#LearnNotBlame obstacle of the incentive to cover up systemic failures unanticipated medical outcomes. Due to fear of personal blame if acknowledging. This was discussed on Radio 4 yesterday evening. Opportunities to report, learn, avoid repeating was discussed constructively.
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John Clarke Retweeted
I missed that Radio 4 thing, so I'll look out for that - thanks Kate. There's a lot that needs fixing about our healthcare environment. Candour needs to become a reality, but we've a long way to go. https://twitter.com/drnhs2018/status/948209781977812994 …
John Clarke added,
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Hence why everyone needs to hear experiences like Kathryn’s . She never mentioned her trust..a lot of learning in that fact alone.
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Indeed. That being; if you're looking to protect your reputation, be honest with people about what went wrong and include them in improving safety, then maybe they won't feel the need to be shouting your name in a negative perspective. Seems like a good lesson to learn.
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With my 2012 GP, he did immediately verbally apologise; though he explicitly stated that he was scared of being sued. No idea why, as I didn't threaten to sue for delayed DVT diagnosis; I asked to work with him to walk again, for access to NHS care re: anticoagulation oversight.
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Replying to @kateheydonorg @C7RKY and
Weirdly, things got worse. He'd left me without access to NHS care for 5 1/2 weeks pre-diagnosis. But then went on to - unknown to me; decline me access to NHS Haematologist oversight whilst on anticoagulation + decline a Factor V Leiden test that I needed, wanted, had asked for.
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Replying to @kateheydonorg @C7RKY and
His name was Dr Alisdiar Macnair. But he was one of 40 attempts (21 individuals) majority NHS Direct, but also Dr Karen Coyle OOH, Nicky Broughton Physio, Dr Sarah Cowen A&E, along with Bupa Aloke Singhania, Melanie Hopper, who all saw my symptomatic DVT & failed to do d-Dimer...pic.twitter.com/Bip8l7BIVE
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Replying to @kateheydonorg @C7RKY and
He seemed a decent chap though..it wasn't until my lost >200 pages incl 2012-13, medical records resurfaced in 2015, accessed 2016, that I knew about his declining a Factor V Leiden, or failure to refer me for NHS anticoagulation oversight, nor share Bupa scans, reports with NHS.
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A decent chap? Yeah... about that. I still remember shaking hands with the surgeon and thanking him for all he'd done for my mother, not long after he'd finished her surgery. Still lives with me to this day, now I know he'd actually just finished criminally assaulting her.
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I didn't want to 'like' as it's such an awful thing to experience. I hope that, hopefully having survived the experience, that your mother has recovered physically and emotionally. Were you able to forgive (weirdly, I am & was)? It's about closure, acknowledgement, now - ?you too
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Sorry - that was a terrible place to leave you hanging, but the school run waits for no one! :) Yes, it changed trust for me. Default moved to not trusting. In our case, the hospital et al haven't moved beyond denial thus far, so forgiveness isn't quite on the cards yet, tbh.
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