Heart hospital closing operating theatre, beds for ‘fiscal sustainability'
A Monash Health spokesman insisted the changes would not be detrimental to patients, and said they were about using hospital resources more efficiently.
'This operational change at the Victorian Heart Hospital aligns services and resources with patient demand, not rumoured budget cuts, and will not negatively impact patient wait times or outcomes, or our team members,' the spokesman said.
'The change will not reduce the number of procedures performed.'
But a change impact statement prepared by Monash Health in February this year, leaked to The Age, states it was 'no longer feasible for Monash Health to operate under the current care and establishment model'.
'The closure of one lab will enhance our planned operational improvement work and, in addition, assist in the program being fiscally sustainable,' the document says.
'The total number of half-day sessions will reduce from 44 to 40 public sessions that will be available for procedures.'
'The Victorian government is very interested in having new railway lines, but not in addressing public health.'
Dr Roderick McCrae
In leaked correspondence to staff, also seen by The Age, Monash Health said the changes were necessary because of Victoria's activity funding caps. Under these arrangements, health services that conduct surgeries beyond their agreed targets are not fully reimbursed for the extra surgeries.
'Currently, the organisation is operating at approximately 106 per cent of its funded target,' the letter, from May, states.
Loading
'This means 4 per cent of activity is being delivered without corresponding funding, which introduces financial risk rather than benefit.'
Dr Roderick McCrae, Victorian president of doctors' union the Australian Salaried Medical Officers, expressed concerns about the changes, saying they reflected broader issues with the state's overwhelmed health system.
'There is a massive underinvestment in physical and mental healthcare across Victoria,' he said, adding that demand for these services was intensifying due to the state's growing population.
'The Victorian government is very interested in having new railway lines, but not in addressing public health.'
Two Victorian Heart Hospital staff confirmed that the hospital's program director, Professor Stephen Nicholls, informed employees late last week that the health service was forging ahead with its plan in coming weeks.
The proposed changes have been criticised by doctors working at neighbouring hospitals who regularly refer patients to the specialist facility.
One cardiologist, who wanted to remain anonymous because he was not authorised to speak publicly, said his hospital had instructed staff to tell patients that they would have to wait longer for procedures at the Victorian Heart Hospital.
'It's terrible from a patient perspective,' he said. 'The longer they wait, the worse their heart gets.'
He said the Victorian Heart Hospital was set up to reduce waiting times for heart procedures, and the changes flew in the face of this.
'Now it is a big house with no one in it,' he said.
Monash Health says it is well positioned to scale up its services to meet increased demand.
State government performance data from the Victorian Heart Hospital shows that the median waiting times for surgery at the Victorian Heart Hospital have deteriorated over the past year.
Category 2 patients at the hospital waited a median of 104 days for surgery from January to March 2025, compared with 26 days over the same period last year. In Victoria, category 2 refers to a patient awaiting planned surgery who requires treatment within 90 days.
Just 24 per cent of category 2 patients were treated within the recommended 90-day time frame.
More than 3000 patients were triaged at the hospital's cardiac emergency department during its first six months of operation, according to a recent annual report.
A third cardiology source said they were concerned the changes would contribute to emergency department delays and ambulance ramping because fewer beds would be cleared as quickly.
'It does have a statewide impact,' the source said.
The heart hospital overhaul is not the first contentious cost-cutting program at a Victorian health service this year. Just last week, The Age revealed that management at Eastern Health was preparing to cut paediatric services from Maroondah Hospital and relocate specialist staff to Box Hill.
The day after The Age 's story, Health Minister Mary-Anne Thomas fronted the media to confirm she would use her powers to block the proposal – which would have led to children presenting at Maroondah and requiring more than a night's stay in hospital to be transported at least 20 minutes away to another health service.
In April, the Royal Children's Hospital scrapped plans to cut a dozen jobs at its Children's Cancer Centre after The Age unveiled the plan in the lead-up to the Good Friday Appeal.
