Thursday, March 26, 2009

Octuplets: Dr Phil, Part 3: No more Nadya for him

March 25, 2009

Updated list of octuplet posts (3-24)
(3-26) Octuplets: Dr Phil Part 1: Nadya; *Angels in Waiting* firing
(3-26) Octuplets: Dr Phil Part 2: Jeff Czech: “Hogging the media”
(3-26) Octuplets: Dr Phil, Part 3: No more Nadya for him

A little more discussion here between interested parties but it's mainly a Dr Phil's legal disclaimer. He tried to help - he pulled his people back - he is done - he puts up statements to prove Nadya is in capable hands with Kaiser and then he also slips in DCFS.

Part 3

Because of concerns about the babies being in the middle of media chaos, and because Kaiser Permanente has stepped in to fill the void left by the departure of Angels in Waiting USA, Dr. Phil explains that he’s going to take a respectful step back.

DR PHIL:

At this point, I feel like I’ve done everything I can in this situation, so it’s time for me, and I think a whole lot of other people in the media to move on, let these people have some peace and see if they can get done what they need to get done.

He knows this is going to turn out bad and he wants no legal entanglement - precisesly what this segment is mean to to do. The burden has switched to Kaiser Permanente and Nadya..

DR PHIL:

To ensure the safety of her children, Nadya must immediately implement some restrictions, such as no media being allowed in the nursery, only Nadya and the caregivers are to feed the babies, care must be taken to prevent germs and infection control, and they must impose restrictions on the media inside the house.

No media in nursery. No cameras in the nursery.

CZECH:

I don't think anything foresaw what would happen the first time around.

Jeff says they’ve implemented those changes. With the help of police, the second pair of babies that were released from the hospital came home to a much calmer environment.

DR PHIL to CZECH:

With Angels in Waiting out of the picture, will there be a mandated reporter in the house?

CZECH:

Yes, and let me make this very, very clear, Dr. Phil. There has not been a step down in care in this household. If anything, it’s a step up in care. Kaiser Permanente nurses and staff are bending over backward to work with Nadya and the nannies, anD they are duty-bound to report. And they have told me several times that they will not allow any more babies in the home until Nadya crosses all the Ts.

Kaiser has its own interst in discharging the remaining 4 from the hospital. They are costing the hospital money that Nadya isn't paying and filling beds that apaying customers can't fill.

Dr. Phil explains that he has expressed concern for transparency in this situation to the personnel at Kaiser Permanente, to the chief deputy director at Orange County Social Services Michael Riley, and to the L.A. country Department of Children and Family Services.

Kaiser Permanente released a statement:

Four of the eight Suleman babies have been discharged from the hospital because their medical condition was appropriate for discharge. It was clear those babies no longer needed the specialized care provided at the hospital. Prior to discharge, we worked with the mother to ensure there was adequate space for the family, the necessary equipment and supplies, and an appropriate number of caregivers to help care for all of the babies following discharge. Since the babies have been home, our home health nurses have been working with the nurses and her hired caregivers to provide training and guidance. Following the chaotic scene at home when the first two babies were discharged, we asked the family to provide additional security in preparation for the second discharge. That effort was successful. We will request this additional security for each future discharge as well. Our primary concern is the wellbeing of the new babies.

JOHN WAGNER, director of the California Department of Social Services released a statement:

The State Department of Social Services has been working with Orange County child welfare officials concerning the family with the newborn octuplets. State and country child welfare officials are committed to ensuring all the children remain safe and free from abuse and neglect as mandated by California state law. We take this mandate very seriously and will continue to work with Orange County on this matter. We have been assured by Orange County that they have appropriate services available for high risk families to prevent abuse or neglect and that they are prepared to respond to cases of reported abuse or neglect.

DR PHIL to LINDA:

At this point, what is your main concern as you exit this situation?”

LINDA:

My main concern is, from what I understand, Kaiser has shown up every other day. My main concern is what is happening that day that Kaiser is not there?

The communication breakdown: How can I talk to Nadya when she is out shopping? [see update link]

How can I talk to Nadya when she is up in her bedroom reading 200 letters, versus coming down and feeding her babies?

Nadya only fed her babies — the only requested time that I did not have to track Nadya down to say, ‘Hey, why don’t we do this feeding?’ is when a film crew was in her house. That was the only time that woman volunteered to feed a child.

