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"Disgraceful and demeaning A&E visit"

About: University Hospital Monklands / Emergency Department

(as a service user),

I was seen by an A&E doctor at Monklands A&E at approximately 3:30am. I presented with acute abdominal pain (location of previous, and again currently under investigation Neuroendocrine Cancer).

They said what the emergency department can do is limited as they wanted my oncology/gastroenterology teams to deal with the investigations, fair enough. 

However, they seemed to assume my liver cirrhosis was from alcoholism  (I've never been a drinker). They were then very insensitive towards my mental illness stemming from childhood trauma, saying where they're from, kids and teens just enjoy their youth, and that they don't get what the worry is - I was abused as a kid, that's the 'worry'.

They then attempted to cannulate me for pain relief, which was a disaster. They used the same needle 3 times in one arm, swapped needles then used the same needle 4 times in the other arm. Needless to say this has huge infection control issues from bacterial contamination, not to mention the pain from the needle blunting with each attempt.

They then administered IV morphine, said that I have an opioid addiction problem (I have been prescribed oramorph for 3 years due to cancer, and utilise fentanyl patches, prescribed as a baseline pain moderator). I do not abuse my oramorph, I take it as prescribed when needed and had incidentally ran out of it and have been trying to sort my prescription out. Within 10 minutes of her administering the IV morphine, the cannula was removed and I was discharged with no further investigation, no one checked if I had transport home, I was in a very drugged up and vulnerable state leaving the hospital at 4am in the morning, with no one with me. I then do not recall getting home, followed by me being sick once I was home from the morphine.

I am extremely upset and quite shook up by this experience, especially being discharged in such a state, by a doctor who dismissed my longstanding psychiatric issues (which were in no way the reason I presented myself), assumed my liver disease was caused by alcohol abuse, and that I was seeking a hit of morphine (insinuating substance abuse, I only take my prescribed dose as and when needed). The pain was acute and continued to be extremely bad into the day. This pain was abnormal from my chronic pain, this was acute and a different pain I'd not experienced before, and it was not investigated at all by this flippant doctor who implied I was in for a hit of drugs, rather than to address the quite crippling abdominal pain I was in. Now I'm too afraid to go back to an emergency department because I feel I was treated like a drug addict.

Overall the worst experience I've ever had at University Hospital Monklands, thoroughly confusing and dangerous set of events and I'm still in agony but with nowhere to turn. I'm just glad I'm home safe. I'm concerned this doctor was seriously lacking in judgement, their venipuncture technique was a serious cause for concern safety wise for patients reusing the same needle multiple times, duty of care letting me out shortly after administering IV morphine with no care given to if I had someone with me to get me home safely, no investigation into the cause of the pain, and down right rude bedside manner coming off with assumptions regarding my liver cirrhosis and mental health.

I'm extremely upset, and still in absolute agony and now have nowhere to turn. I can't click my fingers and get an appointment with my Gastroenterologist to just rectify this and I'm very concerned about my abdominal pain which is making me feel faint with every wave.

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Responses

Response from Angela Steed, Assistant Service Manager - Medical & Care of the Elderly, UHM, NHS Lanarkshire 3 weeks ago
Angela Steed
Assistant Service Manager - Medical & Care of the Elderly, UHM,
NHS Lanarkshire
Submitted on 30/04/2024 at 16:50
Published on Care Opinion at 17:05


picture of Angela Steed

Thank you for taking the time to provide us with your feedback on your experience of attending the ED at UHM recently.

I am sorry to hear of your experience and for any distress that you may have felt. I'd like to reassure you that we will look into all issues that you have raised. To enable us to do this and investigate the issues further, I'd be grateful if you could please get in touch with our Patient Affairs Department either via e-mail or by phone. Their contact details are below.

patientaffairs.monklands@lanarkshire.scot.nhs.uk

01698 752300

Thank you again for taking the time to provide us with your feedback.

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