Sabtu, 28 April 2012

Man, 26, left without food for FOUR days with agonising broken leg due to NHS blunders

Man, 26, left without food for FOUR days with agonising broken leg due to NHS blunders

By Daily Mail Reporter

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A furious father has revealed his son was left without food for four days while waiting for treatment for a broken leg.

Mechanic James MacLeod, 24, from Stornoway, on the Western Isles, needed urgent surgery after a horrific injury at work saw him break both his tibia and fibula when he fell off a ramp on April 17.

But he was left waiting six days for surgery and four days without food after a shocking series of errors, including several delays to air ambulance transfers.

James MacLeod

James MacLeod was bumped off a flight because his case was not viewed as an emergency

James was first seen by an orthopaedic consultant at Stornoway’s Western Isles Hospital but - because the hospital had no steel pins - he had to be flown to Inverness’s Raigmore Hospital on the mainland.

After a 'complete breakdown in communications' between the Scottish Ambulance Service and hospitals in Aberdeen, Inverness and Stornoway, James endured two hellish plane journeys and wasn’t operated on until April 22.

James’ father Murdo MacLeod - who is now planning to submit a formal complaint to the authorities - said: 'There was clearly a complete breakdown in communications. There was a lack of communication between the hospitals.

'There was a lack of communication with the air ambulance. There was just a complete lack of a co-ordinated approach.'

Initially told not to eat as he’d be flying out to be operated on April 18, James’ flight was first delayed until the following day when a bed became available at R aigmore Hospital.

Plans were put in place for James’ father to accompany him on the flight which they shared with a patient suffering severe lung problems.

Mr MacLeord said: 'I was told to prepare for the flight going away at 10 o’clock. But there was a wee bit of a delay as James was told orthopaedic patients were not a priority.

'There was another patient with severe respiratory problems and they were desperate to get him away, so James was able to be the second patient on that flight.'

Disaster struck, however, when the air ambulance prepared to land at Inverness and warning systems indicated that the plane’s landing gear hadn’t properly engaged.

Weather conditions meant visibility was poor so the control tower couldn’t advise the pilot whether the undercarriage had locked or not.

Not happy to land, the pilot flew over 100 miles to Aberdeen hoping for better conditions.

Despite visibility being no better in Aberdeen and the aircraft’s warning system still indicating a landing gear problem, the pilot was left with no alternative but to risk a decent.

Once on the tarmac at Aberdeen, one ambulance showed up to transport the other patient travelling with James to hospital.

But James was left sitting freezing on the tarmac in agony for over two hours waiting for another air ambulance which would be sent from Glasgow 'within 45 minutes' to take him back over 100 miles to Inverness.

Mr MacLeod was supposed to be taken straight to Raigmore Hospital but experienced first a delayed flight and then a diverted journey

Mr MacLeod was supposed to be taken straight to Raigmore Hospital (pictured) but experienced first a delayed flight and then a diverted journey

Mr MacLeod added: 'We landed in Aberdeen in emergency conditions and we were left there for two hours and 20 minutes sitting on the tarmac in a wide open plane with a north-easterly wind blowing through and two very sick patients on board - one very ill and one very sore.

'The other patient was very, very ill and was gasping for breath. To a layman, he seemed to be knocking on death’s door.

'James was very sick as he was on morphine. They couldn’t even give him a bed-bottle to re lieve himself.

'My priority at the time was for the two patients to get proper medical treatment and it was only afterwards that I got angry - extremely angry.'

When James finally got to hospital in Inverness - six hours after leaving Stornoway - his leg was so swollen because of the series of delays that medics couldn’t operate on it for another three days.

Having lost a significant amount of weight and suffered psychological issues since the trauma, James is now recovering at home in Stornoway as his father plans to take action against the authorities who failed his son.

A spokeswoman for NHS Western Isles said: 'There was a planned transfer on clinical grounds.

'Thereafter there were flight scheduling and technical difficulties with the Scottish Ambulance Service aircraft, which resulted in the plane being re-routed to Aberdeen.'

A Scottish Ambulance Service spokesman said: 'Unfortunately, the aircraft experienced an instrument problem and, as a result, diverted to Aberdeen.

'Clearly, this resulted in the patient’s journey taking longer than it should have and we a re sorry for any discomfort that they experienced.

'We would be happy to discuss the matter in detail with the patients involved.' 

Here's what other readers have said. Why not add your thoughts, or debate this issue live on our message boards.

The comments below have been moderated in advance.

"She spent 4 hours there and in all that time she was only treated by a triage nurse, saw no doctors, no x-rays taken and sent home" What good would x-raying her have done? Brain injuries don't show up on xrays

Terrible. And yet this is America's future under Obummacare. Hoping it gets voided in full.

Sounds as if it would have been easier to send the steel pins to the Stornoway’s Western Isles Hospital.Who does their stock checking? Poor chap.I hope he makes a speedy recovery in spite of the bad experience.

So much for David Cameron's promise that the NHS is safe in our hands.

After THREE cancellations for an operation on my knee after I had damaged it in an accident, (one was as I was prepped and on a trolley outside the Theatre), I had "Nil by mouth" for a WEEK and had to smell the food being given to other patients in the ward every day. All I could do was hop to the toilet and put my mouth under the cold tap to survive on some water (which I wasn't supposed to have by the way), so I know how this man felt, but the worst was having to watch other people eat, and I even had to help someone cut up their food because they had broken arms. The NHS today!! Thank God I could hop!

I suppose it would have been too much to send pins from Hospital B to Hospital A?

Horrifying experience. i'm guessing "lessons will be learned". Not. I hope he's on the mend.

wee bit of a delay as James was told orthopaedic patients were not a priority. Orthopaedic patients are very rarely a priority , however pain and anti sickness meds are. It is not unusual for trauma lists to be cancelled in favour of a 'surgical emergency' While you 'can ' die from a broken leg eventually. A death from a ruptured bleeding someting will kill you in a short period of time. Its not nice but its a fact. At weekends this problem increases. I can feel for thsi guy but living in a place where emergentcy surgery is not readily available and weather conditions delay treatment. Theswelling could have just as easlily occured had he had to wait in Stornaway. Also in 1980's when I started working with patients with broken bones. an operation may never have been considered. Traction for up to 20 weeks or longer was the norm!

'Man misses op because of bad weather'. That's a new excuse! Another patient fobbed off. Not to worry; Cameron and Lansley have sold the weather to Richard Branson, so the NHS will soon get loads better.

'but - because the hospital had no steel pins - he had to be flown to Inverness’s Raigmore Hospital on the mainland.' If thats the only reson the surgery couldn't be carried out at the local hospital , heres a really radical idea- get some delivered ! It would seem logical-and cheaper- to have the pins brought to the patient rather then sending the patient to the pins !

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