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"Hospital admission"

About: Bunbury Hospital

(as a carer),

My spouse was admitted to Bunbury Regional Hospital (BRH) last month to have their pain medications rotated. At the time of admission, they reported a new pain located in their neck. 

Five days later, they were due for CT scans of brain, neck, chest, abdomen, pelvis and upper legs. The CT had to suffice as the PET scan requested was too long for my spouse to lie on their back without heavier pain relief than can be provided.

The doctor who admitted them to the ward decided that - to cut down a 15-20 minute scan to half the time - that the brain and neck scans weren't necessary. This was told to me at a meeting on a few days after my spouse was admitted. I queried the logic, since neck pain was a new symptom in someone with metastatic cancer.

I spoke with hospital staff over the weekend prior to the scans and the full gamut was conducted 5 days after admission; they found that the top vertebra of my spouse's neck was fractured. I believe that in the course of a day, when they had an MRI booked, my spouse could have decapitated themselves, i.e. severed their spinal cord cutting of electrical impulses to their heart and lungs and died on the spot.

They also decided that my spouse wasn't showing signs of serotonin syndrome (treated with an antidepressant for the off-label purpose of pain relief) that had been addressed by our GP and the weaning process had begun. Rather, they put my spouse back on full dose and added another antidepressant medication (also used off-label wasn't told about this) and melatonin to help them sleep. 

Within a couple of days, my spouse displayed new symptoms, i.e. twitches and muscle spasms as they drifted off to sleep. I asked a nurse to observe and told them this is not normal for them; the nurse said they'd keep an eye on it.

After discharge, I have not received requests for regular blood tests to ensure one chemical element effected by their cancer medications is within normal range (being low or high can be potentially fatal, I was told).

I also wasn't informed of how long to keep giving my spouse the melatonin, only that it was for "short term use".

The twitches/spasms were getting worse, and other symptoms started, i.e. being jittery and restless. The ward clerk wouldn't let me speak to the ward pharmacist or the prescribing doctor to discuss as my spouse was no longer a patient.

There is much more to tell, but not enough time or space in here to give the full picture.

Recently, I contacted a senior staff member whose colleague rang me back instead. My medical knowledge was questioned to which I feel demonstrated a greater-than-normal education on the topic.

I felt I was given the big run-around and many denials of the seriousness of the nature of my complaints, of which I already have many against WACHS-SW in play. But the one thing that this staff member agreed with me on is that the off-label medications may be contraindicated and could have caused the symptoms reported by my spouse and observed by me.

I asked the staff member if they were aware that, if left as prescribed, these symptoms can create a permanent disability (tardive dyskinesia), and I believe they knew this.

But no admission was forthcoming.

I believe that things need drastic overhauling, and not just in medical technology. 

I believe staff I've seen are unaware of the Carer's Recognition Act 2004 and the Australian Charter of Healthcare Rights (2nd edition), of which the A4 posters are placed on walls all throughout the hospital.

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Responses

Response from John Brearley, Co-Director Stream A, Bunbury Hospital, WACHS - South West 3 weeks ago
John Brearley
Co-Director Stream A, Bunbury Hospital,
WACHS - South West

Stream A includes: Medical Ward, Medical B, Subacute, ICU, Emergency Department and Ambulatory Care at the Homemaker

Submitted on 4/08/2025 at 3:26 PM
Published on Care Opinion Australia at 3:26 PM


Dear Angry Advocate

Thank you for taking the time to share your concerns regarding the care of your spouse at Bunbury Hospital.

I want to firstly acknowledge how distressing and overwhelming it must be for you and your spouse to navigate a cancer diagnosis and I am very sorry that your experience of our service has added to this burden. I would like to assure you that we genuinely value your feedback and recognise the importance of understanding and addressing the concerns you have raised with the seriousness they deserve.

With this in mind, we would like to invite you to meet with one of our Senior Medical Consultants so we can provide clarify and learn more about what happened, while exploring ways we can improve our service and support. If you are amenable to meeting with us, please feel free to contact our Consumer Liaison Officer, Debbie, on 9753 6537 and she will assist in arranging a meeting at a time convenient for you and your spouse.

As a result of your feedback, I will also take the opportunity to remind staff about the Carers Recognition Act 2004 and the Australian Charter of Healthcare Rights to reinforce the importance of carers and their essential role in supporting patients along their healthcare journey.

