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appleannie1

(5,068 posts)
Wed Jan 17, 2024, 08:11 PM Jan 2024

What happened to curtesy and manners in this country?

I had to have a steroid shot in my spine yesterday at the local hospital, a recurring thing. A couple months ago when I had to have a sonogram done, I noticed a note posted by the check in desk. It basically said: We do not call people in the order of when they arrived. We have many specialty rooms in this department and we call in the order that a technician becomes available for the procedure you need done. Please do not confront the receptionist or cause a scene in the waiting room if you are not called immediately." Thank you for your understanding in this matter. Then a couple weeks later, I went for routine bloodwork. The same type of notice was posted there.
Yesterday I arrived and was checked in at Ambulatory Surgery. When I was called in for the pre workup, I was given something I had to read and sign. It was a list of things I would not be allowed to do while in the office. Do not be verbally abusive to staff. Do not be physically abusive to staff. Do not attack or throw things at staff. and so on and so forth. It then said if I did anything of the sort, law officers would be called and I would be charged. Do you understand this as you have read it. I then had to sign it. It was like being read my rights before arrest.
Is it like that everywhere now? I am 80 years old and I have never physically assaulted a doctor or a nurse in my life when they were trying to help me. Nor have I thrown things at staff in restaurants or airports or on planes. Am I the only one that feels this started when the tarnished gold idol became president? How can our society work if people all think they are more important than everyone else? Or that you have the right to attack if you don't get your own way in everything? It saddens me that my grandchildren and great grandchildren will have to deal with this sort of crap.

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What happened to curtesy and manners in this country? (Original Post) appleannie1 Jan 2024 OP
Abuse has always been a problem GenThePerservering Jan 2024 #1
I could understand if someone had a bad reaction to a drug they were give. appleannie1 Jan 2024 #2
I think a lot of what we're seeing limbicnuminousity Jan 2024 #3
I think this feeds into it, but... GenThePerservering Jan 2024 #7
Oh, absolutely! limbicnuminousity Jan 2024 #10
And some of it is MAGA durablend Jan 2024 #22
Twas ever thus WhiskeyGrinder Jan 2024 #4
Sad. elleng Jan 2024 #5
I'm not quite your age... WarGamer Jan 2024 #6
Here's the thing malaise Jan 2024 #8
Agree! Now when you check in at the doctor or even an airline, you are forced Ziggysmom Jan 2024 #25
We live what we accept. When my father died cachukis Jan 2024 #36
They don't give a damn about us malaise Jan 2024 #45
no one bdamomma Jan 2024 #53
My favorite: Conjuay Jan 2024 #30
So frustrating. And when you get to a person cachukis Jan 2024 #37
Well said malaise Jan 2024 #44
Apples and Oranges, and your're wrong about profit GusBob Jan 2024 #49
Thanks for this malaise Jan 2024 #50
My parents were going on about this in the 60s GenThePerservering Jan 2024 #9
We are in the Era of Maga. Baitball Blogger Jan 2024 #11
Most us of a certain age were taught manners from the time we were old enough to understand the word "no." Lonestarblue Jan 2024 #12
I have always been treated well at the hospital in my area. appleannie1 Jan 2024 #13
whenever I see teenagers in TV shows and movies it boggles my mind Skittles Jan 2024 #27
In the ER context, there is a flip side to your story. Ms. Toad Jan 2024 #14
That is Horrifying DET Jan 2024 #18
It really was. Ms. Toad Jan 2024 #23
Thank You For Sharing DET Jan 2024 #40
I came in by ambulance, Ms. Toad Jan 2024 #42
I Get It DET Jan 2024 #43
One time when my father went to the doctor Raine Jan 2024 #21
It is worse now - Ms. Toad Jan 2024 #26
My aunt was left undressed for ob-gyn exam Easterncedar Jan 2024 #33
I would suggest an advocate would be helpful. cachukis Jan 2024 #29
I had two with me at the time. Ms. Toad Jan 2024 #32
I can't help but wonder area51 Jan 2024 #39
This was April 2022 - Ms. Toad Jan 2024 #41
The hospital where I go is not a huge city hospital. appleannie1 Jan 2024 #46
Abusive people should be deemed persona non grata. n/t BaronChocula Jan 2024 #15
Good Grief! I haven't experienced this - yet. But it doesn't surprise me. And it saddens me, too - and scares me. Rhiannon12866 Jan 2024 #16
Courtesy goes both ways. People have become angry very easily but I remember the days when Wonder Why Jan 2024 #17
Whoa! Delphinus Jan 2024 #19
I saw the same kind of notice when I went to get a mammogram Skittles Jan 2024 #20
I say social media is part of the problem. Their nose is stuck in their phone. LiberalFighter Jan 2024 #24
It is awful Horse with no Name Jan 2024 #28
I had followup to an unfamiliar clinic. cachukis Jan 2024 #31
I think there's a greater recognition of the duty of care employers have to their employees meadowlander Jan 2024 #34
It's not anything new, really ExWhoDoesntCare Jan 2024 #35
Oh--and don't get me started on hospitals ExWhoDoesntCare Jan 2024 #38
Last summer Jimbo S Jan 2024 #47
That form is intended for the homeless, drug users and the mentally ill, but everyone has to sign it. maxsolomon Jan 2024 #48
No library staff were being attacked XanaDUer2 Jan 2024 #51
I was reading thru job reviews written by disneyland employees. CONS: rude visitors Demovictory9 Jan 2024 #52

