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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Hospital experience- AIBU to be angry?

14 replies

PinkPoncho · 05/01/2012 11:24

Before Christmas I had an apparently extremely rare but serious condition which thankfully has been treated and I'm now recovering. However I'm still feeling pretty upset about the treatment I received (although of course grateful to finally get the operation I needed and hopefully all will be ok in the future)

Some of this is a bit grim so apologies to the squeamish you might want to change topic! It turns out I had a benign tumour (lipoma) which had caused intussusception of the colon. I would have thought that when I arrived at the A & E with this protruding from my bottom (around 6cm diameter) in the middle of the night accompanied by terrible cramping and bleeding I would have warrented some urgent treatment. However I was left on a trolley for hours, some tests were then taken and I was sent up to wait in an assessment ward, finally a surgeon came round surrounded by a bunch of students, had a glance and pushed it back in, saying it was a 'polyp, they sometimes prolapse like that' 'It can be looped out with colonoscopy but the first slot available is next Wednesday"

After waiting all day with occasional visits from a young doc in the same time hearing they might do an examination under anaesthetic, that I was third on the list. Nobody seemed be around to to listen and even when I was having terrible cramps and more bleeding I mentioned to the nurse please to tell someone and I was told 'not to worry'. It went on all night, late in the evening an anaesthetist had cone to see me and I was prepped for an op, then he went and I was just left till the following morning, when the young doc came back to say things like "your vital signs are good" "the nurse hasn't recorded any bleeding from you yesterday" "so you've been ok to get a shower then" (yes as was hoping to be ready for the op!) and finally "after discussion with the surgeon we've decided it's not in anyone's best interests to operate / examine under anaesthetic, you can go home and come back next week for a colonoscopy"

Everything I've since read about the condition I actually had , states that it's fine if treated straightaway but leads to death within 2-5 days if untreated. This is because the bowel quickly becomes strangulated / necrotic as it loses it's blood supply. It's supposed to be a medical emergency, although is rare in adults and more common in infants. However it is associated with a 'leading point' in adults such as a lipoma. (so if the lipoma had been properly examined and diagnosed I would have thought this would have shed more light on things...possibly)

So, I was quite hazy and in a lot of pain, taking tramadol painkillers. I spent the next week basically unable to eat or sleep, due to the awful pains and bleeding. The only thing that helped a little was a hot bath which I spent most of the night in, topping it up, counting down the hours / days till next Wednesday. I had the colonoscopy /flexible sigmoidoscopy (where they look with a little camera up the rectum and can ensnare and take out polyps.) Within about 5 mins told there was no way anything could be done, as it measured at least 6cm and the point of attachment could not be confirmed. In tears, I was handed a sheet of paper by a nurse and I said "I'm sorry I was hoping it would be sorted out today" I was told quite brusquely that "you can't just have an op you know it needs to be arranged, what if you were moving house for example!!" I burst out "I won't be moving anywhere in this state" She seemed concerned what to do with me "So your partner's here, are you going home then?" I said I'd get a tissue then go. On the way out the main entrance a nurse comes running after me, "Will you come back, maybe they can do it tomorrow" After a discussion with the man who did the colonoscopy I was asked to come back the following Monday for laproscopic surgery, as Mondays are usually quiet.

Armed with more tramadol and sleeping pills from the GP home I went, for the long days and nights. By the time the day of the op came I hadn't eaten and hardly slept in about 3 weeks (apart from some special nutrition drinks prescribed in the last few days) my tummy had swollen up like a balloon and my heartbeat had risen pretty high (I was told afterwards). After the op, which went ok, I had about 40cm removed and didn't have to have a colostomy bag thankfully. I did have a bad fever and tachycardia and had to have IV antibiotics and a further stay of about a week. (luckily got out before Christmas. All in all DP had to take a month off work to look after me and our two little ones. I'm just getting back to feeling a bit back to normal now but feeling a bit flummoxed by what has happened. I know it was rare but surely, someone could have picked up what it was sooner just by having a look? I'd be grateful to hear views especially from anyone medically trained.

I've searched a few cases from medical journal and it all cases diagnostic tests such as CT scans and barium enemas were carried out and operations done within a day or two. It leaves me wondering why I was send home and what might have happened. Could I have been spared that whole ordeal with an operation carried out quickly? (I should also mention I'd been to the GP several time in the past couple of months with cramping /bleeding)

Also, I'd been ill previously a few years back and had a colonoscopy with had discovered an unusual lesion but nothing had been done. This had then developed into this growth. I was just told this before the op, why wasn't that considered sooner. It's all made me worried about how hospitals operate, and I'd like to make some suggestions for improvement however am aware that I'll be dealing with the same doctors in my follow up appointments. Hmm. Is

OP posts:
PeanutButterCupCake · 05/01/2012 11:39

You could raise your concerns and questions with PALS. Hope you get some answers Smile

PinkPoncho · 05/01/2012 11:43

Thank you- do you know if I can be kept anonymous with PALS? I think they have an office at the hospital.

