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"No communication"

About: St George Hospital / 3 West Orthopaedics St George Hospital / Emergency Department

(as the patient),

I had gynaecological surgery a number of months ago at another hospital. Following the surgery I had complication with my leg – the pain was unbearable and I was bed ridden on the ward for 4 days. Eventually I managed to get up and out of bed, and at this point the hospital said it was time for me to be discharged.

Following this, at home, the pain would come and go. One night it flared up and was terrible all night. First thing in the morning I called my GP and went in to have it checked out. They advised me to go to the ED immediately – they even wanted to put me in an ambulance.

I presented at the ED and was seen straight away, which was good. While in the ED, the staff had me see a neurosurgeon and a registrar from the surgeon’s team. I also saw a neurologist. They sent me for various MRIs and CT scans, covering my spine and brain. I had had a number of surgeries on my spine years prior, and they wanted to investigate the possibility of that being the source of my pain.

That day I was admitted under the neurology team to Ward 3 West. More scans were done (on my brain, spine and neck). They noted that everything looked fine with my spine, which was a relief. The neurosurgeons said they would speak to the neurologist to look at my leg.

During my time on the ward there was no communication, it was so frustrating. No one could tell me what was happening with my treatment; I would ask the nurses and they said they would ask the doctors to find out, but this never seemed to get back to me.

8 days in and still nothing had been done with my leg. The neurosurgeon said that my spine was fine and that I could go. I still had no idea what was causing the pain in my leg. I went to the NUM that day and advised them to look at the report of the surgeon who performed the original gynaecological surgery, as this was where the complications and pain began. The neurosurgeon came back to see me and said that they had seen some of the original surgeon's notes, but that they had misplaced them. So now my personal, confidential medical notes were missing.

I was discharged that day. The next day I received a call from the neurologist asking where I was. I explained that I had been discharged by the neurosurgeon the previous day. They explained that they were not told that I was being discharged and that they had wanted me to see the gynaecology team and have some further testing done. They were very apologetic.

I am now seeing the neurologist as an outpatient, and they have sent me for nerve testing at another place, which is $50 out of pocket, as well as an MRI on my leg which is $300-400. If I was still in hospital, all of this would have been done at the appropriate time. But because one team didn’t communicate to the other that they were discharging me, I have to follow up all of this outside of hospital. And despite being out of hospital, I am still unable drive, or work, as my leg remains an issue. The whole experience has been extremely frustrating.

I do want to say that the nurses were great, and that the neurologist is lovely and has been very apologetic about the whole situation, despite it not being their fault. I just find it so frustrating and disgusting that the lack of communication has put me in the situation I am in now.

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Responses

Response from Leisa Rathborne, General Manager, St George Hospital 5 years ago
We have made a change
Leisa Rathborne
General Manager,
St George Hospital
Submitted on 9/10/2018 at 4:21 PM
Published on Care Opinion at 4:42 PM


picture of Leisa Rathborne

Dear Februaryyp93

Thank you for taking the time to share your feedback. I was saddened to read your post about the poor experiences you had and it was disappointing that you described our communication as being so poor. Communication is an essential part of good patient care, particularly when someone is experiencing such obvious pain that has proven challenging to diagnose and treat.

I have highlighted the importance of communication with patients through our staff forum that was held today.

I also have discussed your feedback with the ward and the medical teams who would have been involved in your care. Your kind words to the ward nurses were also shared.

I do thank you again for taking the time to write and share your experience. St George Hospital is committed to learning from feedback such as yours to improve the provision of care to patients and their families.

Yours faithfully

Leisa

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Update posted by februaryyp93 (the patient)

Hi Leisa, thank you for responding.

Since leaving hospital I have seen the neurologist and went through everything again with her and she did another check up! I had an appointment where I had some nerve testing done and some other test which the doctor did there which cost me $50! I’m on the waiting list to have this MRI which could have been done in hospital if the doctors actually did correspond with each other and my actual appointment isn’t for another couple of weeks! This test is bulk billed, thank God!! I am still having problems with my leg and am still unable to work which is extremely frustrating as this could have been all done whilst being in hospital and had gotten some answers as to what is going on. I’m still extremely frustrated, as it’s all taking so long now as an outpatient. It’s just not fair. I’m the one who is still suffering! Thank you for listening 🙏

Response from Leisa Rathborne, General Manager, St George Hospital 5 years ago
Leisa Rathborne
General Manager,
St George Hospital
Submitted on 16/10/2018 at 9:47 AM
Published on Care Opinion at 9:49 AM


picture of Leisa Rathborne

Dear februaryyp93,

Thank you for your email. I’m sorry to hear of the difficulties you have had in arranging a timely MRI. We can make some enquires with our Radiology Department if there might be a possibility that we could arrange an earlier MRI for you at St George Hospital as an Outpatient. To investigate this we would need some more information.

If you would like us to explore this further, I would encourage you to contact our Patient Experience Manager, Mr Anthony Marsh on 9113 2687 or SESLHD-STG-ConsumerFeedback@health.nsw.gov.au

Yours faithfully,

Leisa

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Update posted by februaryyp93 (the patient)

Well it's 5.30 am on Friday - I've been up nearly all night in a lot of pain in my leg once again with ice packs on my leg! It’s been a bad week! 😢😢 I do however, want to say that after my last post I got a response from a very nice lady Sue (at Patient Opinion) who was extremely helpful and understanding of all of my frustrations and gave me the name of a gentleman called Anthony (at St George Hospital -SGH) to call regarding getting an MRI done as soon as possible at St George. When I spoke to him on Tuesday, he was so lovely as well and told me he would get onto it straight away and within half an hour I had an appointment booked for this morning at 8.30 am! It’s been an extremely frustrating time for me and very painful at times but I’m glad there are people that are listening and are there to help! I still am extremely frustrated that I was sent home from hospital by one team without speaking to the other team and have suffered the consequences of their actions! A big thank you to Sue (Patient Opinion) and Anthony (SGH) for helping me to get the ball rolling and hopefully get some answers!! 🙏☺️🙏

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