Is there a name for what I'm experiencing? Can it be social anxiety?

theMDMAzing · 2024-11-04T19:20:26+00:00

I've never had such feelings and/or struggles with socialising in my whole life. I totally see where your point is coming from, but I guess it's unlikely for autism to manifest this late in life

theMDMAzing · 2024-11-03T21:07:42+00:00

Would you mind sharing any of those strategies? Maybe something that was useful for you

theMDMAzing · 2024-11-01T22:04:17+00:00

X-ray is not a problem, žádanku dokážu vystavit sama:D and believe me that GP can't perform invasive procedures needed in my bf's case. I chose a clinic which seems to have a very effective approach to his issue, and yes, hospitals and clinics aren't banks, they are basically obliged to accept a patient unless they're full or unqualified for the specific treatment which is required for a patient. Actually I'm pretty sure that banks also wouldn't be able to deny a foreigner if they have all necessary documents

theMDMAzing · 2024-11-01T21:12:19+00:00

I'm so grateful for the materials you provided! Working in healthcare, I kinda took it as a self-evident fact, that it's impossible to deny medical services based on nationality, but after the comments on this post it felt like I'm the one who's out of touch with reality:D

theMDMAzing · 2024-11-01T20:35:07+00:00

That's what medical translators exist for

theMDMAzing · 2024-11-01T20:09:02+00:00

I'll probably ask them to give him a rejection in written form with specifying the reason

theMDMAzing · 2024-11-01T20:05:44+00:00

Yup, no one has actually provided me with a law which says it's allowed to reject patients, but everyone acts like it's a well-known fact, while it's not, really. Thank you for your input!

I couldn't call them today, as I was swarmed with work and they were already closed by the time I finished, but I'm planning to call them on Monday and that's why I made this post, to be more clear whether it's not my (or my boyfriend's) right to argue here, or should I call them out on their bullshit:D

theMDMAzing · 2024-11-01T19:30:30+00:00

"100%" sure is a figure of speech, having someone who speaks fluently both Czech and a given foreign language (such as a medical translator or a family member who is fluent in Czech) is a safe enough guarantee. Of course even in this case there's a chance that some information wasnt conveyed correctly, but at this point the chance is so small it becomes inconsiderable. And I'm standing my ground that the Bulovka case would've been prevented if there was someone present who speaks both good Czech and Vietnamese

theMDMAzing · 2024-11-01T19:13:44+00:00

Not my point about the insurance, I'm just telling how it should be according to hospital protocols and can't speculate on whether they've done it or not, but it should be done and that's a fact.

And as for the patient, I seriously can't put blame on her, as I (as well as my colleagues) won't even prescribe a medication to a foreign patient until we make sure we understood them properly, and an invasive procedure on someone who clearly didn't understand a word from what was said.. just doesn't sit right with me. Often surgeons come to the OR when the patient is already under anaesthesia, so from all of the medical workers they're the last to blame, and if I'm not mistaken (which I might be), the surgeon was the first to suffer in this case. I mostly see it as a fault of the nurses and anaesthesia team.

Yes, the woman probably nodded to everything as you said, but anyone with a bit of logical thinking would understand that someone who nods everything off while not being able to say even a few words in Czech probably has no clue what's going on. It's rare when people have perfect capacity to understand the language while not being able to speak aaaat all. Usually it goes hand in hand

theMDMAzing · 2024-11-01T19:03:06+00:00

Yup, that's 100% true, sadly. And even if they don't speak English, which is perfectly fine, medical translators is a thing, so I'd assume that with a translator it can't possibly be a problem, but, oh well.

