Cases waiting to helped by the emergency assessment fund

1.

An 80-year-old pensioner, with suspected skin cancer in her hairline, and her nose. Referred for treatment to the local hospital, with the suggestion that she would need a general anaesthetic due to a bleeding tendency, and that a skin graft would be necessary. She was sent to Kawerau for review and then sent home and told to wait. Reviewed in the Emergency Assessment Clinic with her daughter. Both cancers were deemed to be urgent, as well as creating great anxiety, an appointment will be made and paid for, with a plastic surgeon with a view to having her treated urgently in the public hospital.

2.

An 84-year-old pensioner had previous neck fusion surgery. One of the rods placed in her neck fractured and had to be removed. She has subsequently developed dizziness pain and tingling down her arms. The hospital cancelled an appointment with a neurologist deeming that her vision loss was more important. She was reviewed in the Emergency Assessment Clinic at the request of her GP, where it was also noted that she had difficulty standing and possible signs of Parkinson’s disease. The Emergency Assessment Fund will pay for an urgent neurology review to see whether there is anything that could be urgently treated in the public hospital system.

3.

A nine-year-old girl presented to the Emergency Assessment Fund Clinic, accompanied by her parents. They were very concerned as she was not eating sufficiently;, regurgitating her food suffering abdominal pain on eating and not meeting her growth milestones. In addition she had recently stopped sleeping well; frequently waking during the night and complaining of abdominal pain.
She had been assessed at the local hospital after a referral by her GP. It was determined that she had reflux which was irritating her lower oesophagus and she was prescribed medication. She was intolerant to this medication and her GP had referred her back to the hospital, but as a non-urgent case the waiting period for her to be seen again was four months.
Given her concern for her patient , the GPs suggested the Emergency Assessment Fund clinic review. Her medication was altered , along with treatment advice, and after discussion with the paediatric surgical specialists at Waikato Hospital, an appointment was made with them two weeks later. She was assessed with a number of investigations, and her parents were offered the chance for keyhole surgery, allowing their daughter to eat normally without ongoing abdominal pain.

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A 90-year-old was sent by her GP into the minor surgery facility, at the local hospital, as there was concern about possible cancer n her head. This was despite two doctors being concerned it wasn’t suitable for minor surgery. After she  arranged transport for an out of town trip she was informed that she wasn’t suitable for minor surgery  and was put back into the patient queue uncertain about when she would be seen or treated. There was concern that she was an urgent case, as these types of cancer  are known to spread/metastasise. Her GP asked the Emergency Assessment for Clinic for assistance. An urgent review was then organised with a local plastic surgeon, who agreed that this was an urgent case and organised a special rate for her to be treated the following week such was the concern about her cancer. She is now recovering at home well from her surgery and is very grateful to all concerned.

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