Hospital food
Sep. 19th, 2006 11:55 am![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
While I was in hospital, I had to make sure to eat no dairy products and no soya. This is because I have an intolerance to these foods which manifests as a really upset stomach, and I'd just had gastroenteritis followed by abdominal surgery. Not upsetting my innards further seemed only sensible.
I was in recovery over the official lunch period, so I first encountered a problem when I went up to the ward and they said they'd bring me something to eat because I'd missed it. I explained; they said "Did you tell anyone?"
Yes, I told everyone before I arrived in to hospital. "No, did you tell anyone up here?"
No, I just got here. It's in my notes. "You'll have to see the dietician."
Fine.
Meanwhile, they found me some cream crackers and some bourbon creams and a cup of black tea. Luckily I remembered these problems from when I was in with Linnea when she stopped breathing at 11 weeks, and from when I was in for perineal repair when Linnea was 8 months, so we had already planned for my mother to bring me food later.
The dietician arrived with the week's menus. She and I looked at them. She didn't know what was in any of the dishes. She didn't think the kitchen could produce dairy-free versions of most things, either. So, based on what I had already eaten in the hospital canteen when I was in for antenatal appointments around lunchtime, I told her which dishes did and did not make me ill.
That's right, the patient who was out of post-op recovery less than two hours told the dietician which hospital meals did and did not contain dairy.
So based on that we chose a menu. She offered to have something special and light cooked for me that evening, since I had just had surgery and most of the women would eat something light the day of surgery. She asked me for suggestions. "Pasta in a tomato-based sauce?" I couldn't see how that could be difficult.
Rob and my mother brought me fruit, biscuits, and cereal bars. And a carton of rice milk.
That night I got a miniscule portion of overcooked pasta in some kind of goo. It strongly resembled the toddler ready-meals one can buy to microwave, in fact - the ones Linnea rejected from age 16 months on, which was fine since we mainly got them for travelling when she was 15 months.
Breakfast the following morning, a nice junior midwife spent ages trying to find out what was in the cereals. They arrive on the ward decanted into unlabelled boxes, you see, and she couldn't find anyone who knew where the boxes were to read the ingredients from. She also couldn't remember the list of thigns I told her to look for - whey, casein, soya, soy flour, skim milk powder, milk, butter, yoghurt, cream, cheese, etc. She settled for bran flakes in the end, ebcause they were 100% something or other. I had my own rice milk on them. At least it was food.
Lunch was either nasty dry fish without sauce (a block of fish, some potatoes, and some kind of veg) or salty pork ghoulish. Dinner was, er, the other one of those.
Next day I still couldn't get out of bed to eat, due to a killer headache, but the nurse or midwife or whoever it was didn't believe me, so I had to wait until Rob got there to get my breakfast. He brought me muesli from home. Fab. Lunch was a baked potato so vile that Linnea refused to eat it, even though she was thrilled by the idea of eating in hospital. Dinner was more dry, nasty fish, with potatoes and veg.
Reader, I had that same fish three times. For all I know it was vat-grown and as they hacked off a lump it grew back. It was served with horrible new potatoes (really, they did something to new potatoes to make them really unpleasant) and very very boiled veg.
I ate. I know that food is necessary to recover from having holes hacked in one. I ate everything that I could choke down. The only meals I didn't eat all of were the baked potato and the final lunch, which was yet more blasted fish and since I was going home in 30 minutes I decided to skip it in favour of eating almost anything else.
Next time I shall go in to hospital with a little recipe book, or possibly a camp stove.
Still, last time I was in hospital to have a baby the food was worse.
I was in recovery over the official lunch period, so I first encountered a problem when I went up to the ward and they said they'd bring me something to eat because I'd missed it. I explained; they said "Did you tell anyone?"
Yes, I told everyone before I arrived in to hospital. "No, did you tell anyone up here?"
No, I just got here. It's in my notes. "You'll have to see the dietician."
Fine.
Meanwhile, they found me some cream crackers and some bourbon creams and a cup of black tea. Luckily I remembered these problems from when I was in with Linnea when she stopped breathing at 11 weeks, and from when I was in for perineal repair when Linnea was 8 months, so we had already planned for my mother to bring me food later.
The dietician arrived with the week's menus. She and I looked at them. She didn't know what was in any of the dishes. She didn't think the kitchen could produce dairy-free versions of most things, either. So, based on what I had already eaten in the hospital canteen when I was in for antenatal appointments around lunchtime, I told her which dishes did and did not make me ill.
That's right, the patient who was out of post-op recovery less than two hours told the dietician which hospital meals did and did not contain dairy.
So based on that we chose a menu. She offered to have something special and light cooked for me that evening, since I had just had surgery and most of the women would eat something light the day of surgery. She asked me for suggestions. "Pasta in a tomato-based sauce?" I couldn't see how that could be difficult.
Rob and my mother brought me fruit, biscuits, and cereal bars. And a carton of rice milk.
That night I got a miniscule portion of overcooked pasta in some kind of goo. It strongly resembled the toddler ready-meals one can buy to microwave, in fact - the ones Linnea rejected from age 16 months on, which was fine since we mainly got them for travelling when she was 15 months.
Breakfast the following morning, a nice junior midwife spent ages trying to find out what was in the cereals. They arrive on the ward decanted into unlabelled boxes, you see, and she couldn't find anyone who knew where the boxes were to read the ingredients from. She also couldn't remember the list of thigns I told her to look for - whey, casein, soya, soy flour, skim milk powder, milk, butter, yoghurt, cream, cheese, etc. She settled for bran flakes in the end, ebcause they were 100% something or other. I had my own rice milk on them. At least it was food.
