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29 10 20251 | Margaret Farwell | YouTubeToText
YouTube Transcript: 29 10 20251
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This conversation involves a patient's husband discussing his wife's medical records and care with healthcare professionals, including an administrative issue with online access and a critical discussion about her advanced care planning and prognosis.
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Hello.
>> It is. Yes.
>> Morgan here from
>> Yes, it is at the moment.
>> Well, hang on. I will I will say I am
expecting a call from a doctor for
myself. Uh and if that comes in, I'll
have to uh >> Yeah,
>> Yeah,
>> I understand. No problem. I'll try and
keep it brief. Um, but I've looked into
the conversation we had last week. Um,
I've looked into the issues that we were
discussing. Um, so one in terms of the
the record of the urine sample for the
16th of September and I can assure you
that is on on your wife's record. Um, it
might not be visible to yourself because
it's actually it's not on the homepage.
Um, so it is behind the scenes, but that
record is actually still there. is on
her record, but I also talked to you
about us looking into access and I
explained a little bit about proxy
access. Um, and I need to let you know
that unfortunately we've made an
administrative error when your wife's
records came back to us from the care
home. Um, and her online access, her
full access um, automatically uh, gets
removed. um we in error shouldn't have
released that back to her for full
access um until it had been reviewed by
a GP because there's a there's a flag on
the system which naturally happens um
for it to be reviewed by a GP first
before that process can be released
before that access can be released. So
we haven't unfortunately followed that
process and that is an error on our
behalf. So I apologize um DY for for
that error. So we have removed access
for the moment because we need to follow
those processes.
>> Yeah, I'm listening.
>> Okay. So if your wife wants to have
access to her records, um then she would
need to to request that from us. If
she's not able to do that, then you
would need to put in a request yourself
in terms of a proxy request and then
would go through those processes for you
to have a proxy access.
So that would be the next step. your
wife would need to to request access
again and we'd go through the necessary
processes and our GPS would need to
review that and we go through that
process and if she if she's not able to
do that and and you wish to to put in a
proxy request because you want to access
it on her behalf
then you need to to request that from
the surgery a proxy request.
>> So that explains why I've got an email
here. Dear Mrs. Farwell your online
service account has been closed as requested
requested
uh which I haven't requested. Uh if you
did not request this closure please
contact the practice immediately which
is what I'm doing now.
>> Yes. Yes. So unfortunately you you
called me before I've managed to call
you. Um so so yes so that that's why
that accent has been closed currently.
right now. Do you know the consequences
of what your actions?
>> I'm I'm aware of of the processes that
we've taken and we've taken advice from
our data protection officer.
>> You uh the doctors there prescri uh
diagnosed my wife with Alzheimer's 5
years ago. I've got a call waiting. Can
you hold on a minute, please? Just a minute.
minute. >> Hello.
>> Hello. Hello.
Hello.
>> Hello. Good morning.
Who am I talking to?
>> Who am I talking to? >> Hello.
>> Hello.
>> Who am I talking to?
>> Uh, I'm one of the doctors calling from
Russell Hall Hospital.
>> Uh, oh dear. Um,
>> Mr. Robert.
>> Yes. Can you please hold the line for a
second? I'm sorry about this. I'll call
you back. Uh, Kerry. >> Hello,
>> Hello,
>> Kerry. I've got the uh I've got
something. It's very important. Could
you please ring me back in 10 minutes?
>> Yes, of course. No problem. I'll call
you back.
>> Thank you.
>> All right. Thank you. Bye.
>> Hello there.
Hello. I'm back again. >> Hello.
>> Hello.
>> Hello. Yes.
>> A good time to speak.
>> Yes, I'm all right now.
>> Okay, that's fine. I'm one of the
doctors calling from Russell's call
hospital regarding Mrs. Farwell.
>> Yes, my wife.
>> Yeah. Can you please confirm her date of
birth and first line address? 30 30th of
the 4th 1940 one Parkfield Road DYA1HD
>> right so I'm just following about um
advanced care planning um it's part of
the routine hospital policy um so um so
during this admission um in case of um
her heart were just to stop the medical
team agrees that it's not in her best
interest uh to start chest compression.
>> You're talking about you want to have a DNR?
DNR? >> Yep.
>> Yep.
>> Um well, I agree with you,
>> right? So, do you understand what does
it involve and why we've came to that conclusion?
conclusion?
