"Dr missed a fracture"

About: Warrington Hospital

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I attended A and E after a fall well I had 4 falls that day I am only 56 but I am a heart patient. I waited for a while but I didn't mind the wait after all it is an accident and emergency department. However when I was seen I was not very happy. I felt the examination I received was poor, credit where it's due once I said I was a heart patient the Dr looked for signs of heart attack or stroke. Initially I was impressed the nurse was busy so the Dr took my obs herself my blood pressure was 140/100 (I think) I thought this was high certainly too high for me the Dr said it was fine. She also said the fact I had fallen 4 times in one day was a coincidence I wasn't confident this was the case. I struggled with the test for a stroke as I couldn't accurately touch her finger with my finger as my hand was too painful. She said my hand was just soft tissue damage it turned out to be a fracture picked up by my Dr who kept sending me back to the hospital. I understand that small fractures are often missed but on my 3rd visit in the same week the Dr I saw at the beginning sought to blame me for the missed fracture saying I had said my hand was sore on the right not left-hand side. To explain my GP thought that a scaphoid fracture had been missed , as it was I had only fractured my Triquetral bone but it is my right hand and I am right handed. I clearly said I had a headache I had a large bump on my head the Dr asked me if I had taken paracetamol I hadn't so she said my headache would probably go it I did and that if I felt sick I should then come back. The headache didn't go with paracetamol and I felt like I had bees in my head for days.. The nurse who did my ECG was a bit vacant as she asked me if I had ever had an ECG before which I assume is the standard question but I have a long large prominent scar from my heart bypass so it hardly inspires confidence.

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Response from Warrington Hospital

Thanks you for taking the time to leave your feedback and we're sorry that aspects of your care weren't satisfactory - it sounds like you had a full range of tests to look into the issues that you presented with in A&E to rule out anything more serious and we're sorry if the fracture was only picked up at a further visit. The ECG question probably was a standard question as we can never assume any prior knowledge. If you would like us to take a further look into any of the issues that you've raised, please don't hesitate to contact our Patient Advocacy service who can do this for you. You can contact us at pals@whh.nhs.uk

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