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19th May 2013


I presented with an accidental overdose of thyroxine at 10am on Monday 20/5/13. The checkin process was efficient and courteous. I was seen quickly by the triage nurse who was calm and professional. This was a contrast to Dr Sandy who shouted my name from his office door so that it was difficult to know where to go from the seated area. He thought it was very funny that I should have taken the overdose and laughed so much that it was difficult to understand what he was saying. He told me what symptoms he assumed I was experiencing "I expect you are feeling very active right now" but in fact I was very drowsy and starting to experience hypoglycaemia. I was sent for an ECG and then Dr Sandy discharged me and assured me that the critical dose was many times higher than the dose I had taken although he was trying to do the calculations in front of me and did not seem very sure of the critical dose levels in relation to my body weight. Recommendations 1. Triage questionnaire should have prompt for prescription medication. 2. Doctors/Nurses should not need to shout for patients in the seated area when they are ready to see them. If you are elderly/confused/hard of hearing it is an inadequate system. 3. I know that it is not possible to have leaflets for every conceivable injury/accident but an A&E will have access to the most reliable source of online information It would have been helpful to have had a print off of possible side effects - I know this happens in the case of head injuries.

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