Rapid access Services Pt-failed me!
I am a 63 yof presented with severe abdominal cramps and bleeding 18 Aug 2025 and referred to RAS- for cancer evaluation. A diagnosis of cancer (or not) MUST be reached in 28 days with a care plan. It's now 50+ days and Heartlands has made no diagnosis and biopsy not scheduled or performed.
18 Aug 2025 GYNAE RAS referral made
23 Aug 2025 ultra sound scans detected a complex ( high risk) ovarian cyst and a simple cyst. MRI Referral not made, INSTEAD, :
4 Sept 2025 a hysteroscopy was attempted -without MRI preceding it and it failed due to pain. Thank GOD it failed- I have a fragile uterus and ovarian cysts which could rupture and spill out and spread any cancer contained therein into my uterus. A fragile uterus is high risk for cuts and cancer spilling into abdominal cavity causing metastasis. Hysteroscopy was rescheduled with anaesthesia.
MRI performed 23 Sept. requested team to cancel hysteroscopy due to risks. MRI results - still not shared with me.
9 Oct - contacted team and informed MRI results in and to await a letter not as yet prepared. I asked team to urgently consider endometrial aspiration biopsy, which is less invasive and preferable to hysteroscopy - still awaiting if referral will be made. Notified team that I have high risk HPV and to consider tests for that.
*23 Aug partial uterine thickness noted on ultrasound.
I am at risk of three cancers - aggressive - with poor prognosis. 50 days post RAS referral I am being failed by
a) no definitive diagnosis
b) no care plan
C) denied appropriate diagnostics and subjected to unnecessarily risky procedures and or subjected to procedures out of sequence for proper care and management.
8 OCT 2025 - A garbled unintelligible voice msg with a telephone number to call for an appointment was received. The Gynae department has no record of any appointments and the three admissions department numbers given go to voicemail and my repeat calls have not been returned.
I implore you to ensure I have an immediate endometrial aspiration biopsy and refer me to Pan-Birmingham Gynaecological Cancer Ctr for all further diagnostics and care and any treatment.
I am a former paramedic and mortified that I am being left to languish in this manner.
My booking ref is 0004 6060 3082
Ref RRKA 391 389
Ref 391 389
Please, if I am being scheduled against my wishes for the contraindicated hysteroscopy, kindly ensure that I am appropriately and without further delays, referred for an endo aspiration biopsy. My case is already at double the time deadline.
Kindly ensure that I am contacted by someone with an intelligble voice, voicemail, email, and my NHS apps simultaneously. I have endured significant other miscommunication which have not served to assist, and which I need you to document and address.
Thankyou for giving this your urgent attention
Shaynel Ahmed