I have a deaf friend around the same age as me who recently discovered she was pregnant, although she is in a relationship she was very unsure about whether or not she wanted to keep the baby and in the end decided to have an abortion.
She told me her story recently and I asked if I could blog about it to raise awareness of the issues she faced.
As I said my friend was very unsure about what she wanted to do and after speaking to her parents, who are both hearing, they decided that the best thing to do would be to get her some deaf friendly, impartial advice from a local service.
After a conversation with the GP it was decided that she would have an appointment at the local BPAS clinic, her mother called and made an appointment and spoke directly to the receptionist explaining that my friend is deaf and uses BSL. The receptionist assured her that everything would be sorted and that the counsellor she saw would be aware of her communication needs.
The next week my friend arrived at the clinic on her own, it was on a main road and in order to get into the building she had to press a buzzer. She pressed the buzzer and quickly realised it was an intercom system, she waited a minute and then pressed again before waiting a few seconds and hoping someone was listening explained that she was deaf and gave her name. She was buzzed into the building.
When she got to the reception she gave her name to a receptionist who then disappeared behind a computer screen and mumbled a bit. My friend again explained she was deaf and the receptionist apologised.
She waited half an hour in the waiting room before going back to the reception desk, worried she hadn’t heard her name being called. The receptionist explained the clinic was running late.
Eventually a counsellor came out and called my friends name and took her through to another room. The counsellor was talking with her back to my friend who was unsure what she was saying. Again she explained she was deaf – the counsellor had not been told and there was no interpreter.
Deaf awareness aside it quickly transpired that the counselling service was not particularly impartial. My friend was pressured to have an abortion and told that she could have all the medical checks that day and set a date if she wanted.
The appointment ended after half an hour. My friend still doesn’t know the name of the counsellor she saw. She was charged £60 for an hour appointment.
Skipping over the next few weeks in the end my friend decided that she wanted to have an abortion. She felt it wasn’t the right time for her to have a baby and that she couldn’t support it and it wouldn’t be fair to expect her own parents to help her out. She also wanted to continue studying.
My friend was given an appointment at a local abortion clinic and although the clinic were told by the nurse that my friend was deaf her mother was advised to contact them to ensure she would be able to accompany my friend and help her with communication.
Her mother phoned the clinic and was told categorically that she would not be able to stay with my friend even though she was deaf. They wouldn’t book an interpreter as they had a member of staff with BSL level 1 and it was procedure that nobody could accompany a patient.
My friends mother asked to speak to the manager and eventually received a phone call back. The manager again refused to book an interpreter, my friends mother explained that someone with level 1 BSL would not be able to communicate for my friend and that my friend was getting increasingly distressed by the situation. The manager also said that they could not state for sure that the nurse with level 1 BSL would be present all the time, they would likely only be there when my friend was in recovery.
My friends mother explained that my friend would not be able to take on any information given to her and would feel incredibly isolated.
After more than a week of phone calls the clinic eventually gave in and booked an interpreter, however they were only booked for 3 hours and had to leave for their next booking before my friend had properly come round from recovery and had her post-abortion care explained to her.
The nurse on the recovery ward handed my emotional and groggy deaf friend her hearing aid and told her she had to put them in and “listen”. The nurse had an accent and my friend had no idea what she was saying.
The clinic sent her home half an hour after she had come round, with no painkillers as she was a danger because they couldn’t effectively communicate with her.
Through all this the one thing my deaf friend most wanted me to tell you was that the attitudes of the midwifes when she went for an emergency scan at the local hospital were amazing. As soon as they realised she was deaf they made every effort to ensure she understood, were clear and gave her extra time to ask any questions she wanted and even gave her some of the impartial medical advice she needed.
I feel like the story I’ve told is pretty self explanatory in the problems it highlights. I was shocked when my friend told me her story and I can only hope that she had a run of bad luck in terms of services. I’m aware that her parents have complained to BPAS and I really hope they get the answers and the apology they deserve.
