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RE: Tehachapi Hospital

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RE: Tehachapi Hospital
By: By Jim Richards

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Posted by jimr Wed May 16, 2007 08:57:35 PDT
Viewed 760 times
0 responses 14 comments

REPLY TO BRITTANY CESAREO

 

Many thanks for sharing the information about your adverse experience in the Tehachapi Hospital Emergency Room in your Letter To The Editor of 5-16-07.

 

As a member of the Tehachapi Hospital Foundation I am helping to raise corporate funding for building our new hospital. That being said, we certainly don’t want to put the kind of doctor you described in our new Emergency Room (or anywhere else in the hospital, for that matter).

 

Unfortunately, you did not publish the name of this doctor. Neither did the Tehachapi News in their Editor’s Note, nor did the response by the Medical Director or the CEO.


Perhaps all were afraid of being sued by him for defamation. However, legally speaking, truth is a defense to defamation and you did have several witnesses.

 

The Editor’s Note stated that there are a total of 8 different doctors working in the Emergency Room and I, for one, would like to know just which one is this particular uncaring and rude individual. Frankly, if it was my time to receive Emergency Room treatment and he was the only one on duty, and I knew his name, I would probably just call a taxi to take me to Bakersfield!

 

Jim Richards

 

 

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Comment From: TK

Thu May 17, 2007 11:41:51 PDT
I disagree with you, Jim. The doctor, who should remain unnamed, is intelligent, knowledgeable, and an asset to the medical profession. He isn't so great at being warm and fuzzy. The supporting staff, according to the writer, is excellent at hugs and hand-holding. Do we really want to oust a great doctor because he doesn't relate well to crying children and hysterical mothers? I say no. I would feel confident that I or my child was going to get the best medical care if I saw this doctor coming into the emergency room, and the writer has no complaints about the medical care but only complains that she didn't feel the love. Some doctors are more like Gregory House than Marcus Welby. I think that's okay.
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Comment From: kidswi

Thu May 17, 2007 20:11:06 PDT
I disagree TK. I believe the oath "Cause no harm" which MD's agree to adhere to also applies to the mental and emotional side of life as well as the physical. I don't necessarily think this doctor's name should be posted in a newspaper on account of one person's experience, I do however believe Mrs. Cesareo has the right to file a formal complaint and that the hospital staff and board should hold all staff accountable to serving the sick and injured with compassion.
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Comment From: TK

Fri May 18, 2007 00:12:24 PDT
Perhaps it is because of my medical family background that I don't have the same desire for my doctor to be 'warm and fuzzy'. I want him/her to be competent and aware of current protocols. For hand-holding I'll look to the supporting staff. They're the worker bees, anyway.
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Comment From: jimr

Fri May 18, 2007 05:31:44 PDT
I really cannot fathom why T.K. seems to feel that a doctor's personality has to be mutually exclusive. So, if he appears to be an uncaring, sour, and uncommunicative...he must be a good doctor? Huh? Remember the "first, do no harm" admonition? I have been in the medical field of Radiology and Cardiology for 40 years and have known hundreds or perhaps thousands of doctors. Most of them are compassionate and understanding and realize that anyone coming into the Emergency Room is going to be frightened and hurting. Part of the job of doctoring is to calm the patient down and pay attention to their emotional state as well as the physical. They go together like salt and pepper! And, as I recall, Marcus Welby was not only a caring and compassionate person, but a good doctor as well. Jim Richards
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Comment From: ant

Fri May 18, 2007 11:57:00 PDT

Jim,

The hospital, the Medical Board of California, and the Department of Health Services know who this doctor is. We were advised not to put the doctors name in article to the paper, but rest assured the proper people have his name.

