Hi, it’s Patrik Hutzel from INTENSIVECAREHOTLINE.COM where we instantly improve the lives for Families of critically ill Patients in Intensive Care, so that you can make informed decisions, have PEACE OF MIND, real power, real control and so that you can influence decision making fast, even if you’re not a doctor or a nurse in Intensive Care!
This is another episode of “YOUR QUESTIONS ANSWERED“ and in last week’s episode I answered another question from our readers and the question was
You can check out last week’s question by clicking on the link here.
In this episode of “YOUR QUESTIONS ANSWERED” I want to answer a question from one of my clients Megan, as part of my 1:1 consulting and advocacy service! Megan’s brother is bed-bound in the ICU and the ICU team has a proactive plan going on for her brother. Megan is asking why is it in contrast to what they are telling her.
The ICU Team Has a Proactive Plan Going On For My Brother But Why is it in Contrast to What They are Telling me?
“You can also check out previous 1:1 consulting and advocacy sessions with me and Megan here.”
Patrik: Is there going to be a change of doctors tomorrow?
Megan: Yes. Tomorrow. Female is coming.
Patrik: Friday is the change of doctors?
Megan: That’s what he told me.
Patrik: Look, it’s up to you. I’ll be guided by you. What I would like to know, and that could be just a simple phone call to the nurse asking why they’re putting in that PICC line. That would be my most pressing question for now.
Megan: I mean-
Patrik: That could be as simple as making a phone call saying, “Hey, can I get an update from the bedside nurse?” That would sort of, that could be really simple.
Megan: And that could be the beginning.
Patrik: That’s right.
Megan: That could break the ice.
Patrik: That’s right. That’s right. Look and here is another, that’s a question for you. Once I get to talk to the nurses, let’s say, especially to the nurses, I can relate to them as a nurse and you can say to them, “Oh, you know, it’s Patrik, he’s married to Mary and he’s also a nurse.”
Megan: I’ve told them this. I said you’re a very experienced nurse and that you run a unit. I said.
Patrik: Right. I have done. I have done it.
Megan: Yeah. I thought so. I really put you forward as somebody not to be messed with.
Patrik: Right. Because I can relate … I’m not threatening to them. To the nurses. Because I can talk to them on their level without threatening them.
- The 5 Reasons Why You Need To Stop Being Intimidated By The Intensive Care Team, If Your Loved One Is Critically Ill In Intensive Care
Megan: Yes. And they can be probably more open and honest with you than they will be with me.
Patrik: That’s right.
Megan: They get defensive with me.
Patrik: That’s right. With the doctors, they might get their back up straighter but again, I can be confrontational but I don’t think it’s at that point.
Patrik: We only want to be confrontational if there’s no other way.
Megan: If we have to be.
Patrik: That’s right.
Megan: And the other thing about being confrontational, I think it’s something to keep up our sleeve.
- WHY YOUR BODY LANGUAGE MAY BE YOUR BIGGEST OBSTACLE TO PEACE OF MIND, CONTROL, POWER AND INFLUENCE WHILST YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE
- WHAT YOUR BODY LANGUAGE AND YOUR TONE OF VOICE COMMUNICATES TO THE INTENSIVE CARE TEAM AND WHY YOU NEED TO CHANGE IT URGENTLY SO YOU CAN HAVE PEACE OF MIND, CONTROL, POWER AND INFLUENCE!
Patrik: Yes. Yes.
Megan: Because they’ve ambushed me and I think we can ambush them.
Megan: They think I’m so, “Oh, she’ll just roll over. She’ll just roll over.” They could have a big surprise.
Megan: I’m not rolling over.
Patrik: That’s right. You’re not rolling over. Also, most families do roll over and that’s why they’re doing what they’re doing because they know that most families do a rollover.
Patrik: Right. So they’re just waiting for you to roll over.
Megan: Yes. Yes. Yes.
Patrik: I wouldn’t worry about that at the moment. You know what they’re doing.
- THE 10 THINGS YOU DIDN’T KNOW DOCTORS AND NURSES ARE TALKING ABOUT IF YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE, WHEN YOU AND YOUR FAMILY ARE NOT PRESENT AT THE BEDSIDE!
- 5 Things The Intensive Care Team Hasn’t Told You When Your Loved One Is Critically Ill In Intensive Care!
Patrik: Just matter of managing it.
Megan: Yes. And also, if they ask you, they might say, because you know that my dad was a surgeon. I think, it’s not that likely they’re going to ask you but my mother was an actress. A very beautiful actress and a model, and my father was a general surgeon at St. Therese hospital.
