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"Supply of echocardiology results"

About: Victoria Infirmary / Cardiology

(as the patient),

I had an appointment for an echocardiogram 4 days ago. I also had an ECG and treadmill test booked for today. At lunch-time on Thursday, after my scan having been undertaken at 9. 30am, I was telephoned at home to inform me that I have cardiac failure and that it was not necessary for me to attend the ECG examination today. I have just telephoned my GP to ask whether he has received any result or feedback from cardiology. He tells me that he has not received any information concerning my test last Thursday. Cardiac failure is a life threatening condition which may be ameliorated through diuretics, ACE inhibitors and beta blockers. I was admitted to the Queen Elizabeth University Hospital A&E 14 days ago with suspected cardiac pathology and kept in overnight being discharged with Furosemide to treat pulmonary oedema.

I have just experienced a very long and anxious weekend and suffered considerable discomfort. Under such potentially hazardous clinical conditions, I inquire why it has taken so long to communicate my test results to my GP such that suitable therapy may be initiated as soon as possible?

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Responses

Response from Nicole McInally, Patient Experience and Public Involvement Project Manager, PEPI, NHS Greater Glasgow and Clyde 7 years ago
Nicole McInally
Patient Experience and Public Involvement Project Manager, PEPI,
NHS Greater Glasgow and Clyde
Submitted on 28/02/2017 at 09:01
Published on Care Opinion at 09:39


picture of Nicole McInally

Dear Pensioner Will

Thanks for taking the time to post on Patient Opinion.

I am sorry to hear about your diagnosis and I appreciate that this is a very anxious time for you.

I will share your post with the General Manager for Cardiology to answer your question about the communication of test results.

Kind Regards

Nicole McInally

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Response from Nicole McInally, Patient Experience and Public Involvement Project Manager, PEPI, NHS Greater Glasgow and Clyde 7 years ago
Nicole McInally
Patient Experience and Public Involvement Project Manager, PEPI,
NHS Greater Glasgow and Clyde
Submitted on 20/03/2017 at 13:54
Published on Care Opinion at 19:58


picture of Nicole McInally

Dear Pensioner Will

I have just spoken to the General Manager for Cardiology regarding your post.

Can you please contact me at Nicole.McInally@ggc.scot.nhs.uk with some personal details including your date of birth so that we can look into this further.

Kind Regards

Nicole

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Update posted by Pensioner Will (the patient)

Thank you for your kind reply. A great deal has happened since we last corresponded most of which has been satisfactory. In February my younger son took me for an emergency consultation at my GP. My GP said that I should be taken direct to Acute admissions at the QEUH. I was admitted, drained of 4.5L of oedema, stabilised then discharged on a week later. I was told that specialist cardiac nurses would visit me to continue titration of my medication of beta blockers.

I waited fourteen days. I had no contact with anyone. I telephoned my GP and asked if they had a contact number for the specialist cardiac nurses. They said they had not and neither had they had any communication about me, apart from a copy of the immediate discharge letter from coronary intensive care.

I then decided to telephone the ward from where I had been discharged.. When asked whether they had a contact number for the cardiac nurses, after looking for about 4 minutes, I was provided with a telephone number. I tried twice tens of minutes apart. But could get no response. I found this present site and sent my first story. Very fortunately, probably in response to my initial contact, I received a telephone call at just after 5.00pm on a Thursday from the cardiac nurse specialists. I was then given a home appointment for the Monday

That consultation was extremely helpful and meaningful. My beta-blocker dose was increased and other medications altered. The local pharmacist was able to supply the new medication immediately upon presentation of the prescription, signed by the cardiac nurse, by my wife. However, I am a little concerned that if I had not personally pursued the matter then nothing would have happened to update my situation. I wonder how many other patients would have been prepared to personally pursue matters. Or just been dissuaded by their GP surgery. I had the confidence to proceed with matters personally because I had taught in the Medical School at Glasgow University over the last 35 years during my working life. And I was prepared to speak up to try to ameliorate matters. I am now very relieved and satisfied to be included within the specialist nursing care cardiac environment and look forward to my next appointment in two weeks time. But I have still not received an appointment to discuss the results of my echocardiogram from the New Victoria Hospital.

Response from Nicole McInally, Patient Experience and Public Involvement Project Manager, PEPI, NHS Greater Glasgow and Clyde 7 years ago
Nicole McInally
Patient Experience and Public Involvement Project Manager, PEPI,
NHS Greater Glasgow and Clyde
Submitted on 22/03/2017 at 09:00
Published on Care Opinion at 12:51


picture of Nicole McInally

Dear Pensioner Will

Thank you very much for the update.

I am sorry about the difficulties you experienced in obtaining contact telephone numbers for the Cardiac Nurses and I will share this feedback with the Cardiac Service.

I am pleased to read that your consultation with the cardiac nurse was helpful.

I will find out about your next appointment and contact you via email.

Best wishes

Nicole

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Response from Nicole McInally, Patient Experience and Public Involvement Project Manager, PEPI, NHS Greater Glasgow and Clyde 7 years ago
Nicole McInally
Patient Experience and Public Involvement Project Manager, PEPI,
NHS Greater Glasgow and Clyde
Submitted on 07/04/2017 at 12:50
Published on Care Opinion at 13:05


picture of Nicole McInally

Dear Pensioner Will

Thank you for your postings.

My apologies for the difficulties you have experienced regarding communication.

I understand that you had an ECHO on the 23rd February and that this was reviewed by the consultant and that a referral was made to Cardiology. A letter was sent electronically to your GP on the 10th March.

My apologies that you had difficulty in contacting the Cardiac Nurses – I will look into this further.

I am glad to hear that your consultation with the Cardiac Nurses was helpful.

Nicole will contact you directly with details about your appointment.

Kind Regards

Cath McFarlane

General Manager - Medicine

South Sector

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Update posted by Pensioner Will (the patient)

Dear Ms McFarlane,

Thank you for the above information. You say the Consultant made a referral to Cardiology on or about 23th February. But the Consultant has not contacted me, the patient. I was admitted to the Intensive Care Cardiology at the Queen Elizabeth Hospital for one week in February 2017. One consultant there obtained a record of my echo on the 1st March and informed me that I suffer from severe cardiac failure. There has been no other contact with either a consultant or my GP so I know no detail about my condition. The only therapeutic advice I have received has been from the cardiac nurse Eve who has now visited my house twice. The cardiac nurse was extremely helpful and encouraging. She said that my consultant had requested another thoracic x-ray and this has been scheduled for 18th April at the New Victoria ACAD. So I am glad that some progress is being made. But I still feel I have not been provided with adequate clinical information or insight.

Thank you Pensioner Will

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