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"Lack of consultation and informed consent"

About: Derby Hospital / Theatre

(as the patient),

Mid-2020, I had 2 ADF operations on my right arm at Derby District Hospital. Prior to the procedure, I had a consultation with the anaesthetist and surgeon. I explained to the surgeon that I was only getting the fistula done because it was a requirement for getting a shoulder operation. I explained I had no intention of having haemodialysis as I planned on utilising PD. I also explained why I wanted the fistula in my right arm as my left had well-developed veins which I used monthly for blood tests.

I was told by the surgeon that the 1st AVF may not be successful and a 2nd attempt further up the arm may be required. As it turned out the 1st attempt was unsuccessful due to calcification of the veins.

I was wheeled out of the theatre to a waiting area with my right arm completely numb and being under the influence of whatever anaesthesia I was given. I fell asleep on the gurney. Later on, I was awakened by the anaesthetist with a form to sign. I asked what it was for and was informed I needed to sign it so the surgeon would be paid. I signed this form but with hindsight, I realise I was in no fit mental state to do so.

I was never told what was going to take place, for if I had of been informed of the complication of the procedure which was to follow, I would have declined. Going through the 2nd procedure was traumatic with the anaesthetist reassuring me that it would be okay. When the procedure was finished I heard the surgeon say that they didn’t know why I wanted the fistula in my right arm in a tone that gave me the impression that it was my fault the operation didn’t go as planned. Later when I was told that a further operation was needed to bring the vein to the surface, I told whoever it was informing me that it was never going to happen.

As for the stitching on the op site, in my opinion, I’ve seen potato sacks sewn up neater.

Post the operation, I have suffered chronic pain in my right bicep and blotching of the skin covering the bicep. I have also lost strength in the bicep. After strenuous use of my right arm, the blotching is more profound. Sometimes when I wake, my right lower arm and hand are numb. It takes about 3 mins to get the circulation going with severe tingling in my fingers. I can no longer lift objects above waist level with my right arm which has impeded me going about my activities. Laying on my back with both arms outstretched over my head, my right arm is too weak to bring it back over without the assistance of my left arm. To say that I am furious of how things have evolved would be an understatement.

Responses

Response from Chris Wium, Senior Medical Officer, Derby and Fitzroy Crossing Hospital, WACHS Kimberley last week
Chris Wium
Senior Medical Officer, Derby and Fitzroy Crossing Hospital,
WACHS Kimberley
Submitted on 18/02/2021 at 10:19
Published on Care Opinion at 10:19


Dear pilingste46,

Thank you for taking the time to give us feedback about your experience at Derby Hospital.

I am very sorry to hear about the pain you are experiencing and how you have been left feeling after your procedure last year.

At Derby Hospital, we recognise that communication and informed consent are critical to the delivery of safe patient care, which is why we have strict processes in place for obtaining consent from all of our patients.

In the first instance, I want to ensure that you are receiving the care and support you need now, along with understanding more about what has happened. So that I can help you and fully investigate your experience, I would greatly appreciate it if you could contact me. My name is Chris Wium and I am the Senior Medical Officer at Derby Hospital. If you are happy to speak with me, please call me on (08) 9193 3344 or you can email me at Christian.Wium@health.wa.gov.au.

Thank you for reaching out to us on Care Opinion and for giving us the opportunity to improve the care we provide to everyone in the community.

I would genuinely welcome your call and hope to hear from you soon.

Kind Regards,

Chris Wium

Senior Medical Officer

Derby Hospital

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

Update posted by pilingste46 (the patient)

Thank you for your reply. I look forward to talking to you about my experience and will contact you soon.

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