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"Lack of advice and poor communication from hospitals"

About: King Edward Memorial Hospital Rockingham General Hospital / Gynaecology Sir Charles Gairdner Hospital

(as the patient),

SCGH is only the latest in a string of stressful events that have occurred in the past 6 months. A few months ago, I had a hysteroscopy at Rockingham Hospital who referred me to KEMH without informing me. I found out about it when KEMH rang me about my referral. My follow up appointment with Rockingham wasn’t until the following week. Told them that I was not happy about being referred without being told about it. Following referral and appointment at KEMH, there were a number of phone calls telling me that I need this test and that test. A different doctor each time. The operation was to be done at SCGH due to heart issues. Subsequently, I was referred to Rockingham hospital for a colonoscopy. Without telling me. I wasn’t being told until I had my next appointment with KEMH because I believe they don’t inform patients over the phone.

Appointment at Rockingham was the day after KEMH appointment. After colonoscopy, I was told that I needed a chest ct and referral to Fiona Stanley hospital. Doctor was informed that I had recently had a full body scan and that I was referred by KEMH. I felt they decided that I didn’t know what I was talking about and told me that I had only had an abdominal ct and why did I have the procedure done at Rockingham instead of SCGH. I told them that Rockingham was closer to home. I believe the doctor was getting a little hot under the collar at this stage. They were the one doing all the arguing. I stayed quite calm. They eventually stormed off to make a phone call. When they returned they admitted that I was correct. I had had a full ct and the referral had come from KEMH. It was the closest thing to an apology.

The next couple of months were filled with appointments, tests and phone calls from KEMH and SCGH. When I was requested to have a PET scan I asked what a PET scan was. It seemed the doctor didn’t want to tell me, but eventually did. I didn’t give them a choice. At that stage, I had not queried any of the tests that they wanted me to have. I knew and understood why I was having them. I had heard of PET scans but didn’t know how they differed from a normal ct scan. I just wanted clarification. During this time, I informed both hospitals that, as I live alone, I would need some home help when I was discharged. They were told at each appointment as I knew it would take time to organise. The cancer was the least of the stress. Dealing with the hospitals was worse in my opinion. I felt like I wasn’t a person, I was a football. I felt there was no respect or compassion, but lots of lip service and lots of bullying. The anaesthetist I saw at SCGH was, in my opinion, being a bully and said that they didn’t agree and would ignore the advice from my cardiologist and the KEMH physician.

Fast forward to what was now a double operation. I felt the anaesthesiologist did nothing but complain. The cannula wasn’t right (it was extremely painful) and they had to try a number of times to get an injection into my spine (they kept hitting bone). Their constant complaining didn’t instil much confidence for me. Maybe they thought I would refuse to have the operation if they complained enough. I know the anaesthetists weren’t keen on doing the operation. They were the only ones who had a problem. Everyone else, including myself, knew I wouldn’t have any problems with the anaesthetic. I didn’t. My hospital stay was uneventful, apart from doctors not telling me who they were (I only knew one). The food was excellent, especially as I have many food intolerances.

After discharge, I returned home to absolutely no help. Referral was only sent 2 days after the operation which means I wouldn’t get any help for at least 6 weeks. That’s another story in itself.

Follow up appointment with SCGH. I arrived on time and was logged in but not noted as being there. I didn’t find this out until more than 2 hours later. I was informed that I would be seen next. Not a chance. I ended up being seen by a registrar who could not answer my questions. As I had travelled by public transport from 90kms away this ended up being a very long and stressful day which I was not really well enough to handle. This was my first complaint to SCGH.

KEMH didn’t even follow up until after I made 2 phone calls. I was not given guidelines for after hysterectomy and told to use guidelines for colorectal surgery. Not the same at all. No follow up and too much passing the buck in my opinion. Complaint to KEMH was acknowledged within time and followed up. They have acknowledged the problems and are attempting to resolve/deal with them.

