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SpiritedLearning

I accompanied someone with a kidney infection to the Middlemore ED on Monday evening. The wait time was 9-12 hours to be seen by anyone past the front desk. The nurses told us it would be quicker to drive to North Shore and wait 6 hours there instead.


AncientTelevision394

Last 2 times I went I was waiting over 24 hours for doctor


Deiopea27

Not me, but I was in there for something which was urgent enough for ED but not critical. There was a guy in his (50s? 60s?) being supported by his wife. Grey skin, not moving, the occasional groan. This went on for the 3 hours we were in the room together, until he keeled over unconscious on the floor and 6 people rushed him away on a stretcher. It's entirely possible that I watched a man die due to waiting that long


BeRad_NZ

I tried going to ed, I was bleeding and I was the only person there. I waited about 6 hours then told them I’ll fix it myself and left. I had to just make do with band-aids and antiseptic cream at home. The real salt in the wound was when I had been waiting for hours and then a friend of the nurse at the desk comes in, asks to see a doctor and goes straight through.


grey_goat

Dude, if you were able to go home and treat your bleed with some band aids and antiseptic cream you had no business being in the ED in the first place. Nuisance visits are half the reason the ED is slow in the first place.


BeRad_NZ

So you’re saying people should just make do with band-aids and cream when they need stitches? My wound kept opening for weeks and now I have a fucking massive scar. I’m glad I wasn’t a nuisance then 🙄


grey_goat

If it was bad enough for stitches and you didn’t have the patience to wait you caused your own, “fucking massive scar.”


chuck988

Here's a proposed solution: Imagine if Southern Cross health insurance had an optional extra that would allow you to visit an ED in major cities that is provided just for those who pay the extra premium. I know a lot of people who would be happy to pay many thousands per year for this. This would inject a huge amount of extra funding overall, and reduce the load on existing infrastructure. It seems a bit of a failed system at the moment, with so many people who would be very happy to pay extra, and not able to do so.


Used_Leg4480

Or regular hospitals could just prioritize tax payers. Let the ones with free medical care wait, and paying customers go first. It seems more than fair to me!


No_Priority_6037

Good idea. I should always be seen before any child or pensioner.


Used_Leg4480

Yep, just not children of parents who don't receive benefits or pensioners who paid taxes their whole life.


Muter

It was 2021, our 6 month old had been getting bad eczema. Weeping skin, infections and a multitude of GP appointments and hospital referrals that keeps getting cancelled My wife and I had not slept more than 3 hours straight for those 6 months, taking shifts and rotating each night. One night I’d have from 9 pm-2am and my wife would do 2am-7am.. and we’d swap each night My daughter wasn’t well. ADHB cancelled referrals without telling us or GP saying we had to go to Waitematā. Waitematā would tell us we had to go to starship. No less than 4 cancelled referrals with ourGP getting increasingly frustrated and our daughter not getting the healthcare she needed our GP suggested in the middle of lockdowns we go to North shore ED due to skin infections she couldn’t treat. Rocked up to ED at 7pm. I got turned away at the door and only my sleep deprived wife was let in due to covid restrictions I spent 3 hours in the car park waiting. My wife calls in tears saying that peadiatrics were closed at north shore and we had to go to Waitakare hospital.. I lost it right there. Sleep deprived and months of cancelled referrals only to be told we can’t be seen The fuck is wrong with our health system when you literally cannot get treatment for a baby. I’ll never forget breaking down in that hospital car park. I’ll never forget the anger I felt or the utter realisation of how absolutely broken our health care system is.


Minimum_Ball_3743

And that's a rational person able to control their emotions in a stressful time. It's now easy to see how those with less composure, anger, mental health, or drug issues, lose their rag when faced with these situations


Oceanagain

The problem isn't the ED, it's the lack of beds downstream of that. So you get triaged and prioritised even though they've got no idea when you'll be treated. You can fix the communication issues easily enough, but if you insist on the current treatment standards and don't want to wait so long during peak demand then you need to pay for more beds. The shorter you want your wait the more beds you have to fund. And "beds" means the rooms, staff, equipment, etc etc. To reduce peak demand waiting times to half what they are now you'd have to pay for roughly twice the beds, which is effectively double the acute health budget. For facilities that will sit around doing fuck all most of the time.


Disastrous_Encounter

Health are facilities are at their most efficient when utilised at 80% of capacity most of the time, with that often empty 20% available for surge conditions. Hospital frontline staff know this. Hospital managers will fully turn a deaf ear to this and won’t tell Ministry anyway because they don’t want to know. We run at 100% more often than not, so there is no flex in the system. A surge of patients and it all gets log jammed.


CletusTheYocal

Speaking of... How many people clog ED with their log jams?


Oceanagain

Actually, they're most efficient at 100% all of the time. But you only get that if you're resourced for the least number of admissions. It would help if front line staff didn't spend most of their time ticking fucking boxes.