Thank you again for reaching out and I hope to hear from you soon.

Yours sincerely

John Brearley

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Update posted by Angry Advocate (a carer)

Dear Sir,

I feel your public response is a far cry from the response I received on the telephone with you. You did not seem at all appreciative of me contacting the CEO of your hospital and it seems that neither did he, since you responded in his stead.

I recall you did not accept what I believe to be your staff's failings, except conceding one point regarding medication; hospital staff were all made aware that the patient was being titrated off this medication under our GP's instruction and supervision, due to showing signs of serotonin poisoning, yet the medications were re-instated at full dose.

Did anyone pay attention to anything I said and document this in the patient's notes, or was I totally disregarded? I suspect the latter is the case.

If it was documented, I would like to see proof as well as any subsequent medical notes demonstrating the rationale for increasing the dose of this medication.

Is there any point in ringing your Consumer Liaison Officer or will I receive medical gaslighting? I suspect that the latter will be the case.

I have been led to believe that our healthcare system values feedback, as you have stated, but this does not seem to include anything more than, in my opinion, hollow apologies for potentially fatal oversights and breaches of duty of care.

Talk is cheap but my spouse's life is not. What do you propose to actually do to help the patient? And are your staff going to try to seek retribution against me should my partner need to be admitted to your hospital in the future?

I am disgusted by what I believe is your faux concern in light of public scrutiny.

In my opinion, if not for my diligence, and intimate knowledge of the patient gathered over several decades, symptoms of a rare pharmaceutical reaction would have been dismissed until such time as it had become a permanent disability, I.e. tardive dyskinesia, on which I recall you actually agreed... but it was the only admission you would make, and I believe you were not prepared to do anything about it.

If our I was right about that, why can I not be right in the other allegations I made?

How dare you insist that I apply under FOI to receive the minutes of a meeting between myself and several of your staff when this meeting did not include the patient; in fact, the patient was unaware of this meeting with me having been arranged.

If you want to prove your concern about this matter, I believe you can get one of your Senior Medical Consultants to forward me the minutes of that meeting, post haste!

In my opinion, most people will have no idea of anything medical and will not be able to recognise anything untoward. I am not one of those people and I feel the need to speak up on their behalves as well as of that of my spouse.

Incidentally, I believe I should bill the hospital for the nail clippers (2 x $40.00) I had to purchase to tend to my spouse's personal care, as your podiatrist does not tend to admitted patients. I think I should also bill you for my taxi fare to and from the hospital to perform this task, as well as my time based on the award rates for junior podiatrists.

I also filed the patient's toe nails after clipping them. Equipment and services total approximately $200.00, and I believe I am being generous.

Also, nobody bothered contacted me to inform me that the patient had left behind an almost full pump pack of moisturiser that cost a little under $20.00. The patient was in a hurry to leave your hospital and I was unable to help them pack, and apparently staff did not ensure that they left with all their belongings.

Are you going to reimburse me for these things? I believe that you should and that it is the very least you can do to apologise.

Response from Jeffrey Calver, Director, Bunbury Hospital, WACHS South West 2 weeks ago
Jeffrey Calver
Director, Bunbury Hospital,
WACHS South West
Submitted on 12/08/2025 at 12:43 PM
Published on Care Opinion Australia at 4:47 PM


Dear Angry Advocate,

I’m sorry that our response did not provide the assurance and resolution you seek.

In order to clarify and learn more about your husband’s admission, and to address any questions you may have, Bunbury Hospital would like to extend our previous invitation for you to meet with a Senior Medical Consultant from the General Medicine Department.

If you would like to pursue this opportunity, please contact our Consumer Liaison Officer, Debbie on 9722 1521.

Yours sincerely

Jeffrey Calver

(Alternatively, HADSCO is available for consumers and carers who believe an independent third party could assist with resolving any ongoing concerns/complaints). They can be contacted as below

Health and Disability Services Complaints Office (HaDSCO), who are an independent Statutory Authority. HaDSCO are responsible for offering an impartial complaint resolution service relating to Health, disability and mental health services in Western Australia. HaDSCO can be contacted on Country Free call: 1800 813 583 Fax: 9221 3675 TTY: 6551 7640 Email: mail@hadsco.wa.gov.au or Post: GPO Box B61 Perth WA 6838.

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