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Author Topic: centers cutting patient times when it's not even our fault  (Read 8786 times)
sullidog
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« on: June 12, 2011, 05:43:55 PM »

Hi all,
The other day My time was cut short not to me being late, but the dialysis center running behind, is this practice? The FA says time has to be cut short when either the patients are running late, or the dialysis staff is running behind which delays patients to get on in time. The same thing happened to me one other time when the techs and nurses had a meeting when putting me on.
Why should we have to  have to have our times cut when centers are running late, I understand when patients run late but when the center runs late and blames us is just plain wrong!
Troy
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
Epofriend
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This is what happens in Vegas!

« Reply #1 on: June 19, 2011, 02:54:54 AM »

Sullidog,

They are messing with the nephrologists's prescription for your dialysis. They can't do that. First, insist that you run for your full time - my prescribed time is 2hrs 45min, I expect to be run for that time. Should that fail, make the nephrologist aware of the situation. Be sure that he/she knows that it is not because you were late.

At 2hrs 45min any loss of time is very significant. 
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lmunchkin
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"There Is No Place Like Home!"

« Reply #2 on: June 25, 2011, 08:44:20 PM »

You need to insist on your full time of dialysis!  Sullidog, if you don't it could be some very serious consequenses for you!  Make them tow the line or talk to your neph, please!!!!!

Look into NxStage if you can, that way you will be in control of your health!!!

lmunchkin      :flower;
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11/2004 Hubby diag. ESRD, Diabeties, Vascular Disease & High BP
12/2004 to 6/2009 Home PD
6/2009 Peritonitis , PD Cath removed
7/2009 Hemo Dialysis In-Center
2/2010 BKA rt leg & lt foot (all toes) amputated
6/2010 to present.  NxStage at home
Ang
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« Reply #3 on: July 29, 2011, 08:52:25 PM »

make some noise with the kidney association


go to the media


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live  life  to  the  full  and you won't  die  wondering
Pam
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« Reply #4 on: July 29, 2011, 09:21:14 PM »

That is why I am on the first group called in. I hate having to be there so early, 6:30, but if the first shift gets started late it's not the patients fault. In 2 yrs we have run 15 min late but that was because of a water problem.

From reading about all of the problems you have had it seems to me that if it is possible you need to change centers as soon as you can!
Pam
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lmunchkin
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"There Is No Place Like Home!"

« Reply #5 on: July 30, 2011, 08:21:48 PM »

What has been the latest on this situation, Sully?  Apparently, you got them straightened out!  Those In-Centers can be so aggravating!  I know that not all are bad, but the clinic my hubby goe too is FANTASTIC!  It's called "OUR HOME"! Yeeee Haw!!!!  Thank God for giving me the guts to learn and stick it out with my sweet husband!  He deserves it!!!

How was this resolved, Sullidog!  Did you go to the Director, Neph or what? I am curious to know, so that if anyone else has this problem, it may help them too!!

Bless you,

lmunchkin      :flower; :kickstart;
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11/2004 Hubby diag. ESRD, Diabeties, Vascular Disease & High BP
12/2004 to 6/2009 Home PD
6/2009 Peritonitis , PD Cath removed
7/2009 Hemo Dialysis In-Center
2/2010 BKA rt leg & lt foot (all toes) amputated
6/2010 to present.  NxStage at home
gothiclovemonkey
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« Reply #6 on: July 30, 2011, 08:32:40 PM »

hmm Do u go to davita? lol
sounds alot like the davita i went to! they did that, and i also had a nurse take me off early because she wanted to go home early....
and they would be hours behind,, one time i was there a total of 6 hours and my treatment time was only 3 hrs.
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"Imagine how important death must be to have a prerequisite such as life" Unknown
HemoDialysis since 2007
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LISTED ACTIVE! 11/14/11 !!!
sullidog
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« Reply #7 on: July 31, 2011, 05:43:14 PM »

No I don't but I've had that as an excuse too.
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
Donnie
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« Reply #8 on: December 27, 2011, 05:11:17 PM »

What do you want to bet they are charging your insurance full cost!   That's called FRAUD, you know?

