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"I felt dismissed and belittled"

About: Geraldton Hospital / Emergency Department

(as a parent/guardian),

My toddler child had hurt their arm at home by falling from their bed. I monitored them for half an hour or so and decided I would take them to ED to be checked. My concerns were that my child wasn’t using their arm sufficiently and was very clingy to me which was not their usual behaviour. I was seen by triage and we waited for the doctor in the waiting room.

Eventually, we were taken through fast track, the doctor conducted a physical examination and I recall stated that clinically my child is fine and there is no obvious fracture. I said “that is fine, but to me my child is not using it as normal nor is their behaviour normal". I recall I was told that they are thinking of me with two small children, if my child gets an x-ray, I will be waiting for hours, there is no point when there is clearly nothing wrong with them, they are using their hand and able to move and grasp things and I will be exposing them to radiation they do not need. I just said "okay". I recall the doctor then said that I don't seem happy with this? I replied "I'm not, to you my child may be using it properly but to me they are not, my child couldn't even get into the car which they are very proficient at doing by themselves. I recall this was followed by, did I pull on my child’s arm is that how they hurt it?

I felt that was a disgusting thing to ask with zero reason behind asking this. Was I being too concerned? No, I felt I was not being listened to.

We went home. My child spent the afternoon in hysterics I felt like I couldn't even take them back to ED because I was wrong and would be wasting resources. That night was very upsetting my child woke a lot crying in pain.

So the following day I took my child back to ED where they were seen by another doctor whose comments were almost the same besides the apparent “abuse question". The doctor spoke to a senior doctor who came back to me and I recall said that clinically there is nothing wrong with my child, but because I was so insistent they will get my child an x-ray to rule anything out. They suspect it is just some soft tissue injury.

End of the story, my child was diagnosed with a green stick fracture and will be treated by the fracture clinic.

I appreciate doctors do many years of training but I feel they should take into consideration a parent’s instincts and that they are with their children daily.

I have been in another situation with my baby where I had to continually advocate for them while being dismissed by multiple doctors and health professionals.

Please respect parents and ensure you're listening to them.

Staff attitude

Staff attitude


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Responses

Response from Ranjit Paul, Director Medical Services, Geraldton Hospital, WA Country Health Service 10 months ago
Ranjit Paul
Director Medical Services, Geraldton Hospital,
WA Country Health Service

Director of Medical Services

Submitted on 23/06/2023 at 10:54 AM
Published on Care Opinion at 12:04 PM


picture of Ranjit Paul

Dear beidjr35,

Thank you for reaching out to us on Care Opinion.

I apologise that we did not manage to successfully diagnose your child’s injury on the first presentation and may have contributed to unnecessary distress. I also apologise that some questioning by the doctor caused offence and acknowledge that questions to parents need to be broached in a sensitive manner, outlining the intent as much is practicable.

Clinicians exercise clinical judgement, assessing the risk of unnecessary radiation from medical imaging and balancing that with the likelihood of a significant underlying injury. I regret that in this case this led to a delayed diagnosis for your child and that you felt inadequately heard when advocating for your child.

I would appreciate if you would consider speaking with me so I can fully understand the events and ensure we thoroughly investigate your child’s presentations in conjunction with our Safety and Quality team. My name is Dr Ranjit Paul, I am the Director Medical Services at Geraldton Hospital. I can be contacted on (08) 9956 8125 or you can email me at WACHS-MidwestMD@health.wa.gov.au

I trust your child is now more comfortable and on the path to full recovery and hope to hear from you soon.

Regards,

Dr Ranjit Paul

Director Medical Service – Geraldton Hospital

WA Country Health Service – Midwest

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