A fourth cardiology source described the latest situation at Monash Health as bureaucracy gone mad.
'The department tells Monash Health to find savings. Monash Health tells us they want to save money. But if you speak to the Health Department, they say, 'We wouldn't deem to tell a hospital how to run a hospital.''
An economic impact assessment, presented to the state government in 2017 and later tabled in parliament, stated that the heart hospital would generate almost $400 million for Victoria in 2026 – including $112 million from research and teaching.
Opposition health spokeswoman Georgie Crozier said the changes appeared to be another example of mismanagement.
'Labor can't manage money, can't manage health, and it's Victorians who are paying the price.'
An Allan government spokeswoman said the changes were a decision made by Monash Health based on demand.
'There has been no budget cuts and there is no impact to frontline care,' the spokesperson said.
'Since we opened Australia's first specialist cardiac hospital in 2023, it has transformed and saved the lives of thousands of Victorians – with cutting-edge telehealth facilities so regional Victorians can connect with specialists and local doctors, no matter where they live.'
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Sydney Morning Herald
2 days ago
- Sydney Morning Herald
‘Treated like a hysterical mother': Assaulted by her son, Alison's pain was ignored until she collapsed
Alison Beatty's adult son was in the midst of a 48-hour schizophrenic episode when he threw her against the wall of their family home. When she next went to the bathroom she noticed blood in her urine, so immediately took herself to Katoomba Hospital's emergency department. There, she was treated by a young male doctor who suspected a broken rib and sent her home without completing tests that would have discovered the internal injuries. 'The doctor basically sighed and looked up and said, 'Well, blood in your urine is common for women your age',' Beatty, then aged 59, said. She went home and that night had dinner at a restaurant for her birthday. Her symptoms worsened – she developed pain in her shoulder and found it hard to breathe. Her friend and qualified nurse Jennifer Douglas was present and insisted she return to emergency that night. 'Alison is a stoic lady, she's not a complainer,' Douglas said. 'You could see she was really trying to enjoy the occasion, to put aside the pain, but I could tell she wasn't right.' They went to the same emergency room and were again dismissed. No pain medication was issued nor tests performed – until Beatty collapsed. 'She actually started going into shock,' Douglas said. 'All of a sudden they thought, 'we better do something here'.' Loading Beatty was intubated, put on life support and rushed in a critical condition by ambulance to Penrith Hospital. An ultrasound finally revealed the assault injury had caused her lungs to fill with blood. 'By then, because it had been so long, the blood had coagulated; I had to have a long operation where they removed all the blood,' Beatty said. 'I was in intensive care for a long time. The surgeon said, 'you're very lucky to have survived'. I sat on this for some time but I was angry about it.' After she recovered she complained to the hospital about how she was treated. 'When they looked at the notes, he'd written down: 'Mother has trouble controlling her child', as if I'd had a young child with a tantrum,' she said. 'I felt like I was being treated like a hysterical mother, or not knowing what I was talking about. Most of what I said wasn't heard. 'If someone's got blood in the urine, you don't just dismiss it as their age,' she said. 'They later apologised and said, 'we failed you'.' At the very least, Douglas said emergency doctors should have ordered an X-ray, which would have quickly revealed the problem. The near-death incident occurred in 2014 but, more than a decade on, both women are still furious and are speaking up to stop others suffering the same fate. 'They didn't listen. They did not take a proper history. It was appalling,' Douglas said. 'I'm just so glad I was there, otherwise she wouldn't have been here today.' Beatty was one of more than 2000 women who participated in a survey by The Age and The Sydney Morning Herald documenting experiences as part of an investigation into medical misogyny in Australian healthcare. More than 300 of the respondents described experiences of the gender bias in emergency departments, where diagnostic decisions in busy hospitals can have life-and-death consequences. The investigation into medical misogyny has previously revealed disturbing cases of this bias right across the healthcare system, including women being incorrectly admitted to mental health wards or cancer diagnoses being missed. The women, doctors and experts who are speaking out are not seeking to lay blame at the feet of clinicians but to lay bare entrenched, structural problems disadvantaging women in a health system that historically evolved to reflect the needs of men. Dr Clare Skinner, a Sydney-based emergency physician, said the gender bias is baked into the medical canon, particularly with how pain is treated in men and women. 