We've moved from Baltimore, Maryland USA to Venice, Italy in pursuit of living our dream!

Wednesday, May 11, 2016

The Impegnativa, one very important Italian document

Perhaps a better title for this post is The Italian Medical system, part XXX .  Seems I could write on this topic endlessly!  It's a subject I get asked about frequently in emails and in conversations with tourists from almost every country imaginable, but mostly from Americans wanting to hear first hand what I think about the differences between medical services here and back home.

I spent a bit of time this rainy morning over at Ospedale Civile while waiting for an appointment with an ear specialist, and that got me to remembering a previous visit to an ear specialist back about 6 years ago.  It was my famous visit to ex-Ospedale Giustinian, over in Dorsoduro, the afternoon I got lost and locked in the bowels of that huge, dark, scary Venetian building and ran into the worker wearing only his underwear. An afternoon I would like to be able to forget, but unfortunately that image is forever etched in my brain.

Last week when I was making this appointment, I flatly refused any and all possible appointment times offered at Giustinian. No, never again. Trust me. Never again. I'll go anywhere else, even to Mestre on the mainland, but not Giustinian. Thankfully this morning finds me at Ospedale Civile in Campo San Giovanni e Paolo.

I couldn't help but do a re-play of that horrifying afternoon in my head while passing time in the waiting room this morning. When my turn was called, I took my place at the sportello (counter) where the intake nurse processed my paperwork. Finished with all that, I asked if she could help me with one other matter.  I've been having a real run around trying to get appointments for injections in my knee for months now, and since Orthopedics share the same office space here I thought I'd just try my luck one more time. I already had an impegnativa (see photo above) for the injections, but for unknown reasons every time I tried to make the appointments, I was given another reason why they could not make an appointment on this doctor's calendar. It has been months, and still nothing. 

I'd discussed this problem with my regular doctor the week before, and she gave me yet another impegnativa for the injections with the advise to try again at the hospital appointment desk. I did try, but was told only my Orthopedic dr. could give this prescription, and I must wait on him.  Yes, I've been waiting. Months. And now the knee has decided this isn't fun any more.  So today, I explain that I now have 2 impegnativas and still no appointments. My regular doctor had also advised me that if I still didn't get an appointment to go take the matter up with the woman who runs the Office of Public Relations. That woman was my next stop this morning, after the ear dr. finished up with me.

The second secretary in the office, who was listening to my explanation of the multi-impegnativas,  turned from her computer screen to face me and told me to come see her when I had finished up with the ear doctor.

Back in the waiting area, I waited for my turn for the doctor. When my number was called, I was
introduced to a fairly young Ear, Nose and Throat specialist. Instead of asking me what brought me to him this morning, he asks what brought me to Italy. I should have been prepared, as this is a very common question, especially in any medical office. I proceed to give him the brief history of Karen becoming an Italian. Why is this so curious?

Next question from the dr. , " Is it true American doctors are all rich? My friend told me this. "
My response: "Doctors in the US do make more than most doctors in Italy, I am sure of this." He turns to his nurse and begins a fairly lengthy discourse on how medical services here in Italy are free or so inexpensive compared to in the US. He seemed quite unhappy with the whole scenario.

As he is examining me, he relays his family story of how his nonno (grandfather) immigrated after the war, how one uncle ended up in the US, another eventually in Germany. The examination conversation took a few more turns, ending with the doctor writing another impegnativa for yet a different examination. As you may have deduced by now, the impegnativa (see photo above)  is like the Willy Wonka Golden Ticket.  This gets you appointments with specialists; blood tests, x-rays and ekg's etc.; and prescriptions. It's a crucial document.

I remembered to stop by that secretary's desk on my way out. She took both of the impegnativa's for the knee injections, looked them over, hit a few keys on her computer and asked me if next Thursday at noon worked for me.  Absolutely yes. No matter what I might have planned for next Thursday, I will be cancelling. There was no way I'd miss an opportunity to get these shots. I asked her about the other 2 dates. She responded, "Don't worry. Get here on Thursday and we'll work all the rest of that out."  I thanked her profusely. She adds, "I remembered you from when you had your knee operated on. The American woman. "

Yes, the American woman. I must seem like a freak show to these Venetians.