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"Unfair"

About: Royal Perth Hospital Royal Perth Hospital / Goderich Street Outpatients Clinic

(as the patient),

I was rushed Into hospital after a brick wall fell on me damaging both of my ankles/feet. 

Since then I have had 4 surgeries and 1 skin graft during the course of 2 separate admissions. After the 1st 2week stay in hospital I was sent home both feet in cam boots, 1 foot on vac dressing pump, I have to go pharmacy every other day to pick up my pain meds tapendadole which is a opiate replacement medication,  with a appt to go see outpatients Godrich clinic in a week. I made my appt.

All was looking so good said the doc/nurse, I can come off antibiotics now another week with vac dressing & they will see me back in a week. During this time my wound got smelly. I didn't realise it was my wound until the Friday, no one gave me much information about what to look out for, so I thought it was my dog when I got the odd whif, then I thought maybe something rotten in my hospital bags ( yes they weren't unpacked as I have 2 cam boots/2 broken ankle & not moving much. Went to ED that night when I knew it was my wound it smelt like rotten meat.

I was admitted the next morning for a debriment maybe a tendon repair as tendon clearly is damaged now. Mind you that's a week between dressings or anyone looking at it.  That morning 1 particular nurse keeps remarking "Oh you very tired aint you, you sure you not tired cause of something else." I am tired due to a very infected wound for the past 4 days but I stay quiet. I started fasting on the next day at 12am as they maybe time for surgery. I was not taken into surgery. At 5pm the nurse is telling me to still fast as I might still go to surgery. But when my food tray come by I was hungry, I told the food lady they forgot to take the fasting sign down please give me my tray & she did.

As I was finishing the food the nurse come in sighed at me & says well I better go ring the doctors then. It's 5pm & I was on the waiting list, it's not happening. So 12am the next day I start fasting, no surgery, The following day at 12am start fasting, I go into surgery that morning 9 o'clock.

I have a Opiate Dependancy for the past 30 years in which I have never hidden (I feel it's important to be honest, especially when general anaesthetic is used) the anaesthetist is usually grateful for my honesty & there is few different methods needed to help with my safety. I understand that, I also understand I won't get the same pain relief as a normal patient, I also get there will be judgement cast but I still will forward this information & anything to do with my drug usage.

As I said Iv been a addict for 30 years, I'm what you would call a functioning addict/cupboard junky a lot of people who know me, would never know I use drugs. I don't get sh%* face or you will never see me "nodding off" nor do I steal for my habit, I don't live with drug paraphernalia left out. I've never hurt anyone. I'm quiet well spoken & polite.

Anyways 5th operation happens, I wake up with 2 nerve blocks & vac dressing and of course the other foot in Cam boot. I get told the following day it was just a debriment. Tendon is still in question & prob have to go for another skin graft. So a couple days on the ward hooked up to the nerve blocker machine & vac pump, I don't give anyone grief, I am not asking for medications.  Even thou 1 particular nurse seems to continue to treat me with negligence & seems discriminatory. They open the Vac dressing, the Doc has a look says I need dressing every 2nd day. When I ask about Silver Chain & I am told by that nurse that some people get that service & some dont, thou the look on her face I feel I know exactly why I don't, but I try not to jump to assumptions.  I ask them if they could please find out why I dont, as I really need Silver Chain it's always provided to others & I believe I'm in a far more difficult situation. 

I believe if Silver Chain was offered, my foot wouldn't of gotten so rotten & me not needing the second admission to hospital. The nurse comes back with Silver chain wont come out course you are a iv drug user. Then I get told my pain medication tapendadole will not be dispensed every other day anymore, I have to make the pharmacy everyday for pain meds.

So both ankles broken, 2 cam boots. 5 surgeries down, broken tendon + more surgeries in the near future, I must try make it to pharmacy everyday for pain meds, every second day to clinic to change my dressings, plus a out weekly plastic outpatients appt, and physio coming soon. Because I'm a opioid user, I get below par care, if its offered that is & have to do all these extra to get minimal pain relief. I didn't ask for this to happen to me. Nor did I, or was I doing anything for this to happen to me. It was a freak accident where a friend's side gate brick wall fell on me after we had been walking my dog at the dog beach that afternoon. 

And this is what I'm having to deal with. I know I  won't ever have use of my feet like I use too, but I would like to be given the same health treatments to try gain as much mobility & the best recovery possible. 

As it is, I'd been discharged for 7 hours, I'd got no pain meds and my wound was weeping threw the bandages, making my cam boot moist,  is that OK? Should I go ED again?

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Responses

Response from Ben Noteboom, Executive Director, Royal Perth Bentley Group 4 months ago
Ben Noteboom
Executive Director,
Royal Perth Bentley Group
Submitted on 25/11/2024 at 2:51 PM
Published on Care Opinion at 3:59 PM


picture of Ben Noteboom

Dear Human000

I am very sorry to hear about your accident where a brick wall fell on you leaving you with injured ankles. I was disappointed to read your patient journey has not been pleasant and for the distress this continues to cause you. Our staff strive to provide excellent care and I sincerely apologise this was not your experience, and that you felt you received below par care due to your opioid use.

I also acknowledge your frustration that you had to fast for several days prior to having your surgery. Unfortunately, Royal Perth Hospital runs a very busy surgical service, and sometimes more clinically urgent cases are prioritised for use of our available operating theatre space, which can result in less urgent cases being delayed. Efforts are made to plan for this but the emergency, unplanned nature of such cases can make it difficult to predict on a day-to-day basis.

Regarding your concerns around your wound weeping, I urge you to discuss this when you are having dressings changed in clinic or have it reviewed by your General Practitioner.

The care and treatment you describe is certainly not the level of care we strive for. I would like to investigate your discharge and ongoing care arrangements, however we have been unable to identify you with the information you have provided. If you would like to discuss your concerns in more details, you are welcome to contact our Patient Experience Team on (08) 9224 1637, 8am to 4pm or email RPBG.feedback@health.wa.gov.au.

Thank you for sharing your story on Care Opinion.

Kind regards

Ben Noteboom

Executive Director

Royal Perth Bentley Group

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