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  • Accessible medical facilities

    I just had an unsatisfactory checkup with my dermatologist. The lift which was supposed to be available wasn't. I have moles on my backside that didn't get checked. I'm wondering what others here experience when seeing doctors?
    18
    Fine, no problems
    22.22%
    4
    Some problems, but okay
    33.33%
    6
    I get poorer care than an able bodied person
    27.78%
    5
    Poor accessibility
    16.67%
    3

    The poll is expired.

    Tom

    "Blessed are the pessimists, for they hath made backups." Exasperated 20:12

  • #2
    Sadly, I fine this more often then not. At least they were "supposed" to have had one. Most places that I have gone to feel that lifting me with a group of people is a "safe" way to do it. *I'm no light weight, so I don't feel safe* I've even had the situation where they had a lift, but upon time for me to return to my chair, the lift quit. One nurses aids fix for this was "just transfer using a sliding board, the transfer is going down hill". I refused due to the fact the down hill slope was about eight inches!!!! I am in the process of being scheduled for a thyrogen scan at the hospital. I asked the tech at the doctors office to make sure they know I'm in a chair and that I DO NOT transfer, and they need a lift. I got a call back from the tech who said the hospital said there would be no issue. I do know this particular hospital does have a lift that I have used in the past. Now to see if they actually put in the effort to find it.

    Hope others have had better happenings.

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    • #3
      They have a lift somewhere -And can put you on a stretcher? Or a portable lift .. They don't have to have one in that office. Call Pstient Advocate at that hospital. Cwo
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

      Comment


      • #4
        Originally posted by TomRL View Post
        I just had an unsatisfactory checkup with my dermatologist. The lift which was supposed to be available wasn't. I have moles on my backside that didn't get checked. I'm wondering what others here experience when seeing doctors?
        Oh I thought this was only referring to general doctor, I find unless you go to hospital for everything you're pretty much screwed if you can't transfer yourself. For the private places I understand though, it's not very common. So I don't get mad about it, I just make sure to usehospital facilities. One thing that does bother me at the hospital is when they get visibly pissy about getting the lift,really bugs me, like I need to feel like more of a burden than I already do, just emphasizes pathetic which makes me very quiet and miserable... I've only ever said something once and it was just along the lines of trust me it's a whole hell of a lot worse for me, you think I want to get in the fing thing!
        Last edited by JamesMcM; 04-22-2016, 02:06 PM.

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        • #5
          CWO - I do know the hospital has a portable lift, as I have had to use it during ER visits in the past. However, like James said they are rather "pissy" about getting it. They will insist that a group of people can "lift" me. Perhaps they can, but it is NOT a safe way to transfer.

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          • #6
            The only way this is going to change is if people insist upon their right to be transferred in a safe way (manual lifting puts both you AND their staff at risk), and if you have attitude or other problems related to this, that you complain loud and long to Patient Advocates (in hospitals) or the physician and office manager in private offices, or even to your insurance company. I would also recommend that you become familiar with the ADA regulations related to access to health care, so you can quote them when needed, and that if the problem persists, that you advocate for both yourself and other PWD by filing a formal ADA complete with the DOJ.

            Some resources:

            http://www.ada.gov/medcare_mobility_ta/medcare_ta.htm

            https://adata.org/factsheet/accessible-health-care

            http://www.pacer.org/publications/adaqa/health.asp

            http://www.disabilityrightsca.org/pubs/553101.pdf

            (KLD)
            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

            Comment


            • #7
              Originally posted by Treeza04 View Post
              CWO - I do know the hospital has a portable lift, as I have had to use it during ER visits in the past. However, like James said they are rather "pissy" about getting it. They will insist that a group of people can "lift" me. Perhaps they can, but it is NOT a safe way to transfer.
              I'm pretty light, if they can get at least one young guy, I'm perfectly fine with manual lifting, I actually prefer it; that's how I transfer at physiotherapy. I find being in the Hoyer lift degrading; not that getting fireman toss is much better. I never hospital staff give me T he alternative though.