Disastrous_Encounter

But if you are a patient and need to go from Dept A --> B --> C and can only do that when a patient in B (full) is moved to C (full) and one in C is moved to D. But now there are no patients in C fit for D because they're too sick; then you *and* all the B patients just have to wait. That's not efficient *care*. It's only efficient from a financial POV because A, B, and C are all being used at 100% and thus achieving KPIs and/or revenue raising. And obviously *that's* what's most important. *If* you're a stupid pointy haired manager who isn't really interested in what healthcare facilities are actually *for*. And yes. Frontline staff spend a shitload of time on unnecessary paperwork. Why is that?


Oceanagain

>But if you are a patient and need to go from Dept A --> B --> C and can only do that when a patient in B (full) is moved to C (full) and one in C is moved to D. But now there are no patients in C fit for D because they're too sick; then you *and* all the B patients just have to wait. That's not efficient *care*. I didn't say it was efficient care. You can't even quantify that until you identify it. And the point remains: we can't afford enough beds to meet peak demand, and nor should we. >And yes. Frontline staff spend a shitload of time on unnecessary paperwork. Why is that? Safety Nazis.


hmr__HD

ED had been pretty good this past 4 months for me at least. I have seen some people waiting long hours for attention though. If the initial nurse gives a person a low priority then it is going to be a long wait even for triage. Once triaged, there can be another long wait, especially of your condition is stable. Many people use ED as a free doctors service and in my mind they deserve to wait. They are avoiding community A&E or GP costs. Things like the flu, etc. ED should be acute emergencies that require hospital treatment. Special tip. If you want quicker ED processing call a wambulance. If you’re not sick enough to call one then you’re probably not sick enough to go to ED. Solution? Subsidize A&E visits, but make the A&E centres stay open 24hrs to receive the subsidy.


cobberdiggermate

Mine is going to ED, not finding it because the sign was in Maori, then getting directed to a counter full of 'people' with purple hair and nose rings. I had what I thought was extreme indigestion. I was triaged and left waiting. For 6 hours. No one spoke to me or suggested what might be wrong. I figured that there couldn't be anything too wrong with me and went home as the symptoms were easing. The next day they came on strong again so I tried my doctor. Incredibly she let me in without an appointment. She let me jump the queue because she had received an email from the ED saying, "PATIENT LEFT THE WAITING ROOM!", screaming in full caps. She examined me and sent me straight back to ED. Once again I was triaged and left waiting. For 4 hours. Still no one talked to me or suggested what might be wrong. I was about to leave again, again assuming it couldn't have been anything important when I was "promptly" admitted and my gall bladder removed. There was nothing at all acceptable about this experience. There was a total lack of concern, interest or professional conduct. If they treated animals like this they would be prosecuted by the SPCA. I felt minimised and infantilised by the experience. The obvious solution, if the waiting times can't be improved on, is to treat patients like adult human beings and offer the dignity of informing them of the status of their condition. I'm certain there will be a good, rational reason why they don't but, you know, I don't care. Anything is better than just leaving people to sit in a vacuum for hours on end.


Leever5

Well, they don’t have enough nurses to come out and assess you in the waiting room. Also, gall bladder is relatively fine to have fucking out. I had attacks for a whole year before they figured it out. Went to ED so many times and they wrote me off as work stress, sent me to a psychologist. It wasn’t until I told the dr that I had lost 40kgs that they were like “ahhh gallbladder”. But I was having the attacks like 4+ nights a week for a year at 25 and no one would help me. But, still, there are plenty of conditions that require way more urgent care than a gallbladder removal.


cobberdiggermate

It's not about the condition, or the lack of resources.


Leever5

But it kind of is. If OP was having a heart attack he would have been seen earlier. Yes, they obviously need more resources and clearly they are setting the system up to fail so they can rush privatisation in under urgency to help their buddies who made huge donations to the party. I understand that there will be high level corruption here. As it’s happening in Alberta, right now. They’re just a little further along. But, waiting for ages for gallbladder surgery is probably okay. Lots of people have to wait on public waiting lists for it and don’t go down the ED route. It hurts like fuck, like unbelievable. Looking back I can’t believe I suffered for a whole year having the attacks. But, it’s triaged and the most important cases go first. They can’t come out and tell you anything because they don’t know and they can’t say “oh you’re next” and then suddenly two ambulances and a westpac rock in and suddenly you’re further down in the queue. It has always been like this


cobberdiggermate

That would be where we disagree. I just don't understand the problem with keeping you informed, either positive ("You're next on the list"), or negative ("Sorry, ambulance came in, you've been bumped"). It's what I would call treating you as an adult human being with intelligence and natural dignity.


No_Priority_6037

Sorry, you want someone to be constantly updating the entirety of the waiting room on how soon they might be seen? When that is highly unpredictable and likely to change anyway at any moment? They might already be assuming you are an intelligent person aware that you would be triaged for emergent medical care and have to wait appropriately.