And Fresenius just paid an 82 million dollar fine for medicare fraud!  Look into it!   :police:
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iKAZ3D
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06/08/2013

« Reply #9 on: May 11, 2013, 06:41:24 AM »

I love how your centers are willy nilly. My center is "run four hours, no exception", "come in at this time only, no changing, no choosing", "Oh, you have an event you want to go to? Let me do the best I can to inconvenience you as much as possible no matter how in advance you ask", "You're requesting to come in tomorrow instead of your scheduled day due to lack of health? Ok, but come in anyway so we can assess you", "You post a picture on Facebook? Let me invade that and place you on Suicide Watch even though the picture has no indication of a desire to commit suicide", "You express your opinions on Hospital Facebook page? We make big p*cking deal about it".

Children's Units suck.
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August 16th, 1996 - Born in Sacramento, CA; Born with Posterior Urethral Valves
September 2008 - Large Reconstruction, bladder augmented, stoma placed and ureters fixed
September 2010 - Needed emergency hip surgery for Slipped Capital Femoral Epithysis
September 2010 - Started Dialysis without refusal (Big mistake)
Summer/Fall 2011 - "Inactivated" on the Inactive Transplant List
October 2012 - Activated on the transplant list
November 30th, 2012 - Surgeons threatening to not to a transplant based on weight
April 25th, 2013 - Lost 25 pounds (97kg), however developed highly resistant bladder bacteria, Inactivated from list until eradicated
May 15th, 2013 - Finally cleared of the bacteria, reactivating on list imminent.
May 24th, 2013 - Reactivated on the list!
June 8th, 2013 - Transplant!
June 19th, 2013 - Dialysis Catheter officially removed and returned home from the hospital!
June 21st, 2016 - Sleeve Gastrectomy
March 11th, 2019 - Revision to Gastric Bypass
NDXUFan
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« Reply #10 on: August 26, 2013, 09:41:22 PM »

What do you want to bet they are charging your insurance full cost!   That's called FRAUD, you know?

And Fresenius just paid an 82 million dollar fine for medicare fraud!  Look into it!   :police:

NDXUFan:
I would keep records and have your fellow patients do the same to back you up, do it for each other and then call the State Department of Health or Medicare and they will force the unit to produce the records or they will get them by court order.  By the way, if they have any smart ideas, witness intimidation is a FELONY. 
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Simon Dog
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« Reply #11 on: August 27, 2013, 06:27:01 PM »

What has been the latest on this situation, Sully?  Apparently, you got them straightened out!  Those In-Centers can be so aggravating!  I know that not all are bad, but the clinic my hubby goe too is FANTASTIC!  It's called "OUR HOME"! Yeeee Haw!!!!
The just opened a clinic up one flight of stairs from my kitchen; single patient; any on time I want  :yahoo;
« Last Edit: September 02, 2013, 01:20:52 PM by Simon Dog » Logged
Krisna
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« Reply #12 on: August 27, 2013, 10:20:44 PM »

I do my treatment late so I'm one of the last people out.  They give me the choice of either running my full treatment of cutting it short, regardless of whose fault it is.  I usually do the full time.
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Nov. 1979 - Diagnosed with glomerulonephritis of unknown origin by Dr. Robert
                  Hickman
Dec. 1979 - Diagnosed with Viral Pneumonia
Late Dec. 1979 - Emergency surgery to place a Scribner Shunt in left arm for dialysis
Jan. 1980 - Start hemodialysis until recovered from viral pneumonia
Feb. 27, 1980 - Receive 5 antigen living related transplant from father
Mar. 3, 1987 - PTH removed and part of one placed in left arm.  Fistula also placed in right arm.
Sept. 1988 - Start hemodialysis
Feb. 4, 1989 - Receive 6 antigen perfect match cadaveric transplant
Jan. 1994 - Return to hemodialysis
Oct. 18, 1996 - Receive 6 antigen perfect match cadaveric transplant
Nov. 22, 1996 - Emergency surgery to repair aneurysm to artery in kidney
Dec. 20, 1996 - Emergency surgery to repair aneurysm.  Kidney removed due to infection which has spread down right leg to abt mid thigh.
Apr. 1997 - Arterial bypass surgery to restore arterial blood flow to right leg
July 29, 1998 - Receive 6 antigen perfect match cadaveric transplant
Sept. 6, 2002 - Return to hemodialysis
Dec. 7, 2002 Sm. intestine ruptures while home alone. Still conscious upon arrival at hospital.
Dec. 8. 2002 - Surgery to repair ruptured bowel.  The prognosis is not good.  Surgeon tells family to prepare for the worse.  Spend a week in a coma and 3 months in hospital.  Takes abt a year and a half to completely recover.
KAF454
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It is what it is today.

