.2 weeks ago I visited the ER myself,my how it has changed,I left my children at home because I was prepared for a wait.I went into triage in about 30 minutes, placed in a room with a nice man having heart problems.I went for an x-ray and came back to my room

-- Posted by neveragain on Mon, Sep 3, 2007, at 1:55 PM

I think the wait in the ER is the nature of the beast. If your life is not in mortal danger, you wait while those who have greater need are seen first. I have personally taken my children on various occasions to the ER in Shelbyville, Murfreesboro and Vanderbilt. None of these situations were life threatening, but were serious enough to warrant a visit to an ER, and being the mother, I wanted my babies seen immediately! So I do understand the frustration of trying to comfort your child and ease their pain, when you know that medical attention is needed. I actually felt like I was seen in a more timely manner at the Bedford County ER. My child recieved quality care at each hospital. I know that our hospital has gotten a bad reputation for making mistakes, but I would bet if one was serious enough to do a little digging, negative information could be found on any ER at even the most highly regarded medical institutions. It is up to the patient to be informed and to ask questions. We are as responsible for our medical care as the doctors we choose to provide it.

-- Posted by stormblackclouds on Sun, Sep 2, 2007, at 10:59 PM

I'm with SoldierMom. My eight year old child needed a simple blood test for allergies. We had to wait for 98 freakin' minutes! I called the doctor and even the receptionist was mad! Oh, and one of the girls in the admitting office was visiting the JCPenney website! Argh! The phlebotomists were VERY nice though and said they had been back there just waiting for patients....

-- Posted by countrymom on Sat, Sep 1, 2007, at 5:52 AM

SoldierMom... that is the truth!

EMERGENCY means EMERGENCY... It shouldn't mean, "Sit here and fill out a chart or a clipboard full of different papers" -0R- "Have a seat, we have a wait."

I am sick and tired of living in the wealthiest country on earth and IN HISTORY and our people still have to wait for HOURS in an emergency room. I do realize, there are a few hospitals that go above and beyond their call of duty, such as Vanderbilt, St. Thomas, and many more. But why in our own country can't we get a staff equipped to handle ALL emergency situations within specific and prompt timing.

-- Posted by nascarfanatic on Fri, Aug 31, 2007, at 10:40 PM

Thank you SoldierMom.

I have never once had a good experience in the local ER. NEVER ONCE.

-- Posted by sambntn on Fri, Aug 31, 2007, at 3:53 PM

Hm, that must not have been you sitting in the ER with us dmdezotell when my son cut his hand open and was required to sit in the ER for almost 2 hours. By that time, the blood had soaked through the towel and created a puddle the size of a dinner plate in the floor. . .or the time that my daughter was involved in an automobile accident, and because we drove her rather than wait for the ambulance (it was out in the county) and her wrist was broken and the wait was FOUR HOURS. Then when we get into the actual ER room, there are empty beds everywhere and only one or two other patients. I realize the ER personnel have a stressful job, but they chose that profession. If they are not cut out for it, then they should move on to something they CAN do.

-- Posted by SoldierMom on Fri, Aug 31, 2007, at 2:37 PM

In response to Soldier Mom's entry: I have been a patient in the emergency room at BCMC and was taken care of every time I was there in a timely and very professional manner. I didn't see any of the visiting, gossiping and flirting by the staff that you refer to. Maybe my experiences have been different than that of others, but I certainly was taken care of by a very professional group of caring nurses and other personnel. I commend the job they do in a very stressful environment. The staff at our hospital are hard working, dedicated professionals and we are fortunate to have people like this to take care of us when we need them.

-- Posted by dmdezotell on Fri, Aug 31, 2007, at 2:14 PM

A process where waiting to see the doctor in the ER would not take hours and hours would be nice.....Course that would probably cut into their (the personnel's) visiting/gossiping/flirting time.

-- Posted by SoldierMom on Fri, Aug 31, 2007, at 1:41 PM


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