OP posts:
JWIM · 05/01/2012 11:48

OP This could indeed have resulted in death - I know of such an outcome - so I am glad that you are recovering now.

Patient Advice Liaison Service at the hospital would be a good place to start. Not sure if it is still the case, but I think Drs are supposed to do a 'differential diagnoses' where they look at a patient's symptoms and list possible causes - most likely and the more obscure as was the case for you. You could ask if the medical staff that saw you prior to the operation had considered that there might be something more serious/urgent to investigate.

sausagesandmarmelade · 05/01/2012 11:48

You poor, poor thing!

I'm really glad that you are feeling better now. Sounds as if you've been through the most horrendous experience.

I'd definitely contact PALS for the hospital concerned (google it) and tell them everything you've mentioned here.

If people keep schtum about things then services don't improve. Good luck...hopefully there will be some lessons learned and the appropriate people taken to task.

Wishing you all the best for the New Year.

PeanutButterCupCake · 05/01/2012 11:48

Im not sure but I would think that it is unlikely that it would be anonymous because the usual process is that PALS will contact departments and surgeons etc to investigate your experience to come back to you with answers re what happened etc.
What are you looking for with regards to what happened? IYSWIM Smile

sausagesandmarmelade · 05/01/2012 11:50

Re anonymity.

I don't think you have anything to lose at all by giving your details.

If you are concerned about possible future treatment...then don't be.

I've complained about issues I've had...and the hospital concerned has been great....contacting me straight away and ensuring no further problems. If anything...it could go in your favour.

You might also consider contacting your local MP about your experience.

PinkPoncho · 05/01/2012 12:12

Thank you for replies so far. I suppose I've been feeling so zombied with the painkillers etc I was beginning to wonder if it was me getting things out of perspective and I wanted to hear from others / share this experience (well not the actual experience wouldn't want anyone to go through that.

I guess I want to get rid of the angry / upset feeling, and put it behind me. And to do this maybe make some improvements for the future regarding the way people are treated.

It isn't the first time the hospital has been like this. A few years ago (the only other time have had serious illness in the family) DS, then 2, was send home after they assumed he had a virus which was going around. He had pneumonia, but they sent him home without giving him an x-ray. After getting worse it took the walk-in centre to send him back in with specific instructions for him to have an urgent x-ray. They found he had atypical pneumonia and recovered well with appropriate antibiotics. But it took a hell of a palaver to get there.

My main issue is that it fails everyone all round- the quicker the diagnosis is main and appropriate treatment is done, the less time is wasted leaving patients festering in beds, waiting to get to such a critical state they have to do something. Also when things have got complicated the recovery time is longer (eg my time with IV antibiotics and week in after the op) Plus the disruption and cost all round, nurses, Dp off work. What a waste all round.

OP posts:
PeanutButterCupCake · 05/01/2012 12:15

In that cse do contact PALS, issues need to be raised to improve care for future patients.

PinkPoncho · 05/01/2012 12:15

JWIM I knew instinctively there was something seriously wrong it was similar to pains in labour, very severe. So you know of a death.. that's scary.. so i wonder how I kept on those weeks when it says that can happen in 2-5 days..Sad (although suppose should be glad)

OP posts:
OneHandWrapping · 05/01/2012 12:20

Don't worry about getting it out of perspective. From my own experience, this is a normal part of coming to terms with a horrible, dangerous and badly handled medical emergency.

Eighteen years ago I had an entirely different, but equally badly handled medical emergency, that nearly cost me my life. I have gone over and over AND OVER it in my mind since - especially in the early days, and my memories of what happened seem particularly vivid.

PinkPoncho · 05/01/2012 12:32

OneHand Yes I understand, I've been doing the same thing, but trying not to. DP says to try and put it behind me and move on. I've just sent an email to PALS. Hoping it might help me to move on. The surgeon involved seemed auite revered though. Am due my follow up on a week or two. Wonder if he'll know about this then.

OP posts:
diddl · 05/01/2012 12:33

That sounds terrible.

NHS are so badly understaffed.

Nothing compared to what you went through, but my Dad was in recently-bed bound for a while.

When finally out in a chair found it uncomfortable-due to having lost so much weight.

After lunch he wanted to go back into bed.

Most nurses were at lunch.

He had to wait nearly an hour.

I do think that you should complain/raise awareness.

PinkPoncho · 05/01/2012 14:39

Thanks again- I will do. I have also since learnt that I could have possibly, using the 'choose and book' service, gone to a brand new hospital nearby when the GP was going to refer for a colonoscopy. It would have been good if the GP could have mentioned that to me rather than just mentioning the local hospital being at least 2 weeks wait (I became severely ill before the appointment came through)

OP posts:
PinkPoncho · 05/01/2012 14:55

And have just discovered the reason behind my wait to Monday for my op- the surgeon was doing clinics / operations at the two local private hospitals (affiliated with the NHS) on Thursday and Fri...

So check out the choose and book system if in need of urgent care I guess. Trouble is if you're too ill to think straight through, the GPs should be aware of making sure everyone is informed about this.

OP posts:
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