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"Broken bones"

About: Bunbury Hospital / Surgical Ward

(as the patient),

Fell off my horses and broke multiple bones in pelvis area.

Went to Bunbury and was xrayed. Xray report stated possible left side fractures, yet arrows pointed to the right side of the xray.

Ct scan report said no fractures. Hospital had me up and walking despite me saying I felt there were definite fractures and it made no sense to me that it could be seen on the xray and then unseen on the ct scan. I begged often for them to review.

The following day a doctor looked on ct scan and could see breaks and rang and asked them to review ct scan. They then copied word for word from the xray report and reported left break. While I did suspect I had a left break, it seemed to me there was an obvious right break, and that's what the xray pointed out with arrows.

Told I was fine to walk with supports. Kept saying there was more breaks at the back and I felt no clinicians took me seriously and ct report said no other breaks.

Days later, different clinician agreed to show me themselves in the scan there was no breaks and said I can get it on my phone. Shows me how and we look at the sacrum and I pointed at a break and asked if that’s a break. I recall I was told, oh well if I wanted to be fussy.

Next morning, same clinician came in with their team and told me they looked at my scans again last night (after telling me they did multiple times before) and there is a break in my sacrum. That was because they’d found this break that they’d asked a pelvis specialist in Perth and I should not be weight bearing at all since the fracture's on different sides of my pelvis and I was no longer allowed to walk to the toilet.

I found the fractures were very easy to see to my untrained eye. I feel missing them was negligent. I had pointed out the areas of pain multiple times which I believe lined up with the fractures. I feel that missing them was careless on behalf of both the staff who did the report and was meant to have reviewed it, but also the team who seemingly needed it pointed out by me while trying to prove me wrong.

I've asked apex to review the scans and provide a new report which had still not been done.

So around 2 weeks later, I was unsure of how many breaks there actually were, as I had to point out each one of them. I personally think there was at least 1 more, and therefore I was unsure the advice and treatment I was doing was correct.

I'm very unhappy to have been made to walk in the first few days while I had numerous pelvic/sacrum fractures and I'm upset they then told me my pelvis was fine and undid the pelvic girdle the ambulance put on me, then dragged it out from underneath me while my bones were broken and painful.

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Responses

Response from Stephen Hartwig, Head of Department, Emergency Medicine, Bunbury Hospital, WACHS South West 2 years ago
Stephen Hartwig
Head of Department, Emergency Medicine, Bunbury Hospital,
WACHS South West

Lead the team of Emergency Medicine doctors.

Submitted on 6/04/2022 at 3:13 PM
Published on Care Opinion at 3:13 PM


Dear Hippybreakbreak,

I am sorry to hear that you had an injury after falling from a horse, resulting in broken bones. This has obviously been a very painful and distressing time for you.

From what you describe, you’ve received contradictory information during your care and treatment and you remain unclear about your diagnosis. I would like to sincerely apologise to you for any confusion or miscommunication you’ve experienced and for any distress this may have caused you.

We would like to review your care and treatment and investigate your concerns thoroughly, along with providing feedback to your treating clinicians. So that we can do this, we would be very grateful if, in the first instance, you could contact our Customer Liaison team on 08 9722 1521.

I do hope we hear from you soon.

Yours sincerely,

Dr Steve Hartwig

Acting Head of Emergency Department

Bunbury Hospital

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

Update posted by Hippybreakbreak (the patient)

Thank you,

I felt like the nurses and the initial doctor I saw in emergency were good. It was radiology and orthopedics that let me down.

About 2.5 weeks after the initially accident and after complaining a couple of times to radiology and having my gp call, I have a new radiology report for my initial scan showing 2 breaks to my spine and 2 to my pelvis. All missed by radiology and only one pelvic fracture added to the report after I complained that I felt it's not right (and the emergency doctor rang them for me).

Some positive feedback for emergency - I had good pain relief. I never felt like I couldn't bare it or had to wait with no support. I'm very happy about that.

- the doctor I saw the first night was very good and very caring.

- every single nurse I had was good.

Still think the radiology and lack of decent review and follow up by orthopods was awful.

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