Had my second Ambulatory Care appointment this morning. Was meet with a smile and treated like a human being. Took all the Obs and nice to see the heart nearly playing correctly moving heartbeat of 80 to 99 BPM (good old AF) blood pressure not as bad but still high. Only problem I have now I can hardly walk with pain in my left ankle and both feet, knees and hips!
Nurse told the doctor I was here and he asked for an ECG first. Ushered into another room and told to take my top off and stickers were attached when another person comes in and asks if the nurse wanted her to do it? The nurse concurred and a little readjustment of the pads and I was told to relax. A quick tear and then she asks me to take a deep breath hold and exhale. Once the paper started to print out the technician asked when did I have my heart attack? I told her "2004" "No the more recent one?" I said "I haven't as far as I know but I did have a nasty pain in the chest 5 weeks ago that woke me up" "Well I am sending these to cardiology anyway so we will see what they say as well?" Now that has put me in a great frame of mind as I thought the chest ache was my breathing?
Taken into see the Doctor, who seems to have mellowed from my previous visits. He asked me how I was feeling and I explained about my pain in the legs and that I have not seen any improvement in my breathing. He explained that the new tablets will control the heart rate and allow the Seretide to work better. However because of the multi conditions I have it will not help my breathing as my heart and damaged lungs are struggling to work together! He then asks me to remove my jeans and poked about with the joints and made me very aware how painful my ankle was! "Do you get gout?" I told him that I get it in my right toe knuckle? Take your top off and a listen around the chest and back. Nice and clear
Doctor tells me it would appear I have chronic gout in my legs and feet joints but I will need some blood tests to see. Have you been tested for Rheumatoid arthritis or has any of the family had it or similar? I told him that both parents died from leukemia and my sister has Lupus. "Both Parents that is unusual!" he then filled in the blood request and it looks like they are looking at a lot things my GP has refused to do. He told us to have the bloods ASAP and book another appointment. Once more at reception met with a smile and she said that they will call me with a date. I told them I am going to the blood clinic now. The nurse that was dealing with me said do not do that I will do them here now. She did a great job of the blood letting into 4 bottles and away we went. Once more the NHS has shown it cares!