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"My child's hernia"

About: Derby Hospital / Emergency Department

(as a parent/guardian),

My child presented to ED four times in about 2 months with abdominal pain and sent away with inadequate diagnosis. My child had an umbilical hernia causing serious pain. The first presentation I was told nothing was wrong with their umbilical hernia and they don't cause pain. I recall the doctors told me that umbilical hernias do not cause pain. I disagreed but was still turned away. The second presentation I was told that my child was developing a cold - that's why they were in pain and in no relation to umbilical hernia (which I disagreed with, again).

Third presentation my child had persistent vomiting, lethargic, floppy with umbilical pain of which they then took me seriously and were about to take drastic measures to prevent my child becoming critically unwell. They then told me that their umbilical hernia was strangulating and it was a serious cause for concern and that we needed to get to Perth. ED finally put me in touch with another hospital’s surgical team and my child was booked to repair their umbilical hernia due to their large bowel strangulating. The surgeons at the other hospital informed me that umbilical hernias can cause pain and if they do they need to be surgically repaired to avoid serious complications like strangulation of the bowel. I believe this had already happened up to 50 times with my child in the 2 months – but it seemed I was still turned away by staff saying it wasn't that (even though as I understand it was).

The latest presentation my child and I presented as I could not reduce their hernia myself as they were in too much pain. I presented and was seen by a clinician in the waiting room of which they tried to reduce my child’s hernia without gaining consent or informing me of what they were going to do. I told the clinician to stop and I pushed their hands away after their attempt to reduce it after about 20 seconds. When I pushed their hands away from my child’s stomach, I felt they then tried to manually push even harder to try and reduce it. I said to the clinician "what are you doing? I told you to stop. Don't you need to give my child pain relief before doing something painful like this? This is what a paediatrician told me was basic protocol and you're doing this in the waiting room with no pain relief and without my permission!"

This clinician then went on to (what felt like) gaslight me and make me feel as though I was not helping my child and I was putting their health at risk by not letting them continue what they were doing. I told the clinician that I was under the impression that babies are giving pain relief or sedation before conducting a painful procedure like this. I then asked "what would you do if this was your child?" I recall the clinician continually shook their head and could not give me an answer.

Each presentation to Derby emergency I have felt judged as an overly anxious parent and not been listened to, as-well as my child’s bodily autonomy having been violated after being told to stop a procedure. I recall no consent was gained and how unbelievably inappropriate I felt my child was being poorly treated in the waiting room.

After this incident I called my partner to come down to which the clinician said they would organise a room for my child so they could be properly treated and be more comfortable. I felt as though the clinician  completely changed when my partner arrived – they were nothing like how they were when I was alone with them and my child in the waiting room.

I am still completely shaken and upset by the way I have been treated and how much pain my child has been suffering from, with an inadequate diagnosis. I feel this is not good enough. In my opinion, there needs to be some reflection and education for staff in ED. I wonder how do some clinicians seemingly get away with this.

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Responses

Response from Nick Mildenhall, Operations Manager, West Kimberley Health Service, Kimberley Country Health Service nearly 2 years ago
Nick Mildenhall
Operations Manager, West Kimberley Health Service,
Kimberley Country Health Service
Submitted on 31/08/2022 at 12:57 PM
Published on Care Opinion at 12:58 PM


Dear corvuseh37,

I am so sorry to read about your recent experiences at Derby Hospital’s Emergency Department. Parents are the most important advocate for a young child and your experience of feeling disempowered and unheard while trying to resolve your child’s pain does not sound like your voice was heard or respected. I also agree that procedures should not occur in the waiting room, or without proper consent.

It sounds like this has been a stressful and confusing journey trying to find a diagnosis. I am glad you now have received one and a plan of action has been put in place to ensure your child receives the care they need. I apologise for the stress you must have endured during the time of trying to find what you thought was wrong.

I have spoken to the Senior Medical Officer who has agreed we need to increase conversations with all staff regarding consent and open communication with patients and carers. We expect all our staff to provide safe, patient-centred care, and ensuring the needs of our patents and their carers are at the core of everything we do.

I would also like to take the opportunity to make sure you are aware of an escalation process we have in place at all Public Hospitals in WA, including the Derby Hospital that supports patients and their families and carers to call for assistance if they feel that their or their loved one’s healthcare concerns are not being addressed. This process is called Aishwarya’s CARE Call and it enables you to speak to a senior member of the Kimberley leadership team who will listen to your concerns and advocate on your behalf. If you are concerned about your own or a loved one’s health condition, please call 1800 669 229.

I would like to meet with you to discuss your experience in more detail to understand if there are further improvements that can be identified or to allow more direct feedback for relevant staff involved in the care of your child. My name is Nick Mildenhall and I am the Operations Manager for the Derby Fitzroy Valley Health Service. I can be contacted on 0419 043 610 if you would like to arrange a time to meet.

I hope your child’s umbilical hernia is resolving.

Yours sincerely,

Nick Mildenhall

Operations Manager – Derby and Fitzroy Valley Health Service

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