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"Humiliated by Accident and Emergency doctor while feeling suicidal and vunerable."

About: Glasgow Royal Infirmary NHS 24 / NHS 24 (111 service) Queen Elizabeth University Hospital Glasgow

(as the patient),

 I am currently living with severe and now chronic pain which is having a severe and detrimental effect on all aspects of my life. It has never been properly investigated and I've been pushed from pillar to post so often that I am both physically and mentally exhausted.

An MRI I had in Jan full spine/June lower back revealed a spinal bulge and would explain at least some of the severe pain I have. In June I went to a different A and E in NHS Lanarkshire, they were completely respectful and said if I had similar pain again, not to hesitate in emergency care.

In July my pain had peaked in my lower back, down both legs, I had numbness in my feet and in between my legs with weakness and incontinence. I called NHS 24 no longer to bear the pain, even with the max of strong pain relief. I was so ill by this point that I was not able to function and in bed most of the time. The nhs 24 doctor said I had red flags and that an ambulance would take me to the nearest Accident and Emergency. I was told to take some overnight things that regardless of the other MRI they would need to do another and have an osteopath look at my spine.

When arriving late night at the Queen Elizabeth Uni Hospital, I wasn't taken through as expected but put in the waiting area, I didn't mind as I know there are others sicker but during my nurse obs the nurse watched me stand up with my bag, looked at me up and down, and while sitting down for my blood pressure demanded to know why I called an ambulance. I said the NHS 24 doctor called it. She huffed and told me to go wait in the waiting area again. I sat for about an hour till I was too sore and tried to pull a patient chair over as it was padded and the hard seats were hurting too much, I hadn't slept for two days and could hardly sit up, not one nurse tried to help. I asked the nurse at the reception how long a  wait and told it was chokka. I thought I would let her know that the nurse taking the obs had made me feel like a fake as implied I shouldn't have came in by ambulance, she overheard and came over and said it was a standard question, that I was a young person and able to walk and wondered why a relative hadn't took me (wasn't my choice). I replied that I felt I might leave at this point and another nurse said, go if you want, I wont stop you. Another said, just take a seat and they will see you. After another hour I asked for some water and was told no you might need an operation, doctors orders and the nurse walked away. I became very emotional crying with pain, another hour later and  finally a male nurse ushered me to a bed, he said I was walking fine and implied I was not an emergency before any test or talk had been done. I said I felt condescended and he walked away and got a consultant who started demanding why I came in as the male nurse took notes ver batum, then told me I wasn't getting an MRI. I got emotional again and he said he would come back in ten minutes. I was exhausted and no one seemed to care,  was the only patient left in the waiting area, patients who seemed better were taken before me.  I was made to feel like I was faking it all.

More than half an hour passed and I put on my clothes and by this point I was very emotional. I told the nurses at the front door that I felt suicidal with pain and that it did NOT seem I was getting help yet again (same hospital sent me away twice before). She said that's up to them and didn't care I was distressed. Even a paramedic came over to offer a phone number for mental health. The nurse told me to go if I wanted. I ended up running away and while in the city centre I felt I wouldn't take it anymore and called 999 stating I was mentally unwell and the above. Police were sent out and an ambulance. The paramedics were empathetic and the police couldn't understand why they were called. I was transferred to the Royal Infimary, Glasgow. I had  high heart rate, high blood pressure at obs. The paramedic asked if I had heart probs and my blood sugar was low. A junior doc saw me almost immediately, poked my legs for numbness and told me I was fine to go home. I then told him  I was told of red flags and a need for my spine to be looked at, he refused. I then told him I was in too much pain, he was kind but said I needed to go home. I then asked if something was out of place and again said I was too pain but wasn't believed. Behind the curtain I heard a man say Let me deal with her, ushered him away. The what I assume more senior A and E doc stood there, hands behind his back and started berating me. He told me I had an MRI before and didn't need one. I told him I was in a lot of pain. He shrugged and when I said to myself I didn't know how I was going to get home, his exact words were That's not my problem, I got very distressed and started a background of everything to prove myself an pain, he kept talking over me and told me I better leave and pulled the curtains and yelled, You are discharged. Stormed away....I said why are you talking to me like rubbish and that I was suicidal from pain. He told me I was making it up, that I was just trying to not get discharged and that even the police said I wasn't suicidal. That was untrue. I told him again I was suicidal and he walked away saying leave now and that he had witnesses. I burst into tears ad stupidly took an overdose of painkillers on the bed, my mental health is poor as the service I had was pulled away due to covid. A nurse came over to coax me to spit them out and got me some thick charcoal drink. The senior doc berated me even more, saying did I think this was getting me attention. He was calling out from across the floor and the nurses t the station were all staring. I know that was stupid of me but I was desperate. Mental health services were called but I felt so humiliated and vunerable I left. I informed a friend and helped me get help via telephone for severe depression.

