Deaf woman frustrated by hospital experience

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http://www.boston.com/news/local/ne...deaf_woman_frustrated_by_hospital_experience/

A deaf woman's frustrating experience at Concord Hospital highlights the state health care system's shortcomings in helping patients with limited language skills.

Joan Case of Weare was hospitalized in September with a high fever and body aches. She asked for an interpreter through the Emergency Interpreter Referral System but says no one ever showed up.

As a result, the emergency room doctor misunderstood her symptoms, leading to three days of unnecessary tests, Case said. She eventually was admitted and treated for a serious infection in her leg, but she says she didn't learn the diagnosis until a nurse told her two days later.

Case said her husband, who also is deaf, gave the emergency medical technicians a card with a toll-free number for the interpreter program. They gave the card to a nurse who said she'd take care of it, but a review of the interpreter referral system records shows no call placed from Concord Hospital to the toll-free number during the time Case was in the hospital.

"They told me an interpreter would come, but they never showed up," Case said through Laurie Gilbert, a paid interpreter fluent in American Sign Language. "I'm ready to make some noise."

Such complaints are common, said Aimee Stevens, a referral specialist with the state Department of Health and Human Services.

"What's really unfortunate is that in 2005, this kind of thing is still happening," she said. "It's not isolated to one hospital, either. It happens all over the state."

Concord Hospital would not comment on Case's experience specifically but issued a statement saying its staff is committed to quality patient care for all. It also noted that the hospital is one of only eight in New Hampshire that provides Deaf Talk, a new program designed to provide immediate access to interpretation services.

Andrew Steward, who recently served as chairman of an advisory committee to the U.S. Commission on Civil Rights, said there's no excuse for the lack of response to the needs of the deaf and hard of hearing.

His committee issued a report in June describing the problems those with limited English language schools have accessing health care.

"It's outrageous," he said. "We heard about extreme disadvantages faced by people arriving at hospitals -- often with children in tow -- lapses in communication that amount to civil rights violations," he said.

The Foundation for Healthy Communities recently received a grant to address such issues affecting the deaf, hard of hearing and other cultural minorities.

"It's not just an issue of availability within a system to get an interpreter. We have to make sure a nurse, a doctor or other staffer in a given health care system recognizes this need, and knows when to make use of it appropriately," said Shawn LaFrance, the foundation's director.
 
oh great ,

another fucking retarded moron who could not write down what was happening to her.. oh boy!
i got sick in china.i can speak or read chinese... but after thinking hard for 2 minutes i was able to make up some appropret signs and let him know how long by pionting to the clock..bla bla bla..
 
She can't expect 24-hour interpreters. If I go into the hospital immediately, I would write down as fast as I can to alert what is going on in me. Waiting for interpreter may take a long time since interpreters have to follow the traffic laws and they may show up in 15 mins or 30 mins depending on traffic. She should just dot down what is happening to her. I never use the interpreters in every places, not because I'm hearing-impaired. We have some deaf ppl here in California who are able to pass the notes back and forth pretty well w/o requesting for intepreters except in courts and lawyers office and police departments, they do request interpreters.

My first time doting down the notes was I left my hearing aid at home and the infection and flu lessen my hearing so bad. I had to write down the notes so dizziness [couldn't speak b/c my throat was in tremendous pain]: 106 degree fever, stomach aches, body aches, hackin' cough, etc...OUCH! I got out of hospital in a short time (2 hours [one hour for cooling down the fever in a hurry]) with the prescriptions.
 
Unfortunately, note writing doesn't work for everyone.

Note writing would probably work for most deaf/hard of hearing members of AllDeaf because you are literate enough to communicate here. However, I know many adults in the Deaf community who are NOT literate enough to communicate their medical problems with doctors thru notes. Also, there are some medical situations where just pointing to "where it hurts" isn't enough information.

Of course, lack of communication during a medical emergency is not just a "Deaf" problem. There are hearing patients who don't speak English, are under the influence of drugs or alcohol, unconcious, delirious from fever, emotionally disturbed, etc.
 
There are a vp like in Boston and one supposed to be in Falmouth, Ma.

Yea I dont need interpeter since I can talk well. But some doctor who does have accent boy you can forget about that.
 
I have ben to an ER a few times and ben avle to comunicate and that had everything to do with why I was in the ER when you have a fever of 106 a lot goes out the door at that temp you are lucky to still be alive.

untill i know more i would give her the benifit of the doubt.
i still think doctors should know ASL as well as nurses
 
I remember back in 1993, when I was an outpatient at a hospital.....we told the people who worked there that I am deaf, so they put up a sign above my headboard on my hospital bed that so it will alert the other workers so I can read their lips etc....I can speak well so I didn't have to write notes though.
 
