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"I felt coerced into procedure"

About: Joondalup Health Campus / Emergency Department

(as the patient),

As a healthcare professional myself, it pains me to have to write this poor review.

I was brought in by ambulance as a cat 1 (lights and sirens) for a severe haemorrhage, loss of consciousness and excruciating abdominal pain. On arrival I was met by a lovely team of nurses and doctors who made me feel safe and helped get my pain under control quickly. I would give them 5 stars if it wasn’t for the following events…

Due to this being a gynaecological issue, the on call gynaecologist presented to my cubicle to assess me. To start with, they questioned why I even bothered coming into hospital. I explained the huge blood loss I had an hour earlier and listed all my symptoms. Ultrasound showed that my IUD had perforated my cervix (absolutely excruciating).

After already having 2 people shove instruments up in my bits, I was bawling my eyes out in absolute agony. This doctor proceeded to give me an ultimatum about my treatment. I expressed my concerns with the doctor about having more internal examinations and that my pain was too high for them to do this. I asked if there were any possible alternatives, perhaps having a light sedation when timing allows. I’ve previously needed light sedation for IUD insertion and removal due to cervical shock and vasovagal episodes.

I recall this doctor proceeded to huff and puff, become very passive aggressive and said essentially I have it out now with not comfort measures or go home and deal with it. A perforated cervix and they said to go home, deal with it and go to a gynae clinic in 2 weeks. Apparently because my blood count was currently normal they seemingly didn’t have a single care in the world. Again I expressed my distress about having the procedure done, I felt this doctor stormed in and out of my cubicle, pressuring me to have this examination or I would be told to go home and continue bleeding heavily? I recall they made it clear that this procedure isn’t painful and rather a psychological issue. After essentially being coerced into this decision as I felt I had no involvement in my care plan, I asked politely if I could use the bathroom first. The doctor let out a massive sigh, looked at the clock and said well come on then, hurry up and that they have more important patients upstairs. I broke down walking to the toilet.

They left me in hysterics. Comparing my importance to their other patients when in fact, I understood they were about to handover to the evening doctors and go home. In my opinion, this doctor needs a lesson in bedside manner and ethics. I was so distressed by this whole situation, was offered zero reassurance, not a single kind or caring word. I felt coerced into having a painful procedure that I wasn’t comfortable with. I felt I had no choice but to succumb to the ultimatum as I refused to go home and I believe bleed to death and deal with this level of pain.

I kept getting told to hurry up and make a decision, stop overthinking it, it isn’t that serious, I have a low pain threshold, I was holding this doctor up from more important patients. I’ve never met such a rude and passive aggressive doctor in my entire life and career. I do hope that they receive this feedback and work on improving their rapport with their patients.

Thankfully, the doctors changed shift and I was greeted by a pleasant gynaecologist who made me feel safe and comfortable. The procedure was performed and although it was extremely painful, this doctor's demeanour and bedside manner made it a little more bearable.

I have officially made a complaint about this doctor. I hope no other patients have to experience this type of treatment.

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Responses

Response from Mary Ferrier, Director of Clinical Services, Joondalup Health Campus last month
Mary Ferrier
Director of Clinical Services,
Joondalup Health Campus
Submitted on 17/07/2024 at 4:45 PM
Published on Care Opinion at 4:46 PM


Dear bluexb55,

I appreciate you taking the time to write about your current experience at Joondalup Health Campus (JHC).

I was deeply saddened to read of your experience and extend my sincere apologies. In line with the values of our organisation, the expectation is that all staff at JHC demonstrate compassion, empathy, respect and professionalism towards patients and relatives. Your experience does not align with our expectations, and I sincerely apologise that this was the case.

I understand you have been in contact with our Consumer Liaison Team and they are currently looking into our concerns. I trust they will be in contact with you shortly. I encourage you to continue to liaise with Consumer Liaison to ensure the hospital is able to provide you with the support you need addressing the concerns raised.

Your feedback has been provided to the Head of Obstetrics & Gynaecology as an opportunity to review and improve services and to ensure the patient journey going forward will be a more positive experience.

Again, I thank you for providing your feedback and I truly wish you all the best.

Kind regards,

Mary Ferrier

Director of Clinical Services

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