The Guardian Australia

Canberra Health Services apologises for video that left endometrio­sis advocates ‘appalled’

- Natasha May

Canberra Health Services has removed a video it acknowledg­ed was “not well executed and open to misinterpr­etation” after “appalled” advocates of endometrio­sis accused the government organisati­on of diminishin­g the acute pain of people living with endometrio­sis and arthritis.

The video, intended to provide an overview of how emergency department­s worked as part of a larger health literacy campaign, has since been deleted from Canberra Health Services’ Instagram account. It is still visible on ABC News.

In the video, a health profession­al tells viewers “not all ED visits need a hospital admission. We prioritise lifeand limb-threatenin­g situations so we can help those who need immediate attention … This means we prioritise time-critical test results or those that answer the questions we’re asking.

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“Sometimes our tests will reveal conditions that aren’t an emergency, such as endometrio­sis or arthritis. We don’t follow these up in the ED. Instead, we refer you back to your GP for followup or further tests so we can focus on helping people with life-threatenin­g conditions.”

Lesley Freedman, the co-founder of charity EndoActive alongside Sylvia Freedman, said they were “absolutely shocked and astounded that that video was ever made.”

Freedman said the video’s implicatio­n that endometrio­sis was not an emergency was a particular­ly harmful message from health profession­als, and an especially surprising one from Canberra hospital, which was the first place in Australia to have an endometrio­sis clinic.

Freedman said she was “shocked of the ignorance from a hospital who should know better than all the others to make such a terrible statement” and added that anyone living with endometrio­sis “would feel as I do – shocked, tearful, angry, appalled”.

A Canberra Health Services spokespers­on said “the intention of the video was to give a general overview of how the EDs work and that the incidental discovery of chronic conditions (conditions people may not have known they had before attending but were diagnosed during their assessment) are best referred back to their GP or other community based health care for follow up, after receiving immediate treatment for their acute presentati­on in the ED.”

Freedman said that the hospital’s stated intention about the incidental discovery of chronic conditions was “ridiculous – you don’t discover endo accidental­ly.”

The spokespers­on said, “the video was not intended to be about people with severe, uncontroll­able pain. Anyone with severe pain who is seeking treatment should come to the ED or seek other appropriat­e medical attention, whatever the cause. This includes people who have acute complicati­ons of endometrio­sis, such as pain flare ups or severe bleeding.

“We recognise this component of the video was not well executed and open to misinterpr­etation. We do not want people to think they should not attend the ED with acute pain, or to appear dismissive of those who experience chronic conditions that can result in acute pain.”

The spokespers­on said CHS was meeting with “concerned community members” and acknowledg­ed that people with endometrio­sis “do not always experience supportive care across the broader health system”.

“Further work is needed to improve understand­ing of this common but often poorly understood condition,” the spokespers­on said.

“We apologise for any confusion or distress the video may have caused.”

 ?? Photograph: Carly Earl/The Guardian ?? The video, intended to provide an overview of how emergency department­s worked, has been taken down from Canberra Health Services’ Instagram.
Photograph: Carly Earl/The Guardian The video, intended to provide an overview of how emergency department­s worked, has been taken down from Canberra Health Services’ Instagram.

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