'For women, we're too quick to leap to say, 'that's not serious',' she said. 'If a man says they have pain they're taken seriously … There's the idea that women are more likely to overstate their pain. 'This all plays out along gender lines but also intersectional lines,' she said, explaining women of colour experience greater discrimination. However, Skinner, who is president of the Australasian College for Emergency Medicine, said enormous work has been done over the past decade, including the introduction of specific training to recognise and address bias. 'I am proud that my specialty has really taken on this notion that we work in an environment where quick judgments are necessary and we have to actually train to make sure our quick judgments are the best, least-biased ones possible.' Delays, dismissed In emergency departments, doctors must make quick diagnostic decisions based on little information and rely on guidelines in the triage system for how to prioritise urgency. Studies have shown throughout history that women who present to emergency departments are less likely to be given pain medication, or experience delays in receiving it, compared with men. One American study from 2008 found women who presented with abdominal pain at emergency departments with similar pain levels as men were up to 11 per cent less likely to be given pain medication. More recently, similar results were published in a 2023 study by Australasian Emergency Care, which looked at a cohort of patients presenting similar levels of abdominal pain and found 14.5 per cent of women were given pain medication versus 26 per cent of men. The same study found the average time from presenting to the emergency department and receiving pain relief was 80 minutes for men, compared with 94 minutes for women. MEDICAL MISOGYNY: A CALL TO ACTION The Sydney Morning Herald and The Age last year launched an investigation into medical misogyny: ingrained, systemic sexism across Australia's healthcare system, medical research and practice. More than 2000 women shared their experiences as part of our crowd-sourced investigative series, which prompted a national outpouring of grief and frustration as women described feeling gaslit, dismissed or being told their pain was 'all in their heads'. We call on the federal government to boost Medicare funding for GP appointments that last more than 20 minutes to improve care for women and others with complex health conditions. The Albanese government and the Coalition have promised to pour $8.5 billion into Medicare to make GP visits more affordable and improve bulk-billing rates, but longer, 20-minute appointments will receive a smaller proportional funding increase. Doctors have warned that these policies could further disadvantage women by continuing to incentivise shorter consultations, which don't give GPs enough time to address menopause, pelvic pain and other women's health issues. The Australasian Triage Scale (ATS) is a clinical tool used by emergency doctors and nurses to sort patients into five categories, from Category 1, which means life-threatening and requiring immediate care, to Category 5, which is non-urgent and where patients can wait up to 120 minutes. In July, registered nurse Amanda Dumesny posted on LinkedIn the ATS recommends initial decisions have to be made within two or three minutes. However, Dumesny said there is 'growing concern' that training to prioritise care on clinical urgency 'may inadvertently perpetuate gender biases'. 'These biases result in men's symptoms being more frequently classified as urgent, while women's symptoms, even when potentially more serious, are downplayed,' she wrote. 'Although the ATS update in 2024 appears intended to address certain biases by clarifying triage protocols for historically under-triaged cohorts, such as pregnant women, the elderly, paediatric patients, First Nations people, and those experiencing mental health crises, it stops short of recognising that systemic gender bias is rooted in how symptoms are assessed and determined as being more or less critical.' She wrote there needed to be 'systemic changes and focused education' to improve gender bias in the ATS and ensure all patients receive equitable care. Sydney-based Kate Vinen believes her own delays in receiving pain medication and an accurate diagnosis were driven by medical misogyny in the triage system. In her 20s, about 12 years ago, she presented to emergency with irregular periods but said male doctors sent her away without any investigation. She pushed for tests to be completed and eventually, years later, it was discovered she had uterine cancer. 'By the time I got a diagnosis it was too late. I had to have my uterus removed and lost my ability to have children. It felt like being let down by the system but I was too young,' Vinen said. 'I was dismissed over a period of time, not just once but a handful of times, to get answers for why I wasn't getting regular periods. They couldn't find an easy answer. I was dismissed. The problem got bigger over time and resulted in when I was finally diagnosed by a woman with uterine cancer.' Vinen had a hysterectomy and went into remission but even since then she has found doctors are quick to label her concerns as gynaecological. 