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"Unprofessional behaviour"

About: Princess Alexandra Hospital

(as the patient),

My experience was in Princess Alexandra Hospital which has a day ophthalmology department. I feel there should be a policy of having an on call registrar or an OD in optometry for eye issues or knowledge of where patients can be treated as an emergency, or some protocol laid out. Perhaps do at least a "puff" test for ocular pressure, fairly quickly. If a patient with an issue like narrow angle glaucoma and symptoms their ophthalmologist stressed needs them to get medical attention immediately, well they should feel that they are taken seriously as otherwise if not listened to, then I feel the patient may risk a blow to the optic nerve in that eye, resulting in irreversible blindness. 

I was upset and trying to get medical attention in order to avoid vision loss. I was not physically or verbally abusive or a threat.  

But that does not excuse the abusive behaviour I feel I encountered by two nurses after the emergency was under control. Two nurses who I think seemed to have found time to come into my bay and stand behind me and make abusive comments, in a blitzkrieg style attack. while I was simply lying there, then rapidly disappeared. No names were given obviously. Perhaps these two could be replaced by a doctor who could assist with emergency accidents and do basic ocular testing. I might add that other nurses came and went to measure my temperature etc and were not abusive. Someone came and flashed a light in each eye to measure pupil reactivity in a dark bay. The triage nurse was ok, but I got the impression overall that they did not realise this could be an emergency. 

When they were free some time later the Head of the Dept introduced themself and did some basic eye testing. L eye 24, R eye 20 mmHg.

Optometrists I've seen given my history are quite concerned when it is 20mmHg as I've already had laser surgery on both eyes to lower the pressures and prevent increases in IOP. 

I was asked how I knew I had a glaucoma episode. I explained I had been told about a fortnight before this at a checkup that I had sustained vision loss in my L eye, though I had experienced only very mild symptoms. So when I woke up and had L eye pain and forehead pain above it, I was galvanised into action. 

When I said this to the doctor and head nurse, I feel I was not believed. Well, this was my third experience of these symptoms. The first episode was severe, the second barely noticeable. This could well be my third.  My L eye despite drops was still considerably larger and more rigid than my R eye, and this was days later after treatment.

I needed to eat as I was getting a migraine due to hunger, and was told breakfast was not until later. So I signed myself out about having received no treatment. The pain had decreased, so perhaps the damage had been done. I wrote on the sheet I was given that I would be seeing the specialist optometrist later myself, to let the doctor know that I would not need to see an ophthalmologist there later that day and that I needed to eat for medical reasons. A different polite nurse wanted to escort me out, but I declined. I wondered if she may have wanted to speak with me. I got a taxi home having received no treatment at all.

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