Patrik: Yeah. Yeah. Okay. If you can put all of that in an email.
Megan: In an email. It’s just that the sorts of things, because they saw some of the pictures and they might say, “Oh, isn’t Megan and his mother beautiful?” And you’ll be going, “Oh, yes.” But is she? Was she? I don’t think it’s very likely that they’re going to ask you but they did see the pictures. You never know and once they’ve asked the question and you don’t know the answer, we don’t want them catching that.
Patrik: No, no.
Megan: And I said Patrik, that you’re in Australia.
Patrik: Yeah. Yeah. But I’ll tell you what I have found, most of the time, when I enter those situations, it’s fine just to say, “Oh, yeah he’s a relative. He’s a cousin.” Or whatever. It’s usually fine. They’re busy. It would have to take something extraordinary I think for them to really question.
- THE 7 THINGS FAMILIES DO WHO MAKE INFORMED DECISIONS HAVE PEACE OF MIND, ARE IN CONTROL, HAVE POWER AND HAVE INFLUENCE, WHILST THEIR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE (PART 1)
- THE 7 THINGS FAMILIES DO WHO MAKE INFORMED DECISIONS HAVE PEACE OF MIND, ARE IN CONTROL, HAVE POWER AND HAVE INFLUENCE, WHILST THEIR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE (PART 2)
Megan: Question you. Yes. I agree. I just wanted to cover the bases.
Patrik: Yeah. Yeah. No, absolutely.
Megan: Caught out by them.
Patrik: Yeah. No.
Megan: Patrik, I’m going to put all these in an email to you right now.
Megan: I’ll put the direct number to the bed, well the bedside area. Which are the four beds? I’ll put that in. The young girl, she’s not very experienced, but she’s very nice. I’ll put that in the email.
Megan: She’s very sweet but she’s a bit nervous because she’s very new.
Megan: So they’ve obviously put a very new, inexperienced nurses with Ryan. Again, that shows a bit I think.
Patrik: It does and I’m not surprised because the rest of the staff are probably a little bit fed up.
Patrik: Right? It’s not sort of … It’s getting boring, you’re going after the same patient over and over again.
- The 5 reasons why you should not trust the Intensive Care team blindly if your loved one is critically ill in Intensive Care
- Why having a loved one critically ill in Intensive Care is a ONCE IN A LIFETIME situation and why YOU can’t AFFORD GETTING IT WRONG!”
Megan: Yes. There’s nothing very exciting going on.
Patrik: No. So that could be part of it. You know, it’s not to say that they won’t have any of the experience to look after him again, but again, I know from experience that’s often what happens.
Megan: Yes. Indeed. So, I did mention you to her this morning. I just said that because of what the doctors had said to me yesterday, I had been in touch with you because I was quite upset, quite shocked. So I was very anxious that Ryan should be put out in the chair and I gave her a little bit of family history and she got so bored with the family history she just went, yes, yes, yes.
Megan: Because she’s seen pictures of my grandfather at my parent’s wedding because they asked me to bring pictures in and I was explaining to her that Peter, who is also a doctor, this is his brother, son, and actually it was rather good because she got so confused she didn’t know what I was talking about.
Megan: She was like, oh please. Yes it’s fine. Thank you. So I did kind of introduce you as married to my cousin and that you were very concerned.
Patrik: Absolutely. Now, when you ring them up yourself, do you speak to the nurses, or do you get a doctor on the phone as well? How do you manage that?
Megan: Right. You never get a doctor. They’re too grand to pick up the phone. Never have I got … As far as I know, they have a receptionist woman who sometimes picks up the phone, and sometimes the nurses will just pick up the phone because it’s right there. And then I say, “Hello, it’s Megan. I’d like to speak to the nurse in charge of looking after my brother, Ryan in bed eight.” That’s what I say and they say, “Oh, Megan, yes. Hold on, we’ll put you through.”
Megan: That’s how it works. Sometimes you get the bedside, you might get a doctor, I think it’s unlikely. They seem to be too grand for that. And then there’s another woman who is a sort of receptionist that is very good. This is how I play it.
Patrik: Right. But if you had a serious concern, would you ring up there and ask to speak to one of the doctors, would you do that? Do you think you would get one?
Megan: I would ring up there and ask to speak to one of the doctors.
Megan: Yes, that’s exactly what I’d do. I’d probably wait to go in to speak to them but if I wanted an answer right now, I’d ring this number and I’d say, blah, blah, blah, it’s me. Is there a doctor available, I’m very concerned, blah, blah, blah. That’s what I’d do. And there’s usually a doctor around.