'It sounds terrible but it's helpful in a way that now I don't have ovaries or a uterus,' she said. In 2014 she went to the emergency department at a major Sydney hospital with a throbbing pain in her shoulder, vomiting and loss of consciousness. The doctors completed an internal vaginal examination. 'I knew it wasn't in that area. I was so out of [it] that I let them do it. But I clearly articulated my main symptom – excruciating pain in my left shoulder,' she said. 'They went straight to gynaecological.' 'I was projectile vomiting from how much pain I was in. My friend said it looked like a scene from The Exorcist.' Kate Vinen Vinen was first diagnosed with a burst cyst, and says every time she told the doctors the pain was in her shoulder she was dismissed. 'I knew it wasn't that kind of pain,' she said. Eventually, doctors discovered Vinen's spleen had ruptured – one of the most common symptoms being shoulder pain. 'I was projectile vomiting from how much pain I was in. They hadn't given me any serious pain medication. My friend said it looked like a scene from The Exorcist,' she said. 'An earlier diagnosis would have meant faster and bigger pain treatment.' 'Traumatic, awful' Over interviews with women who responded to this investigation's survey, several described presenting to hospital emergency departments with abdominal pain – which was treated as gynaecological when the problem was gastrointestinal. One woman described presenting to emergency with severe and escalating abdominal pain, which was first diagnosed as an ovarian cyst. 'I'd had an ovarian cyst before but this was different,' she said. 'I was screaming at the top of my lungs.' It turned out the woman's bowel had twisted and turned necrotic – resulting in surgery to remove 20 centimetres of bowel. 'As time went on, the tissue was expanding, literally blowing up inside of me,' she said. 'Had it been diagnosed earlier, it's likely that I wouldn't have had to have that removed.' Another woman was discharged from hospital after her second C-section birth and experienced pain she had never experienced before, describing it as 'red-hot, like I was being burned with a poker'. She presented at the emergency department with excruciating pain but was sent home and told to take more painkillers. Five weeks later she presented again, and this time was rushed to emergency surgery. As it transpired, her wounds had broken down internally and caused her bowels to start dying. 'I probably would have died if I hadn't had emergency surgery that day,' she said. 'It was pretty traumatic and awful. It was dismissive of someone presenting in pain who knows their own body.' Loading Emergency physician and federal AMA Emergency Medicine representative Dr Sarah Whitelaw agreed evidence shows that medical misogyny is impacting decisions in emergency departments. 'It's now well-known that women have different symptoms to men in some cases,' she said, particularly heart attacks. 'As a woman you're less likely to be recognised in terms of the need for urgent care, which means you take longer to be seen … and it will take longer to get you the treatment that's needed. 'We know, in the emergency department, women are often given a lower pain rating, and it takes us longer to get them effective pain relief, and we don't often give them as much pain relief as we do with men describing similar pain levels.' Whitelaw said these issues were compounded by overcrowding and understaffing across the healthcare system, which puts pressure on the time that emergency workers can spend with patients. She stressed the entire healthcare system, not just emergency wards, needed to be reviewed to find solutions to the problems – including greater Medicare rebates for GP clinics and other wraparound services. 'We've incentivised really short, high-volume numbers of patients that they see every day, instead of rewarding the time that's often needed, particularly for women's health [issues] that are particularly complicated,' Whitelaw said. Back in the Blue Mountains, Beatty agrees. Under the normal procedures, Beatty said the emergency ward should have alerted the police or social worker after the mental health system failed to take her calls for help with her son seriously in the lead-up to the assault. This would have prevented the cascading medical failures, she said. 'Katoomba is an underfunded, small hospital,' she said. 'But I think it's important to point out for the sake of the medical fraternity, and for other women, how these sometimes fatal mistakes can occur.' A spokesperson for the Nepean Blue Mountains Local Health District said, 'we sincerely apologise' to Beatty, and pledged to deliver 'respectful, evidence-based and equitable care'. A spokesperson for NSW Health said healthcare workers are trained to 'address unconscious bias to ensure all patients have equitable access to healthcare' and pointed to the investment of 'half a billion dollars' into emergency departments. 'We acknowledge more work can always be done to tackle health inequalities.'