GenThePerservering

(1,838 posts)
1. Abuse has always been a problem
Wed Jan 17, 2024, 08:15 PM
Jan 2024

in medicine, particularly to women office staff - the pandemic may have exacerbated it a bit and Trump of course has given the green light to certain people to act like assholes, but I first worked in the field in the 70s and even not doing patient care put up with too much shit with no backup.

Pure and simple: People got tired of it.

appleannie1

(5,068 posts)
2. I could understand if someone had a bad reaction to a drug they were give.
Wed Jan 17, 2024, 08:21 PM
Jan 2024

I can't take barbituates for that reason and it is one of the first things I tell people in the medical field, before they even ask. But the entitlement I have seen in the last couple years goes way beyond anything I have seen in the past. I have been a nurse's aide, a waitress and an emergency dispatcher before there was 911 and had to get information out of hysterical people and even then things were not as bad as they are today.

limbicnuminousity

(1,404 posts)
3. I think a lot of what we're seeing
Wed Jan 17, 2024, 08:21 PM
Jan 2024

I think a lot of what we're seeing is a delayed response to the isolation people experienced during the worst of the covid pandemic. When people feel isolated or excluded they can become needy or clingy. At some level many people simply need reassurance that they're not alone. It takes time.

GenThePerservering

(1,838 posts)
7. I think this feeds into it, but...
Wed Jan 17, 2024, 08:30 PM
Jan 2024

in the 90s a colleague was trying to train physicians to use a new phone system. Of course, a good percentage of them couldn't grasp new tech - of those many blamed my colleague, one threw his handset across the room, another screamed, etc. etc. She was pretty and blond which we cynically figured would make them more amenable given that they were mostly men. It probably worked to an extent, but I wouldn't have taken the abuse.

The rubbish I had to put up with from receptionists when I would go to see the doctor (I didn't go often) was at times infuriating, the nurses were often patronising and my blood pressure would be up from trying to keep my temper. I wondered if they hired these people for their lack of people skills.

The one time I was in the hospital I was left in a hallway for a very long time, abandoned. If I hadn't had a broken bone I would have just gotten up and left.

And all of this is during pretty light use of the medical system over 45 years.

Maybe they should have a sign telling staff to treat people better. But still, I feel a lot of staff (particularly female) used to be pretty stressed trying to do their jobs. Its been tough to get good people in the support field now and it's easier to fire a patient than hire a competent assistant.

limbicnuminousity

(1,404 posts)
10. Oh, absolutely!
Wed Jan 17, 2024, 08:41 PM
Jan 2024

In the health care arena in particular there are at least two sources of discourtesy. A lot of patients feel that they're shuffled around like parcel packages and receive inadequate care when they are finally treated. And many of the hospital staff, nurses in particular, are overworked which makes them snappish.

WarGamer

(12,483 posts)
6. I'm not quite your age...
Wed Jan 17, 2024, 08:25 PM
Jan 2024

But I think it started in the 80's...

