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Lyn's 12-hour trip to surgery

19/02/2008 11:19:20 AM
INVERELL’S Lyn and Keith Appleby are unhappy with the treatment they received at the Inverell District Hospital.

They want answers as to why Mrs Appleby was not given proper assessment of her condition and despite her critical condition, an emergency trip to Sydney took 12 hours via air ambulance.

In August, the 32-year-old underwent open heart surgery in Royal North Shore Hospital for a mitral valve prolapse.

Two weeks after returning home, Mrs Appleby suffered a life threatening bleed from the wound in her heart which was undiagnosed and untreated for four days in Inverell District Hospital.

“A chest x-ray was conducted which showed that her heart was enlarged, her blood pressure was low and blood tests revealed some abnormalities, including her warfarin (INR) levels being twice the safe limit,” Mr Appleby said.

“Despite these results no further tests were undertaken and the surgical team in Sydney was not consulted.

“She was discharged with a diagnosis of a probable stomach virus but could not even walk to the car and needed a wheelchair.”

Then 24 hours later, Mrs Appleby was in such a bad state that her hsuband called an ambulance.

She was readmitted to the Inverell District Hospital and Mr Appleby decided to call the cardiologist in Sydney himself.

“The cardiologist then advised that the surgeon from Royal North Shore who conducted the original operation be consulted,” Mr Appleby said.

“This occurred and the surgeon immediately diagnosed tamponade, a life threatening condition where the heart is bleeding into the pericardium.

“She was then transported by air ambulance to Royal North Shore.”

But, despite the surgical team being on standby for an immediate operation the trip took 12 hours to complete.

Mr Appleby need to catch a commercial flight and still arrived six hours earlier.

By the time Lyn arrived at Royal North Shore it was 4am and she went into theatre not long after.

“During this operation 600ml of blood was drained from her heart sac, and a further 1.5 litres from her right lung, indicating the critical state that she was in,” Mr Appleby said.

“The pressure that had built up over the four days since she was first admitted to Inverell hospital was so severe that her liver was enlarged, and her abdomen severely distended.

“The heart muscle was enlarged and weakened, and the cardiologist described her condition as the worst he had experienced for that type of incident.

“Although initially there were fears for Lyn’s long-term condition it seems that the heart has regained normal function.

“We are very grateful for the treatment that Lyn received at Royal North Shore, and that the final outcome was very positive.”

But they are still waiting for answers from the Inverell District Hospital and why it took 12 hours to get her to Royal North Shore.

“They kept calling and saying they had been held up, then we had to fly via Coffs Harbour to pick up another patient.

“My heart could have failed while I was waiting and I want answers.

“It would have been faster to drive down or catch a commercial flight with Keith.

“My whole experience was just horrible.

“I put my trust in the doctors at the Inverell hospital but they didn’t help me at all.

“They are just generally overloaded up there and it seems they want to rush everyone through without giving proper care.

“I am very lucky that I am okay now.”

n amy slessor

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