The Age
2 days ago
- The Age
‘Treated like a hysterical mother': Assaulted by her son, Alison's pain was ignored until she collapsed
Alison Beatty's adult son was in the midst of a 48-hour schizophrenic episode when he threw her against the wall of their family home. When she next went to the bathroom she noticed blood in her urine, so immediately took herself to Katoomba Hospital's emergency department. There, she was treated by a young male doctor who suspected a broken rib and sent her home without completing tests that would have discovered the internal injuries. 'The doctor basically sighed and looked up and said, 'Well, blood in your urine is common for women your age',' Beatty, then aged 59, said. She went home and that night had dinner at a restaurant for her birthday. Her symptoms worsened – she developed pain in her shoulder and found it hard to breathe. Her friend and qualified nurse Jennifer Douglas was present and insisted she return to emergency that night. 'Alison is a stoic lady, she's not a complainer,' Douglas said. 'You could see she was really trying to enjoy the occasion, to put aside the pain, but I could tell she wasn't right.' They went to the same emergency room and were again dismissed. No pain medication was issued nor tests performed – until Beatty collapsed. 'She actually started going into shock,' Douglas said. 'All of a sudden they thought, 'we better do something here'.' Loading Beatty was intubated, put on life support and rushed in a critical condition by ambulance to Penrith Hospital. An ultrasound finally revealed the assault injury had caused her lungs to fill with blood. 'By then, because it had been so long, the blood had coagulated; I had to have a long operation where they removed all the blood,' Beatty said. 'I was in intensive care for a long time. The surgeon said, 'you're very lucky to have survived'. I sat on this for some time but I was angry about it.' After she recovered she complained to the hospital about how she was treated. 'When they looked at the notes, he'd written down: 'Mother has trouble controlling her child', as if I'd had a young child with a tantrum,' she said. 'I felt like I was being treated like a hysterical mother, or not knowing what I was talking about. Most of what I said wasn't heard. 'If someone's got blood in the urine, you don't just dismiss it as their age,' she said. 'They later apologised and said, 'we failed you'.' At the very least, Douglas said emergency doctors should have ordered an X-ray, which would have quickly revealed the problem. The near-death incident occurred in 2014 but, more than a decade on, both women are still furious and are speaking up to stop others suffering the same fate. 'They didn't listen. They did not take a proper history. It was appalling,' Douglas said. 'I'm just so glad I was there, otherwise she wouldn't have been here today.' Beatty was one of more than 2000 women who participated in a survey by The Age and The Sydney Morning Herald documenting experiences as part of an investigation into medical misogyny in Australian healthcare. More than 300 of the respondents described experiences of the gender bias in emergency departments, where diagnostic decisions in busy hospitals can have life-and-death consequences. The investigation into medical misogyny has previously revealed disturbing cases of this bias right across the healthcare system, including women being incorrectly admitted to mental health wards or cancer diagnoses being missed. The women, doctors and experts who are speaking out are not seeking to lay blame at the feet of clinicians but to lay bare entrenched, structural problems disadvantaging women in a health system that historically evolved to reflect the needs of men. Dr Clare Skinner, a Sydney-based emergency physician, said the gender bias is baked into the medical canon, particularly with how pain is treated in men and women. 'For women, we're too quick to leap to say, 'that's not serious',' she said. 'If a man says they have pain they're taken seriously … There's the idea that women are more likely to overstate their pain. 'This all plays out along gender lines but also intersectional lines,' she said, explaining women of colour experience greater discrimination. However, Skinner, who is president of the Australasian College for Emergency Medicine, said enormous work has been done over the past decade, including the introduction of specific training to recognise and address bias. 