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"I left feeling not listened to"

About: Crosshouse Hospital

(as the patient),

I attended a specialised clinic at Crosshouse Hospital; an appointment that I really needed and had prepared for, for 3 weeks prior by keeping a daily diary of my condition and medication taken as it can vary from day to day and in fact hour to hour. I had been referred to the clinic by a Professor in Glasgow but have also visited once before around 4 years ago and was never offered another appointment. 

The first thing the doctor referred to was my last visit and how it went. I told them it was so long ago I couldn’t remember the doctor's name and had to remind them that I had been referred by the Professor at another hospital. They then went through my records until they found the referral letter which I could have told them would have been at the front. They read it and then I gave a quick overview of my many symptoms and how they affected me both physically and mentally. I also told them that I have been forced to give up work for the first time in my life because of the pain I was in and it devastated me. I actually cried in the my GP's office when she asked me about it as she also knew it was the last thing I wanted but had to be done or I was going to be seriously injured. 

I explained that I was also on high doses of painkillers to control my pain but when I have flare ups these are not effective and the last time it happened the pain was unbearable. 

They then proceeded to tell me that it was the painkillers causing my pain and they should be reduced and I should fight through the pain and eventually things would get better. I was astonished by this, I have read of cases where painkillers do contribute or make pain worse but both myself and the Professor do not believe this is the case with me. I offered over my diary plus additional notes I had taken when being really unwell and they didn’t want to see them at all. 

I then asked if it was the painkillers causing the pain what was causing the pain before I started taking the painkillers? They just looked at me and said nothing. I then offered to show my daily symptoms again and again they declined. I then asked about being considered for an Intrathecal pain relief pump which after a lot of research I know quite a bit about and how it works and was immediately told this type of pump was for cancer patients ONLY. I know this is not the case but by this time was too deflated to argue the point. I was also told by the Professor to ask for nerve block injections and they would put that in the referral letter. I had to ask for them 5 times during the consultation before the doctor agreed. 

So I went into the office thinking I was going to get some sort of positive encouragement for keeping the diary and doing my research along with some sort of long term plan for treatment and pain reduction so that I can get back to some sort of work for my own sanity. Instead I left feeling not listened to at all and having none of my needs or expectations met or even explained.  I now have no idea how I will manage in the future as the injections are short term quick fix and I have a long term chronic illness. 

I came home and tried to look into getting the Intrathecal pump done privately but I could never afford it not being in work and I truly believe that if the initial tests for it were positive it would change my life both physically and mentally and also allow me to work again. 

If anyone knows any other way to be assessed for this I would love to know as I am now at my wits end and don’t see any sort of decent life ahead. I am relatively young with a young family that I can’t even go on holiday with because my pain and condition is so prohibitive and none of the family would enjoy it. 

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Responses

Response from Eunice Goodwin, Patient Feedback Manager for NHS Ayrshire and Arran, Quality Improvement and Governance Team, NHS Ayrshire and Arran 6 years ago
Eunice Goodwin
Patient Feedback Manager for NHS Ayrshire and Arran, Quality Improvement and Governance Team,
NHS Ayrshire and Arran

I respond initially to most of the posts and ensure they are passed to the appropriate team whether they are compliments, observations or grumbles. It is important to make sure all issues are addressed and I try to encourage that to happen for all the posts as required.

Submitted on 07/11/2017 at 13:00
Published on Care Opinion at 16:12


picture of Eunice Goodwin

Dear Chally2,

I am so sorry, you sound as if you are in a really difficult place right now. Based on what you have already told me, I don't know what the next best move is either. What I can say, is if you would like to contact me and give me some additional details, it may be clearer what the next best move is. I do have some thoughts but it will be best if I wait and speak to you before giving out ideas that may not be appropriate to your situation.

My email address is mailto:Eunice.goodwin@aapct.scot.nhs..uk and my phone number is 01563 826222.

Please do get in touch and we can take it from there.

best wishes,

Eunice

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Update posted by Chally2 (the patient)

Hi Eunice, I have emailed you at the address supplied.

Regards

Response from Eunice Goodwin, Patient Feedback Manager for NHS Ayrshire and Arran, Quality Improvement and Governance Team, NHS Ayrshire and Arran 6 years ago
Eunice Goodwin
Patient Feedback Manager for NHS Ayrshire and Arran, Quality Improvement and Governance Team,
NHS Ayrshire and Arran

I respond initially to most of the posts and ensure they are passed to the appropriate team whether they are compliments, observations or grumbles. It is important to make sure all issues are addressed and I try to encourage that to happen for all the posts as required.

Submitted on 08/11/2017 at 13:11
Published on Care Opinion at 16:03


picture of Eunice Goodwin

Thank you for our chat Chally2,

I have passed this on as we agreed. I will get back to you as promised,

Take care

Eunice

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Update posted by Chally2 (the patient)

Just a question to the responses I’ve had from some of the NHS doctors, why do I have to have cancer to be considered for a treatment that could change my life for the better.

That’s the definitive answer to Intrathecal pumps, we don’t do them here and it’s only cancer patients that are considered.

If the treatment is right for the individual then what price do you put on the quality of a future life of a young man with a young family. Because it seems to me that it’s down to cost not care.

If I could ever afford it, I would have it done privately but we all know that won’t happen. I can’t go private because my condition has caused me to give up work, I can’t get back to work because I’m not allowed the pump so will never be able to afford it.

A couple of staff from NHS Ayrshire & Arran have been a great help to me with guidance but I’m still looking for that long term solution.

Thanks for the help you both know who you are and it is much appreciated.