              Comment


              • #8
                Tons of research showing that health care personnel (male OR female) should NOT manually lift a patient weighing more than 35 lb. This is actually now a NIOSH and OSHA standard in the USA.

                Health care staff (RNs, aides, and PTs) in the USA have for years been in the top 10 of on-the-job injuries; I have know many nurses in my career who had career-ending shoulder, neck and back injuries from moving patients. 10% of all nurses were being removed from the healthcare workforce annually due to these injuries.

                Thank goodness where I work, and many other places in the USA have followed the lead of Europe (and Canada) in mandating Safe Patient Handling and Movement standards that prevent most of these injuries. To date, 10 states have passed legislation, and it is mandated for all VA hospitals and clinics. We use lifts and other devices now...and your caregivers at home should do the same, if you care about them.

                (KLD)
                The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                Comment


                • #9
                  I find parking is a problem if in a van I have had to take someome with me as parking was forget it at northside in Atlanta I had to leave I could not get in no parking

                  that's my issue dr office and 95 of hospitals

                  Comment


                  • #10
                    get this, just spent 2 days in the hospital. every room had a overhed lift that covered entire 1 bed room. no nurse on the floor could even find a sling to use the dam thing. not until 2nd day did a nurse supervisor find the closet that was full of a variety of slings. needless to say we used our own...........
                    Bike-on.com rep
                    John@bike-on.com
                    c4/5 inc funtioning c6. 28 yrs post.
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                    • #11
                      Originally posted by fuentejps View Post
                      get this, just spent 2 days in the hospital. every room had a overhed lift that covered entire 1 bed room. no nurse on the floor could even find a sling to use the dam thing. not until 2nd day did a nurse supervisor find the closet that was full of a variety of slings. needless to say we used our own...........
                      I hope you filed a formal complaint after discharge. This is unacceptable, both for you and for how the nursing staff are supervised and trained.

                      (KLD)
                      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                      Comment


                      • #12
                        Also disturbing, I find that doctors do not examine you properly when you are disabled and/or in a wheelchair... Even if the clinic rooms are semi-accessible. They just don't want to be bothered, or to take the time.

                        "No... don't bother getting up... I'll check you right there" while you are seated in a chair/wheelchair. So often that means they skip much of the examination, or do a poor quality one since many things shouldn't be checked in the seated position, with clothes on....

                        Take off compression stockings to check feet? Are you kidding me?

                        It is common that a nursing assistant sees you before the doctor does, to check vital signs. That nursing assistant, ideally, would help you get positioned, undressed etc.. as needed. Instead, after they leave, you often wait several minutes waiting for a doctor to come in. And then once the doctor arrives, they are so rushed, they don't want to take the time to wait for you to get ready to be examined. Such a waste. And worse care for you.

                        Disappointingly, I see this happen even with doctors who are specialized in spinal cord injury.

                        Comment


                        • #13
                          This is clearly an ADA regulation violation. If you do not receive the same examinations or treatment as an AB person in the same office or setting, due to your disability, they are subject to fines and other actions under the ADA. Please don't just accept this.

                          (KLD)
                          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                          Comment


                          • #14
                            All the doctors I use are tied into the same hospital system. In fact, that hospital used to be a model spinal cord injury center. So when I go and see my internist for regular check up, it's at a satellite office which has neither wheelchair height exam tables nor lifts. My dermatologist is available at a satellite office, but it is barely accessible for a wheelchair let alone being able to get onto a table. As a result, I saw her down at the main campus. There the outpatient building has only one lift available and it's quite a sizable building. Time and time again I arranged ahead of time to have the lift available, but magically it was not available when I got there. Neither the ER nor the satellite outpatient surgery center have lifts around. I've tried being nice about this, but it is just not working. I guess I wil have to turn up the pressure somehow because really it's not acceptable way for them to be doing business.
                            Tom

                            "Blessed are the pessimists, for they hath made backups." Exasperated 20:12

                            Comment


                            • #15
                              I printed out some of the pages pertaining to patient lifts to take with me to the hospital when I get my scan. I will make copies so I have them for future doctors. I've decided to be my advocate, otherwise nothing will be done to accommodate me. Will keep ya posted.

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