Rule 1
Never,
ever let your private health insurance lapse. You may well find yourself
homeless as a result of the high cost involved, but at least you’ll get a free
bed [eventually] if you need one.
Rule 2
If you
must get sick, do so during business hours.
Rule 3
Avoid
Emergency Departments on Saturday nights.
Rule 4
If you
ignore rules 2 and 3 above, adopt the aggressive and abusive behaviour of
someone suffering a drug and alcohol induced psychosis. You will be strapped
down onto a bed quicker than you can say “Sectioned”.
[Don’t
worry – you live in Australia ,
not England .
It is rare for anyone to be sectioned here, whether they need it or want it or
not.]
Rule 5
Network.
Go to the opening of every envelope or fridge possible, and build medical
connections.
Rule 6
When you
feel dangerously ill, try to get an ambulance. If you do manage to get an
ambulance, do your darndest to convince ambos you need urgent medical care. If
you go to hospital by ambulance this can save up to 8 hours in the ED waiting
room. Sure, you’ll be stuck in an ambulance for four hours waiting for a bed,
but at least you will be bedded down and cared for while you wait.
[One
shifty person I know was recently gasping for air and looking deathly pale. The
ambos arrived and quickly administered oxygen. She never stopped talking the
whole time they waited for the oxygen to help – sneaky or what? Still looked
like crap when it was time for them to make a decision!]
Rule 7
Don’t get
old. If you are both sick and old all of your answers to medical questions will
be dismissed as the whining of someone with an irritating personality.
Rule 8
Once you
have been triaged into an ED bed, as you wait, and wait, and then wait some
more for someone to actually attend to you, do not try to work out the rank,
name or serial number of any hospital staff. Doctors, Div 1 Nurses, Div 2
Nurses and PCAs wear a mixed assortment of scrubs and uniforms that make no
sense at all.
Rule 9
If you
are a nurse yourself, don’t make the mistake of asking the crabby woman playing
with a pc if she is a nurse. She will
assume your name is Jan and let you know in no uncertain terms that she is not
happy.
Rule
10
While
waiting to be seen by a doctor, do not
watch Nurse Ratshit. If you do you will notice that she can seal a full sharps
container, go fetch an empty container, fiddle with a pc, rearrange desk
furniture, remove used kidney dishes and other paraphernalia, take patients to
the toilet, open and close curtains, put rubbish in a pedal bin by lifting the
lid with her hands, fetch steps for patients to climb in and out of bed, pick
her nose and more but not sanitize or wash her hands once.
Rule
11
Try not
to laugh nervously [or with delight] when the young man with piercings in the
next bed finally gets sick of being ignored. He will stand up and assertively
tell Nurse Ratshit in a Wesley College accent that he arrived 6 hours ago, was
told to go to a GP, gave the GP $85 only to be told by said GP to go to the ED
at the nearest hospital where he was dumped in the “malingerers’ ward”, and has
since been ignored for 5 hours. He won’t raise his voice or use one rude word –
except ‘shit”, and then only once – but when he says he is checking himself out
and going home Nurse Ratshit will seize on this decision as proof there is
nothing wrong with him.
Rule
12
While
waiting in the malingerers’ ward, use your contacts [see Rule 5] to organise
your own private hospital bed as early as possible, and have a chat with the
specialist under whose care you propose to be admitted to the private hospital.
Rule
13
Grovel to
Nurse Ratshit whose nose you so innocently got up earlier [before she picked it] and pray a doctor will see you before
midnight. After midnight a doctor will be reluctant to call your nominated
specialist [see rule 12] to see if said specialist will really accept you as a private
hospital patient.
Rule
14
Treat any
suggestions you will be sent for imaging by ED staff with suspicion [i.e.
stifle the urge to treat the suggestion with derision]. Should a trip to an
imaging section actually happen, pray you will be returned to the malingerers’
ward before midnight [see rule 13 above].
Rule
15
If a
doctor finally agrees to refer you to the care of the rule 12 specialist, ask
him/her to cancel the patient transport he has just arranged – you could die
before it arrives. Hitch a ride with a friend/partner or crawl, if necessary,
to your nominated private hospital. If you can’t crawl, run.
On
arrival in the safe haven of a private hospital, let the rule 12 specialist
examine you, listen to you, and send you for imaging him/herself, because the
public hospital will rarely have any results from their own imaging.
Please
God you will be given a bed further from the car park than any other bed in the
whole hospital. God knows, your partner probably needs the exercise.
