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"Diagnosis"

About: Hedland Health Campus Patient Assisted Travel Scheme - WACHS Pilbara

(as the patient),

I was diagnosed with Parkinson’s Disease (PD) early last year. I suspected I had it for about a year before I finally demanded to go see a neurologist after 4 local doctors said I didn’t have it. I had tremors, loss of motor control, rigidity, loss of sense of smell; I believe all classic PD symptoms and all on my LHS. In my opinion, I should’ve been referred on my first visit, simply due to those symptoms but I had to tell the fourth doctor I wanted to see a neurologist. 

PATS have flown me down 4 times to see my private neurologist, who is also a movement disorder specialist, but now have refused my latest claim, I believe because policy demands me to utilise the visiting specialist! So I have to either pay the exorbitant airfares from Karratha to Perth or see a specialist in Port Hedland, a 2.5-hour trip each way. So I had my husband drive me over. The specialist eventually came out, they looked a mess in my opinion; as though they hadn’t even done their hair. I felt they were surly, but so was I, because according to PATS, this neurologist said they wanted to see me and make their own diagnosis. 

When we went in, they asked me why I was there? I said because I have Parkinson’s and they asked again why am I there. To which I responded:  because you told PATS you wanted to see me and diagnose me yourself!
They then said why would they want to see me, look at the list of patients,  and said they haven’t even had breakfast and so the appointment went; both agitated at each other. I felt they wouldn’t let me finish my sentences before cutting me off. They asked what other medications I was taking, then, when I couldn’t remember the names of a couple, they waved me off and said don’t worry, It doesn’t matter. What the?

They continued on and did a quick check on how I walked, talked and wrote, then turned around and simply said they don’t think I have Parkinson’s’. (I needed an MRI and blood tests for my first diagnosis to rule out other things, however, it seems they have made this diagnosis with nothing). I laughed and said what, I’ve already been diagnosed by 2 neurologists in Perth! To which they still said, well I don’t think you have Parkinson’s. I then said ok and asked what do I have. They said they didn't know, so I asked what do I do now. They advised continuing on my medication if it stops my tremor.  

I find this extremely upsetting and irresponsible in my opinion, to suggest continuing meds that I apparently don’t need! I’ve written a sarcastic, perhaps mean, email to PATS and told them about it on the day of the appointment. I received a reply to it 3 days later telling me that the Senior Medical Officer will be in touch. Nearly a week after I sent my email and I still hadn’t heard anything. Now, I don’t know what to do. I believe, I obviously do have Parkinson’s but feel I’m not able to get the care required as PATS won’t pay my fares for me to see my usual neurologist! This has caused me such stress. I know I’m early in my diagnosis, but this is the type of thing that I believe would cause major stress and medications to not work correctly, in a sufferer further along than me. 

When I mentioned to PATS, what if I was unable to drive? I was told there was a bus service. I feel the bus probably wouldn’t be able to get a person there and back in one day, so I believe accommodation would be required (extremely expensive up here, in my opinion) or the patient would be waiting around for ages for the bus to take them home. Again, this would cause major stress for a PD sufferer. Can you suggest any other avenues for me to take, please?
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Responses

Response from Louise Steedman, Operations Manager, East Pilbara, WA Country Health Service (WACHS) Pilbara 4 years ago
Louise Steedman
Operations Manager, East Pilbara,
WA Country Health Service (WACHS) Pilbara

Manages the operations of health services located in East Pilbara

Submitted on 1/04/2020 at 6:30 PM
Published on Care Opinion at 6:31 PM


Dear kilohk34

Thank you for taking the time to share your story with us on Care Opinion regarding your communications with the Patient Assisted Travel Scheme (PATS).

It certainly sounds like the past year has been a very challenging one for you and your family. I am sorry if the processes of trying to maintain care and treatment within the Pilbara Region has caused you any additional stress during this time.

I would like to talk with you to discuss your experience and to see what we can do to ensure that you receive the best care and advice into the future, as and when required. This would be possible by linking in with the private neurologist, as well as the consultant neurologist who reviewed you at Hedland Health Campus.

I would appreciate it if you could please contact me at your convenience. My name is Louise Steedman and I am the Operations Manager for the East Pilbara. My phone number is 9174 1038 and my email is Louise.Steedman@health.wa.gov.au.

I look forward to speaking with you.

Kind Regards,

Louise Steedman

Operations Manager

Hedland Health Campus

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