The ULTIMATE me me me generation... great music though.

malaise

(269,157 posts)
8. Here's the thing
Wed Jan 17, 2024, 08:37 PM
Jan 2024

Like you I am a big fan of decency and basic manners.
Globally both have deteriorated big time but the only thing that has deteriorated faster is basic service.

In this new ''every thing for profit world'' they keep us waiting for a ridiculous length of time.
Not everyone has time like those of us who have retired and patience does run thin. Now I'm not attacking anyone but I think people do have a right to complain about a for profit healthcare system that does not have enough staff to provide needed services. Meanwhile they are raking in the profits by not staffing facilities adequately.

Ziggysmom

(3,412 posts)
25. Agree! Now when you check in at the doctor or even an airline, you are forced
Wed Jan 17, 2024, 10:33 PM
Jan 2024

to use a dummy kiosk, not a live person. Jobs lost, people treated like crap. They go hand in hand, eh?

cachukis

(2,270 posts)
36. We live what we accept. When my father died
Wed Jan 17, 2024, 11:31 PM
Jan 2024

my mother was lost. He did everything. I now make my wife attend to the mundanities in the event I go first.
She did not agree to obey at our vows, but she knows the value of assertion and grit to figure it out. She is my concierge. Occassionally she comes to me. I bridle for show.
I have had some medical issues and her advocacy is relentless. My trust overwhelms any embarrassment.
We live what we accept.

malaise

(269,157 posts)
45. They don't give a damn about us
Thu Jan 18, 2024, 05:30 AM
Jan 2024

They want our money and we must be obedient robots while they treat us with disrespect 24 hours a day

bdamomma

(63,922 posts)
53. no one
Thu Jan 18, 2024, 06:55 PM
Jan 2024

will be immune, now that is scary. He only cares for himself not for you. Horrible malaise.

Conjuay

(1,398 posts)
30. My favorite:
Wed Jan 17, 2024, 10:55 PM
Jan 2024

"...Your call is important to us..."
Really? Then hire someone to answer the phone.

As for manners-


I work in a company that prides itself in 'customer service', yet simple civility among co-workers is close to nonexistent.

I don't know how many times I had to remind co-workers to allow the people to get off the elevator before you get on -
After all, it's not like you are going to get a window seat if you push past the people trying to get off. It's a two floor elevator!



cachukis

(2,270 posts)
37. So frustrating. And when you get to a person
Wed Jan 17, 2024, 11:35 PM
Jan 2024

they are only a cog.
I chat up these people. They are bored with the dullardry of their jobs. Sharing my dissatisfaction might make it through.
If we all let them know our complaining is tying up the phone lines, maybe the "this call may be recorded," will be a point of reference.

GusBob

(7,286 posts)
49. Apples and Oranges, and your're wrong about profit
Thu Jan 18, 2024, 01:29 PM
Jan 2024

there is a tremendous difference between complaining and being abusive.

I work in a nonprofit health clinic. Everything is free, even rides to the clinic. The weather is bad today and we have spent the morning getting screamed at on the phone because the drivers are running behind.

In one day last week and on any given day, I got yelled at on the phone, at the front desk and in the exam room. All with threatening and profane language.

And yes we have those signs all over in the clinic. Its actually a tribal ordinance, you cannot abuse clinic staff.

It still happens

GenThePerservering

(1,838 posts)
9. My parents were going on about this in the 60s
Wed Jan 17, 2024, 08:39 PM
Jan 2024

and now my contemporaries are on the same blast. I swear, I feel like they're more my parents than my coevals.

ETA: I should add that Malaise has a point about our for-profit medical system and the stress staff are under as it is - they don't need people acting up in the waiting room and causing problems.

Lonestarblue

(10,066 posts)
12. Most us of a certain age were taught manners from the time we were old enough to understand the word "no."
Wed Jan 17, 2024, 09:09 PM
Jan 2024

No elbows on the table, no slumping in the chair, no talking with your mouth full, no talking in church, no fighting in school, smiling and saying hello politely, say please and thank you, and on and on. My parents would be appalled if they were still living to see the way people behave today. It has gotten worse since Trump opened the floodgates to poor behavior.