Rule
16
If you
really do have pneumonia and a collapsed lung, preparing for a week in hospital
will require quick – albeit serial – thinking. You will need someone to fetch
clean jim-jams, slippers, dressing gown, a pen, reading glasses, a book, a
mobile phone so you can ring home and give Aunty yet another list of the things
you need, the charger for your mobile phone, a full range of toiletries and
hand creams, a supply of plastic shopping bags, and your iPad [with charger] to
take advantage of the free wi-fi.
You will
also be keen to provide clear instructions regarding everything extra hospitale from poo patrol* to checking
the post office box. Request a specific brand of lozenges and a supply of
tissues. [Apparently free wi-fi does not affect the private hospital’s bottom
line half so severely as the provision of tissues.]
Try to be
clear when giving instructions about who to ring and what to say to each of the
ringees.
Rule 17
Do not
bother to watch any of the free movies available on demand. You will be
interrupted at some climactic moment and will never know who dunnit, how
dunnit, when dunnit or why.
Rule 18
At some
point you will need a visit from two schnauzers. It’s called pet therapy. Use
the little air available in two lobes of left lung to sneak out into the cold
night air of the car park and sit with them awhile.
It is
okay for dogs to sit on their own blanket in a pre-heated car on a cool night. If
you don’t believe me just ask them – ask them to get out of the car and go
inside any time in any weather and you will get the ‘no thanks I like it here
get out of my face’ stare.
Rule 19
Ask all
visitors and or staff members to take snaps of you with your iPad while you look as pathetic as you can - mask on face makes a great prop. Discuss the haute couture of your pyjama
collection on facebook.
If you
plan your visual storyboard well, you will be sent a bouquet of real flowers
from real friends in Germany .
Rule 20
Beg,
wheedle and cajole with all the kitchen staff you’ve known for yonks until you
have half a dozen tiny serves of fruit salad for your visiting partner [each night].
Rule 21
When your
specialist tries to re-cannulate you, grimace for the camera and exclaim “Jesus
Christ!” in a blasphemously loud voice. Your specialist will be Jewish, and will
remind you that while Jesus was Jewish he was not the Messiah and so there is
no need to apologise for your outburst.
*the back yard. What, did you think I was Henry Plantagenet's groom of the stool in a previous life?
Rule 10 was as far as I could get - so very true.
ReplyDeleteA hospital is no place for a sick person.
Certainly not a public one, M Stacks.
DeleteMight be better to die first.
ReplyDeleteWhere is your sense of adventure?
DeleteRule 16: old ladies like me, keep a Go Bag with everything
ReplyDelete(crucial items not readily duplicatable, are always in a heap ready to scoop) ready to ... Go.
I would suggest soft foam earplugs be added to block the noise of bed neighbours visitors. and air freshener.
The older people in my family have always kept Go Bags. Strangely enough TO, who is of my generation, does not have one but seems to be in and out of hospitals more frequently than a Bishop goes into a brothel.
DeleteBut the Go Bag is a good idea, and I shall work on it.
We asked for it, we got it. Sadly, this is not entirely inconsistent with experiences interstate, so perhaps I can (actually, I HAVE) extrapolate that this means the public hospital system around the WHOLE COUNTRY is stuffed. Strangely, this hasn't yet trickled down into election-speak from either party. We apparently need half a billion dollars of what the cynical would call 'vote buying spending' WAY more then we need a good health care system. Or an actual health care system. But what would I know??
ReplyDeleteRed, your comments always provoke such long streams of thought that I don't know where to begin and so say little. Sneaky.
DeleteHe who knows not, and knows not that he knows not, is a fool, shun him; He who knows not, and knows that he knows not, is a child, teach him. He who knows, and knows not that he knows, is asleep, wake him. He who knows, and knows that he knows, is wise, follow him.
What do you know? Hmmm?
OK, my head's spinning ... all I 'know' is that I'm a member of the public BUT no one in politics is speaking to or about me. And I wish I could say so little as eloquently as you can!
DeleteHa ha. Of course no one is speaking to or listening to us! I live in an extremely marginal electorate and still nobody is speaking or listening to me.
DeleteThis is one of those rare moments that I would like to go back a few years when TOH had a heart attack and the service was excellent. Quick ambulance, bed in emergency straight away etc etc .
ReplyDeleteI hope this isn't a real experience that you have had recently.
To be honest Diane, this was my paltry attempt to make an amusing report from a real situation.
DeleteOn the Sunday evening in question, the ambos were not ramping, and the ED was relatively empty. The rest of it was mostly true.
Never, not once has TO ever called for help and not been advantaged by how many medically connected people know her which is good for her but an indictment overall, really.
[The comment about complaints from oldies being dismissed as unpleasant personalities is a dig at the several institutions where TO's Mum has lived]