'I am proud that my specialty has really taken on this notion that we work in an environment where quick judgments are necessary and we have to actually train to make sure our quick judgments are the best, least-biased ones possible.' Delays, dismissed In emergency departments, doctors must make quick diagnostic decisions based on little information and rely on guidelines in the triage system for how to prioritise urgency. Studies have shown throughout history that women who present to emergency departments are less likely to be given pain medication, or experience delays in receiving it, compared with men. One American study from 2008 found women who presented with abdominal pain at emergency departments with similar pain levels as men were up to 11 per cent less likely to be given pain medication. More recently, similar results were published in a 2023 study by Australasian Emergency Care, which looked at a cohort of patients presenting similar levels of abdominal pain and found 14.5 per cent of women were given pain medication versus 26 per cent of men. The same study found the average time from presenting to the emergency department and receiving pain relief was 80 minutes for men, compared with 94 minutes for women. MEDICAL MISOGYNY: A CALL TO ACTION The Sydney Morning Herald and The Age last year launched an investigation into medical misogyny: ingrained, systemic sexism across Australia's healthcare system, medical research and practice. More than 2000 women shared their experiences as part of our crowd-sourced investigative series, which prompted a national outpouring of grief and frustration as women described feeling gaslit, dismissed or being told their pain was 'all in their heads'. We call on the federal government to boost Medicare funding for GP appointments that last more than 20 minutes to improve care for women and others with complex health conditions. The Albanese government and the Coalition have promised to pour $8.5 billion into Medicare to make GP visits more affordable and improve bulk-billing rates, but longer, 20-minute appointments will receive a smaller proportional funding increase. Doctors have warned that these policies could further disadvantage women by continuing to incentivise shorter consultations, which don't give GPs enough time to address menopause, pelvic pain and other women's health issues. The Australasian Triage Scale (ATS) is a clinical tool used by emergency doctors and nurses to sort patients into five categories, from Category 1, which means life-threatening and requiring immediate care, to Category 5, which is non-urgent and where patients can wait up to 120 minutes. In July, registered nurse Amanda Dumesny posted on LinkedIn the ATS recommends initial decisions have to be made within two or three minutes. However, Dumesny said there is 'growing concern' that training to prioritise care on clinical urgency 'may inadvertently perpetuate gender biases'. 'These biases result in men's symptoms being more frequently classified as urgent, while women's symptoms, even when potentially more serious, are downplayed,' she wrote. 'Although the ATS update in 2024 appears intended to address certain biases by clarifying triage protocols for historically under-triaged cohorts, such as pregnant women, the elderly, paediatric patients, First Nations people, and those experiencing mental health crises, it stops short of recognising that systemic gender bias is rooted in how symptoms are assessed and determined as being more or less critical.' She wrote there needed to be 'systemic changes and focused education' to improve gender bias in the ATS and ensure all patients receive equitable care. Sydney-based Kate Vinen believes her own delays in receiving pain medication and an accurate diagnosis were driven by medical misogyny in the triage system. In her 20s, about 12 years ago, she presented to emergency with irregular periods but said male doctors sent her away without any investigation. She pushed for tests to be completed and eventually, years later, it was discovered she had uterine cancer. 'By the time I got a diagnosis it was too late. I had to have my uterus removed and lost my ability to have children. It felt like being let down by the system but I was too young,' Vinen said. 'I was dismissed over a period of time, not just once but a handful of times, to get answers for why I wasn't getting regular periods. They couldn't find an easy answer. I was dismissed. The problem got bigger over time and resulted in when I was finally diagnosed by a woman with uterine cancer.' Vinen had a hysterectomy and went into remission but even since then she has found doctors are quick to label her concerns as gynaecological. 'It sounds terrible but it's helpful in a way that now I don't have ovaries or a uterus,' she said. In 2014 she went to the emergency department at a major Sydney hospital with a throbbing pain in her shoulder, vomiting and loss of consciousness. The doctors completed an internal vaginal examination. 