Pomeranian said:
Yea I dont need interpeter since I can talk well. But some doctor who does have accent boy you can forget about that.

Same here. :)
 
yea I hate it i bend in closer to hear with my head tilted grinding my teeth it drives me nuts. "I am glad you came to amarica and learnd english but can you try and speek more clearly?" gra!!
 
I am illerate and I can not write a note to any hearies. They tend to misunderstood me. Only deafies understand me better than hearies. So I shall demand an interpter when I am at the hospital so there will be no misunderstood between the doctor and deaf patient. It happened to me twice. Never again. I shall sue them but I did not because I do not believe in sue and made money out of it. But someone has to do it to prevent unnecessary pain and harmful damgaed by simple misunderstood and lack of communicate.
 
Sometimes, people are just too damn stubborn and refuse to use the pen-&-paper method until the interpreter shows up. Nothing is 100% perfect. We can't say, "I want an interpreter" and expect one to show up within minutes. I was in the hospital with a friend once. She requested an interpreter using the pen-&-paper method and waited patiently for 30 minutes.
 
jazzy said:
I am illerate and I can not write a note to any hearies. They tend to misunderstood me. Only deafies understand me better than hearies. So I shall demand an interpter when I am at the hospital so there will be no misunderstood between the doctor and deaf patient. It happened to me twice. Never again. I shall sue them but I did not because I do not believe in sue and made money out of it. But someone has to do it to prevent unnecessary pain and harmful damgaed by simple misunderstood and lack of communicate.

:confused: Huh? Jazzy? I read your post. Your skill is fine with anyone. You are not illiterated, you are literated cuz you can read and type here! Don't tell me you can't write, Jazzy. :eek: :o
 
Whitewolf1970 said:
:confused: Huh? Jazzy? I read your post. Your skill is fine with anyone. You are not illiterated, you are literated cuz you can read and type here! Don't tell me you can't write, Jazzy. :eek: :o

Tell that doctor who misunderstood me once when I wrote down on the note. Never again, never trust them again. I took the test not too long and it showed that I am reading in 6th grade level. Still behind with my peers. Thanks and I am really appreciate your encourage. :)
 
That's sad, I'm sorry to hear what the lady went thru....

Why are some of you blaming on the woman for?... Read this--->
Case said her husband, who also is deaf, gave the emergency medical technicians a card with a toll-free number for the interpreter program. They gave the card to a nurse who said she'd take care of it, but a review of the interpreter referral system records shows no call placed from Concord Hospital to the toll-free number during the time Case was in the hospital.

"They told me an interpreter would come, but they never showed up,"

The bottom line is, the nurse said she will take care of it, but found out she never placed a phone call for an interpreter, so it seem the hospital deny the patient's rights to required an interpreter....

In some cases, writting on a pieces of paper don't always work, because sometimes the patient is too sick or has serious health problems that caused a patient to unable to write everything down...It is important for the doctors and nurses to know everything about why she is in the hospital, and may ask some questions that may lead them to believe this is what she has or etc....Writting things down, isn't always the case where doctors can find out the real problem behind her health...

I don't see a point where we can easy sit here and blame the woman for not writting it down, she wanted an interpreter and its the hospital job to follow the laws and the patient's rights....And the blame should be pointed to the hospital than the patient....

It the same thing if a patient came in speaking spanish, and the doctors, nurses won't understand the patient, so what are they going to do? ask her to write everything down?....
 
Tell that doctor who misunderstood me once when I wrote down on the note. Never again, never trust them again. I took the test not too long and it showed that I am reading in 6th grade level. Still behind with my peers.
Jazzy, you're not illerate. You simply have difficulty expressing yourself in English. A sixth grade reading level isn't that bad. I know I read somewhere that a lot of HEARING adults have simlair levels of literacy. I know too, that a basic literacy level equates to fourth grade and up......
 
they could just come up with something really simple like having a web cam to a terp.....Duh ...
 
i would agree with articles! but need approve with interpreter for 24 hours or 48 hours whatevers if would have emergency but i think that articles the Doctors and nurse very rude to people for no respect!

when i was in hospital in Olathe,Ks for my surgery i had lung surgery but we have approve hospital interpreter for deaf also and the interpreter would makes me more understand for me.

but i think doctors and nurses need to respect to deaf people and children also and no ingores that peroid.

if you bring with interpreter all the time and if you have paper and pen tell the physicans and nurse tell what you need? my mom is nurse but my mom is not rude person.

Sara Boyce
 
Interestingly this could be the result of a new communication technology available to the deaf consumers.

At least we can verify that access between the deaf communities and health care is oftentimes riddled with barriers, some of them labyrinth-like.

Title III applies if these are privately run and add Title II if they receive public funding of any kind.

Richard
 
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