« Reply #13 on: September 03, 2013, 11:49:16 AM »

I had the late start thing this morning at 0500. DaVita gave me the choice to terminate at my normal time or stay for the full treatment.
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PD catheter inserted 11/2011
CCPD begun 12/2011
Activated on transplant list 01/27/2012
PD efficacy tanked 12/2012. CVC inserted for hemo.
Elected to stay on hemo 01/2013. (10.5 hours per week instead of 8 hours every night? No contest!)

Today I will not worry unless the animals start lining up 2 by 2.
Simon Dog
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« Reply #14 on: September 04, 2013, 12:11:08 PM »

Quote
Let me invade that and place you on Suicide Watch

Putting a dialysis patient on suicide watch is just plain silly.    ESRD gives one the legal option of suicide at any time (discontinuing treatment), and unlike "traditional suicide", the government cannot intervene with force to prevent that particular individual choice.   In effect, ESRD can be thought of as a license to commit legal suicide at any time.
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gothiclovemonkey
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« Reply #15 on: September 04, 2013, 11:36:44 PM »

Quote
Let me invade that and place you on Suicide Watch

Putting a dialysis patient on suicide watch is just plain silly.    ESRD gives one the legal option of suicide at any time (discontinuing treatment), and unlike "traditional suicide", the government cannot intervene with force to prevent that particular individual choice.   In effect, ESRD can be thought of as a license to commit legal suicide at any time.

when I was first starting on dialysis (i was 23 at the time) I was having aparticularly bad treatment, on top of a generally bad day, then i got a phone call that made it a horrible day, and i just wanted off the machine. So, they call over the social worker, who asks me whats wrong, i tell her I am tired of being here, im having a crap day, and this treatment sucks lol They didnt agree, and told me i couldnt, because its dangerous, etc. I said I know, I am fully aware of that, but I want off, its my choice if I dont want to do this anymore, I dont have to...... (bad idea to use that choice phrase) So, long story short, she ends up threatening to call the police and have me 'observed' in a psych ward, because legally they can do that, anyone can. So needless to say, I wound up in a psych ward, told the dr what was going on. The doctor, after he stopped laughing, sent me home.

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"Imagine how important death must be to have a prerequisite such as life" Unknown
HemoDialysis since 2007
TX listed 8/1/11 inactive
LISTED ACTIVE! 11/14/11 !!!
NDXUFan
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« Reply #16 on: October 15, 2013, 07:59:37 AM »

Quote
Let me invade that and place you on Suicide Watch

Putting a dialysis patient on suicide watch is just plain silly.    ESRD gives one the legal option of suicide at any time (discontinuing treatment), and unlike "traditional suicide", the government cannot intervene with force to prevent that particular individual choice.   In effect, ESRD can be thought of as a license to commit legal suicide at any time.

when I was first starting on dialysis (i was 23 at the time) I was having aparticularly bad treatment, on top of a generally bad day, then i got a phone call that made it a horrible day, and i just wanted off the machine. So, they call over the social worker, who asks me whats wrong, i tell her I am tired of being here, im having a crap day, and this treatment sucks lol They didnt agree, and told me i couldnt, because its dangerous, etc. I said I know, I am fully aware of that, but I want off, its my choice if I dont want to do this anymore, I dont have to...... (bad idea to use that choice phrase) So, long story short, she ends up threatening to call the police and have me 'observed' in a psych ward, because legally they can do that, anyone can. So needless to say, I wound up in a psych ward, told the dr what was going on. The doctor, after he stopped laughing, sent me home.

ND:

I would talk to an attorney about filing suit.  Actually, when I was serving as a police officer, it took two physicians to commit......  No one can just involuntarily commit someone to a Psych ward, my mom was a Psych RN. 
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