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"Pain management service"

About: Fiona Stanley Hospital / Acute Pain Service, Anaesthesia and Pain Management Department

(as the patient),

I have been under the pain management team for a few years.  As has my partner, we have both been dissappionted with the many times there has been discrepancies between what is said during our phone appts and what is actually stated on the letter recieved week even months later. Treatment plans discussed then are completely different on the paper work.

I am a clinician and I always repeat back to the caller the plan we have discussed to be sure I have understood correctly. Yet when the letter arrives, the plan listed is completely different to what was "promised" one example I was seeing a private clinic for a series of procedures every 12months.

Fiona Stanley Pain Clinic discussed with me that it would be best for me to have this procedure done thru the hospital as not only could the treatment be done in one visit all at once but that they would also extend the treatment to include areas above and below the affect vertebrae.

I waited 2yrs, had to increase my pain medications to cope. Also had to reduce my working hours as the pain was increasingly difficult to manage. Each phone interview I was assured that the wait will be worth it as I would have 1 treatment and all areas would be covered. Letters recieved by myself and my GP did not confirm this advice. The next appt I would ask again for confirmation of what the treatment would involve and wether it matched the treatments I had been receiving at the private clinic. Each time I was assured it would be all areas in the one treatment.

I eventually traveled 400kms took two weeks off work for recovery, only to recieve treatment of one side, when I queried this at the pre surgery assessment I recall I was told that's not true, I would not have been told that, they never treat more than one area at a time. I was also told, don't worry my next treatment for the other areas will be in about 2 weeks. No such appt has arrived.

Recently I had a follow-up nurse phone consult 5 weeks later to, I recall, be told that they never discussed any other areas, I have not told them about other areas, there is no appt for further treatments and that I have a follow up appt with the specialist in Sept. That will take me to the 3yr mark I am absolutely disappointed and disgusted in the apparently blatant lies to my face, over the phone and on the documentation.

I will be returning to my original clinic even if they can only treat the most painfull site each time at least they are honest about it and I don't have to wait 3yrs each time.  I am trying to remain in the workforce and these treatments allow me that opportunity, I feel so let down by the system that I give my all to.

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Responses

Response from Neil Doverty, Executive Director Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service 3 months ago
Neil Doverty
Executive Director Fiona Stanley and Fremantle Hospitals Group,
South Metropolitan Health Service
Submitted on 11/07/2024 at 11:00 AM
Published on Care Opinion at 1:49 PM


picture of Neil Doverty

Dear Working in pain,

I am sorry to hear of your ongoing struggle with pain management. I can appreciate how distressing and disruptive this can be in your daily life. It is not usual for our medical team to suggest a patient cease having effective pain management treatments.

For patients with pain significantly worse on one side, we conduct the procedure on the worst side first, and then re-assess. We have found that in approximately 50% of cases, pain on the lesser pain side improves as the patient’s movement improves. Similarly with bilateral pain we will usually book one side first, depending on the required procedure, and then book the other side at a later date. I am very sorry that this has not occurred in your case. The purpose of the nurse phone call 6 weeks post-procedure is to document the outcome of the procedure that was performed. The process of discussing further procedures, is always a doctor consultation. It is likely your appointment in September is to discuss booking of further procedures.

Our complex pain service is able to offer multi-level combined procedures as they are completed under general anaesthetic. We also have access to radiofrequency machinery, which can provide more directed needle inserted epidurals and are able to combine radiofrequency and epidural steroid injections if needed. As a result, we can offer more in-depth pain management planning. Procedures are discussed with patients at individual medical consultations, and this is documented along with the site of the procedure.

I would like to better understand the discrepancies between the information that you have received during your phone appointment and the treatment plans outlined in the letters received by yourself and your GP. To allow us to investigate this further, I invite you to contact our Patient and Family Liaison Service (PFLS) on 6152 4013 during business hours or via email at FSHfeedback@health.wa.gov.au. You may wish to mention to the PFLS that you have shared your story (Ref. 96705) on Care Opinion. This will allow them to use your story to further inform their investigation.

Thank you for reaching out. Sharing your experience helps us to understand where we can do better and I do hope that you get in touch.

Kind regards,

Neil Doverty

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