I’m lucky that I have never encountered such notices in medical offices, nor even rude staff.

appleannie1

(5,068 posts)
13. I have always been treated well at the hospital in my area.
Wed Jan 17, 2024, 09:27 PM
Jan 2024

My daughter is a travel nurse and she has said that she has noticed that things are getting worse, especially since so many nurses have left the field because of the way they were treated by the people upstairs in suits during COVID as far as the understaffing goes. But that there are many more people that arrive with attitude and there have been a couple times that she has had to call in security even though she hates to have to do so.

Skittles

(153,193 posts)
27. whenever I see teenagers in TV shows and movies it boggles my mind
Wed Jan 17, 2024, 10:38 PM
Jan 2024

for example, if I had ever rolled my eyes and said WHATEVER to my dad and stomped off, I swear that would have been my last day on earth - WTF

Ms. Toad

(34,087 posts)
14. In the ER context, there is a flip side to your story.
Wed Jan 17, 2024, 09:28 PM
Jan 2024

I was taken to the ER with vertigo, throwing up violently and uncontrollablyat approximately 6 PM. They drew blood. They then put me upright in a wheelchair in a side waiting room that was in the low 60s, no call button, no direct line of sight to anyone. They first checked on me at about 10:00 PM to draw more blood. Then returned me to the room where I could easily have died without anyone even noticing. That was the last time anyone voluntarily checked on me for six hours, until 4 AM.

At about 2 AM I sent a family member to ask for assistance in using the restroom. At that point, the anti-nausea medicaiton I was given in the ambulance had worn off and I was unable to move or open my eyes without violent nausea. They were told I could just go. My spouse informed them that I was incapable of making it to the bathroom without assistance. When they finally agreed to assist me, and AFTER I informed them that they needed to treat me as if I was blind because I could not open my eyes, they insisted on giving me visual cues with no distance reference to get to the bathroom. I got a bit blunter and told them they needed to use right/left/ahead directions and give me an estimated number of steps and tell me if there was anything I could reach out and hold on to (and on which side, at what height).

As expected the bathroom trip triggered violent nausea. I had to beg for a barf bag. They bundled me back into the wheelchair, threw my blankets around my neck, deposited me back in the waiting room and left. The room was still in the 60s, and by that time I was somewhat wet and uncovered. Fortunately my family was able to help adjust the blankets so I didn't freeze. About an hour later (3 AM), still vomiting, I sent a family member out to see if they could give me anything to control the nausea. They told me they couldn't because I hadn't been seen by a doctor yet. Not sure who was ordering the two sets of blood tests they drew if there wasn't a doctor monitoring my case at some level . . . I pointed out that since one of the things they suspected was a stroke I was already past the point at which clot-busting medication would be useful, and was not yet even in an examining room in the ER.

I have to admit that, at that point, 9 hours in a room where no one even had a line of sight on me, unable to get any relief from violent nausea, I was quite testy, and not polite by any stretch of the imagination. Especially since there were lots of empty examining rooms. (The hold-up was staffing, not room availability.) I was finally taken to an examining room at 4:00 AM (10 hours after I arrived), and had an MRI to check for a stroke it was way too late to treat effectively at about 6:00 AM (12 hours after I arrived).

I'd love to say that was a one-off experience, but it isn't. My daughter had two similar experiences (not quite as extreme - but the first was well over 12 hours before she was admitted to the hospital with what they suspected was acute appendicitis, and 6-8 for the second admission).

That kind of treatment does not merit acting violently toward hospital staff - who are doing the best they can under difficult circumstances. But at a gut level I understand the reaction. And, bottom line, my health is more important than following standard norms for politeness in circumstances when polite requests already failed.

(I did follow up with the hospital ombudsman, who took it to hospital management. Doctors who treated me once I was hospitalized confirmed that they regularly hear similar horror stories from the "internal" waiting room. And now I go to a stand-alone emergency room, which has sufficient staffing. My daughter, unfortunately, has to put up with the intolerable circumstances since her condition requries her to go to the ER physically connected to the hospital she willl be admitted to because of her rare health conditions - so that her doctors will be permiited to participate in her care.)

