Medical error - chemotherapy

Hello, I hope you can give me some advice, but I might not qualify, and totally understand if you can't, because I don't have cancer. I was given the wrong treatment while in hospital for a pelvic infection. I received at least one dose of Methotrexate. I am still waiting for PALS to confirm doses of the wrong meds I was given, I only have their names so far. I did not receive the folinic acid or the alendronic acid they should have given me to mitigate the damage from the Methotrexate. This was because I realised I was being given the wrong meds when they told me I was on Carbocisteine for COPD. I don't have COPD, so I raised my concerns. I also said I felt extremely ill and wanted to know what else they had given me. They admitted I'd had other meds as well as the Carbocisteine, but refused to tell me what they were and said I had to do a subject access request to find out. So I told them to stop them, whether they would tell me their names or not. They should have told me I'd had Methotrexate, and offered me the folinic and alendronic acids. They did not. I did not find out for days what else I had been given. When I found out I looked all the names up and found information on Cancer Research UK's website. I was horrified to find the painful and frightening symptoms I was having, and the mental distress, confusion and inability to make myself understood verbally, after the event, are all known side-effects and had nothing to do with my actual illness or even the COPD drug I'd been told about. I raised a complaint with PALS and asked the doctors to help me with the physical effects and treat the damage. They refused 'because it is with PALS now.' I had to stay in the hospital until a course of IV antibiotics for my pelvic infection was complete, I was too scared of sepsis not to. I'm aware of my legal rights and am taking action. 

I was discharged on Thursday and saw my GP yesterday at short notice. She gave me a great deal of emotional support and reassured me that she believed me (my discharge letter states I was prescribed meds in error and apologises, although it is vague, and I could also show her emails from PALS about the ongoing investigation). We still don't know what doses I've had, PALS are meant to be sorting this, but my GP also said she will try and get my full hospital record as soon as possible. She got me back onto my warfarin because that had been messed up by the hospital and was an immediate concern, she increased my anxiety medication. But it was all a big shock to her too, and she did not know (although she might be finding out) what sort of clinical support I need for the effects of the Methotrexate.

The hospital had done a blood test for osteoporosis (they refused to explain why, but it was probably because of the Methotrexate, there have been no concerns about my bone profile before), but they did not add the result to my discharge letter. I want to find out if I should still get folinic and alendronic acids. I want someone to check my bowel and digestive tract because they are still inflamed and painful and my abdomen still swollen. I still don't even know what I should eat, and am sticking to low-fibre to try and soothe my bowel, but I really don't know what I'm supposed to be doing, and I'm eating very little because of sore mouth and ongoing appetite problems. I am on a strong painkiller for my pelvic infection, but am still getting breakthrough pain in various places in my abdomen and a bit of joint pain in my hips. I am worried about sepsis. I let the hospital discharge me on oral antibiotics for an infection that may have been worsened. I was not safe there, I was being bullied for speaking out, and they weren't giving me accurate treatment because they refused to take the Methotrexate into account. My inflammatory markers show my infection is getting better, but I know the immunosuppressant effects of methotrexate may have made those results wrong. I am so scared of sepsis. And of endocarditis because I have had it before, have an artificial heart valve and am at risk. 

I am not prepared to turn up at another A & E and try to explain all this to them. I was treated like a malicious trouble maker in the hospital, even by people who knew what had been done to me. I want to try and get a private doctor to talk all this through with me, give me the right information and referrals I need. I'm so scared of how NHS doctors seem to close ranks, and I can't trust them to advise me correctly any more. Please could you let me know what type of doctor I should be approaching? Please could you let me know what I should be eating? 

Thank you. 

  • Hi amikatari

    What a situation to find yourself in. Keep in touch with PALS and your lawyer. Mistakes do get made. Dont stress yourself out about the methotrexate a single dose will not have caused you any harm. My wife has been on this long term for Crohns disease with no ill effects. Get a second opinion PALS can help with this. Or pay privately. Costs for private care can quickly mount up and even more so with lawyers.

    Ed

    1. Hi Ed, I'm new here, are you one of the nurses? Just checking. Because I've read about the stuff, and I think a chemotherapeutic dose is higher than a dose for Crohn's disease. And I was very ill afterwards. I haven't listed all the effects, but I've never felt so ill or been in so much pain. I blew up like i was 9 months pregnant, I still look 5 months. My bowel and digestive system are still very swollen and inflamed, and I didn't have a bowel problem before. I'm on warfarin, an anti-coagulation drug to avoid clots on an artificial heart valve, and Methotrexate is contraindicated for people on warfarin. I believe it was probably a chemotherapeutic dose, because if it was a lower dose for a different condition, I get the impression that the two acids, for harm reduction to healthy cells, and to prevent osteoporosis, would not have been prescribed alongside it. And I didn't even get the two acids. Also, I was in that ward for two days, so I may have had two doses. Also a doctor confirmed to me off the record that it was prescribed as chemo and looked as though a list of meds for a patient who had cancer . They just would not give me anything in writing at that point. I'm waiting to find out how much I was given. It's also very dangerous to take an immunosuppressant drug with an active infection going on that is so severe that it needs IV antibiotics, which is what I was in hospital for. I'm also at high risk for infections spreading to my heart because of the valve issue, I've already had one heart infection and nearly died of it 6 years ago. 

     Apologies if I'm wrong, if the dose for Crohn's disease is as high as the chemotherapeutic dose for cancer, then I get where you're coming from about some of it, I am still learning. Does your wife get folinic acid and alendronic acid alongside her methotrexate treatment, if you don't mind me asking?

    My GP hasn't told me I'm worrying too much about this in any way, she seems as concerned as I am and hopefully the information about the doses will arrive on Monday. But in the meantime I'm trying to find out as much as I can. I'm also traumatised by the event, which was made far worse by their refusal to share information that might have helped me and to try and cover it up by bullying. I had to stay for 9 days after it happened, just to get my IV antibiotics for the infection I arrived with, I was treated appallingly and they refused to acknowledge the error and ignored my suffering from the after-effects. So I don't want to have to turn up at another local hospital especially if I have to explain everything from scratch (they made me feel no one would believe me), unless I really have to. 

    I'm wondering if a no win no fee solicitor might have a medical expert to hand who can check me over now and then take their fee from the compensation. But I'll pay for a doctor if I need to. 

    Thanks Ed. 

  • Hi Ed, thanks for your kind message. I'm still concerned though, because I think the dose for Crohn's disease is lower than for chemo. Do you mind if I ask whether your wife is given folinic acid and alendronic acid alongside her methotrexate? It's the addition of those drugs on the prescriptions i was given in error that makes me think it was a high dose (or two), and I was never even given those two acids that might have helped, although I was prescribed them. I'm waiting to get the info from PALS on the doses. The drug is also contraindicated for my existing conditions. Plus I'm still suffering painful swelling and inflammation of the digestive system and bowel, and I don't have an existing condition causing this, it's an injury. Also the ongoing infection and immunosuppressant effect of methotrexate and my endocarditis risk are concerning. 

    Thanks for your message. 

  • Sorry Ed, I'm still learning here. I thought my long message had vanished and so I posted the shorter one too. 

  • Hi amikatari

    Im a farmer not a nurse. I have no medical training just 10 years experience of having cancer.I just wanted to reduce your anxiety. My wife does not take leucovorin or alendronic acid so you may be correct that it is a low dose. 

    Ed

  • It might be beneficial for you to post on a medical negligence forum rather than a cancer forum where you can seek better advice on how to navigate the NHS redress systems.

    Ed