- THE 5 REASONS WHY YOU NEED TO BE DIFFICULT AND DEMANDING WHEN YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE
- HOW TO MAKE SURE THAT “WHAT YOU SEE IS ALWAYS WHAT YOU GET” WHILST YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!
Megan: It seems that when you ring this particular number, it does go to the bed area. But sometimes it gets picked up at the main reception.
Megan: So if you wanted a doctor, you could get one on the same number.
Patrik: Yeah, sure. I think that would be the next step. Or we can play it whichever way you want.
Megan: By ear.
Patrik: Yeah. We can play it by ear. We can play it whichever way you want. The other thing we can do down the line is if you can set it up, we can set up a three-way call where I would dial your number, and then you would dial the doctor’s number whatever then we could talk on a three-way call.
Patrik: No, no, I’ve done that. Basically all it is-
Megan: Oh, you’ve done it? Right.
Patrik: Yeah. I’ve done it. I would call you or you call me and then we call … We can dial somebody in. We can set up a three way call.
Megan: A three way call.
Patrik: I’ve definitely done that.
Megan: That’s something we could also do. The doctors there are very, very hurry up. They’re very much, you are a bit of a … Their attitude is, we are the doctors, we’ve got very important things to do, and really what … It’s really quite, “What do you want?”
- WHAT THE DOCTORS AND THE NURSES BEHAVIOUR IN INTENSIVE CARE IS TELLING YOU ABOUT THE CULTURE IN A UNIT!
- INTENSIVE CARE’S HIDDEN SECRETS AND MYTHS BEHIND THE SCENES, THAT THE INTENSIVE CARE TEAM KEEPS AWAY FROM YOU AT ANY COST AND OTHER FAMILIES OF CRITICALLY ILL PATIENTS HAVE NO CLUE ABOUT THOSE HIDDEN SECRETS!
Patrik: That’s right. Talking to you is not one of the important things we have to do.
Megan: Indeed. You’re doing me a huge favor and could I please hurry up.
Megan: Have you got any other questions? Right. Fine, goodbye. I find them quite offensive. I’ll be quite honest with you, Patrik. Their attitude maybe offensive, is a bit strong but it’s pretty unpleasant.
Megan: They’re not … They’ve always got something else they should be doing. They’re all … It’s quite unpleasant and quite unnerving. I would say. They always act as if you’re an innocent. I’m an innocent.
Patrik: Yep. Okay. And because-
Megan: You’ve been there.
Patrik: Oh, absolutely.
Patrik: Because of that it is really time to push back a bit.
Megan: Yes. Yes. I think so. But I think we’ve got to that point anyway that we have to push back at them. Don’t you think? I mean … Yes. With that conversation last night, I do think today, I don’t like this PICC line thing at all but I do think today, apart from that, it sounded good but-
Patrik: If they were really putting in a PICC line to do a really nasty thing, they wouldn’t be sending him out of bed.
Megan: No. And having a plan. She said, this is the plan. And she said that means sitting in the chair. Then we’re going to do the weaning, then we’re getting back in the chair tomorrow, then on the weekend, we’re going to do this. And it did seem to me it was quite an, as they say, the proactive plan going on. Which was in contrast, in stark contrast, to what they said to me last night.
Patrik: Yeah. And besides what we talked about the DNR, you know with the policy and whatnot, you can also drop some hints around, “Oh, wouldn’t it be time after eight weeks in ICU, that he can have a shower?” You know, drop those hints.
- THE 5 THINGS YOU NEED TO KNOW IF THE MEDICAL TEAM IN INTENSIVE CARE WANTS TO “LIMIT TREATMENT”, WANTS TO “WITHDRAW TREATMENT”, “WITHDRAW LIFE SUPPORT” OR WANTS TO ISSUE A “DNR” (DO NOT RESUSCITATE) OR “NFR” (NOT FOR RESUSCITATION) ORDER FOR YOUR CRITICALLY ILL LOVED ONE!
- “THE 5 QUESTIONS YOU NEED TO ASK WHEN THE INTENSIVE CARE TEAM IS TALKING ABOUT “FUTILITY OF TREATMENT”, “WITHDRAWAL OF LIFE SUPPORT” OR ABOUT “WITHDRAWAL OF TREATMENT!”
Patrik: So that you’re not even going into any … You’re going in the other direction.
Megan: Yes. Yes. Start with a hint.
