"regular appointments for methatrexate IM..."
About: Queen's Medical Centre Queen's Medical Centre Nottingham NG7 2UH
Posted by Eleanor Watkins
I have been attending ward C32 for 4 Methatrexate injections per fortnight since June 14th 2014 and I requested to change hospitals to Derby Royal on 24th July 2014. I was diagnosed with a complete molar pregnancy in on 19th September 2013, and was an inpatient in C32 for the D&C procedure. The procedure went as well as it could, and the care given for this was fine. Since then I have been looked after by Sheffield Weston Park Hospital, and we made the decision to start methatrexate injections because the molar tissue was re-growing. When I went back to C32 for these injections, there was a lack of people who had been on the course necessary to give the injection. Over the coming weeks I realised that there were 2 staff nurses able to give the injection and one training. Attending C32 every other day, I have various issues with the care overall on the ward, not least being surrounded by happy couples going home with their scan photos, which I of course didn't get, and as I am unable to try again for my first baby until a year has passed from the end of Methatrexate treatment, I wont get for a while. My main issues are: There is not enough staff trained in giving this injection. Either train more staff, or don't offer the service. I have since transfered to Derby and have had no problems whatsoever. Being made to wait for a long time. I understand that it is an emergency ward, and I am happy to wait. However, I asked for an appointment time, or when would be the best time to come in, but with the exception of the first injection, I was never seen within an hour and once I waited over 3 hours. Hospital parking is not cheap. Lack of basic customer care. I too work for the NHS and so I have an understanding of the level of service we provide. I did not get this level of service. I have a feeling it is due to staffing issues as everyone was very stressed and rushed, but still, I was ignored by everyone, noone smiled at me or came to say "sorry we have an emergency today, and you might not get seen for 2 hours, would you like to come back later?". Noone knows what a molar pregnancy is. I know it is a rare condition, but even on an early pregnancy unit I would have expected the nurses to know what it is. I had to explain it several times to staff nurses and even a locum doctor. I had to explain how it is different from an ectopic pregnancy, why it is treated with methatrexate, how it is just bad luck and not actually my fault and I am pretty upset about the whole thing. Administering of injection. This has always been up to the preference of the nurse at QMC. In Derby it is up to me. I have always felt like an inconvenience Believe me I wouldn't choose to have this treatment, it has impacted severely on my mental health, suffering the loss of a pregnancy and not being able to try again for so long. There is a lack of empathy and understanding, perhaps due to stress. I felt like I was such an inconvenience to everyone's day.