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"Sent to palliative care too soon"

About: Fiona Stanley Hospital Royal Perth Hospital Sir Charles Gairdner Hospital

(as a parent/guardian),

Many months ago, my adult child went to the Royal Perth Hospital (RPH) with heart failure and fluid on their body. They walked in themselves and were short of breath. While they were in hospital, they contracted aureus golden staph infection. 

I feel my child was ill-treated all the way through. The nurses kept accusing them of drinking water because they kept gaining weight - my child wasn't allowed to do that - but they were just washing their face and rinsing their mouth to wet it. They couldn't even get up at that stage. They were just using the iced water we brought them - putting it in their mouth and spitting it into the bag they give you to throw up into. 

What I believe the reason my child was gaining weight was that the infection was causing inflammation. 

My child's foot was also incredibly painful and they kept asking the attending staff for physio treatment and to find out what was wrong with their foot but nobody did anything. 

My adult child was given medication and sent home. But the golden staph came back. They didn't want to go back to the RPH because that's where they got the bug. So when they got sick again, they went to the Fiona Stanley Hospital. But they were sent home from there to manage things on their own. 

But they got so sick with aureas golden staph that they went back to the Fiona Stanley. They were treating my child for their heart failure, but as far as I could see, the golden staph caused the septicemia again. I felt that the attending staff treating my child were constantly accusing them of still taking drugs. The doctor said my child had to get off the meth but they hadn't been on meth for 6 to 7 years by then. My child was agitated all the time but I believe this was caused by the medication. My child has just been treated terribly. We made a complaint and the accusations reduced for a while but then started happening again. They said my child has heart failure and their heart pumping projection was at 5%.

Their foot was still so sore and my child kept asking for a physio to help them start walking. They got my child a psychologist but no physio.   

The Fiona Stanley Hospital sent my child home with medication again but then the septicemia came back. Because they couldn't walk, they had to go to the hospital by ambulance. My child asked to go to Sir Charles Gairdner Hospital (Charlie's) but was accused of hospital shopping. My child asked to go there because it's closer to home and because Fiona Stanley said they couldn't do anything more but put them in palliative care and wait for them to die. 

Charlie's treated the bug there but then sent my child home. I think that at that point the septicemia had come back. 

At home, my child could barely walk on their foot and was only able to get up to go to the toilet. But then they fell and busted both feet. Most of the time, we had to pull them to their feet - they were sent home in this state - not even able to bear their own weight. 

My child then went back to Charlie's via ambulance. My child was X-rayed - but because their feet were so swollen the medical staff couldn't see anything. The hospital staff said they were going to do a scan on my child but that never happened. They got to the point of putting some radiation dye in my child but then never did the scan. 

They put a needle into their stomach where they were giving them morphine. I stopped that because it zonked my child out too much. They were treating their heart and the bug. 

We asked them to look at their ear but they said they were more worried about their heart. When my child was at Charlie's, their heart went to 180 and their defibrillator went off - it hasn't gone off in 4 years so why did it go off then? My child said the treating staff just gave them an empty syringe and told my child to blow into it. They were more or less treating them like a drug addict. They were on drugs but it was years ago. They also said they put a magnet on it to stop it going off and kept giving them morphine. 

The treating staff said my child's heart pumping projection was at 23% which was a lot better than the 5% the Fiona Stanley Hospital said it was. But then Charlie's said later that it was at 5% so I don't understand.  

One night Charlie's even called in the early hours of the morning to say my child's blood pressure was that low that they won't make it to the morning. I told them to give my child food and water and they were okay. 

They said my child's heart is too weak but they won't give my child a transplant and that we should put them into palliative care so they can get home care. To just go home and make them comfortable and let them go. 

They took them off their diuretics but I told them to put my child back on them. They were giving them an IV but they took that out and starting just giving them oral antibiotics. Charlie's said they've got the ball rolling and my child's going to die. They said the bug will now take over and make them comfortable and let them go.

Charlie's even said my child would be lucky if they make the trip home from the hospital - but they are still with us after several weeks. They have no idea how much my child is suffering.

That was several weeks ago. My child cannot walk but tries because they are not ready to give up. They have been on the couch for several weeks and haven't had a shower in months - even when they were in the hospital, they only got a hand wash. 

A home-service is now sending someone to check my child's INR (blood thickness) and not checking to see if the infection grows back. They keep asking my child if they want morphine. They gave me fentanyl patches.  I have a fridge full of morphine. I feel my child's not getting any care because the hospitals all put them in the too-hard basket. They didn't even send them home with any diuretics. 

