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"Cataract surgery under general anaesthesia"

About: Fremantle Hospital and Health Service / Ophthalmology Department

(as the patient),

I was scheduled for cataract surgery at Fremantle Hospital, where I had been under the care of an ophthalmologist for several years. Due to my severe reflex to eye movement, it was determined from the start and noted in my medical records that general anesthesia was necessary for the surgery. This even required a rescheduling to ensure adequate time for administration. On the day of the surgery, while waiting to be taken to the operating room, the surgeon and anesthesiologist informed me that I would be under "twilight" anesthesia instead. I reminded them that my surgery was supposed to be under general anesthesia, but they assured me that I would be fine without it.

They gave me no option to get the general anesthesia and wheeled me into the operating room, the anaesthesiologist attempted to administer a local anaesthesia near my eye, which caused me to move due to my reflex, and it felt as though they had injected the wrong spot. I reiterated my need for general anesthesia, but was told there would be a delay in my waking up. I insisted, stating I was okay with that as it was what i planned. The anaesthesiologist then announced to the entire room that I want general anesthesia, prompting an apparent collective sigh of disappointment from the staff, one of whom remarked that, oh well, at least the anaesthetist tried.

The anesthesiologist then began preparing for general anesthesia. I mentioned that my eye was hurting from the local injection, but they dismissively said that I'd be under general soon, so I won't feel it, without checking for any damage. When administering the general anesthesia, they simply inserted the needle without warning me it was starting—unlike my previous surgeries, where someone would count down or tell me I was about to fall asleep. As I recall, they activated the drugs and walked away. It was an extremely distressing experience.

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Responses

Response from Neil Doverty, Executive Director Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service 7 months ago
Neil Doverty
Executive Director Fiona Stanley and Fremantle Hospitals Group,
South Metropolitan Health Service
Submitted on 23/05/2024 at 2:42 PM
Published on Care Opinion at 2:45 PM


picture of Neil Doverty

Dear Bubblestorm,

Thank you for taking the time to share your story with us. I am sorry to hear of your experience with Fremantle Hospital. I appreciate how distressful this must have been for you. Please know that the response and behaviour that you have described does not align with the values of our organisation, nor the expectations we hold so highly for person-centred care.

I invite you to contact our Patient and Family Liaison Service on 6152 4013 during business hours or via email to FSHFeedback@health.wa.gov.au with your information to allow us to investigate this further.

Once again, I am deeply sorry for your experience and wish you well in your recovery.

Warm regards

Neil Doverty

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