After the two trips to A&E this weekend (see watchers of the night post), on the advice of A&E doctor, asthma UK helpline. The decision was made by GP I saw this late afternoon after reading my history (typed up on 2 hours sleep) to refer to above clinic.
I am not looking forward to going of course. I have put my sensible hat on. I just want to be well. As the asthma nurse said to me this morning on the helpline. The asthma is in control of me not me in control of it.
The clinic has a good outcome posted on its site for getting over 70% back to community care.
I put my trust in the nhs and continue to trust in God's continuing care.
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elanaoali
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Hi all after spending the whole morning at the clinic this is what happen.
2 Blood tests taken (one as standard and one for Allergy Testing (2 wk result?!) order by consultant). Blood pressure and oxygen levels. All good. Last blood test from Friday A&E showed something that consulant thought was worth following up.
Saw consultant who ask me my full history from #original diagnosis (this was question a lot I (can't remember very much 12 years ago) to# last two years (when asthma got bad ie. need for combination inhaler and monkelaust, #last year's prednisolone x 2, #last two weeks flare lastly the last 4 days (including two trips to A &E), #All my blood test for iron count, vitamins, folic acid and white blood cell count from 2010-17 # chest xrays. Lastly why I don't wheeze (can do) and why# my peak flow this time is staying rock solid.
Advised to continue Prednisolone for 5 more days. (gave me a script for more lots more) 15 days per treatment. Through?! Keep taking Seretide 250 and Flixotide 2 puffs twice and day. Monkelaust 10 mg
Is this allergic asthma the consultant certainly thinks it could be. (told him all my triggers).
Ordered breathing test and will wait for letter to get appointment (not sure which one) asthma UK helpline nurse suggests think Spiro test and Airways responsiveness test and or FeNO testing. Other treatment not sure yet on result of allergy testing.
Return appointment in the new year Jan/Feb to see the consultant. (who I like already even if he talked blinded my poor tired prednisolone mind.)
Feeling thoroughly tested, question and now stepping up to the next level of Consultant led care. :-?
The clinic is staffed by a Respiratory Consultant, supported by a Respiratory Nurse Specialist and a Specialist Registrar.
This service is available to GPs and Community Matrons to refer patients they feel meet the referral criteria. It is intended to prevent the admission of patients with acute respiratory problems and is suitable for referral of adult patients threatening admission with a respiratory problem. Patients are discharged from the clinic with a management plan drawn up by a Respiratory Consultant.
A new and recent creation even asthma uk helpline hadn't heard of it.
Sounds like a useful appt and glad you liked the cons.My clinic has an unofficial version which does similar - I text the specialist asthma nurse when not feeling so good and get in to see then same day. They have a resp registrar on hand if needed and do FENO/bloods/spirometry as appropriate.
So far it has totally failed to prevent any admissions in my case but I can see how it could work. I tend to leave it very late to contact them and by the time I get there I'm already on the non stop train to admissions even if not quite needing it at the hot clinic! Also I'm a bit of a freak asthma wise.
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