Patrik: Dropping hints. Wouldn’t it be nice that after all this time, he could have a shower? You know? All of that.
Megan: Yes. Definitely. It would be transformative. It would make him feel so human again.
Megan: And really good for his skin.
Patrik: Oh, absolutely.
- Is A Meaningful Recovery Possible When Your Critically Ill Loved One Is On The Brink Of Dying In Intensive Care?
Megan: And these bedsores as well, that’s not very good but-
Patrik: At this stage, and if they say things like, oh we don’t have the facilities or we don’t do that or we can’t do it, then you can say things like, well, I’ve heard in other units they do it. And it helps patients. And it does.
Megan: And it does. Yes.
Patrik: You know?
Megan: I can imagine a real game changer. A real game-changer. You know yourself how even in the morning, you have your shower you just feel different immediately. Imagine no shower for a month, or no bath.
Patrik: Exactly. You’re going in the other direction. The hint, well, it’s not a hint, it’s something you would be asking for is to get the policy for the DNR because again, you’re going in the other direction.
Megan: Yes. I’m going in the complete opposite direction to them. But in defense of the nurses, I would say that they do … obviously, they have to be very diplomatic. But they do appear to be very, very genuinely very pleased when he does well. They really do seem-
Patrik: Yeah. Because they are there. The doctors just drop in for a few minutes, they look at a piece of paper while the nurses are the ones who know Ryan by now. I would hope.
Megan: They do. Indeed.
Patrik: They hopefully have a bond with him as well.
Megan: I think so.
How can you become the best advocate for your critically ill loved one, make informed decisions, get peace of mind, control, power and influence quickly, whilst your loved one is critically ill in Intensive Care?
You get to that all important feeling of making informed decisions, get PEACE OF MIND, CONTROL, POWER AND INFLUENCE when you download your FREE “INSTANT IMPACT” report NOW by entering your email below!
In Your FREE “INSTANT IMPACT” report you’ll learn quickly how to make informed decisions, get PEACE OF MIND, real power and real control and how you can influence decision making fast, whilst your loved one is critically ill in Intensive Care! Your FREE “INSTANT IMPACT” Report gives you in-depth insight that you must know whilst your loved one is critically ill or is even dying in Intensive Care!
Sign up and download your FREE “INSTANT IMPACT” REPORT now by entering your email below! In your FREE “INSTANT IMPACT” REPORT you’ll learn how to speak the “secret” Intensive Care language so that the doctors and the nurses know straight away that you are an insider and that you know and understand what’s really happening in Intensive Care! In your FREE report you’ll also discover
- How to ask the doctors and the nurses the right questions
- Discover the many competing interests in Intensive Care and how your critically ill loved one’s treatment may depend on those competing interests
- How to eliminate fear, frustration, stress, struggle and vulnerability even if your loved one is dying
- 5 mind blowing tips & strategies helping you to get on the right path to making informed decisions, get PEACE OF MIND, control, power and influence in your situation
- You’ll get real world examples that you can easily adapt to you and your critically ill loved one’s situation
- How to stop being intimidated by the Intensive Care team and how you will be seen as equals
- You’ll get crucial ‘behind the scenes’ insight so that you know and understand what is really happening in Intensive Care
- How you need to manage doctors and nurses in Intensive Care (it’s not what you think)
Thank you for tuning into this week’s YOUR QUESTIONS ANSWERED episode and I’ll see you again in another update next week!
Or you can call us! Find phone numbers on our contact tab.
Also check out our Ebook section where you get more Ebooks, Videos and Audio recordings and where you can also get 1:1 counselling/consulting with me via Skype, over the phone or via email by clicking on the products tab!
This is Patrik Hutzel from INTENSIVECAREHOTLINE.COM and I’ll see you again next week with another update!
- The 10 COMMANDMENTS for PEACE OF MIND, control, power and influence if your loved one is critically ill in Intensive Care
- What could be the cause if my critically ill loved one is removed from an induced coma but still hasn’t woken up?
- My 80 year old father is in Intensive Care with Myeloma! The Intensive Care team HAS ASKED ME TO SIGN A “DNR” AND I REFUSED! What are MY OPTIONS?
- The 3 most dangerous mistakes that you are making but you are unaware of, if your loved one is a critically ill Patient in Intensive Care
- The 5 questions you need to ask when the Intensive Care team is talking about “Futility of treatment”, “Withdrawal of life support” or about “Withdrawal of treatment”
- HOW TO STOP BEING HELD HOSTAGE BY THE INTENSIVE CARE TEAM if your loved one is critically ill in Intensive Care!