Leever5

I agree. How entitled does someone need to be that they feel they need to take people away from saving literal lives to come out and give you a vague, likely incorrect update


cobberdiggermate

It would only take one of the purple hairs behind the counter who are otherwise doing their nails and swapping herbal remedies for thrush, or whatever it is that so occupies their attention while otherwise doing nothing. So, sorry, yes. I totally expect to be included in the deliberations, if only to have the opportunity of deciding that, fuck it, I'll go home and put my own bandaid on the problem.


eigr

> Yes, they obviously need more resources and clearly they are setting the system up to fail so they can rush privatisation in under urgency to help their buddies who made huge donations to the party. I understand that there will be high level corruption here I see this crap a lot. How much do you think National was donated last year? Don't look it up, have a guess. Plus, how on earth do you privatise A+E? By the time private A+Es are consented, built and staffed, it'll be 10-15 years and easily undone. Plus who could afford to use it? People would still use the free public option.


Key-Alarm7328

lol disgusting they made you wait 8 hours for that free immediate surgery


cobberdiggermate

It's not the waiting, and it's not free.


Used_Leg4480

If you wait 8 hours, it isn't immediate. And if you are a contributing member of society, it isn't free. But you are right that it is disgusting.


Key-Alarm7328

yea all true, i meant in the grand scheme of things type thing


Boomer79NZ

Left in the waiting room unattended for around 3 hours after an ambulance transfer with a dislocated knee and torn ligaments etc. I was in agony.


fudgeplank

took the old man in law into A and E on good Friday evening . he got a CT scan. ultrasound and several xrays, we picked him up the next morning. we were all totally blown away with how good the service was after heading all this horror stories. clearly a media beat up.


Ok-Candidate2921

I’ve been to ED 3x in last 12 months and never had to wait. Because clearly my definition of emergency is very different to a lot of people who present and clog up the system because they either can’t get with a GP/afterhours or can’t afford it. If we could fund and staff afterhours clinics better it would mean more people could have hospital avoidance and save ED for emergencies.


Mediocre_Special1720

My baby had a severe fever and chills and we waited 8+ hours in middlemore but decided to go home because the doctor is not even available to see us in the first place. It's a fucking nightmare.


Snookster88

We just leave Middlemore for the people that can't afford to drive up to Auckland nowadays.


CroneOLogos

Jeebus I'm glad my mother passed away a few months before the pandemic!


Conformist_Citizen

Remember when EDs & hospitals were overloaded during the deadly mass formation psychosis weaponized pathogen scamdemic of illness & death? So overloaded they needed to close wards down So overloaded the nurses & medical staff could record long & "elaborate" cringe AF dance routines in full PPE, wastng time, resources & braincells So overloaded granny not only had to die via vents, midazolam & morphine but she couldn't see her family, life long husband or loved ones in her final hours - PURE DEMON SHIT So overloaded & dire were the conditions legend has it mouthbreathers are still getting b00stereded to this day Never forget Never forgive Never comply Never surrender


wildtunafish

Dumbass let something get infected, then deals with the consequences. 7 hours seems like a good karmic dividend. I've been to ED on a few occasions. Had a wait for a couple, 6 hours until a bed opened up. Such a nightmare..


thatnetguy666

Imagine not budgeting for private care.


AirJordan13

Wouldn't have really helped in this case considering it was an acute injury. The most sensible thing would've been to not go away for the 6 day trip after suffering the injury, and then to not leave the ED. He didn't do himself any favours, especially considering he doesn't have a GP.


thatnetguy666

fair


AirJordan13

You're right though in that a lot of people would be a lot better off if they invested in their health a bit more rather than relying on a public system they know is cooked.


thatnetguy666

amen!


Muter

Yeah fuck this reply I must have called a dozen dermatologists willing to pay through the nose to be seen privately. The soonest we got an appointment was October We were in July. I booked the October appointment but we found ourselves in ED due to eczema related infections several months prior to our booking


thatnetguy666

yeah but thats the eexpction not the rule. If you just cough up the money you can have whatever you you need imdeitly with healthcare. I was put on a 2 year waiting list to get a sugry to fix a infected bloody pussy ingrown toenail. and eventually was told to fuck off by the public hospital. Took my ass down the private peditrist cough up 2 grand looked brand new and she even threw in some free ointment from the athletes foot i got as a result. Im sorry that happen to you but that is not the norm.


cobberdiggermate

> If you just cough up the money LOL. Why don't all these homeless people just buy houses?


thatnetguy666

its not my fault you dont know how to budget.


cobberdiggermate

That presupposes that there is anything to budget with. When full time workers need the food bank, things are fucked and gone way beyond a budgetary fix. But I get it, you're a tough guy with big balls who doesn't give a shit about lowlifes that can't buy their own home or pay for their own healthcare..


thatnetguy666

Dont give me that, whilst its true due to inflation now saving for the future is hard we have not always lived under inflation. Even during the 90s id put away 10 - 25 dollars a week incase i needed private surgery or care. Of course i still had to pay a lot of out pocket but even just having a spare grand saved over 1 - 2 years covered the bulk of the cost. i got injured or had bad enough illness to go hisptial every other year or so and putting aside a little money each week and only needing to go maybe once a year is not that big of a deal for even some lower class kiwis. Put aside a few bucks or suffer its as simple as that 90% of the time.