To TK,

My family is no stranger to the medical field. My husband and various other relatives work in the EMS field. That is why I take offense to your comment about hysterical mothers. I do admit my children were crying, typical for the situation. But I was in no way hysterical. Furthermore I have had several other individuals come up to me, before and after the letter to the editor, and say “let me guess who the doctor is.” They all knew exactly who it was and proceed to tell similar situations with this doctor, many of the experiences were not with children. I agree that we should not oust an asset to the medical profession. But how much of an asset is he to the Tehachapi Hospital? Through my families experience in the EMS field we believe that the doctor does not get to pick and choose the situations he has to care for, he must adapt and be able to care for all types of situations. His inability to adapt our emergency made a traumatic situation tense. This also affected care we received. I could not ask questions, he did not offer advice on care, things to look out for, or tetanus shots. He just walked away. You mentioned he was a great doctor, How do you know which of the eight doctors he was? How do you define a great doctor?

Brittany Cesareo

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Comment From: jimr

Fri May 18, 2007 12:21:34 PDT
Sorry, but I am afraid you are confusing my comments with those of someone else on this blog. Probably TK. Please re-read my comments which I also brought up to the last Hospital Board meeting reading both your article and my reponses. One of the doctors there asked me if I wanted to pay for their lawsuit? I thought he looked pompous and arrogant and when he opened his mouth...he proved it! Jim
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Comment From: ShaneThePain

Fri May 18, 2007 19:49:09 PDT
I feel that one of the best treatments that any medical professional can provide is TLC. Obvously this doesn't work in every case but you would be surprised how well it works in most.
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Comment From: luvmy2girls

Sat May 19, 2007 13:04:06 PDT
I have to agree with both sides of the story here. When I read the letter to the editor I knew exactly who the doctor in question was without a name being mentioned. I will agree that he does not have great bedside manner and he does not deal well with crying children. I am not saying that is right, and unfortunately it isn't however, I do agree with TK that knowledgewise and making sure he does all necessary testing & not disregarding patient's health concerns he is one of the best that the hospital has. Unfortunately several of the ER physicians simply do not care about the patients and form opinions about them in advance and treat them accordingly. If I was to be a patient in the ER, I would prefer that he be my doctor because I know he would make sure to do all the tests rather than assuming that it was just something simple. I am sorry for what the Cesareo family had to go through, it is unacceptable and I hope the girls are both feeling better now. I wish the hospital administration actually cared about the way their physicians treat the patients but they don't. In another instance (involving a different doctor) despite multiple complaints from patients, their families, and other hospital employees, they choose to allow the doctor to work in the ER and blame everyone else for the problems that happen. Basically, you can get excellent patient care at Tehachapi Hospital if you are lucky enough to get the right doctor.
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Comment From: jillees01

Fri May 25, 2007 09:49:34 PDT
I THINK THAT THE PROBLEM HERE IS THAT YOUR CHILD NEEDED STITCHES AND YOU WERE EXPECTING A PEDIATRICIAN WITH OPEN ARMS. THE DOCTOR YOU SAW IS AN ER DOCTOR WITH A LOT MORE GOING ON THAN STITCHES. LIKE SOMEONE IN THE NEXT ROOM COULD BE HAVING A HEART ATTACK FOR ALL YOU KNOW. AND BEING A MOM OF THREE; I WOULD NOT ALLOW MY CHILD TO WHINE AND COMPLAIN LIKE THAT. I MEAN THERE WAS NO BONES STICKING THROUGH HER SKIN OR ANYTHING RIGHT? THINGS DON'T ALWAYS WORK OUT THE WAY YOU WOULD LIKE THEM TO.  AS LONG AS YOUR CHILD RECEIVED THE PROPER TREATMENT THAT SHE NEEDED; I JUST DON'T THINK IT WAS APPROPRIATE FOR YOU TO PUBLICIZE SOMETHING SO MINOR. I FEEL BAD THAT YOU HAD TO SEE YOUR DAUGHTER IN PAIN; BUT GETTING CUTS AND BRUISES IS A COMMON PART OF CHILDHOOD THAT ALL PARENTS HAVE TO DEAL WITH.
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Comment From: ShaneThePain