SCGH, on the other hand, have not acknowledged complaint sent a few months ago. They have sent a test request “with compliments” and no other information. I had to ring them to find out what is going on. No explanation given. Had to leave a message with reception. Second complaint was sent for failing to acknowledge 1st complaint and lack of communication from doctors.  I feel they can’t talk to each other why do I think they will talk to me. I know. I am just the patient. I don’t count. I just have to do what I am told. Still have not been told reason for new test. As per hospital guidelines, I believe complaint should have been acknowledged within 5 working days and follow up letter sent within 30 working days. No sign of either.

As someone who suffers from CPTSD and has heart problems, the stress has been horrendous and is continuing.

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Responses

Response from Theresa Marshall, A/Executive Director, Mental Health, Public Health and Dental Services, North Metropolitan Health Service 3 years ago
Theresa Marshall
A/Executive Director, Mental Health, Public Health and Dental Services,
North Metropolitan Health Service
Submitted on 22/01/2021 at 2:30 PM
Published on Care Opinion at 2:30 PM


Dear Piscesmoon,

With regard to your SCGH experiences, I am very sorry to hear about the breakdown in the outpatient clinic process that caused a delay in your being seen, the way that the medical staff communicated with you and treated you and the lack of response to your complaints.

You have provided a number of examples of shortcomings which provide valuable lessons for our leaders and staff. As someone with heart problems who suffers from complex post-traumatic stress syndrome, these experiences would have been extremely stressful for you and I apologise most sincerely. I would like to further investigate some of the matters that you have highlighted and would greatly appreciate it if you would contact my office on 64573301 (or the Consumer Liaison Service at SCGH on 64572867) to identify yourself.

I cannot thank you enough for taking the time to share your experiences of accessing multiple healthcare services from the patient’s perspective. Your feedback clearly highlights the impact on the patient when they are exposed to a lack of clinical communication and lack of continuity across multiple service providers.

Dr Theresa Marshall

A/Executive Director

Sir Charles Gairdner Osborne Park Health Care Group

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from Kath Smith, Executive Director, Rockingham Peel Group, South Metropolitan Health Service 3 years ago
Kath Smith
Executive Director, Rockingham Peel Group,
South Metropolitan Health Service
Submitted on 22/01/2021 at 2:32 PM
Published on Care Opinion at 2:32 PM


picture of Kath Smith

Dear Piscesmoon,

Thank you for your feedback about your recent experience at Rockingham General Hospital. I am disappointed to hear that you were unhappy with the care that you received.

I would like to reassure you that it is normal practice for medical staff to inform their patient when a referral is being made to another specialist or to another hospital and I am very sorry that this was not your experience. Your feedback has been communicated to the team involved.

Thank you once again for taking the time to share your experience as your feedback is important and allows us to improve the care we provide.

May I wish you the very best for the future.

Regards

Kath Smith

Executive Director

Rockingham Peel Group

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from Matthew Skinner, Director Clinical Services, Women and Newborn Health Service 3 years ago
Matthew Skinner
Director Clinical Services,
Women and Newborn Health Service
Submitted on 22/01/2021 at 2:33 PM
Published on Care Opinion at 2:34 PM


Dear Piscesmoon,

I am sorry to read that you did not receive a follow-up phone call from our service and that there was a lack of coordination in the communication and care guidelines that you received after your surgery at the King Edward Memorial Hospital (KEMH). Feedback such as yours is important to enable us to continually review and make changes to the way provide health care to our patients.

As you have mentioned, your concerns were investigated and have contributed to a review of the follow-up process that our patients receive. Thank you once again for your feedback.

I wish you all the best for the future.

Regards

Dr Matthew Skinner

A/ED WNHS

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful

Update posted by Piscesmoon (the patient)

I feel the response from Rockingham Hospital only addresses the first part of the problem. Not the bullying after the colonoscopy because the doctor couldn’t be bothered reading my file. In other words, they didn’t check:

1. Who requested procedure

2. which tests had already been done before calling patient a liar

I do not tolerate bullying.