Lunch was either nasty dry fish without sauce (a block of fish, some potatoes, and some kind of veg) or salty pork ghoulish. Dinner was, er, the other one of those.
Next day I still couldn't get out of bed to eat, due to a killer headache, but the nurse or midwife or whoever it was didn't believe me, so I had to wait until Rob got there to get my breakfast. He brought me muesli from home. Fab. Lunch was a baked potato so vile that Linnea refused to eat it, even though she was thrilled by the idea of eating in hospital. Dinner was more dry, nasty fish, with potatoes and veg.
Reader, I had that same fish three times. For all I know it was vat-grown and as they hacked off a lump it grew back. It was served with horrible new potatoes (really, they did something to new potatoes to make them really unpleasant) and very very boiled veg.
I ate. I know that food is necessary to recover from having holes hacked in one. I ate everything that I could choke down. The only meals I didn't eat all of were the baked potato and the final lunch, which was yet more blasted fish and since I was going home in 30 minutes I decided to skip it in favour of eating almost anything else.
Next time I shall go in to hospital with a little recipe book, or possibly a camp stove.
Still, last time I was in hospital to have a baby the food was worse.
(no subject)
Date: 2006-09-19 11:25 am (UTC)I've no idea why hospitals are so incompetant with food...
(no subject)
Date: 2006-09-19 11:53 am (UTC)[Actually I suspect there's someone somewhere who does know something and produces diet sheets and labels the meals that are diabetic friendly/vegetarian[1]/for 'reducing' and the poor 'dietician' is a massively deskilled and stressed person who just parrots this information. So someone who needs more help is pretty much screwed.]
[1]Which when Alex was in hospital was mostly egg mayo sandwiches.
(no subject)
Date: 2006-09-19 11:58 am (UTC)He ate my hospital dinners so that they didn't start hassling me about not eating...
One reason the food is so awful is that they have a budget of about 20p per meal, or something daft.
(no subject)
Date: 2006-09-19 12:17 pm (UTC)I do, however, clearly remember being in the hospital when I was six for an asthma episode. Even after my mother went over my allergies, the first meal they brought me was a peanut butter sandwich.
(no subject)
Date: 2006-09-19 12:20 pm (UTC)When I was in the hospital with Alex, the food was great.[1] I remember eating huge quantities of it - I was so hungry. The only problem was their bizarre schedule. The day after she was born, they brought me my dinner at 4:30 in the afternoon, and then there was no other food until breakfast, 16 hours later. Fortunately, that was the day Michael had planned to bring me sushi, so I got a whole extra meal at 10pm.
[1] Or it seemed that way, anyway. The one thing I realized was objectively not very good was the boxed meal I had on the labor & delivery unit - they kept meals in the fridge that you could have as soon as you delivered, instead of waiting for the next scheduled meal or for the kitchen to send up a hot meal. I think it was a sandwich on white bread, crisps, and an orange. The sort of thing I would have been profoundly unenthusiastic about at any normal time, but it tasted delicious after all that work!
(no subject)
Date: 2006-09-19 12:29 pm (UTC)Er, yeah.
(no subject)
Date: 2006-09-19 01:17 pm (UTC)The food was pretty dire.
There are some obvious changes that could be made (like making the ingredients lists more widely available), but what they really needed was a logistics genius who was also a good cook, and I take it they're in rather short supply for NHS wages.
(no subject)
Date: 2006-09-19 03:31 pm (UTC)(no subject)
Date: 2006-09-19 03:55 pm (UTC)When I had to stay in overnight with Rhiannon, meals were provided for her, but I had to go to the coffee shop three floors down. The menu on the children's ward was chicken nuggets and chips, sausages and chips or pasta in some very odd sauce.
There was a call a while ago from a group of doctors for someone like Jamie Oliver to take an interest in hospital food. Lloyd Grossman supposedly re-vamped menus several years ago but I think everyone has forgotton whatever it was he recommended (if indeed, what he recommended was suitable for a hospital).
(no subject)
Date: 2006-09-19 05:03 pm (UTC)The last two times I was in hospital (2003 and 1995) I found the food to be pretty poor. Most food just does not handle being partly cooked and then left in electric hotplate heaters which is how those hospitals did the food. In 1995 my weight dropped from 7.5 stone to <7 stone in 5 days and that was with me eating potato pancakes and toast instead of hospital food.
I am surprised that the hospital could not provide ingredient lists for the food, as you would have been WELL within your rights to sue if they fed you something that you were intolerant or allergic to. It should NOT be the patient's responsibility to fight for accessible and edible food. Maybe a letter to that effect will stimulate them into acquiring and making ingredient lists of meals accessible.
Sadly based on my own and indeed others' experiences I would not rely on a hospital to provide enough nutritious edible food for patients. If I was to be in hospital again I would get my partner to bring food in for me, I am not fussy or intolerant to anything, but I am hard pushed to force 30-50% of available hospital food into me when I am 'well'.
(no subject)
Date: 2006-09-19 06:43 pm (UTC)(no subject)
Date: 2006-09-19 09:46 pm (UTC)(no subject)
Date: 2006-09-20 07:51 pm (UTC)My brother was in Guy's/St Thomas's (i.e. centre of London, didn't even have the North Wales excuse!) for a fortnight in 1986. He was vegetarian. They offered him salad sandwiches. Which considering he was 14, had rheumatic fever and had already lost a stone, wasn't particularly helpful! Everyone who visited had to take him food :)
Hospital Food
Date: 2006-09-20 11:41 pm (UTC)Re: Hospital Food
Date: 2006-09-21 08:15 am (UTC)Isn't it alanis don't you think?