- 5 POWERFUL THINGS YOU NEED TO DO IF THE INTENSIVE CARE TEAM IS NEGATIVE WHEN YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!
- My Mum has been diagnosed with STOMACH CANCER and is in ICU ventilated. CAN I TAKE HER HOME on a ventilator?
- The questions you need to ask the most senior doctor in Intensive Care, if your loved one is critically ill in Intensive Care
- How long does it take for my critically ill loved one to be taken off the ventilator and have their breathing tube/ endotracheal tube removed
- Why you must make up your own mind about your critically ill loved one’s situation in Intensive Care even if you’re not a doctor or a nurse!
- The ELEPHANT IN THE ROOM or HOW THE INTENSIVE CARE TEAM IS MAKING DECISIONS whilst your loved one is critically ill in Intensive Care!
- MY PARTNER IS IN INTENSIVE CARE ON A VENTILATOR! THE INTENSIVE CARE TEAM WANTS TO DO A TRACHEOSTOMY AND I WANT TO HAVE HIM EXTUBATED! WHAT DO I DO?
- 5 ways you are UNCONSCIOUSLY SABOTAGING yourself whilst your loved one is CRITICALLY ILL in Intensive Care and HOW TO STOP doing it!
- How to make sure that “what you see is always what you get” whilst your loved one is critically ill in Intensive Care
- 5 Ways to have control, power and influence while your loved one is critically ill in Intensive Care
- Family overjoyed as top court rules doctors must seek consent before taking a patient off life support
- How to make sure that your values and beliefs are known whilst your loved one is critically ill in Intensive Care
- My loved one has HIV, lymphoma on his brain, seizures, septic and is ventilated! The Intensive Care team is trying to TAKE MY HOPE AWAY and they are all NEGATIVE! HELP!
- MY PARTNER IS IN INTENSIVE CARE AFTER A BLEED ON A BRAIN! WE ARE WORRIED THAT THE INTENSIVE CARE TEAM WANTS TO SWITCH OFF THE VENTILATOR! HELP!
- HOW TO DEAL WITH A DIFFICULT INTENSIVE CARE TEAM, WHEN YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!
- What the doctors and the nurses behaviour in Intensive Care is telling you about the culture in a unit
- How to take control if your loved one has a severe brain injury and is critically ill in Intensive Care
- How can I be prepared, be mentally strong and be well positioned for a Family meeting with the Intensive Care team?(PART 1)
- How can I be prepared, be mentally strong and be well positioned for a Family meeting with the Intensive Care team?(PART 2)
- The four DEADLY SINS that Families of critically ill Patients in Intensive Care CONSTANTLY MAKE, but they are UNAWARE OF!
- My HUSBAND had a HORRIBLE work accident and went into CARDIAC ARREST! Will he be PERMANENTLY DISABLED
- Why decision making in Intensive Care GOES WAY BEYOND your critically ill loved one’s DIAGNOSIS AND PROGNOSIS!
- The 4 ways you can overcome INSURMOUNTABLE OBSTACLES whilst your loved one is critically ill in Intensive Care!
- How to get PEACE OF MIND, more control, more power and influence if your critically ill loved one is DYING in Intensive Care!
- The 5 QUESTIONS you need to ask, if the Intensive Care team wants you to DONATE your loved one’s ORGANS in an END OF LIFE SITUATION!
- MY PARTNER IS IN INTENSIVE CARE ON A VENTILATOR! THE INTENSIVE CARE TEAM WANTS TO DO A TRACHEOSTOMY AND I WANT TO HAVE HIM EXTUBATED! WHAT DO I DO? (PART 1)
- How MEDICAL RESEARCH DOMINATES your critically ill loved one’s diagnosis and prognosis, as well as the CARE and TREATMENT your loved one IS RECEIVING or NOT RECEIVING
- WHAT WOULD YOU DO if you knew that you COULD NOT FAIL, whilst your loved one is critically ill in Intensive Care
- How the Intensive Care team is SKILFULLY PLAYING WITH YOUR EMOTIONS, if your loved one is critically ill in Intensive Care!
- My father is in Intensive Care ventilated with LIVER FAILURE and KIDNEY FAILURE, I DON’T THINK HE WILL SURVIVE! HELP
- HOW TO GIVE YOURSELF PERMISSION TO HAVE PEACE OF MIND, CONTROL, POWER AND INFLUENCE WHEN YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE!
- My father has been weaned off the ventilator in Intensive Care and still has the Tracheostomy in. When can the Tracheostomy be removed?