'I knew it wasn't in that area. I was so out of [it] that I let them do it. But I clearly articulated my main symptom – excruciating pain in my left shoulder,' she said. 'They went straight to gynaecological.' 'I was projectile vomiting from how much pain I was in. My friend said it looked like a scene from The Exorcist.' Kate Vinen Vinen was first diagnosed with a burst cyst, and says every time she told the doctors the pain was in her shoulder she was dismissed. 'I knew it wasn't that kind of pain,' she said. Eventually, doctors discovered Vinen's spleen had ruptured – one of the most common symptoms being shoulder pain. 'I was projectile vomiting from how much pain I was in. They hadn't given me any serious pain medication. My friend said it looked like a scene from The Exorcist,' she said. 'An earlier diagnosis would have meant faster and bigger pain treatment.' 'Traumatic, awful' Over interviews with women who responded to this investigation's survey, several described presenting to hospital emergency departments with abdominal pain – which was treated as gynaecological when the problem was gastrointestinal. One woman described presenting to emergency with severe and escalating abdominal pain, which was first diagnosed as an ovarian cyst. 'I'd had an ovarian cyst before but this was different,' she said. 'I was screaming at the top of my lungs.' It turned out the woman's bowel had twisted and turned necrotic – resulting in surgery to remove 20 centimetres of bowel. 'As time went on, the tissue was expanding, literally blowing up inside of me,' she said. 'Had it been diagnosed earlier, it's likely that I wouldn't have had to have that removed.' Another woman was discharged from hospital after her second C-section birth and experienced pain she had never experienced before, describing it as 'red-hot, like I was being burned with a poker'. She presented at the emergency department with excruciating pain but was sent home and told to take more painkillers. Five weeks later she presented again, and this time was rushed to emergency surgery. As it transpired, her wounds had broken down internally and caused her bowels to start dying. 'I probably would have died if I hadn't had emergency surgery that day,' she said. 'It was pretty traumatic and awful. It was dismissive of someone presenting in pain who knows their own body.' Loading Emergency physician and federal AMA Emergency Medicine representative Dr Sarah Whitelaw agreed evidence shows that medical misogyny is impacting decisions in emergency departments. 'It's now well-known that women have different symptoms to men in some cases,' she said, particularly heart attacks. 'As a woman you're less likely to be recognised in terms of the need for urgent care, which means you take longer to be seen … and it will take longer to get you the treatment that's needed. 'We know, in the emergency department, women are often given a lower pain rating, and it takes us longer to get them effective pain relief, and we don't often give them as much pain relief as we do with men describing similar pain levels.' Whitelaw said these issues were compounded by overcrowding and understaffing across the healthcare system, which puts pressure on the time that emergency workers can spend with patients. She stressed the entire healthcare system, not just emergency wards, needed to be reviewed to find solutions to the problems – including greater Medicare rebates for GP clinics and other wraparound services. 'We've incentivised really short, high-volume numbers of patients that they see every day, instead of rewarding the time that's often needed, particularly for women's health [issues] that are particularly complicated,' Whitelaw said. Back in the Blue Mountains, Beatty agrees. Under the normal procedures, Beatty said the emergency ward should have alerted the police or social worker after the mental health system failed to take her calls for help with her son seriously in the lead-up to the assault. This would have prevented the cascading medical failures, she said. 'Katoomba is an underfunded, small hospital,' she said. 'But I think it's important to point out for the sake of the medical fraternity, and for other women, how these sometimes fatal mistakes can occur.' A spokesperson for the Nepean Blue Mountains Local Health District said, 'we sincerely apologise' to Beatty, and pledged to deliver 'respectful, evidence-based and equitable care'. A spokesperson for NSW Health said healthcare workers are trained to 'address unconscious bias to ensure all patients have equitable access to healthcare' and pointed to the investment of 'half a billion dollars' into emergency departments. 'We acknowledge more work can always be done to tackle health inequalities.'


