I'm writing as an invasive Cardiologist ( Triple-Fellowship - Trained in Philadelphia , Pa. ) with 39 years of practice experience , both hospital and office based.
I have been disabled x the last 2 1/2 yrs. from multiple orthopedic injuries attributable to those many years of standing wearing 35 + lb. lead shielding aprons, used to shield against cath-lab radiation.
Additionally I was found in February 2017 to have a bizarre & very rare form of radiation - related pancreatic carcinoma of which I have thankfully been cured. I have had # 15 surgeries to date & plan to return to practice with the US Indian Health Service after my two (2) remaining planned surgeries.
I had previously undergone rehab at Kernan after a single surgery encompassing C2 through T5 laminectomies with fusions .This was the second of #3 such surgeries totalling # 21 levels. At that time , the facility and their staff as well as their physical plant ( ie. quality , cleanliness and age of their equipment ) and the care rendered were superb in all regards.( They are a branch of the University of Maryland ).
I had Orthopedic right hand surgery and rt. elbow surgery 48 hours ago at Kernan. I am sorry to report that I was sent home with my ENTIRE hand and arm carelessly - wrapped in an Ace-wrap ( Ace wraps are normal and expected ) and haphazardly held together with the weakest of tapes. As I was still recovering from the effects of anesthesia at the time I was discharged , I did not notice that the wrapped arm was NOT held together by the standardly - used clips , nor were the newer ACE - wraps used which have attached small pieces of Velcro at each end of the velcro.
These were what I was provided with at discharge from the Main Campus of the University of Maryland at the time of my September 2018 identical surgery on my other or contralateral arm.
Shabby , shabby , shabby.
Predictably the dressing fell apart within the first 18 hours that I was home.
My orthopedic hand surgeon wishes me to wear this dressing for the next # 3-4 weeks.
When I called the Orthopedic help desk at 3:55 PM EST , I received a recording that they were closed for the day !! That recording went on to state that their normal business hours are 8 AM through 4:55 PM EST . REALLY ?? !!
?? Out at the golf course or an early Christmas dinner , perhaps.
I called back again with the same results.
I then called back and spoke with a hospital operator who stated that she had " no idea " of any other number to call , back-line or otherwise, to procure assistance AND that it was " TOO EARLY to call the Ortho Resident on-call , as he does'nt go on until 5 PM. "
I guess that patient issues & needs fall into limbo during those 1 hr. and 5 minutes in the afternoon.
I then asked her to connect me with administration , and a very pleasant but admittedly new-hire ( 1 month she said ) , " executive assistant " answered , stated that she " didn't know " who to connect me with to get some help with resolution of my problem . I suggested an Ortho department supervisor or a nursing supervisor .Three ( 3 ) times she placed me on hold , while trying to secure help , the third time disconnecting me.( A social worker would have been a third possible option ).
I had earlier explained to her that I am legally blind in one eye from cath-lab radiation ( awaiting cataract extraction ), therefore I can not drive to go to a drugstore to buy these items and that I live alone and have no-one to go out for me.
I also explained that all I wanted was for someone to take responsibility for THEIR oversight and mail out to me the needed supplies.
Without them I can neither " sponge-bathe " at my bathroom sink without the loose tail of the ace wrap dragging in the sink NOR can I reliably wipe myself after using the toilet without the loose tail of the dressing dragging in the toilet .
Even IF I am mailed those supplies , I have had three ( 3 ) prior strokes and it is VERY difficult for me to " fix " by myself dressings that are falling apart .
Someone eventually called me back about 25 minutes later , but by then I was on another phone call , & on hold trying to reach my Orthopedic hand surgeon and I was NOT about to hang up on that call.
I am currently facing an extremely complex and dangerous Neurosurgical operation to fuse my Skull to C1 ( the first cervical vertebrae ) and then C1 to C2. This is scheduled to be done by the Head Neurosurgeon for Complex Cervical Diseases at the University of Md. My skull will have to be immobilized in a rigid circular metal collar , called a " HALO Collar " for AT LEAST 3 MONTHS.
Will I consent to go back to Kernan for my rehab of that procedure ??
If Kernan can not get this slightest of post-op care " right " , and appropriate staff are unreachable at 3: 55 in the afternoon , I DON'T THINK SO !! Would YOU ?? read more