Ms. Toad

(34,087 posts)
23. It really was.
Wed Jan 17, 2024, 10:30 PM
Jan 2024

I am extremely grateful that I had my wife and daughter with me. (It is our family practice that no one who is unable to defend themselves go unaccompanied to a medical encounter - and I was certainly not capable of defending myself. When my 33 year old daughter was hospitalized this fall, I spent all but one night with her in the hospital - partly she was out of it enough early on that she couldn't have taken care of herself, partly I'm her medical memory, and partly I understand the hospitalist system and even though I can't make it work I can at least help her avoid disasters.)

Part of the reason I followed up with the ombudsman is that I know how things are supposed to work, I know my rights, and I am not afraid to wave being a lawyer around when it had a chance to make the system better for those who believe they just have to suffer through it.

But mostly my response was to share a bit of what is going on in medical settings - especially ERs post-COVID. The lack of civility is a combination of society (generally) getting less civil - but also of the situation being so intolerable that even those of us who normally have a lot of patience sometimes get testier than is usually considered polite.

DET

(1,324 posts)
40. Thank You For Sharing
Thu Jan 18, 2024, 01:04 AM
Jan 2024

I can’t imagine waiting for hours to be seen for a possible stroke. That’s just unacceptable. My one personal experience with a hospital emergency room was being taken there by ambulance after my PCP insisted that my husband couldn’t drive me since I ‘could die on the way’. Seemed like overkill at the time, but in hindsight I’m very grateful. Got seen right away. Turned out to be a strangulated hernia, which can be deadly. Lesson learned - call an ambulance if in extremis. I don’t know if it’s standard hospital protocol to put patients brought in by ambulance at the front of the line, but it worked well for me. BTW, I know the terror of having to bring your child to the ER (our ‘kids’ are the same age). I must be terribly hard with a child with a chronic illness.

Ms. Toad

(34,087 posts)
42. I came in by ambulance,
Thu Jan 18, 2024, 03:00 AM
Jan 2024

Even though we were at my daughter's place, relatively close to the hospital. I suspect that is why they drew blood right away, but it didn't make any difference beyond that.

As to having a child with a chronic illness - it is hard. Both dealing with a system that is now designed for the run-of-the-mill health conditions, and emotionally (for so of us) in adjusting to changed hopes and dreams. At 33, she still hasn't graduated from college. (She was valedictorian of her high school, was diagnosed with her second chronic illness her second semester of college, and has not been able to finish a semester since then.) Since 26 she has had to hold down a full time job (just above minimum wage) in order to have access to health insurance to pay for the $200,000/year in medical expenses. Ironically, she decided to try to finish her degree this fall (she's about 22 hours away from finishing), then was hospitalized for most of 3 weeks just after starting classes. She managed to complete one of the two courses with an A! (If she finishes the second (incomplete) it will be the first time she's gotten into medical trouble without simply bombing out of the semester.)

DET

(1,324 posts)
43. I Get It
Thu Jan 18, 2024, 04:31 AM
Jan 2024

You must be so proud of your daughter for persevering during these challenging times. I have some understanding of what you are going through. My son was lucky - he rebounded from a little understood devastating illness to good health within a couple of years. He went from a high school varsity wrestler working out several hours a day to almost completely bedbound within about a month. Doctors and the school thought he was faking it, and I was terrified that they would call CPS since he was missing so much school. Finally found a cardiologist who diagnosed him with POTS (postural orthostatic tachycardia syndrome - a disorder of the autonomic nervous system). His heart actually stopped during a ‘tilt table’ test. He needed home schooling for a couple of years, during which he slowly recovered. He finally graduated from college and ironically, he is now a personal trainer, specializing in older adults with chronic health problems.

Thank God for Obamacare. It has been a real blessing for people with preexisting health conditions which would have precluded them from affordable health insurance coverage. I don’t know what we would have done without it.

Raine

(30,540 posts)
21. One time when my father went to the doctor
Wed Jan 17, 2024, 10:28 PM
Jan 2024

A they put him in one of the rooms, he waited and waited and finally discovered they had all gone to lunch. They forgot he was even there didn't even check the rooms for patients. Well after that my father found a new doctor. Your experience is much worse for sure. The deal with my father was I think in the 1990s this kind of thoughtlessness isn't new.

