"Sent home by the hospital, still very ill"

About: Crosshouse Hospital / Cardiology Crosshouse Hospital / General Medicine

(as the patient),

Was admitted to Crosshouse A&E with chest pains and BP of 200/118, resting pulse 110+.

They were very good, gave me blood thinning injection and transferred to cardio ward for close observation.

They kept me in the ward overnight BP and pulse remained very high. They took vast amounts of bloods to run tests. Resting pulse was so high they couldn't do exercise tolerance test. Eventually they decided to do this test, but agreed to be very cautious as my stats were so high.

They then concluded that I had not experienced a heart attack and were going to discharge me.

I questioned why I was so ill and why my BP, pulse were so high. I was told if I was unhappy with these I should make an appointment and see my GP.

Thankfully I did just this, turned out I had an overactive thyroid. The level was so high it was the highest level my GP had ever seen. It was so high I could have easily died.

I am disgusted that the hospital discharged me when I was clearly very ill. I feel they discharged me without apparent concern for my wellbeing and not interested in finding the cause of my life threading stats.

Luckily I did not suffer from an aneurysm or heart attack due to this, despite the lack of care given by Crosshouse Ayrshire.

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Responses

Response from Craig White, Assistant Director, Nurse Directorate, NHS Ayrshire and Arran

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Dear Patient5555

Thank you for using Patient Opinion to provide this feedback on your experiences at University Hospital, Crosshouse.

I am very sorry to read of your concerns about your discharge, particularly that you did not feel cared for or that there was an interest in finding the cause of your symptoms.

We are committed to reviewing the quality of care that is provided in all instances where concerns are expressed.

I'd be happy to request that someone reviews the circumstances surrounding your care, particularly the issues you have highlighted, then I would be pleased arrange for someone to get in touch with you to do so. If you would like to arrange this then please email me your contact details at Craig.White@aapct.scot.nhs.uk.

Thanks and best wishes,

Craig

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Response from Craig White, Assistant Director, Nurse Directorate, NHS Ayrshire and Arran We are preparing to make a change

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Dear Patient555

Thank you for getting in touch with me to provide your details. This enabled me to ask for the details outlined in your submission to be reviewed by a senior manager. I was also able to review the details that were passed to your GP. I hope you found it helpful to talk this through on the telephone this afternoon. We agreed that because this experience was just over 3 years ago that it was unlikely to be helpful to follow up on specific aspects of your feedback with staff.

I agreed with you that although you were provided within prompt and effective care to rule out a heart attack, you did not feel that staff responded as they could have to your remaining concerns - specifically that there elements of your personal experience that didn't seem to be taken into account in making decisions. You didn't feel 'at the centre' of the decision to discharge you. We agreed though that the advice to follow up with your GP ensured that the subsequent problems, thankfully, were promptly identified.

I have agreed to ensure that elements of your experiences about not feeling understood are included in our programme of work to support improved person-centred care, part of the NHS Scotland commitment to a 2020 vision (see http://www.scotland.gov.uk/Topics/Health/Policy/2020-Vision), which you will note includes focus on ensuring people are at the centre of decisions.

Thank you for sharing your more recent positive experiences of care too, and again for using the Patient Opinion site.

Take care and best wishes,

Craig White

Professor Craig A White

Assistant Director, NHS Ayrshire and Arran

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