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"Inadequate Medical Care"

About: Sydney / Sydney Eye Hospital / Emergency Department

(as the patient),

I am writing to share my experience following my visit recently, in the hope that it helps prevent this from happening to another patient.

I arrived at the hospital after a cat attack. At admission, it was clearly documented that I was wearing fake (stick-on) nails. These nails are designed to sit lightly on top of the natural nail and can appear lifted without causing damage. There was no indication that my natural nail was injured or required removal.

While I was sedated and in a vulnerable state, my natural nail on my left thumb was completely removed without my knowledge or consent.

When I later (next morning) spoke with the doctor, they told me that a “dog” had ripped off my nail. This was deeply unsettling. Not only was this incorrect, but it also made me feel that my case had not been properly reviewed. My records clearly stated the cause of injury and the presence of fake nails.

What has been most difficult to process is that this procedure caused significant physical trauma. Removing a natural nail affects sensitive tissue and nerve endings, and in my case, it was done without clear medical justification.

When I woke up, I was in distress and confusion. I could hear nurses discussing what had happened, and their tone suggested concern. In that moment, I felt not only unbeatable pain, but a loss of trust and safety.

A couple days later, during a follow-up, the same Surgeon attempted to remove the dressing from my thumb while the wound was still extremely raw. I expressed pain and asked him to stop, but they continued until I screamed. That moment felt distressing and lacking in compassion.

I want to acknowledge that I have since received care and support from other members of the team, and I appreciate those efforts. However, this does not change the physical and emotional impact of what happened.

At the time of treatment, I was alone, sedated, and fully trusting the medical team to care for me. This experience left me feeling vulnerable, unheard, and harmed in a way that I believe could have been avoided with basic attention to patient notes and more compassionate care. (There were 5 professional and no even one read the records)

I am sharing this to remind that behind every case is a person. Taking the time to read patient information, to listen, and to act with care can make all the difference.

I kindly request:

- Consideration of how communication and patient care can be improved to prevent similar experiences

I am writing to share my experience following my visit on Sydney Hospital Hand Clinic.

Thank you for taking the time to read my experience. I hope it contributes to improving care for future patients.

Do you have a similar story to tell? Tell your story & make a difference ››

Responses

Response from Sydney/Sydney Eye Hospital 4 weeks ago
Submitted on 8/05/2026 at 10:23 AM
Published on Care Opinion Australia at 2:13 PM


Dear DistressApril,

Thank you for sharing your experience with us.

We are very sorry to hear about your experience following your attendance at Sydney and Sydney Hospital after a cat-related injury.

We are concerned to hear that your uninjured natural thumb-nail was removed without your consent, following the surgery. Where there is a nailbed injury, it may be clinically necessary to remove the nail in order to clean and repair the nailbed appropriately. Although the superficial nail may have appeared to be intact due to the fake nail you were wearing, the underlying injury may not have been immediately obvious. However, the need for nail removal and nailbed repair should have been explained to you as part of the consent process.

We are sorry to hear about your experience during the follow-up dressing removal, where you felt pain while we were removing your dressing. Patients should feel listened to and supported, especially when they are experiencing pain or feeling vulnerable.

We appreciate that you have also acknowledged the care and support you received from other members of the team. However, we recognise that this does not take away from the physical and emotional impact of your overall experience.

Your feedback will be shared with the relevant manager and clinical team for review. We will use your feedback to reflect on accurate and contemporaneous documentation especially obtaining consent, and how staff respond when patients raise discomfort.

If you would like your concerns formally reviewed, please contact us on SESLHD-SSEHConsumerFeedback@health.nsw.gov.au so they can look into the matter further and follow up with you directly. Thank you again for your feedback.

Natalie Maier
Director of Nursing and Support Services

Dr Pauline Rumma
Director of Clinical Services

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful

Update posted by DistressApril (the patient)

Thank you for your response. However, I must clarify that the statement that “the need for nail removal and nailbed repair should have been explained to you as part of the consent process” does not reflect my experience, as this was never discussed with me nor was I made aware that nail removal was being considered.

I remain deeply disappointed by this matter.

Additionally, at least three different medical professionals examined my hands prior to the procedure, and none of them mentioned any damage to my left thumb nail or any need to remove my natural nail. This further reinforces my concern that my case was reviewed only superficially.

The fact that the procedure was performed unnecessarily, together with the attending doctor later not even being aware of which animal caused the injury, raises serious concerns regarding the level of attention given to my case and the adequacy of the clinical assessment performed.

While I understand standard consent documentation exists, I believe a signed form does not replace the responsibility to properly review a patient’s case, communicate clearly, and obtain informed consent for a significant and painful procedure.

I sincerely hope meaningful feedback is provided to the team regarding the importance of careful case review, communication, and compassionate patient care.

Please note that I have now formally escalated this matter for further review via email, and I await your response.

Regards,

DistressApril

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