Response from KEMH was fine but, along with Rockingham, it shows that I believe both respondents only skimmed through the story. For KEMH. If you read the story properly, you would know that the operation was not done at KEMH but at SCGH. That was part of the problem. They don’t talk to each other in my opinion. I believe this one assumes that that one will do this and that one assumes that this will do this. Confusing? How do you think the patient feels? They are caught in the middle. I believe the head of my department is the one who has endeavoured to address/correct the problem.

These 2 responses are part yes and part no helpful. That is why they have been marked as not helpful.

The response from SCGH is still in progress and, as such, I will not comment on it at this stage.

Response from Kath Smith, Executive Director, Rockingham Peel Group, South Metropolitan Health Service 3 years ago
Kath Smith
Executive Director, Rockingham Peel Group,
South Metropolitan Health Service
Submitted on 27/01/2021 at 7:58 PM
Published on Care Opinion on 28/01/2021 at 10:11 AM


picture of Kath Smith

Dear Piscesmoon,

Thank you again for your additional feedback. I am sorry our response did not satisfactorily address the issues you raised. In order to understand and manage these concerns, I’d like to offer you the opportunity to discuss these further with Mrs Susan Moore, Nursing Co-Director for the Surgical Directorate.

Should you wish to do so, may you please contact her Executive Assistant, Mrs Marion Phillips on 9599 4385 or via Marion.Phillips@health.wa.gov.au to arrange a convenient time.

I can assure you I take reports of bullying very seriously and am committed to addressing these issues.

Thank you again.

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Update posted by Piscesmoon (the patient)

The only reason I have marked responses as unhelpful is because, when I have been given a contact person and have tried to contact them, there has been no response.

An email was sent to Marion Phillips at Rockingham a week ago and, unfortunately, there has been no response.

As for Dr Theresa Marshall from SCGH, I rang and, as she was in a meeting, left a message with her assistant for her to ring me back. That was almost 2 weeks ago. No response.

I am trying to reach out to you but I seem to be getting nowhere.

Response from Janet Zagari, Executive Director, Sir Charles Gairdner Osborne Park Health Care Group 3 years ago
Janet Zagari
Executive Director,
Sir Charles Gairdner Osborne Park Health Care Group
Submitted on 4/02/2021 at 8:21 PM
Published on Care Opinion on 5/02/2021 at 10:27 AM


picture of Janet Zagari

Dear Piscesmoon,

Please accept our sincere apologies that Dr Marshall was not able to respond to the message you left for her as I am sure that was not her intent. As Care Opinion is an anonymous platform, I encourage you to please contact the Consumer Liaison Service at SCGH on 6457286 so that we can investigate the issues you have raised.

Kind regards

Janet Zagari

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Response from Kath Smith, Executive Director, Rockingham Peel Group, South Metropolitan Health Service 3 years ago
Kath Smith
Executive Director, Rockingham Peel Group,
South Metropolitan Health Service
Submitted on 5/02/2021 at 4:23 PM
Published on Care Opinion on 8/02/2021 at 10:08 AM


picture of Kath Smith

Dear Piscesmoon,

Thank you once again for your additional feedback. Please accept my apologies that you did not receive a response to your email last week, I understand you have been advised that your email was mistaken for spam mail which occasionally happens with external mail receipts.

I’m advised that you have spoken to Susan Moore yesterday to discuss your concerns and have subsequently spoken with the Medical Co DIrector who apologised for the way the medical staff spoke to you. I believe the doctor involved has been spoken to and acknowledged that he is addressing his communication style.

I trust this addresses your issues satisfactorily and I apologise once again for any distress this may have caused you.

Kind regards,

Kath Smith

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Update posted by Piscesmoon (the patient)

I would like to thank Kath Smith from Rockingham Hospital for following up with my concerns. After recent telephone conversations I am now happy to let the matter rest.

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