Perth Now
2 days ago
- Perth Now
Deadly trend on the rise in major state
Victoria has been rocked by the highest number of fatal overdoses in a decade, with nearly 600 residents dying from drug overdoses last year alone. Ten years ago, illicit drugs contributed to less than half of all overdose deaths. In 2024, the Coroners Court found this figure increased to 65.6 per cent. Overdose deaths have spiked in Victoria. NewsWire / David Geraghty Credit: News Corp Australia It's a figure increasing yearly, with 584 Victorian residents dying from drug overdoses in 2024, up from 547 the year before and 552 in 2022. Heroin contributed to 248 deaths in the state, and 215 deaths were related to methamphetamine – a stat that has tripled since 2015. The majority of all overdose deaths occurred in metropolitan Melbourne, with about 75 per cent being unintentional. Monash University Associate Professor Shalini Arunogiri told NewsWire the bleak new figures were a reminder of the lack of treatment available for opioid addictions. 'Each of these 584 deaths represents a life lost unnecessarily,' she said. 'Behind every statistic is someone's loved one, a friend, a sibling, a parent.' Worryingly, the majority of the fatal overdoses were men, who made up two-thirds of total deaths over the past decade. Heroin was the leading drug found in the fatal overdoses, followed by methamphetamine. NewsWire / David Geraghty Credit: News Corp Australia Ms Arunogiri said there was a 'strong connection' between drug abuse and mental health, especially if people lacked access to mental health support and effective treatment and instead turned to substances as their 'only available relief'. 'People often turn to substances as a way of coping with untreated trauma, anxiety, depression or other psychological distress,' she said. 'This is why integrated care that treats both mental health and substance use is so important.' The increase in fatal heroin and methamphetamine overdoses was 'particularly concerning', Ms Arunogiri said, as harm reduction methods were available to prevent further deaths. 'The positive here is that solutions do exist, we just need to implement what works,' she said. 'Expanding medication-assisted treatment for opioid addiction must be a priority, given heroin's role as the top contributor.' Ms Arunogiri said lifesaving medications needed to be provided at a faster rate to prevent overdoses. 'Medications like methadone and buprenorphine can reduce the risk of overdose, but people often face long waits for care,' she said. 'Effective measures like drug checking and expanding access to opioid overdose reversal medications, such as naloxone, is also critical.' There's a 'strong connection' between drug use and mental health. Credit: Supplied Penington Institute chief executive John Ryan said 'too many Australians are dying from preventable drug overdoses' and argued governments were '(refusing) to fully embrace measures to drive down this horrific toll'. 'We're still not spending enough money on proven harm reduction initiatives like drug testing, supervised injecting, community education and the wide provision of the anti-overdose drug naloxone,' he said. In May, the Victorian government introduced its take-home naloxone program, which was expanded across 50 needle and syringe program providers, including over the counter at pharmacies, at the Medically Supervised Injecting Room and via prescription to expand access to the medication. Health of the Nation: drugs and alcohol Ms Arunogiri said these were 'important steps' to preventing further harm. 'These evidence-based interventions are crucial, but we need further investment to make sure everyone can access the health care they need,' she said. 'The most devastating thing is that we know these deaths were preventable. 'We understand what works – effective medications, harm reduction services, early intervention, but we need to remove the barriers that keep people from accessing the healthcare we all deserve.'