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"Fat shaming a child"

About: Kalgoorlie Health Campus / Emergency Department

(as a parent/guardian),

I took my child to ED, they’d been sent home from school 2 days earlier morning feeling unwell and feverish. >48hrs of ibuprofen and paracetamol intermittently was barely staying on top of their fever and they were a shell of themselves just wanting to stay in bed. Headache, dizzy, sore throat and fever

Kal Regional’s triage and ED was efficient and relatively painless; we were in and out within 2.5 hrs. 

However I was unimpressed with what I felt was the ED Physician fat shaming my child. They asked how much my child weighed then seemed to balk when I told them the weight a fortnight ago when they were at GP. The ED Physician said that my child is not particularly tall and a child of their age should weigh about 10kg less that than. I tried to explain my child's very active and we try keep their weight in the higher percentiles as they have has other health issues but they wouldn’t seem to have a bar of it and weighed my child again 3 kg lighter than a fortnight ago (they’d barely eaten for 3 days) and said it's not much better. 

This is all in front of my child … I was horrified!

Time and place: the last thing any child needs to hear, especially an unwell one! I believe they could have suspended their disbelief and discussed it with me privately.

But they diagnosed tonsillitis and they should be right as rain by the weekend, and for that I am grateful. Thanks for the penicillin and the morning dose we were sent home with for before chemist opened!

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Responses

Response from Peter Tredinnick, Executive Director, Regional Office, WACHS Goldfields 16 months ago
Peter Tredinnick
Executive Director, Regional Office,
WACHS Goldfields

Executive Director WACHS Goldfields

Submitted on 12/12/2022 at 1:16 PM
Published on Care Opinion at 1:51 PM


picture of Peter Tredinnick

Dear kiloby86,

I am glad there were many positive parts of your care in our ED; at the triage, receiving a diagnosis, provision of medication and a script, and I hope your child is on the mend now.

However, I am disappointed in your experience with the ED Physician around the weight of your child. Knowing the accurate weight of any patient, child or adult, is very important clinically, especially when prescribing medications. However, as you have identified there are strategies that should be implemented to support discussions in this complex area and professionals should not jump to assumptions. There is an Overweight and Obesity Guideline used by the child and school health nurses in the WA Country Health Service that I will share with the Physicians in the ED. I have linked it here for your information too.

Again, thank you for taking the time to share your story and I very glad you have advocated on behalf of your child and future children accessing our services.

Kind regards

Peter Tredinnick
Regional Director
WACHS Goldfields

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