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"Treated like an inconvenience"

About: Norfolk & Norwich University Hospital / General surgery

Just before moving to the area I suffered a ruptured gallbladder and sepsis. This resulted in the fitting of a liver drain. The drain produced around 150ml of bile per day for 6 weeks fairly consistently. Unfortunately after moving I caught the drain tube accidentally and pulled out several inches of tubing.

I immediately went to A&E (late at night). I was seen pretty promptly as I was bleeding from the drain site. I was x-rayed and sent to SAU. I saw a Junior doctor who recommended an ultrasound to check where the drain was and ensure I hadn’t damaged anything.

By about 3:30 am I was given a bed.

At around 7:30 (so only 4 hours later) I was woken by a senior consultant and his team who declared I was fine and could go home. This was without examining me and without a scan. He did not listen when I explained how I was no longer draining bile and dismissed this as a coincidence. He based his diagnosis solely on the fact that I hadn’t shown any infection markers in a blood test taken shortly after I arrived in A&E. Of course there weren’t - insufficient time had passed to develop infection. The hospital had never seen the type of drain I had - this became obvious when the sister, who had been instructed to replace the belliows- could not find any mechanism in the hospital that she could use to connect it.

I was extremely upset and asked to see the consultant again. I had a delay at the original hospital that had considerably complicated a simple gallstone issue which resulted ultimately in the rupture so was very scared that I’d contract sepsis again and be worse than before as I was in a weakened state. I was treated like a nuisance - how dare I question a consultant!the ward sister was incredibly rude. My husband arrived and voiced my concerns again and she was rude to him. I was afforded no dignity, treated like an idiot when in reality I’m a very intelligent woman, have been to medical school and have more than a basic grasp of medicine. Eventually we were allowed 5 minutes of his senior registrars time who again just reiterated the same message. I was assured that my drain had not moved in spite of the FACTS that several inches had come out (there was a ‘ring mark’ where it was originally next to my skin) and I was no longer releasing bile. It was a build up of bile that caused my rupture and sepsis and this was my main concern. I was then discharged concerns ignored.

Within 24 hours I was vomiting and had a very high temperature. At 36 hours I was in extreme pain around my liver. I had another infection. I had to have another liver drain but this was not inserted correctly and didn’t drain anything. I was an inpatient for 10 days on strong painkillers and three types of antibiotics to get the infection under control.

Once the 2nd drain was removed and I was discharged I developed a cyst. This was where the bike had effectively found its own way out. I had an open wound leaking bile till my gallbladder was removed (privatemy)

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Responses

Response from Sarah Eastwood, PALS Manager, Norfolk and Norwich University Hospitals NHS Foundation Trust 5 years ago
Sarah Eastwood
PALS Manager,
Norfolk and Norwich University Hospitals NHS Foundation Trust
Submitted on 02/04/2019 at 14:05
Published on Care Opinion at 18:41


Dear Patient

I am sorry to read your experiences as an emergency patient at the hospital and for the distress caused to you. Please be assured I will share this with senior staff in the hospital so that they are aware. Please contact me at pals@nnuh.nhs.uk or 01603 289045 to discuss this further and agree how we can best help you.

I hope you are recovering well.

With kind regards

Sarah

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Response from Sarah Eastwood, PALS Manager, Norfolk and Norwich University Hospitals NHS Foundation Trust 5 years ago
Sarah Eastwood
PALS Manager,
Norfolk and Norwich University Hospitals NHS Foundation Trust
Submitted on 04/04/2019 at 15:16
Published on Care Opinion on 05/04/2019 at 09:33


Dear Patient

Thank you again for sharing your experiences of your recent emergency admission. Please be assured I have shared this with senior staff in the hospital including the Chief of Division for Surgery and the Surgical Matron. They have asked me assure you they will learn and reflect on the important messages that you have written about. Louise Laing, Surgical Matron will be pleased to speak to you about this and asks if you can email her directly at louise.laing@nnuh.nnuh.nhs.uk.

With best wishes

Sarah

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