This post was first published on Ni’s blog here: http://nigallant.blogspot.co.uk/2013/02/how-not-to-offer-medical-service.html
Ni is a deaf teen who has just started university. This year she was on the NDCS Youth Advisory Board and she also runs a Youth Group for Worcestershire deaf teens called “Deafinity.” She writes a blog (www.nigallant.blogspot.com) about life from a deaf teenagers perspective and says that “somehow what I said resonates with other young people – so I carried on!”
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Andy
February 27, 2013
Sometimes hearing people get shocking service too and that is why the NHS is currently in trouble. My hearing son discharged himself because he was badly treated in 2011. It’s obvious that many NHS people just can’t be bothered to do the job they are paid for. Unlike us lot who can’t even get a job in the first place. So don’t hesitate to complain if it’s you or encourage others to complain too. Remember that as Deaf people we are entitled to a Reasonable Adjustment for our problems and in this girl’s case it wasn’t done. I hope she is OK and not scarred for life and if she wants to take it further this is a good time.
Sophie
February 27, 2013
As an Interpreter, I’m shocked that the Interpreter left after 3 hours as ‘they were only booked for 3 hours and had to leave for their next booking’.
In this incredibly delicate and sensitive situation, most Interpreters wouldn’t have even accepted any other work that day, or would have done everything in their power to get cover for their next job, or even cancel it- albeit the next Deaf person goes without an Interpreter but in cases like this where we have to make tough decisions, we are encouraged ethically to choose the outcome with the least possible cause of harm.
I really want to give the Interpreter the benefit of the doubt that the next booking was a life/death situation, because most Interpreters I know would have done the right thing – stay with the Deaf person until the imperative communication was over-meaning right up until she left the clinic.
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February 27, 2013
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barakta
February 27, 2013
Thanks for this great article, this is the kind of thing of nightmares when it goes horribly wrong. I wish I could say I was surprised but sadly I’m not. I hope your friend and her parents are able to get suitable responses from BPAS and abortion clinic for how she was treated. If they need a lawyer I have heard very good things about Chris Fry and Unity Law in Sheffield who know deaf stuff and can help find funding for the legal stuff.
I have had less severe experiences like this, my partner was sent away when I had day surgery in 2006 despite their literature not saying anything about companions being sent away and me explaining my partner was my choice of communication support. I only stayed because the surgeon is a man I’d known for 17 years and I was only having a local anaesthetic. Otherwise I’d have had to go 90+ mins home and rearrange cos I wouldn’t be willing to risk it – easy for me for a non time critical procedure harder in the OPs case.
It can be done well, that’s what’s so maddening. A procedure I had done in 2009 under general anaesthetic was the opposite to 2006’s experience. The staff were excellent, spoke clearly and carefully to me, recognised my communication support choices and didn’t take my glasses or hearing aid off me until I was asleep and ensured my partner was in the recovery room to help communicate with me while I came round. I can’t see well enough now to lipread or follow sign without glasses so step 1 is “gimme my specs!” which I managed to remind my partner of by gesturing with my bad hand to come closer and pulling hers off her face 😉
I am finding the NHS increasingly difficult to deal with for deaf awareness reasons as cost-cutting measures include using more shared-consultation spaces which are a dealbreaker for me and there is willingness to give extra time or patience which is key for any deaf awareness. I might as well not be there if I can’t get a private consulting room and be treated patiently and with good deaf awareness.
One thing I have started to do is hand over a Deaf Awareness HOWTO document as soon as I arrive. I have the HOWTO printed on a side of A4 with my name, NHS number and a Deaf Symbol on the front + the top issues I have accessing healthcare on it. It is at http://www.barakta.org.uk/deaf-howto.shtml if anyone wants to use the idea or content for yourselves. I give it to staff as soon as I register for an appointment so they can paperclip it to the front of my notes. I carry spare copies to hand over as needed. So far it has definitely helped and reduced some of the misunderstandings and difficulties I have had before.
Once again I can only say I wish I’d complained about the bad experiences I’d had although I know often they happen when I have low energy. I hope we deafies can stick together and keep sharing our stories so people know the realities we struggle with and can help us make things better for everyone.