Ms. Toad

(34,087 posts)
26. It is worse now -
Wed Jan 17, 2024, 10:36 PM
Jan 2024

And even back in the 90s it was already at the beginning of a sea-change in hospital care.

I was hospitalized for a month in '88 and had several roommates who were not capable of taking care of themselves. I called the nurses for them because many of them were not alert enough to figure out how to call and no one bothered to check on them. They repeatedly soiled themselves, and occasionally the floor, and sometimes sat for hours.

The family of one person asked the nursing staff if they should hire someone to stay with their mother overnight, and were told no. After the nursing staff left, I told them that they might want to, since the staff was stretched so thin they were only able to get to to those patients who were able to expressly ask for assistance.

But until the post-COVID era, I had never experienced anything like that ER visit - and I've experienced it twice more, wiht my daughter, since then.

Easterncedar

(2,323 posts)
33. My aunt was left undressed for ob-gyn exam
Wed Jan 17, 2024, 11:04 PM
Jan 2024

She waited for an hour, and then went out to find the office was closed up and everyone had gone. She had to call for help to get out. That was in the 1980s or 90s.

Awful.

Ms. Toad

(34,087 posts)
32. I had two with me at the time.
Wed Jan 17, 2024, 11:03 PM
Jan 2024

My spouse (who is an attorney) and daughter (who has more experience with the medical system in her relatively short life than most people have by the time they die..

The ombudsman office was closed (I arrived after 6 PM), so I could not contact them until the next day - they are a 9-5/M-F operation. IIRC, the hospitalization was on a weekend, so I left a message. I know I did not speak to anyone until they returned my call after I arrived home.

And this still happened to me.

I was being patient until the bathroom incident, since I know they really are understaffed. I also understand the dynamic thta they have to take the most critically ill patients first - it's not first come, first served. AND even though I was incapable of summoning help myself - I did have two advocates I could send if my condition worsened - both of whom can get a lot bitchier than I can. So despite the inherently unsafe conditions (no call button, no line of sight to medical staff), my life was not in immediate danger. But there were two others there without advocates, who were similarly unable to fend for themselves, and who were also being ignored. They could easily have had a medical incident and been unable to summon anyone - and, to some extent, my spouse and daughter ended up being their advocates, as well.

I am normallly the family medical advocate. My daughter spent most of 3 weeks in the hospital in Sept/Oct - and I spent all but one night there with her - specifically because no one in our family who is not capable of defending themselves goes to the hospital alone. (Capable of defending themselves: not on medications that alter consciousness, aware of surroundings, knowledgeable about how the hospital works, knowledgeable about rights to refuse treatment (particularly important in my daughter's case), decent communication ability).

area51

(11,920 posts)
39. I can't help but wonder
Thu Jan 18, 2024, 12:46 AM
Jan 2024

if our for-profit medical system is at least in part responsible for what happened to you. Businesses will always understaff unless regulated.

Ms. Toad

(34,087 posts)
41. This was April 2022 -
Thu Jan 18, 2024, 02:34 AM
Jan 2024

Hospitals were struggling all over to hire enough nursing (and other) staff to replace all of the nurses (particularly) who decided post COVID that nursing wasn't where they wanted to be - or who left when they discovered that they could get significantly more money as a traveling nurse.

appleannie1

(5,068 posts)
46. The hospital where I go is not a huge city hospital.
Thu Jan 18, 2024, 12:50 PM
Jan 2024

They cared for my husband for the five years he fought cancer and they never once were rude or uncaring of his condition. I have never received anything even close to what you experienced. There is absolutely no reason why the staff should be assaulted because they are always polite and give good care, even under stressful conditions. I am sorry your hospital is not the same as the one where I live.

Rhiannon12866

(206,016 posts)
16. Good Grief! I haven't experienced this - yet. But it doesn't surprise me. And it saddens me, too - and scares me.
Wed Jan 17, 2024, 09:54 PM
Jan 2024

Wonder Why

(3,248 posts)
17. Courtesy goes both ways. People have become angry very easily but I remember the days when
Wed Jan 17, 2024, 09:56 PM
Jan 2024

you knew the people in the doctor's office and they greeted you with a smile. When the doctor was running behind, they would tell you. Now, I get told nothing, whether it is the local doctor or at the VA. You are expected to show up 15 minutes ahead of time (after getting multiple emails and text messages over multiple days) and you come in and are told to take a seat. Nothing is said even if the doctor has not arrived because he/she was delayed in an emergency call or due to a problem in an operation earlier. They don't even give you an estimate of the wait time.

