"Transfer from a&e to gynaecology"

About: Leicester Royal Infirmary

I recently came through a@e (25/05) I had a short wait and when greeted by the clerk there ... They told me I was in the wrong place , I told them my situation (suspected miscarriage) and symptoms were presenting themselves as we spoke ..... They immediately came from the station to my side and took me through to minors ( I thank this lovely person for their kindness) I was very quickly attended to .. Put in a bay and assessed .

Every member of staff introduced themselves and did their jobs accordingly .

Bloods and tests were taken and the doctor arrived within 20 mins with the results.

I was relieved of any embarrassment as the excellent staff there met my needs quickly and spared me any further distress !

I was transfered to gynaecology , made comfortable and procedure was explained to me !

I couldn't fault the staff, my care and treatment by a very lovely doctor.

I was discharged with prompt meds given and asked to return the following BH Monday .

Again I was looked after by a nurse , whom I had seen the Wednesday I was admitted.

After a prompt scan they talked me through the results and gave very welcomed reassurance , she was very kind alongside their professional knowledge !

I have only one concern now ...... I am booked in for a hysterocoscopy and have read a recent review on this site ?

Can I please ask for some advice regards a local anesthetic for the procedure?

Thank you .

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Response from Communications Officer, University Hospitals of Leicester NHS Trust

Dear Jp,

Thank you for taking the time to review the service you received from Gynaecology at Leicester Royal Infirmary. Your comments are very much appreciated and have been forwarded to all of the teams involved in your care.

With regards to your hysteroscopy concerns, the majority of patients tolerate the procedure well and experience some cramping, abdominal pain and some bleeding afterwards, but these are normally manageable with simple analgesics such as paracetamol.

Some patients do experience more pain or are unable to tolerate the procedure and require a general anaesthetic, but this will be a decision made by the staff performing the procedure in conjunction with the patient.

Whilst we do sometimes use local anaesthetic, this is the exception as the evidence does not support its use for reduction of pain, as the pain is often due to distension of the cervical canal or uterine cavity and this is not prevented by local anaesthetic. National Guidance does not support its use.

If you do have any further concerns prior to your procedure, please email: communications@uhl-tr.nhs.uk with your name, address, date of birth and hospital number, and we can discuss this further with you.

Best wishes for your continued recuperation.

Kind regards,

Communications Team

Leicester's Hospitals