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Written by a patient
1st February 2019


The doctor did not really talk to me throughout the procedure. He has stated on the report that I was comfortable throughout when I was not. I was gagging throughout the entire procedure. I had to ask for sedation and was judged for that decision throughout. I was made to feel bad that they could not cannulate me. Was not told I couldn’t blow my nose in recovery and was shouted at when I did. Overall, really unimpressed with all of the team. As a nurse myself, I am aware of the importance of empathy in healthcare and I felt that not a single person on that day had any empathy skills. I was judged for my decisions and I feel the sedation i was given was not enough and as I felt no effect from it at all. I will never be going back to Braintree community hospital.

3rd February 2019
Response from Dr Syed A. R. Tipu Naqvi

Dear patient. First of all, thank you for your comments. Though this feedback request was only supposed to be aimed towards the doctor rather than the entire unit. However since you have mentioned the rest of my team, I have hence shared your feedback with them. Like me, the nursing staff who helped you from admission to recovery were all bitterly disappointed to read your comments. I must say that your feedback is quite confusing and contradicts itself. You have mentioned that we could not cannulate you yet you felt that the sedation given to you wasn't enough ? You have mentioned that 'the doctor did not really talk to you throughout the procedure.....' ? Being a nurse yourself, I am sure you must have come across the side effects of Midazolam.(the sedative). Once its given to the patient, they become drowsy. Therefore its not just me but no doctor tries to have a conversation with a drowsy patient. In fact, whatever is said to the patients while they are under the influence of Midazolam, they often tend to forget afterwards. From our experience, patients gag a lot more when they are given sedation as compared to those who are not. Your note above clearly signifies this too. Please note that we always advise the patients not to blow their nose for at least an hour or so after having a trans-nasal endoscopy. The reason is that excessive blowing of the nose soon after the procedure can potentially trigger epistaxis (a nose bleed). My colleague may well have told you (for your safety) not to blow your nose and knowing them for over a decade I can vouch for their professionalism. Regardless, we appreciate your feedback and wish you the best of health.

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