If I don't show up on time to make my appointment, it might be rescheduled or there and there may be a fee. But no apology and no refund if I have to wait a long time well passed my appointment time.

I can understand why people get angry. You can't get through: "We are experiencing longer wait times (yeah, for the last 5 years) than normal". "Listen to the menu because it has been changed" (5 years ago) but your issue is not even on the list. When you finally get through, you get a machine that can't understand what you want because you didn't phrase it the way the machine was programmed. If you are lucky, you can say "representative" 20 times (you should have said "agent" or "associate" ) then wait in line for a human without knowing how long you have to wait. For doctors' offices, they say a nurse will call you - but only sometimes will they do so and only if they get the message passed to them and you know that they will call back when they detect you are momentarily unavailable.

At the VA, when I finally got in to see my doctor on one visit, he apologized because he had an operation that ran long. I asked why the receptionist could not tell me that when I checked in. He said they worked for a different group and he had no influence on their rules.

Sure, you had to sign a form promising not to be a problem. But you notice that you did NOT receive a statement that said you are entitled to courteous treatment when you check in and be notified of any delays when the doctor is running behind. Also note that they didn't bother telling people about how they processed patients until AFTER they had problems with upset patients.

Ever have to fill out one of those forms that ask you the same questions that they collected when you saw another doctor in their group and which is in their file instead of other places which only ask what has changed? I don't know how many times I have been asked what year I had each of my operations when their dates don't ever change as they were done in the past. I feel like listing those over 10 years ago as occurring in the 1800s just to see if they notice.

Courtesy goes both ways. Businesses expect courtesy? Then provide it in the first place. Listen to your customers (and my insurance is not paying anything I did not already pay for in premiums).

If you're 80 (I'm 3 years behind you), you must remember the days way back when you got courtesy and good customer service. It's now a race to the bottom to cut everything. Soon, you'll check in with an AI machine, be directed by another to be weighed and have your blood pressure measured and, when you finally see a doctor, he/she will be buried in their computer (oh, they already do that one).

Skittles

(153,193 posts)
20. I saw the same kind of notice when I went to get a mammogram
Wed Jan 17, 2024, 10:27 PM
Jan 2024

I too have never been mean to waitstaff, retail workers, receptionists, medical folk, etc.......I find it appalling that this is now becoming so common you have to be routinely warned about such behavior

Horse with no Name

(33,956 posts)
28. It is awful
Wed Jan 17, 2024, 10:42 PM
Jan 2024

I’m an RN and patients have become so abusive. It has exponentially worsened since covid. There isn’t a day that goes by that someone doesn’t abuse someone on my team. I have had patients threaten to kill me. I can’t wait to retire.

cachukis

(2,270 posts)
31. I had followup to an unfamiliar clinic.
Wed Jan 17, 2024, 10:56 PM
Jan 2024

Consolidation brought a major medical group to a teaching program. No problem. Connectivity issues ensued for me. Problems resolved by diligence.
While in the clinic, which serviced less insured, a patient reliant on bus service, did not achieve adequate attention. She announced her dissatisfaction pointedly.
There was no solution to her dilemma readily available. Staff patiently followed protocols.
Imagine this has been going on since biblical times.
On a California beach restroom, I was warned to secure my belongings.
Our world.

meadowlander

(4,402 posts)
34. I think there's a greater recognition of the duty of care employers have to their employees
Wed Jan 17, 2024, 11:07 PM
Jan 2024

and (let's be real) a few successful lawsuits from employees whose employers forced them to put up with abuse in the name of customer service. At least the employer can now have some window-dressing if they get sued to say "we have policies in place to protect our staff".

And it's not 100% down to courtesy and manners in a medical setting. My dad had diabetes and became incredibly hateful and abusive when he had low blood sugar. Then he developed dementia and was routinely physically abusive to medical staff including people trying to keep him strapped in for dialysis.

