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"Ongoing lack of care"

About: Royal Perth Hospital / Renal (Nephrology) & Urology & Endocrine Medicine & Ward 6A/6B/6C Royal Perth Hospital / Respiratory Medicine & Ward 9C

(as the patient),

A few years ago, as a result of chemotherapy medications and dialysis I believe, my blood pressure dropped significantly in the shower and I fell/passed out. The pain was excruciating and although I could feel my legs, I could not move. After a few hours and assistance from St. John ambulance, I made it back to bed. My spouse dosed me up on analgesia and there I stayed for a couple of nights. 

I attended my Dialysis appointment in the morning at RPH and as soon as they saw me, I believe I was a code blue. After dialysis, I was transferred to ward 9c. Apparently, staff thought I had had a stroke. Doctors came in to see me and organised X rays. I requested one on my back as it hurt so much. I felt the pain was a constant 15/10. I was later informed that I had a stable crush fracture to L1 of my spine.

During the night, I had to request log rolls (as per spinal precautions). As agency staff changed each night, I felt I kept having to ask. About the third night, I was told I no longer required log rolls as I was stable. OT and Physio visited and cleared me to be discharged. I felt I could hardly walk and was in pain. I asked for a brace (standard practice spinal precautions) but I was refused as I had a stable crush fracture!

Over the following months, I felt my back pain increased. I requested a spinal referral from my GP (wasn’t my normal Dr as they weren’t working) but somehow I never got one. A few months later, I asked my haematologist to refer me to the spinal team. Again I heard nothing!

I paid to see someone else a few months after that. They informed me that there was nothing they could do as my stable crush was now a disintegrating wedge. They referred me to a pain specialist who also said there was nothing they could do to help me.

I believe that had the injury been monitored, it may have been possible to have treatment to prevent what’s now happened. Later in the year, I received a letter from RPH asking if I still required to see spinal. I replied in the affirmative. On the day of the appointment, I was kept waiting (in excruciating pain) for approx 2.5 hours (my appointment was for the morning). I believe the Spinal RMO was concerned about my circumstances so they called the spinal surgeon, to come in and see me. The surgeon said I now had a kyphosis of 22 degrees and if they performed surgery it would come with a significant risk. They also stated they felt like any metalwork would not hold now. Both admitted to me that I should have been discharged with a Hewitt brace, and that I should have been called for a follow-up outpatient appointment in 3 months. I believe it was noted that the Doctors on ward 9c failed to send Spinal a referral for me.

I feel had these steps been taken, the worsening condition of my spine would have been noted and action taken to prevent it worsening. The surgeon said I should be seen again in 3 months. The doctor gave me a yellow slip to hand in and had written on the top that I was to have the 1st appointment and was not to be kept waiting.

Two weeks ago, I noticed I had not received a spinal appointment. I called RPH and was told an appointment had been made. I had not received any notification of this appointment, therefore, as I would not have turned up, I would have been marked as not attending and forgotten about again.

Words cannot express the anger I feel for the lack of appropriate treatment and care I have received from RPH. I feel my future life quality has been ruined through no fault of my own. I asked for a brace, I asked for a spinal referral! I have had to retire through ill health. I have no income and no demerits, nothing from Centrelink (God knows I have tried). I find now I have hundreds of dollars of expense for medication and in the future, I am going to need assistance in my home (cleaning, etc.) and with ADO’s and I cannot afford these expenses.

Quite bluntly, I think RPH are responsible and should find a way to assist me with them, after all, had I received adequate and timescale, I believe I would not be in this position now. 

My life quality ruined and it can only extrovert get worse. I am very angry that you thought it acceptable to do this to me.

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Responses

Response from Lesley Bennett, Chief Executive, East Metropolitan Health Service 4 years ago
Lesley Bennett
Chief Executive,
East Metropolitan Health Service
Submitted on 28/01/2020 at 10:18 AM
Published on Care Opinion at 10:19 AM


picture of Lesley Bennett

Dear septemberbm59,

Thank you for taking the time to let me know of your experience with Royal Perth Hospital.

I am deeply sorry to hear of your injury and painful condition and the devastating impact this has had on your quality of life. Your feedback is very important to me and has been passed on to both the spinal service and your admitting speciality.

I would like to look into your specific case. If you haven’t done so already could you contact the RPBG Consumer Engagement Unit on 9224 1637, 8 am to 4 pm Monday to Friday or email RPBG.Feedback@health.wa.gov.au to help us to undertake a thorough review of your assessment, treatment plan or follow up and to see if there are ways we can assist you into the future.

Sincerely,

Dr Lesley Bennett

Executive Director

Royal Perth Bentley Group

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