"Rushed discharge"

I am writing to express my concerns regarding the care I received during my recent hospital admission at FSH. I went to emergency due to vomiting of bile and a significant lack of food intake over a few days.

Throughout my admission, I received treatment in the emergency department for low blood sugar levels and high ketones. Despite the interventions, maintaining stable blood sugar levels was challenging due to my inability to consume food orally. Consequently, I was placed on continuous Nasogastric (NG) feeds the following night while on AMU, which significantly aided in stabilizing my condition.

I had the opportunity to meet with the ward Dietitian the next day, who was understanding and supportive. We agreed that continuous NG feeds would be the most suitable option for me at that time, and they placed me on nil by mouth in the hospital menu system so I didn't have the stress of facing meals but was encouraged to have snacks. However, I was surprised to find out that being on nil by mouth meant that I did not receive any snacks or even a water jug. While the nursing staff kindly assisted me with water, as I needed it to take my medications.

Furthermore, I had a positive consultation with the consultant psychiatrist who took into account my Autism Spectrum Disorder (ASD) and started me on a new medication according to how I may react to any side effects. His understanding of my unique needs was great, however I didn't get to see him again as I was discharged or know whether to increase the dosage or not. I was put on 1/4 of the lowest treatment dose of this medication.

Despite these positive interactions, I encountered a significant issue during my discharge process. The psychiatric liaison nurse abruptly informed me that I was being discharged, I recall them stating that, "they know how to eat". This decision was made without consulting the dietitian as they weren't there that day and considering my ongoing struggles with eating, particularly given my stress and anxiety levels.

I felt that the medical consultant would also talk to me like I was a 5 year old, I assume that's because they saw my ASD diagnosis and thought I was stupid. They suggested I get a kitten to help with my stress.

They wanted me to eat and said I had to for discharge but that was scrapped obviously as psych liaison came in and said I was going home.

Right before leaving I started feeling nauseous again and asked for my anti nausea medication. Turns out the doctor had uncharted it and nurse couldn't give it to me. I asked why and it was because they were worried about constipation. Knowing I hadn't gone in over a week (but still discharging me). Not being allowed my anti nausea medication meant I had another bout of vomiting.

In light of these concerns, I urge you to review the discharge process and ensure that patients receive comprehensive support and monitoring, particularly regarding nutritional needs. I believe discharging patients prematurely, especially when they have not demonstrated consistent improvement in managing their nutritional intake independently orally, can have detrimental effects on their health and well-being. I don't feel like I can reach out for support anymore. I don't think I'll go ever be able to go back to FSH even if formed under MHA especially after writing this as I feel they'll definitely know who I am.

There is still no discharge summary almost at the time of writing this several days after discharge. I suspect they know it was rushed and I feel there will be some very incorrect information in it once it is made. Considering psych liaison knew I wasn't eating well and I recall told my community team they know where their mouth is. I believe they likely know it's very wrong to have discharged me without demonstrating I could follow a meal plan. I'm just going to have to keep avoiding hospital even if I become unwell again from inadequate intake. I feel there's no point going to FSH.