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"I have no confidence in my treatment and no-one seems to care."

About: Glasgow Dental Hospital and School / Dental

(as the patient),

I was referred to the dental hospital in August 2015 after having a strong salty taste in one side of my mouth that my own dentist could not explain. At my first appointment in October, the specialist I saw was still unsure what the issue was, but upon pressing down on a wisdom tooth under my gum, he noticed that some fluid emerged in this area. In December an X-ray revealed a mass underneath my gum. I was told that an appointment would be arranged to take a biopsy, and that I would receive an appointment for a CT scan.

In March I attended oral surgery. The mass was quite far under my gum so under local anaesthetic, the surgeons drilled into my jaw to take the biopsy. I was given an appointment for 6 weeks later to receive the biopsy results, and informed that at this appointment a treatment plan would be arranged. I was also told that I had been marked as urgent for the CT scan. I had to return to the dental hospital shortly after the biopsy to receive antibiotics for an infection (and a very swollen face), but other than that, my mouth healed quite well.

After waiting 5 weeks, I called the dental hospital and spoke to a nurse, as I wanted to check that I wouldn't receive any surgery at my appointment, and could return to work. She confirmed that the appointment would be to receive the biopsy results and discuss a treatment plan.

I finally had the appointment this week. I felt quite nervous as I know that the taste that I have in my mouth (for 15 months now) is not normal, and I've been concerned that none of the specialists who have treated me can offer a diagnosis. I was met by a student nurse, who said that she had been asked to speak to me about the swelling I had after the biopsy. I felt confused, as I received the appointment before I had the infection, and to be honest, If I still had swelling after 6 weeks I would have returned sooner. I had to go right back to the start to explain my current situation, and that I was there to receive the biopsy results. She was both concerned that I hadn't had the results, and then justified this by telling me that biopsies typically take 8 weeks to come back. She had my notes in her hand, but appeared to have no idea why I was there or what to tell me. After telling me 'not to get myself upset', she left to find a slightly more senior specialist (I assume). He looked at my notes and told me that the biopsy results showed a follicle which had formed a bud – this meant nothing to me. He didn't explain how it would be treated or what would happen next. He did ask if he could look in my mouth – which around ten specialists have already done, and have assured me that there is nothing to see. Apart from asking me if I grind my teeth, he couldn't offer any insight. He asked me if I was still doing salt water mouth washes, and suggested that this might be a reason for the taste. He also said that I should get my iron levels checked by my GP as this might explain the taste in my mouth. I found both these suggestions completely patronising – the taste I'm experiencing is coming from the site of the biopsy, at one side of my mouth. I can almost feel it leaking into my mouth.

I felt everything I said was falling on deaf ears, and was getting very angry. He almost laughed at me and told me not to worry – 'I'm sure its not anything sinister'. I have absolutely no confidence in anything I was told. I appreciate that it will not always be possible to see the same specialist more than once, but the ones I did see had no knowledge of my situation, and very little compassion for the way I've been feeling. If no-one can give me a straight answer, how am I supposed to trust the (often conflicting) information I'm being given?

He finally left to find yet another specialist. After sitting in the room on my own for 25 minutes, a more experienced specialist (I have no idea what roles any of these people have, so am unable to be more specific! ) came into the room and apologised for how long I've had to wait for answers. She said that I should have had my CT scan between having the biopsy and this appointment, and that I had been marked as urgent. She arranged an appointment for the CT scan in a months time, and then another follow up with a consultant in 3 months time. Incidentally, when I got home from work that day, I had a letter with an appointment for the CT scan. My guess is that when I called the previous week and a nurse looked at my notes over the phone, she realised that I should have had the scan before I received the results, and quickly sent this letter.

Although I finally feel that some progress was made, I feel none of this would have happened if I hadn't got upset and demanded more information. I'm genuinely not a confrontational person or a complainer, but the misinformation and general way that I was treated really shocked me. I now have a much longer wait for any real answers, and I'm not even confident that this will happen. During the appointment, it dawned on me that I have become one in a long line of patients who wait months between appointment times. I have continually received inconsistent information, and felt treated as a number, rather than a person.

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Responses

Response from Lorna Fairlie, Patient Experience, Public Involvement Project Manager, NHS Greater Glasgow and Clyde 7 years ago
Lorna Fairlie
Patient Experience, Public Involvement Project Manager,
NHS Greater Glasgow and Clyde

I work in a small team in NHS Greater Glasgow and Clyde which seeks to involve patients and carers in the work of the NHS. The biggest part of my role is in managing feedback projects across the Board area, one of which is Patient Opinion. It is my job to give our patients and carers the opportunity to give us feedback, and to make sure that this is passed to the right people to help us improve the services we provide.

Submitted on 03/05/2016 at 10:43
Published on Care Opinion at 12:44


Dear DrC84,

I'm very sorry that you feel our service hasn't given you a full explanation of your care and treatment going forward - you have given a lot of detail here but it would really help us to look into this further if you could contact us with a few more personal details.

If you could contact us either through Lorna on lorna.gray@ggc.scot.nhs.uk, or via our complaints service at complaints@ggc.scot.nhs.uk, or by telephone on 0141 201 4500, we will be able to help you further.

Best Wishes,

Frances McLinden,

General Manager, Oral Health

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