Tablet change to Ambulatory Care Part 5. The End?

[Offcut]

Had my fifth AC appointment yesterday. Which was timed well as I had had my 24 hour halter and they had the results. The last twice we went to AC it had been moved a very long way from it's original place. so I plodded and rested my way there. Once we turned in to the ward it was empty! This is in the back and beyond of the old hospital so deep breath and we make our way back. Luckily there was a nurse walking towards us and we asked has AC been moved back to it's original base? "Yes" was the reply. Arrived on time and between gasps reported in, expected the usual long wait. but we had not long sat down and was called into the room.

I was asked how I have been feeling since the changes and I have felt better plus the swelling is not anywhere as bad as it was on the previous tablets. But my breathing does not seem any better? I added that I have now started my Vit D3 tablets on Monday. Once I got the cc'd letter from my 3rd visit stating my Vit D deficiency? "So your GP has not responded to the results from over 6 weeks ago?" It was obvious that he was not happy with that at all and scribbled on a separate note paper. "So you would not of known unless you got the letter from us to the GP?" I explained how I was summoned in to discuss why I had had so many tests but they did not say I needed anything as a result of them.

He then went on to talk over the 24 hour heart test and was happy that I am now in a better place with heart rate, it does show it having a flutter though the day but he does not think it now justifies a Pace and ablate. But a regular 6 monthly check up to keep it under control if needed.

I explained that the breathing has not improved, will it once the Vit D gets into my system? He did say that I may feel overall better as a result of the Vit D but the lungs will not improve. The combination of RLD, PH, Fibrosis and Paralysed Diaphragm can only go one way but it has to be kept in check as long as it can.

I am now discharged from Ambulatory Care. They have done everything they could to get me sorted out. It is just such a shame that my GP Practice does not seem to have the same commitment. This is not the first time they have not responded to test results. I called about a chest Xray to be told by reception I had a mild chest infection but had in fact double pneumonia!

Be well

[Rellim296]

Well, some of this is good, Offcut, especially the swelling, 24 hour test and no need for pace and ablate. And you'll have another appointment in 6 months, I assume. So heart level pegging and lungs not as good. Glad that you're feeling a bit better though and hope it improves.

I hope too that your Surgery may be getting a rap on the knuckles from your consultant. Are you considering mentioning their failures to them or alternatively making a formal complaint and/or moving to a different practice?

[Offcut in reply to Rellim296]

I spoke to one of the partners about the fact that they called me in to discuss the tests, but when there they were more interested in why or how I had so many? The said at the time they would not of sanctioned so many! These same tests showed I was Vit D deficient and were missed! They had not even put the letter I received over a week earlier on their system that showed my many known diagnosis's including the Vit D problem?

I do have another practice that I could move to but they have one full time GP and one that comes in once a week with a nurse but has no specialist skills. So I think I have to live with the devil I know Even though this is not the first time my tests have been wrong. I was told by the receptionist that my chest Xray was showing a mild infection but in fact I had double pneumonia! After a few days of feeling worse I went back and got an ear bending from the doctor for waiting so long to come in? He did apologies once I told him what I was told.

Onwards and upwards

[Rellim296 in reply to Offcut]

Well, as you say, better the devil you know. Perhaps the surgery is getting an idea about who doesn't dot Is and cross Ts. I hope the receptionist got roasted over your pneumonia episode. It all just shows how we need to keep our own fingers on the pulse, so to speak, and get copied in to what goes between lab and surgery and consultant.

[Offcut in reply to Rellim296]

If I ever go to a newish doctor at the surgery the amount of times I have to tell them I do not have any lung that low on the right now. As they keep moving the the stethoscope about trying hear my breathing?

[Rellim296 in reply to Offcut]

Some people's anatomy just doesn't conform! My husband once found someone who'd fallen, and alarm bells rang when he looked at his pupils. All was well, however - turned out he had lost the sight in one eye when he was a teenager!