I have never felt so vunerable . It was clear that I was mentally unwell. Not only this but at another appointment my notes apparently said I was aggressive which is untrue. I was in desperate need for help and because of prejudice and a presumption that Im a hydrocondriac or medicine seeker, attention seeker, they refused patient care. I feel I cant go to a hospital now based on this experience at the QEUH and Royal Infimary.

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Responses

Response from Shona Lawrence, Clinical Governance Lead, Nursing and Care, NHS 24 3 years ago
Shona Lawrence
Clinical Governance Lead, Nursing and Care,
NHS 24
Submitted on 17/08/2020 at 17:38
Published on Care Opinion at 17:38


picture of Shona Lawrence

Hi MH

Thanks for sharing your experience on Care Opinion. I am sorry this was not a positive experience for you and that it left you feeling vulnerable. This sounds like a really challenging time for you and I hope you are doing well. From what you have shared, my colleagues within NHS Greater Glasgow & Clyde are the most appropriate people to respond to you.

Your story has been tagged to NHS 24 as you mention a call to our service. If you, or our colleagues within NHS Greater Glasgow & Clyde wish us to review your contact with NHS 24, then we would be pleased to do so. I do appreciate however that the main issues within your story relate to the service provided at the hospital.

Just for your info, should you require any support in managing your mental health, NHS 24 offers the Breathing Space Service which can be contacted on 0800 83 85 87. We also have a dedicated Mental Health Hub which is accessed via 111.

If I can help further, please do not hesitate to contact me at: Patient.Experience@nhs24.scot.nhs.uk.

I wish you well for the future.

With kind regards

Shona

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Response from Rachel Pyle, Patient Experience Project Manager, Patient Experience Team, NHSGGC 3 years ago
Rachel Pyle
Patient Experience Project Manager, Patient Experience Team,
NHSGGC
Submitted on 18/08/2020 at 15:33
Published on Care Opinion at 15:33


picture of Rachel Pyle

Hello MH,

Thank you for taking the time to share your story with us on Care Opinion. I am sorry to read that you have been unwell and about the impact this pain is having on you. I understand it must be a worrying and difficult time.

I am truly sorry to hear that your experiences in the Queen Elizabeth University Hospital and in Glasgow Royal Infirmary left you feeling like no one cared as this is not how we would want you to feel having attended any of our hospitals. I am saddened to read that you felt that the staff were dismissive and made you feel distressed and upset, and that this was such a negative experience for you. Having to visit hospital for an emergency can be a worrying time anyway, and I am sorry that we were not able to reduce your level of anxiety and distress during this time.

In your post, you also mention feeling vulnerable and suicidal. My colleagues in Mental Health Services wanted you to know that NHS mental health services and community-based third sector resources are available 24/7 to support you if you are having suicidal thoughts. If you ever feel like this, it is important that you reach out for support. As Shona has explained above, you can call NHS 24 on 111.

There are also some other resources which you might find helpful:

You can call Breathing Space on 0800 83 85 87 if you need to talk with someone. Or you can find more information here: https://breathingspace.scot/

You can call the Samaritans on 116 123 or their website is: https://www.samaritans.org/?nation=scotland

Thank you again for taking the time to share this feedback with us.

Best wishes,

Rachel

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