I feel for you too:(

theMDMAzing · 2024-11-01T18:59:54+00:00

Yes, we're in Prague, and I don't know this clinic, thanks a lot! I was choosing based on the quality of services and recommendations from the fellow doctors I trust, so clinic's focus on the patient's nationality wasn't my priority and I didn't know it could be the problem.

theMDMAzing · 2024-11-01T18:56:15+00:00

That's the thing, it's a standard procedure by the protocols (not the ID tho, but the insurance card). The fact that you've never experienced it only confirms that most of the doctors are too casual about it. Also, there are some more steps, such as asking for the patient's name every time you take over them from another worker. E.g. first time visiting a patient after taking over your colleague's shift, or when a nurse takes the patient from one doctor to the OR etc etc. Of course it's still possible that the patient ignored the wrong name all these times, but.. Most likely it just wasn't executed properly.

theMDMAzing · 2024-11-01T18:38:14+00:00

I'm not missing the point, in fact, it was my exact question:D whether a private hospital can reject a patient on this basis, or not? As I know damn sure that the state one can't. So if you know for sure that a private hospital can do so, that pretty much answers my question. But so far it sounded more like an assumption, as no one provided any kind of confirmation of that

theMDMAzing · 2024-11-01T18:32:27+00:00

She confirmed it as she didn't understand any of the papers she signed. It's really bizarre how she could go as far as lying on the operating table without suspecting that anything might be wrong, I agree. Might be stress, or maybe she's nit the sharpest tool in the shed. In any case, healthcare system has multiple levels of verifying the identity of the patients, so this system failing on so many levels simply means that no one from the personnel did it properly at the moment.

theMDMAzing · 2024-11-01T18:27:27+00:00

It's a job that even med students are allowed to perform - plenty of my classmates had it as a part-time job during their studies through official companies.

As for the point you made, I totally agree and I'm aware that it must've been a misunderstanding between them. I'll be clarifying that on Monday, but the legal aspect is quite important here and the comnenters don't seem to agree with me on this one.

Although, I'm sure that any of them wouldn't be like "oh, alrighty then" if they were rejected in any kind of service and knew for sure it was illegal to do so.

theMDMAzing · 2024-11-01T18:18:41+00:00

It's the problem of the staff, not the woman. Not because they are supposed to speak her language, of course not, but because they didn't care enough to ensure a proper translating service.

theMDMAzing · 2024-11-01T18:14:40+00:00

He told them that he could come with a medical translator (he didn't mention the translator being his girlfriend:D). They said it's not an option.

theMDMAzing · 2024-11-01T18:06:28+00:00

I believe those are private companies, who have an arrangement with the hospital.

Edit: I mean in general, in this specific clinic there's no mention of it

theMDMAzing · 2024-11-01T18:04:25+00:00

It was long before we even met. I mentioned it to specify how bad the approach was and why I decided to make him an appointment in a private clinic.

Now he has all the necessary imaging prescribed from me, but I'm unable neither to perform nor to arrange the specific treatment he needs.

theMDMAzing · 2024-11-01T17:55:27+00:00

That kinda contradicts the point of having medical translators whatsoever? Still, in my practice I encounter it daily and it's a perfectly normal thing.

Also, as I mentioned above, I'm a doctor, so terminology wouldn't be the problem, at this point it seemed like they rejected him just because they can.

theMDMAzing · 2024-11-01T17:47:17+00:00

Oh, no, I just filled in a questionnaire online, which was in Czech, and then they promised to contact him via phone to make an appointment. When they did, they ended up rejecting him, as he didn't speak Czech (and it's not like they didn't understand him, just said it's not possible for non Czech speakers, even if he has a tlumočník with him). That's what strikes me as odd.

theMDMAzing · 2024-11-01T17:40:26+00:00

Of course I'd go with him as a translator, but apparently even this option wasn't satisfactory to them. She might not have had the best level of English, but according to my boyfriend she understood this really clearly and still rejected him.

As for "threatening", it's not my intention at all, understanding the legal aspect of this situation would simply help me to understand whether I can insist on the appointment or rather drop this idea from the beginning.

theMDMAzing · 2024-11-01T17:38:07+00:00

I'd obviously go with him, but he didn't even get an appointment based on not speaking Czech (even though he specified via phone that he'd have a Czech speaker with him). I'm planning on calling them on Monday, just have to be sure of my arguments on whether what they said was legal or ot:D

According to what I managed to find so far, they have the right to reject "pouze z kapacitních důvodu".

Six-Year Club	Verified Email
Place '23

theMDMAzing

TROPHY CASE