Fri May 25, 2007 19:30:12 PDT

Proper care includes being somewhat caring at the bedside. I was able to tell what doctor she was talking about by her description. I have dealt with him many times. If he is over worked then someone get him some help or he can move to a slower hospital. I have two children one has been stitched up by this doctor. He does good work but his bedside manner does suck. Oh by the way my kids also cried and whined when being stitched up as well. How could your kids NOT cry or whine during this kind of treatment? Also if he was stitching the child up and the child could feel the pain like they said then they have the right to cry and ask for more pain killer. I find you commits cold and uncaring. Like you said something may have been going on in another room. (Like the doctors bed and TV)

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Comment From: ant

Sun May 27, 2007 21:47:51 PDT

To luvmy2girls,

How do we know he is one of the best doctors? The hospital contracts with a company for the doctors. What other doctors does the company have? Are they better?

ER physicians are supposed to keep an open mind and not pre-judge somebody. They have to treat injuries equal. This goes for all EMS workers.

We feel that this doctor did not do everything possible for our situation, as my wife stated above. (Quality of Care)

I don't know the specifics about your other cases. But the hospital has been very helpful in our situation to make sure this doctor doesn't treat somebody else the same.

Thank you, our girls are doing great now.

To jillees01,

Check your caps lock.

Wow, you had to dig to find this thread, it is buried now.

No my wife was not looking for a pediatrician. She knew full well that she was going to see an ER doctor.

For the future, ER's triage patients, almost like we do in the field. If there was a patient next door with a more urgent injury, the doctor would be there and not with my daughter. My wife knew this and expected this.

My children do not whine and complain. That was not what my wife said above or in the article. My youngest was crying because she didn't know what was going to happen. That was the most blood that she has ever seen. And my daughter who was injured did very well,for her first major injury, as my wife stated in the article and above. Children don't know what it feels like to have bones sticking out or a large cut. They just know it hurts.

As my wife stated above and I stated, we believe we didn't recieve proper treatment.

We decided to send this letter after talking to multiple people and hearing similar run ins. We received advise from the newspaper and the hospital before we went ahead. The article was not for us, (we know about this doctor now) but it was for you, to inform the public that you may not get the treatment you expect when you go to the ER.

We also have 3 children and we understand that cuts and bruises are a common part of childhood. But I find it insulting that you call it minor when you were not there and you don't know the situation.

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Comment From: TK

Mon May 28, 2007 21:58:08 PDT
1. Doctors do not present the discharge instructions, which include the after-care and what to watch for and when to see your regular physician. Are you saying you did not receive discharge instructions or that the doctor didn't go over them with you? 2. It sounds like you've covered your bases on the complaints list. I'd love to hear the response you get from the Medical Board. 3. How do we know he's a great doctor? Since you're connected in the medical field why don't you ask around. Your daughter had one of the best stitchers in the county. 4. You have asked several people about this doctor. Could one of those people be on the Board of Directors? 5. Hey Jim, have fun in Bakersfield.
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Comment From: ShaneThePain

Tue May 29, 2007 13:40:41 PDT
I have had this Doctor as well as others go over the aftercare/ discharge instructions with me. Like I said before it takes more then good stitches to make a good Doctor.
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Comment From: ant

Fri Jun 1, 2007 15:59:13 PDT

We (my family) need to stop looking at this thread. We have already done what needed to be done. And everyone's idea of good healthcare is different.

To TK:

1) Other times I have been in the ER for either myself or family, the doctor has talked to us about aftercare. I am not talking about him handing us the piece of paper you take home.

3) I have asked around about this doctor and his attitude proceeds his work. I will not repeat the names that they use.

4) No we have not talked to the BoD about this doctor. Our letter to the editor was givin to them though.

It amazes me, that we have not mentioned this doctors' name once. But everyone seems to know who he is from his poor bedside manner. This is why we wrote this letter, not to get him punished, but to show the community who may be working in the ER.

Shane we agree it takes a lot more than stiches to make a good doctor.

If I was to treat somebody like that it would show up on my annual evaluation. Let alone I would probaly get a verbal.

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