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"Being Unable to walk without crutches for 12 weeks"

About: Crosshouse Hospital / Accident & Emergency Crosshouse Hospital / Trauma & orthopaedics General practices in Ayrshire & Arran Glasgow Royal Infirmary / Rheumatology (wards 15/28 & 20/21)

(as a service user),

I broke my knee in December, I was seen by the fracture clinic at Crosshouse Hospital until it was confirmed healed on my last appointment at the end of Feb. At this appointment I mentioned that my foot was totally numb from just above the ankle down. They immediately took X-rays and said nothing was broken and it was probably just nerve damage that would heal in time. I hobbled around the whole of March with the pain getting progressively worse. So I saw my GP first week in April and they gave me Naproxen for 3 weeks and a repeat appointment at the end of the prescription. 

On the second week of the prescription in mid April the pain was so bad that I attended A&E at Crosshouse Hospital because I couldn’t immediately get a GP appointment. 

I was seen by the triage nurse but because I couldn't give them a specific incident that I injured my foot they told me that I wouldn’t be seen. 

I then insisted on being seen and they told me I would have a considerable wait then because I couldn’t give an incident or time that I injured my foot. 

I waited two and a half hours for the same triage nurse to ask me to follow them a considerable distance around the hospital even though I was complaining of pain with every step to the Minor Injuries Clinic. 

I was told to take my sock off and I would be seen. I waited so long (40 minutes) with my sock off I put it back on because my foot was cold. I was seen by a nurse practitioner who had a quick look, no examination, and told me that I should be taking paracetamol 4 times a day and try to keep my foot moving. I wasn’t too impressed with this considering my symptoms and asked them to compare the painful foot with the normal foot. When they saw the painful foot was nearly twice the size of the normal foot they immediately said that this was for Minor injuries and they can’t deal with that. 

By this time I’d been in the hospital for nearly 5 hours and was getting more despondent by the second. The nurse recommended I go back to my GP and I thought what was the point in coming in the first place. 

The next day I managed to get an on-the-day GP appointment as by this time I had been in crutches for over a week. My GP immediately ordered an X-ray, told me it looked like severe nerve damage and prescribed tablets for nerve pain. The X-ray took 5 days, even though it was urgent, and by this time I had been on crutches over two weeks and in constant pain. 

I’ve told every medical professional that has seen me that I live on my own, was finding it hard to even get to the toilet and I had to get friends to bring me the shopping basics as I can’t get out or drive. 

Luckily before my follow-up appointment with my GP to discuss the X-ray (3 weeks later) I had an appointment with Rheumatology at Glasgow Royal Infirmary. They reviewed the X-ray and told me I had a fracture in my foot that must have happened at the beginning of March and again nerve damage. I was told an appointment for a nerve study would be made. 

I then saw my GP, who obviously told me the same thing and discharged me as rheumatology were dealing with it. Which I was happy with.  

The point I’m trying to make is, I have been in pain and on crutches for 6 weeks now. I live alone can’t get out to do the shopping or drive. 

Luckily I am retired as if I worked I would have been off work for 6 weeks and the foreseeable future as now I’m waiting for a nerve study, then I’ll be waiting for an action plan. I’m wondering how many more weeks that will be? 

I’ve been stuck at home on crutches for 6 weeks now with a friend having to bring me shopping and I have no idea how many more weeks I’ll be here without any treatment. I’m not an old man but I’m unsure if I can be confined to the house for another few weeks or months hobbling around on crutches still in pain waiting for some help. 

Is there anything else that can be done?


Waiting Time

Waiting time


Access to outdoors

Access to outdoors


Treatment

Treatment


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Responses

Response from Linda Russell, Business Manager, Management Offices, Crosshouse Hospital, NHS Ayrshire & Arran 2 years ago
Linda Russell
Business Manager, Management Offices, Crosshouse Hospital,
NHS Ayrshire & Arran
Submitted on 19/05/2023 at 10:08
Published on Care Opinion at 10:08


Thank you for sharing your feedback. I was very sorry to hear that you are continuing to experience pain and discomfort, and do not underestimate the impact that this is having on your overall wellbeing.

I am also sorry that your impression of our service has been such a poor one. It might be helpful to explain that the Emergency Department is designed to see and treat patients in the acute phase of their illness or injury. Patients with more longstanding discomfort would be assessed by their general practitioner initially and referred to a specialist, if required.

The Rheumatologists are specialists in the treatment of conditions affecting the joints, muscles and bones. Although I appreciate that your current circumstances are very frustrating, I note that appropriate investigations have been arranged to investigate the cause of your ongoing pain.

If you feel that your symptoms are worsening, I would encourage you to contact your general practitioner in the first instance.

With best wishes,

Linda

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Update posted by Chally2 (a service user)

Thank you for your response. I would class my condition as being in the acute phase. The only reason I have had it so long is a failure to diagnose the problem both times I have been to A&E.

As stated I have seen my GP 3 times and it was he who diagnosed severe nerve damage 4 weeks ago even though I’ve had the increasing acute problem for some months.

What I am worried about is how this lack of treatment will affect my quality of life in the future without prompt treatment as set out by NHS guidance.

Generally, the sooner peripheral neuropathy is diagnosed, the better the chance of limiting the damage and preventing further complications.

If the underlying cause of peripheral neuropathy isn't treated, you may be at risk of developing potentially serious complications, such as a foot ulcer that becomes infected. This can lead to gangrene (tissue death) if untreated, and in severe cases may mean the affected foot has to be amputated.

Response from Nicole McInally, Patient Experience and Public Involvement Project Manager, PEPI, NHS Greater Glasgow and Clyde 2 years ago
Nicole McInally
Patient Experience and Public Involvement Project Manager, PEPI,
NHS Greater Glasgow and Clyde
Submitted on 25/05/2023 at 11:03
Published on Care Opinion at 11:03


picture of Nicole McInally

Dar Chally2

I am very sorry to hear that you are in pain and still having to use crutches which are affecting your quality of life. You have mentioned that Rheumatology have referred you for a nerve study. If you can email your personal details (name, CHI number or date of birth) to PatientExperience@ggc.scot.nhs.uk We will see if we can get an update on the waiting times. (It would be helpful if you could include your username Chally2 in the email).

Thank you

Nicole

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