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"I have started to dread seeing dermatology"

About: Royal Victoria Hospital / Dermatology

(as a service user),

I started seeing dermatology a number of years ago due to a complex skin issue, I was reviewed on a regular basis. In December 2019 things deteriorated and I was admitted to hospital for the treatment of a wound, I was made to feel that this was my fault - things such as stress, my shampoo and skin products were blamed.. after significant deterioration in the wound (resulting in very significant scarring) it was decided that the wound was my underlying disease and treatment was changed. 

Over the last couple of years I have started to dread seeing dermatology, I have left so many appointments in tears, ringing friends distressed due to not feeling believed or made to feel belittled in appointments. If I got upset in an appointment I was deemed not coping and needed too see psychology - if I didn’t get upset then it was deemed I was coping too well and needed to see psychology - all this time I was seeing them and they were saying I was doing well and coping etc, it just felt like this was an easy excuse and often these conversations were happening with my wound exposed in a treatment room not even when I was fully clothed. 

In March of this year my skin deteriorated all over- since then dermatology have been giving advice via pictures and I assume verbal descriptions from other consultants, I understand the pandemic and the complexity of my disease but when they are recommending treatments and I would have assumed seeing multiple wounds would have been good practice (Just today I collected prescription for a dressing I have been advised not to use as it has torn my skin in the past)

When I queried the last of being seen with dermatology I had a phone call from the secretary who assured me the dermatologist was very involved and up to date but I struggle to understand how, when they’ve not seen my skin only pictures and wounds change. I was what I felt begrudgingly offered an appointment for after their holidays in august but only if I wanted them to see it. I accepted this appointment but on further reflection thought what is the point when they clearly didn’t want too see it. I’ve multiple severe ulcerations and while I’ve been seen in rheumatology clinics no one in terms of doctors have looked at them in since May or June. 

It’s recently been suggested by a dermatologist elsewhere that I may have a different skin condition and I can’t help but wonder if I had have been seen could this have been detected sooner. I have also tried to make contact with my main team in relation to their current suggestions after receiving a voicemail when I was in another appointment but I’m awaiting reply on this. 

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Responses

Response from Paul McKeown, Dermatology, Belfast Health and Social Care Trust 2 years ago
Paul McKeown
Dermatology,
Belfast Health and Social Care Trust
Submitted on 19/10/2021 at 23:50
Published on Care Opinion at 23:50


My Name is Paul McKeown, I am the Assistant Service Manager for the Dermatology department at the Royal Victoria Hospital. I am disappointed to read of your experience of our service and your dread of attending appointments.

As a service we strive to meet our patients needs and its disappointing when we fail to deliver an acceptable standard of care.

I would apologise if conversations have taken place which have left you feeling vulnerable. Sometimes wounds may be left exposed for consultation or education purposes with the patient, I have however reminded all our team of the importance of maintaining every patients privacy and dignity at all times.

Thank you for recognising the challenges that the pandemic has brought to our service. We have tried to meet the needs of our patients by offering both face to face and virtual appointments however we recognise that we need to continue to adapt our service to provide excellent standards of care.

You have raised a number of issues personal to your own treatment and I would welcome the opportunity to explore these further with you and look for ways to further enhance your care and our services. If you would like to arrange a conversation with myself please feel free to contact me at any time via email initially paulD.mckeown@belfasttrust.hscni.net

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