The clinic staff aren't paid to put up with that and I'm sure it takes a toll on their mental health even when they are experienced and well-prepared for it. I'm actually supportive of employers saying at a certain point we're not going to keep subjecting our employees to behaviour that damages their mental health even from people who need medical care and potentially can't help it themselves. And the disclaimer protects them at least a little bit in the event they later get sued for it.

 

ExWhoDoesntCare

(4,741 posts)
35. It's not anything new, really
Wed Jan 17, 2024, 11:26 PM
Jan 2024

Doctors, nurses, technicians, aides--they have always had to deal with patients who were abusive and sometimes violent. My mum (now retired) has a long list of the patients over her career who abused her when she was trying to help them get better.

Mum did say that she tried to set the mood to soothing as much as possible with every patient, because people in bad health are often quite stressed out over it, and that can make even normally mild-mannered people further on edge than they might otherwise be. It's a survival thing, and it can result in a flight or fight response for some patients. That doesn't excuse their behavior, but knowing that different people react to stress differently can make them more manageable when you're aware of it--and better prepared to deal with them in a way that keeps tensions as low as possible.

Yes, some of the behavior we see is how entitled so many people feel now. But at the same time... The healthcare industry has exacerbated the problem of stressed-out patients. Mum has admitted that the average patients have a right to be angry (to an extent), given the degradation of medical care over the past 40 or so years, in the sense of provider-patient interaction. Ordering patients to arrive 15 minutes before their appointment then keeping them waiting for an hour or more beyond the 'scheduled' time, in uncomfortable surroundings. Herding them through like cattle after that wait, with maybe ten minutes of MD interaction--if a patient is lucky. Medical staff who are cold and rude to patients because they're more concerned about getting them in and out as fast as possible, with the expected result that none of them interact with any given patient more than necessary. You're just patient #32 that day, and the sooner you're out, the sooner they can get to #33. The indignity of insurers and paperwork and the shocking escalation of costs--even for the insured, and all the rest of the bureaucratic nonsense patients have to go through to get care...

Not to mention the sneaking suspicion average Americans have that they wouldn't get treated this way if they were rich--Which I can assure everyone is horrifyingly true?

And they're doing all this with people who are already stressed about their health?

It's a recipe for disaster, and we all know it.

 

ExWhoDoesntCare

(4,741 posts)
38. Oh--and don't get me started on hospitals
Wed Jan 17, 2024, 11:39 PM
Jan 2024

I focused on the clinic care, but hospitals can be just as awful and anal with patients about the stupidest things when you're a patient with them--manhandling patients, ignoring their bells for help, not changing bandages (or worse) in a timely manner, refusing to use certain tests or treatment plans because--well, who knows why, doctors making calls for you for specialists that you don't need but you're getting charged for, anyway--

So it's not a surprise when patients lose their patience with rot like this after a while, pardon the pun.

Jimbo S

(2,960 posts)
47. Last summer
Thu Jan 18, 2024, 12:56 PM
Jan 2024

my employer directed a potential new employee to the clinic for a pre-employment screening and it ended with the clinic calling the police.

Nothing to do with politics, just a guy being a jerk.

maxsolomon

(33,400 posts)
48. That form is intended for the homeless, drug users and the mentally ill, but everyone has to sign it.
Thu Jan 18, 2024, 01:13 PM
Jan 2024

Living on the streets, they often respond to threats or simple refusal (for more drugs, or admission to the hospital) by turning the crazy up to 11. You'll see it on the streets, too. It's a survival mechanism in some contexts, but not in the hospital.

Anecdote: I was eating at an outdoor restaurant in Seattle at least 20 years ago. A homeless woman walked past the diners and grabbed food off a child's plate. The father objected, stood up, and she pulled a BIG knife and brandished it. He backed off, she got the sandwich. Restaurant apologized, got the kid a new meal.

XanaDUer2

(10,728 posts)
51. No library staff were being attacked
Thu Jan 18, 2024, 04:07 PM
Jan 2024

Well before Trump and, in my experience, little is done. At least this employer cares

Demovictory9

(32,475 posts)
52. I was reading thru job reviews written by disneyland employees. CONS: rude visitors
Thu Jan 18, 2024, 04:14 PM
Jan 2024

Over and over.. The cons of working at the happiest place on earth are getting yelled at by visitors. 😜

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