>> Uh I can I can assume yes.
>> Okay. I assume that uh the reason I was
told last night my wife was um uh put on
her gurnie to be taken down to have a
doppul scan of her neck. >> Mhm.
>> Mhm.
>> Uh and because of her frailty and everything.
everything. >> Um
>> Um
this is what I assume. I'm guessing
because of her frailty you then decided
uh it's not in Mary's best interest. If
there happens to be because if you find
a clot, you'd have to have a procedure
uh which might itself be more dangerous.
>> Uh and because of um uh uh observations
and the like and her age and having
dementia, uh the best thing to do is uh
uh put on a DNR,
>> right? Yeah, that's absolutely correct. Yeah.
Yeah.
>> Is that correct? But have I assumed
things right?
>> Yeah, exactly.
>> Yeah, I understand.
>> Yep, that's fine. Um, so this is just to
update you. Do you have any questions at
the moment about what's been going on?
>> No. Uh, except Can you You're a doctor,
are you? >> Yeah.
>> Yeah.
>> Uh, how likely is it? Because I I
noticed you've got compress is it
compression leg things on the legs?
>> Mhm. Um, that's to stop DVTs, >> right?
>> right?
>> And I presume, >> yeah,
>> yeah,
>> if I bring Margaret home, >> um,
>> um,
uh, will she be having the DVTs or is it
the case now that, um, what will be will be.
be.
>> Well, at the moment while she's in
hospital, we put her on the leg
compression to prevent DVT. But after
discharge, we'll make sure that she has
a care plan in place so she can move. Um
but I don't think we can prescribe
anything for um DVT after uh discharge
but we she will be on um uh
antiplatelets which are basically to
>> So that's a medication.
>> A medication. Exactly.
>> Uh which I presume you will or um
>> yes we will prescribe the medication
after discharge. >> Um
>> Um
I fully understand it's a bit of a
bugger but it's about the most sensible
>> U so when are we talking about discharge?
discharge? >> Yeah.
>> Yeah.
>> When are when? Well, I'm not sure. I
can't say at the moment because uh we
need to make sure she needs to be seen
by physios first. Physiootherapy. >> Yeah.
>> Yeah.
>> Right. So from the medical point of
view, she's optimized for discharge, but
she needs to be seen by physotherapy
first to make sure that there's a care
plan in place if she needs carers or so. >> Yeah.
>> Yeah. >> Yeah.
>> Yeah. >> Understand?
>> Understand? >> Yeah.
>> Yeah.
Okay. Is that it? >> Yes.
>> Yes.
>> Okay. Um, and who am I talking to? Your name?
name? >> Sorry.
>> Sorry.
>> What's your name?
>> My name is Dr. Shad. S H A HD. >> Um,
>> Um,
okay. I understand. >> Yeah.
>> Yeah.
>> Um, anything else?
>> Not really. Do you have any questions? >> Um,
uh, let me think.
No, not really.
>> Okay, that's fine.
>> Have you got any uh um here's a question
any how how bad is she?
>> She's doing basically she's doing the
same. She's on baseline, I guess. Um but
um at the moment we we're not actively
treating um she's on antibiotics for the
urine infection.
>> Yes, I know that. >> Yeah.
>> Yeah.
I've been I've been going through that
for years. Uh have you got any time
scale of when you expect something to
happen or I don't suppose there is is there
there
>> sorry say it again
>> a time scale for
um she could still go on for a long long time.
time.
>> Do you mean ina in terms of her recovery?
recovery? >> Yes.
>> Yes.
>> Right. So it's it's difficult to say
because it's different from uh from
patient to another. Uh but um I can see
that she had a an eskeemic stroke. So
that the the stroke itself the the
tissue damage to the brain does not resolve
resolve
but the healthy brain tissue tries to
sort of recover. Um this can take time.
Um and we cannot say for sure that we
she will make a complete recovery out of
it given her age and the the the
coorbidities she had. >> Okay.
>> Okay. >> Yeah,
>> Yeah,
>> I do fully understand. >> Yeah,
>> Yeah,
>> thank you for uh phoning and talking to me.
me.
>> No worries.
>> Okay, thank you.
>> Thank you very much. Take care. Bye.
Bye. Bye. [Music]
wind it up a bit. B the doctors up a
bit. Hopefully Kerry will found back.
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