I think it's disgusting the way my child has been treated.  They got the infection from a hospital so they should be doing more about helping them. They have a duty of care to my child who has lots of health issues but is being neglected. I am heartbroken. 
Don't just keep saying my child is going to pass away from heart failure or the septicemia. The hospitals should be asking what they can be doing. 

At home, we put my child back on their diuretics and normal medications and they started urinating again. I feel they wouldn't be here if I hadn't done that. My child is still trying to battle. 

My child is now too afraid to go to any hospital because they say nobody is going to help me. They are in agony from their foot - they are trying to do this on their own because they are not ready to let go.

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Responses

Response from Janet Zagari, Executive Director, Sir Charles Gairdner Osborne Park Health Care Group 4 years ago
Janet Zagari
Executive Director,
Sir Charles Gairdner Osborne Park Health Care Group
Submitted on 8/08/2019 at 10:59 AM
Published on Care Opinion at 11:06 AM


picture of Janet Zagari

Dear ariesjj86,

Thank you for taking the time to share your experience of the care provided to your child. I am sincerely sorry to hear that we have failed to meet your expectations and that your family and your child are not receiving the care and support that you need.

I can see from your post that we need to talk with you to understand what else we can do to care for your child and family, and then to look at the issues that you have experienced. I would really like you to contact our Patient Liaison Service directly so that we can try to address your concerns at the earliest opportunity and ensure your child receives the best care available.

I have spoken with one of our Medical Co-Directors, Dr. David Joske, who has agreed to urgently review your case, supported by the Patient Liaison Service.

Given that Sir Charles Gairdner Hospital has treated your child most recently, we would like to be the first point of contact for your concerns relating to each of the hospitals. With your agreement, we can then share your details with Royal Perth Hospital and Fiona Stanley Hospital so that you don’t have to ring each of the hospitals separately.

Because your child is an adult, we will need their permission to share information with you as we are bound by patient confidentiality. This can be provided when you speak with the Patient Liaison Service who can be contacted on (08) 6457 2867 or via email at SCGHPatientLiaisonService@health.wa.gov.au. We can then arrange for Dr. Joske and Patient Liaison to meet with you as appropriate.

Kind regards,

Janet Zagari

Executive Director

Sir Charles Gairdner Osborne Park Health Care Group

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Response from Neil Doverty, Executive Director Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service 4 years ago
Neil Doverty
Executive Director Fiona Stanley and Fremantle Hospitals Group,
South Metropolitan Health Service
Submitted on 8/08/2019 at 10:59 AM
Published on Care Opinion at 11:06 AM


picture of Neil Doverty

Dear ariesjj86,

I was saddened to read of your child’s experience and for the distress this journey has caused your family. Please accept my sincere apologies on behalf of Fiona Stanley Hospital (FSH).

The issues you raise regarding your child’s treatment at FSH are a concern and we are very keen to investigate and learn how we could have responded better to support your child.

Sir Charles Gairdner Hospital (SCGH) will be inviting you to make direct contact with them and, with your child’s consent, will then share information with us so that we can ensure your concerns are thoroughly reviewed and responded to, and whether we can offer any further support at this stage.

Thank you for sharing your difficult story.

Kind regards

Neil Doverty

Executive Director

Fiona Stanley Fremantle Hospitals Group

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Response from Lesley Bennett, Chief Executive, East Metropolitan Health Service 4 years ago
Lesley Bennett
Chief Executive,
East Metropolitan Health Service
Submitted on 8/08/2019 at 10:59 AM
Published on Care Opinion at 11:06 AM


picture of Lesley Bennett

Dear ariesjj86,

Thank you for sharing your feedback with us so that, hopefully with your assistance, we can look into your child’s treatment, respond to your concerns and support you going forward.

On behalf of Royal Perth Hospital, I apologise for your experience with us and acknowledge how difficult it must be to have a sick child and the anguish and helplessness this can make you feel.

Without knowing the specifics of your child and their case, I cannot comment further on the specific points you raise in relation to the care provided at Royal Perth Hospital. However, we take matters like this very seriously.

I understand that you will be invited to make direct contact with someone at Sir Charles Gairdner Hospital, who can then work with our hospital as well to ensure that your concerns are thoroughly reviewed and responded to.

Thank you again for contacting us so that we are aware of your situation and can support you and your child going forward.

Dr Lesley Bennett

Executive Director

Royal Perth Bentley Group

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