Kidney, Dialysis, Transplant and Me: 13

II Sri Sainathay Namah II

Chapter 13

Faith and Patience

After returning home on February 10, after getting discharge from the hospital, I found mental happiness in the home environment. I had been asked to come for follow-up every three days.

But, for the next two days, my health continued to decline. On Saturday, we came home after the first follow-up. And my health started deteriorating at night. Supriya called the on-call doctor at the hospital. Then the doctor who was present that night, asked me to come to the hospital in the morning.

On Sunday morning (February 14), my wife and daughter took me to the hospital. There I was asked to be in the emergency ward, for primary procedures. After the blood test, I was lying on the bed waiting for the doctor. Then the person in charge, told me to sit outside. I was feeling very tired. But the in-charge person was adamant and was not ready to listen. My wife and daughter put me in a chairs in the passage outside. I was in a lot of trouble. Finally, helplessly, I slept on three chairs right next to each other. I was feeling very strange, but had no choice.

Shortly after, Dr. Rajput and Nephrology team came there. They were shocked to see me asleep in that state. They asked me to sit in the wheelchair and put me to bed in the emergency ward. At Global Hospital, with a few exceptions, such as experience of sitting outside in spite of exhaustion, the rest of the experiences were much better. After a CT scan and other reports, the doctor allowed me to go home and, cautiously, told me to come to the hospital only in an extreme situation, due to the Covid situation. The security guard, who was tall and fat, present at the door of the emergency ward was really careful and inquiring with great enthusiasm.

The second follow-up took place on February 16. Again I needed a wheelchair from the entrance of the hospital. When I was urinating, I needed the support of a brother. Blood tests were asked prior to each follow-up.

My health was deteriorating. My creatinine level was increased. On February 19, when I went to Global Hospital for a third follow-up, I was asked to re-admit for a kidney biopsy.

Because of my lifestyle, I am a very fragile person physically. My skin is delicate and the veins are very thin. So I was always requesting to arrange a skilled staff, for my blood collection and IV insertion.

As part of the admissions process, I went to the emergency ward. I was told that IV (Intravenous) would have to be inserted into my right hand. I requested them to send someone with proper skills, not only with experience.

But, in the emergency ward, one employee was introduced to me, as Head Brother of Medicine ICU. As a training consultant for more than 150 companies, from experience, I never draw the equation of position and skill. Though the position of a person is higher, does not necessarily mean that the person has required skills.

So, I requested him, "If you can do IV insertion easily, then only do it." But, ignoring my request, the person started the process.

Within seconds, I was screaming in pain. I begged him to stop. But the man continued to process mercilessly for 10 minutes. I was screaming constantly, but he didn’t pay attention. And no one else from the emergency ward came to look at my condition.

That was not a professional act.

The ego of the position should not be more important, than the comfort and health of the customer, especially in hospitals.

My wrist was swollen because the needle of IV was not inserted properly.

(I have photographed each level)

During the period in between, as our usual room on the thirteenth floor was not available, I was taken to the room on the eleventh floor. When I was taken to the room, it was decided to remove the IV needle, [as the head brother had not inserted it properly] and to insert a new IV needle.

There were two South Indian trainee nurses who started preparation to give me IV. But I insisted that I want an IV inserted by an experienced nurse or brother. But, the two of them completely ignored my request and started all the preparations on their own. As they were preparing, they were speaking in their own language. Not only was she talking, they were looking at me, talking and smiling.

Being a linguistic enthusiastic, I like languages and want to learn maximum languages. But in a public place, when more than two people are together, according to the etiquette of communication, it is necessary to speak in the same language which everyone present, should understand. And here in the hospital, it is important to speak in a language that the patient understands.

Later, though they both were not capable, they both started experimenting on my hands. Then, not being able to bear the pain, I was greatly annoyed. We called the floor head nurse and told her what had happened. She then apologized and called a senior nurse. The two inexperienced trainee nurses, without apologizing, walked away smiling.

Then another sister came from the emergency ward, she was an expert in blood collection, but I found that she was not skilled in the IV insertion procedure. This is because there was trouble while inserting IV and wrong insertion was done by Head Brother of Medical ICU. The IV insertion was also removed later.

After a while, a nurse named 'Pallavi' came from ICU. I still had fear in my mind. But they inserted IV within a minute, not letting me feel any pain. I was overjoyed.

Several times since then, whenever the need arose, I had requested Pallavi to call for a blood collection. But never again, Pallavi nurses were called. Some expressed ignorance.