Response from Eunice Goodwin, Patient Feedback Manager for NHS Ayrshire and Arran, Quality Improvement and Governance Team, NHS Ayrshire and Arran 6 years ago
Eunice Goodwin
Patient Feedback Manager for NHS Ayrshire and Arran, Quality Improvement and Governance Team,
NHS Ayrshire and Arran

I respond initially to most of the posts and ensure they are passed to the appropriate team whether they are compliments, observations or grumbles. It is important to make sure all issues are addressed and I try to encourage that to happen for all the posts as required.

Submitted on 20/11/2017 at 12:21
Published on Care Opinion at 12:32


picture of Eunice Goodwin

Dear Chally2,

I am sorry, I see how this is a never ending circle for you.

I have had a look at some of the evidence and it seems that Intrathecal pumps are advised for short-term use as prolonged use can cause health issues. however, I will endeavour to find out more for you and update you here if I get any additional, helpful information.

Best wishes,

Eunice

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Update posted by Chally2 (the patient)

I am now a year and a half down the line from my initial story and still no further forward.

‘I did receive a set of trigger point injections that worked well for 6-8 weeks and the last thing the doctor that gave them to me said was you’l receive another appointment in a week or so for another session in 6-8 weeks. I did receive the appointment letter as promised in May 2018 and the appointment was for February 2019!!

I called the doctors secretary on 3 separate occasions that month each time being told it would be sorted out and not to worry. After waiting on the appointment letter every day I gave up in August 2018, I didn’t see any point in calling again as it had made no difference before and by this time I was very unwell and very depressed because of this.

I made a formal complaint about my treatment (Or lack off) and was initially called by a senior doctor. I do not want to name any particular doctor as that doesn’t seem fair.

‘He explained what I already knew, and I told him that and said to me over the phone that I’ll just have to fight through my flare ups. I was speechless as when I have these I can barely walk and am at the toilet at the very least 10-15 times a day. Along with soiling myself with no warning while awake and asleep.

‘My GP who has done her best to support me through thick and thin got me an appointment at a pain clinic in Glasgow but when I went to the consultation the doctor got the impression that my pain was all over 90% of the time and in my lower spine and legs 10%. When it’s actually the other way around, I’m sure it’s my bad explanation that caused this because I was so nervous. So because of that I got a follow up letter saying the device would not be suitable as it is mainly for lower back and leg pain which is me. When it’s bad I feel like I’ve been run over by a bus then someone has taken a hammer to my legs. It’s so painful I cry.

‘I also had my formal complaint meeting and my wife accompanied me. I was asked initially what my complaint was and I explained the circumstances around the injection appointments. I was then asked if they helped. I said yes for 6-8 weeks they gave me relief which I desperately needed but I also said I knew I could only have a certain amount and they weren’t a long term option. I then went on to ask about not being offered Level 4 Treatment as outlined in the NHS Ayrshire & Arran Pain Treatment scale as I had been through all other levels including physio, seeing a psychologist, psychiatrist, medication both tablet and biological to which I had a bad reaction to all. There are also some I can’t have because they would make my Crohn’s Disease worse. The head clinician explained again that this treatment was for cancer patients AND patients that had, had a spinal injury and were suffering severe lower back and leg pain. Just as I do 90% of the time. They said it would not work for me, I asked how he knew it wouldn’t work if I was not tested to see. The tests involve a temporary line being put into the spinal nerve and a pump attached on the outside of the body. Different drugs are trialled in a controlled hospital environment and if one is found to work and give a reasonable amount of pain relief that allows the patient to carry out household tasks and get out and about then it works. Oral painkillers can be used for breakthrough pain if a flare up occurs.

These tests cost a lot of money, so does the pump and the upkeep of it. As I don’t have cancer I expect to live for a considerable 20-30 years. It all adds up over those years I suppose.

As the meeting was coming to a close I asked when I would receive an appointment for another set of injections and was astonished to be told by the senior doctor that they had, had a multidisciplinary meeting and decided that I wasn’t to receive any more injections

without, consulting or even telling me If this decision was already made WHY was I asked at the beginning of the meeting how the injections went and if they worked well?

To cut a long meeting short I left with no offer of a test or further injections but a physiotherapist appointment.

‘Been there a few times already is all I can say. My MSP is also championing my case but she gets the same answers I do.

‘So, am I to spend the next 20-30 years on oral painkillers when there is a test out there to see if an intrathecal pump would work, not being able to go on holiday with my wife and son, (she goes with her mum & my son) not being able to join in the fun things he wants to do with me and not even being able to go out for a simple meal with my wife as I can’t sit on the hard chairs without excessive pain.

‘At the moment I spend 95% of my time at home, around 80% of that is alone as my wife works to keep a roof over our heads and my son is at school.

You get more interaction in prison than I do, Pain is my prison and has been since I was formed to give up work 5 years ago. I don’t fancy another 20 years of it would you?

Response from Eunice Goodwin, Patient Feedback Manager for NHS Ayrshire and Arran, Quality Improvement and Governance Team, NHS Ayrshire and Arran 4 years ago
Eunice Goodwin
Patient Feedback Manager for NHS Ayrshire and Arran, Quality Improvement and Governance Team,
NHS Ayrshire and Arran

I respond initially to most of the posts and ensure they are passed to the appropriate team whether they are compliments, observations or grumbles. It is important to make sure all issues are addressed and I try to encourage that to happen for all the posts as required.

Submitted on 06/06/2019 at 19:21
Published on Care Opinion at 19:22


picture of Eunice Goodwin

Dear Chally2,

We are sorry we have not been able to resolve your pain problems to your satisfaction and that you remain in pain to this extent. We are fully aware of the situation and are sorry that the Consultants in both Ayrshire and Arran and the regional experts in Glasgow are in complete agreement that the treatment you seek will not be beneficial for you.

We have offered you a multidisciplinary pain management approach adhering to best practises, and will continue to do so.

Best wishes,

Eunice

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