Dr Madhusudan Mirle Rangaiah 2018-09-14 Person 1 5 0

A Feedback to Dr.Madhusudan Rangaiah Haematology Consultant St Peter's Hospital In response to your letter to me wish request for a feedback, I hereby write to feedback to you how I felt about my therapeutic relationship within the last few months. I was traumatised by the aggressive approach in which you began introducing me to chemotherapy and radiotherapy treatment when we have not confirmed the diagnosis. If you can recall during my out-patient appointment on the 30th of July you ended up the consultation in the waiting area in the presence of other two patients in there at the time, you tried to persuade me to agree to the treatment. My wife was present and your haematology nurse was there likewise the reception staffs who were on their desk. My wife and I were not happy with this. I did request to have time to discuss this with my family since what we are talking about is a life changing issue but you ignore this and you and the haematology nurse continue to pressurise me. At some point I felt being harassed because I kept on telling the nurse the same thing when she makes contact that I will contact the clinic once I have overcome my anxiety. You to write to my GP and other colleagues with inconsistencies that I have refuse to have bone marrow biopsy examination. By this you have damage me to your colleagues, they now see me as a “difficult patient”. My Crime was asking for time to reflect on this life changing issue. Doesn’t the patient have a right and say in his treatment pathway or care plan? I evidenced this on the 5th of September when I attended the A&E the body language of the SHO who finally saw me was obvious and somehow dismissive to say that “they said you refuse to have chemotherapy and radiotherapy, now we cannot fixed your should here, we are referring you to Stanmore specialist orthopaedic hospital”. The haematology nurse saw my wife at waiting area and started discussing the issue with her in the presence of others when I was with the doctors. On the 11/09/2018 the haematology nurse called me at home and gives me in accurate information saying it’s from the Stanmore Royal Orthopaedics Hospital that “they said there is nothing they can do for. So am I coming do the Bone Marrow Biopsy?” In the first place I did not refuse but ask for time to reflect on the treatment. I have met the orthopaedic team in St Peter's, and happy to go ahead with the bone marrow biopsy but with all respect, I am not comfortable to continue seeing you, I would very happy to work with another Doctor. I would respectfully request that the letter you wrote to my GP informing that I have refuse treatment which is now a document on my file be withdrawn from my records with a copy to me as usual. "I did not refuse". I would like to take this opportunity to thank you for your time and hope you would take this my feedback into account and please take a sit back for another person to take me through the rest my journey towards my recovery. Yours faithfully,