I just though I'd share my scary encounter with my respiratory team.
Saw the cons on Friday, she rocked up an hour late and was in a foul mood, tried to tell her I was unwell, (big morning dips, loads of Ventolin and chest pain), was told I should probably be on oral pred, but she was too busy to write a script. I happened to have a GP appt the same day, by the time I got there my pf was about 50% and my sats were 87%. I persuaded the GP that I was OK at home with oral pred beacuse I didn't want to see the cons again. Struggled all weekend, by the time I saw my GP on the Monday my pf was 29% and sats 85%, so ended up in Acute Care. They were brilliant, IV steroids, nebs, one to one nursing because I was so unstable. Then I got handed over the respiratory team, which you would think would be a good thing, but no! They didn't write up my drug chart properly, so I had no inhalers, they didn't write up my cardiac drugs, so I ended up in CCU in the middle of the night for cardioversion. I bit scary given that they had a drug list from my GP. The cons came around the following day and was absolutely vile again, she wrote off all my nebs but didn't write up any inhalers, so my peak flow went through the floor again. Looking at my peak flow chart she announced that my peak flow was varying because I wasn't trying hard enough (the readings were actually pre and post nebs, so you would expect them to change). I was discharged with peak flow of 55% (the protocol says pf should be 75% before discharge), and told I would be followed up in clinic in two weeks, four weeks on I still haven't had an appointment. When one of the junior staff did my discharge I was told that many people with asthma don't come in to hospital when they should because of this consultant. I phoned them yesterday to be told the cons had forgotten to tick the box on the discharge report!
I find it frankly terrifying that the respiratory team don't follow their own protocols, and I can understand why asthma patients try to avoid admission, I know I will be in future. Has anybody else come across this?