And I’ll tell you what happened during one episode, she was done feeding, she picked up the child, gave it to me on my chest, she didn’t burp it, she didn’t change the diaper, she walked out of that room, and I didn’t see her for another 12 hours, so talk about a lack of communication.

Where was that woman? And if she’s not around, she doesn’t give me a cell phone — this woman does not care for these kids. That’s my honest opinion.

She is here for the paparazzi, the media

CZECH: Wait, wait, wait--

LINDA (contentious):

No. You had your chance. I have mine now. That is my opinion. I was there for a week. I am the eyes, the ears and the mouth of these children.

CZECH (childishly):

Gee, I wonder why it’s not working out?

LINDA:

It’s not working out because she’s out shopping. She’s rarely in this house!

Dr Phil says he's done everything he can do in this situation.

DR PHIL to CZECH:

You totally disagree with what Linda is saying about whether or not Nadya cares for these children?

CZECH:

If that’s the case, then every mother who went grocery shopping is a bad mother. I mean, let’s face it. The nurses are supposed to be there to provide help so Mom can do other things once in a while. Nadya is a very good mother, a very caring mother. The bottom line in this situation, Dr. Phil, and you had great intentions, and your staffers were out there, and they did a great job, and Nadya is very appreciative of that, but the bottom line is the shoe just never fit.

Gloria encourages Linda to give more details about Nadya’s feeding habits with her babies.

LINDA:

As nurses, we monitor parent/child interaction. That’s just part of what we do. I’ve been doing this for 25 years. We monitor if the mom is not in the room. We monitor if the mom has been in the house for 12 hours and never poked her head in to see how the kids have been feeding and how they’ve been doing through the night. This occurred time and time again. This woman fed her babies eight times in five days. I was supposed to be there to train nannies, to train Nadya, but what I get are Hispanic-speaking ladies who are showing up and showing positive for TB, and I’m supposed to — what’s the word for preemie? You tell me, Jeff, what is the word for preemie in Spanish?”

CZECH:

That is just simply not true,.

ALLRED:

Nadya can have whatever nannies she wants, and we all respect the contribution of Latina nannies, but let me just say, these nannies need to be trained, they need to be able to also communicate, but point that Linda made was very important: very few feedings were actually done by Nadya because she didn’t come into the nursery to ask to do the feedings.

Dr. Phil gives his final thoughts. Aka leave me out of this madness.

DR PHIL: There has to be transparency in this situation. If not, you don’t know what’s going on behind closed doors, and this mother is going to be hugely overwhelmed, and this transparency has to be long term.

But any further involvement from me, I think, would be counter-productive at this point, because I said my goal was to get the best possible help put together, and I think we’ve influenced that at least in some small way.

Phil expresses special thanks to Shalena Smith from Ga Ga Designs, who donated her services to build and furnish a specially-designed custom nursery for the octuplets. She also decorated and furnished two bedrooms for the other children.

Thanks also to Aimee Phillips of Uptown Flooring and Design for removing and replacing all the old carpet, linoleum and marble flooring.

DR PHIL: Thanks so much for all the help that you guys have done in this. It’s a gift to these 14 children.

2 comments:

Anonymous said...

What's up with this? Kaiser dumps over 1,000 each month when they lose their insurance. In more serious health care news, Kaiser Permanente Bellflower was recently caught dumping a patient in front of the Union Rescue Mission in downtown Los Angeles, 17 miles from the hospital. Notably, the whole thing was caught on cameras the mission expressly installed to catch such incidents, which they've been tracking for quite a while now. The patient, Carol Anne Reyes, was disoriented, had no idea where she was now and only knew that she'd been "in a hospital" before.

Ms. Reyes is originally from Gardena, which is 14 miles from where she was dumped in downtown Los Angeles -- a hard distance to cover when you're disoriented, wearing a hospital gown and have no cash or identification

Kasier has a record of denying disabled adults and children medical care.

jack_snyder25@yahoo.com

mattie said...

Hi Jack. Yes they do. And it happens frequently - not just there but across the country. That's why they enacted COBRA. But some hospitals gamble - if they can dump 50 patients and get caught only once then it's worth it financially. They must have absolutely no consciences. But the ERs see the same patients over and over, especially drunks, drug addicts and psych patients. They're called frequent flyers and after the 10th visit in a week, I can see why they would want to turf them. It's a problem with no solution other than universal health care and that's as likely in my lifetime as men actually living on Mars.