[Global Hospital, Parel; To; It is a humble request to increase the number of 'skilled staff' for IV procedure and blood collection.]

Nephrologist Dr. Bharat Shah took immediate action, as my creatinine was slowly rising.

During the biopsy, the first attempt was painful. Dr. Ishaan immediately asked the concerned young doctor to remove the needle from the kidney.

Fortunately Dr. Bharat Shah came there immediately and he met Dr. Completed the biopsy procedure with Ishaan.

Dr. Bharat Shah was on leave from Monday. Dr. Prashant Rajput, this expert nephrologist, then with the team of nephrology, himself was doing the right observation every day. His communication style and manner is very sympathetic, positive and inspiring. Dr. He informed that Bharat Shah is in constant touch for my health.

When I was moved to the 13th floor, I was satisfied that the room was cleaner than I had been in the past.

But then I saw that the cleaning was not very satisfactory. The cleaners, some were fine, but some weren’t even doing the formalities.

When the customer care lady executive and another gentleman, and the householder came and asked for feedback, I responded with 'N9 comments'.

Initially, at the time of the kidney transplant, during hospitalization, I had clarified the subtle details. But then I realized that they come back to ask for feedback without satisfactory results.

[For customer satisfaction, results are more important than just conversations.]

Food is a major area, for which I am unhappy about this hospital. Having lived in various star hotels across the country, as well as being the father of a girl (who is also a lawyer) who is an excellent chef, I have experienced that diet food can also be tasty and edible.

But here, the caterer was making a single ordinary gravy for almost all the vegetables. I was told to eat a normal meal. But, I was being sent food without salt. Only 1 gram of salt powder was kept in the meal tray.

Breakfast and evening snacks were good. But the proportions used to be extremely low. I was constantly begging, "If lunch and dinner don't go to me, please send me more breakfast." But, from the dietitian department, no one paid attention.

Most importantly, the dietitian head was not ready to understand my situation. Than my health as a helpless patient; From their own point of view and the organization providing the catering service, they have high priority.

I was previously on a tasty diet under the guidance of a sensitive and skilled dietitian in Mumbai.

After a while, I stopped talking to some dietitians because it was of no use. The leading dietitians there would be wise, but not eager to find the right option.

[When the person in front, covering up the reasons, is giving excuses; So there is no discussion, only arguments.]

The subconscious mind of the person in front of me; Signs through the eye of the person in front, body language and word patterns; Identification sessions are conducted.

I conduct a three-and-a-half day workshop (Advance Language Patterns) on word formation and their effects.

The goal is the means to an end. And as a result the patient's health should improve. But here, due to lack of food, I was losing more and more weight. Therefore, other processes were being affected.

I had lost eleven kilos in two consecutive hospitalizations, in February. I ate only 20% of lunch and dinner. But according to the Dietitian Head, that was enough for me.

It was not a pleasant experience.

When Riya Madam, Head of Operations, visited and understood my point. And promised me to pay attention to this matter. After that, the dietitian heads came to meet again and then their method was completely changed and they were ready to suggest and implement the options.

But then I got a discharge the very next day and their changed attitude didn’t help me much.

I thank Rhea for focusing on listening to me and understanding me, as well as finding solutions.

My friend Shri. Maruti Salunkhe's acquaintance, the staff there, Mrs. Prajakta Pawar, used to visit me every day. And to the best of their ability, they were helping.

On the 13th floor, Nursing Head Priyanka Madam was very eager to do the right thing. One nurse was very unprofessional when I was admitted. Mrs. Priyanka immediately brought all the nurses in front of me and asked us to identify them.

After that, all the nurses she hired were very professional and kind. I sincerely appreciate Arda, Roshni, her humility and especially Mayuri. She is one of the best nurses I have met in all my hospitalizations to date. All of these girls were caring, caring and empathic.

Let's get back to the treatment.

Dr. Doctors from the Rajput and Nephrology team were doing their best. There were reports of biopsies. But, I did not understand the exact diagnosis. According to a doctor in Tim, when I had a kidney transplant, the wall of cholesterol that had accumulated on the side of it had ruptured and the cholesterol particles were trapped in a small and large calyx of the kidney. Therefore, kidney function was limited.

I was discharged on February 24. At that time, I was told, "Believe in God. The Lord works miracles."

Hearing that, another patient and his relatives would have been terrified. But, we had and still have full faith in the Lord (Sai Baba's grace and Kulswamini's blessing).

We came home unscathed.

Yours,

Bipin Mayekar