Having just spent nine days, from December 21 - December 30, as a patient at the University Hospital of Wales, Cardiff, I would like to place the following observations on record.
START OF PROBLEM: On the evening of Wednesday December 21, 2005, I had my 13th burst abscess, a direct result of the MRSA bug from which I have suffered as a result of major errors at UHW since having an umbilical hernia repair in October, 1998. On December 21 My abdomen erupted like a volcano and blood and pus flowed out of a sinus near the massive hernia which has re-occurred on my abdomen. Dr Rees, one of my GPs from Bishop Road Surgery, came to see me and found that as a result of the infection my sugar level had shot up to 31.5. By the time i left hospital it had stabilised around seven.
A AND E: I remained in A and E for about five hours, being examined by doctors and cared for by nurses. I was then offered a bed in a four-bedded ward. I refused and opted to go home rather than be placed with other patients. The reason for this is that MRSA infected pus was pouring from me and I considered myself a loaded gun, a danger to other patients. (you will note from the memo I sent during my last stay in hospital at Easter, 2005, that the blood which had spilled on the floor of the four-bedded ward had not been cleaned-up for many hours). Around 3am on December 22 I was taken to a single ward on C2.
ACCOMMODATION: The single cubicle where I was to spend nine days in isolation and being barrier nursed had no toilet facilities which meant that as I could not use the communal toilet facilities I had to use a commode and bottles throughout the period of the stay. Using a commode is difficult for me. The massive hernia I have makes it difficult for me to press and with my legs close together, which happens when using a commode, I have difficulty in going to the toilet. Consequently I suffered severe bowel problems and horrendous pain. I was given a strong pain killer which caused more constipation. I was told that there were no cubicles with toilets available in the hospital. There were also no proper ablution facilities, in my cubicle, although I was taken to the main bathroom on one occasion during my stay. My request for a bowl of water to soak my feet was not met for three days.
TREATMENT: The main consultant, whom I only saw once during my stay in hospital, told me that it was a waste of time giving me antibiotics as they would do nothing to clear the infection. A stoma bag was placed on my open sinus to catch the blood and pus which was still pouring from the wound. I was given my daily diabetic tablet Glycercide and pain killers, on request. On the morning I was discharged three doctors saw me and said there was nothing could be done to prevent further burst abscesses and operations on my hernia, gall stones and hiatus hernia were out of the question as the MRSA bug, which is colonised in my abdomen, would spread, putting my life at risk.
CONCERNS: There was no barrier nursing sign on the door of my cubicle for the first five days. From time to time I had to remind nurses to wear gloves. Many of them didn’t wear aprons. I requested to see a charge nurse as I was concerned that my stoma bag, which contained blood and pus, had not been monitored for more than 48 hours. The charge nurse told me there was no need to monitor it and no need to change it. My concern was that the infected blood was swilling over my open wound. The Charge nurse also touched my dressing without wearing gloves. When I protested she said she would wash her hands afterwards. I mentioned the lack of a barrier nursing notice and she replied that such notices didn't mean a thing and were a waste of time.
CONCLUSION; In my view the University Hospital of Wales still has a laid back attitude to MRSA. I am frightened to go into hospital where I have to fight for barrier nursing and where I clash with staff when I express my concerns.
John O'Sullivan, aged 71, has spent 260 days in hospital as a result of MRSA since October, 1998. Has had four operations, 13 burst abscesses and was on a life-support machine clinically dead with MRSA chest infection for 11 days. Have been cared for by district nurses for more than 600 visits.