1st appointment with rheumy was a bit of a disast... - LUPUS UK

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1st appointment with rheumy was a bit of a disaster...

Charliebear68 profile image
β€’31 Replies

Well, I'm sure that this has happened to at least one other person on here...got to my appt nice and early. Grabbed a cuppa and lo and behold, called straight in. Thought, wow, this bodes well 😊 it didn't. The rheumy was very pleasant asked for referral letter from GP. This was the beginning of an entirely wasted appt. - not the Dr's fault but my insurance and my GP as per usual...the GP hadn't faxed over my referral letter or my blood work so I have my insurance blaming my GP and my GP blaming my insurance. Piggy in the ruddy middle!

After a brief consultation the Dr said that he really needed my bloods and he tried to get my GP to fax them over but to no avail. He asked me to go to my GP and get hard copies of my bloods this year so far and a copy of referral. So I went straight to my GP and requested this - this was like pulling teeth. B got so irate as they kept us waiting for an hour!!! They then said they'd fax a 'copy' of the referral to the rheumatologist as this is their policy so we asked for a sent receipt. You'd have thought we'd asked for an appointment (please note sarcasm πŸ€”) now?? You want us to send it now?? B went mad and said yes - NOW!! After much grumbling, waiting and coming and going in the office, we got the receipt. We know what the wait was by reading the copy - they'd only just typed the referral! I felt like giving up. I was exhausted, disappointed and just wanted to crawl into a hole. But I didn't and won't!

Had a look at some of my bloods and I can't understand most of them! But the some 'highlights' are:

Haemolysis positive

Low vit D and low calcium

My antiphospholipid is double

A few borderline others but at least when I go on Thursday for my second 'first' appointment, I have what he needs and go from there!

Thank you for listening to me rant!! 😚😚

I vvvtired Charlie xx

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Charliebear68
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31 Replies
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EOLHPC profile image
EOLHPC

Oh charliebear...inexcusable...am so sorry to think of you (both) going through this πŸ˜”

WELL DONE for getting things straight pronto @ your GP's (GRRRRRR)

Hoping Thursday goes much more constructively

Take care πŸ€πŸ˜˜πŸ€πŸ˜˜πŸ€πŸ˜˜ coco

Charliebear68 profile image
Charliebear68β€’ in reply toEOLHPC

Hello my lovely,

I wouldn't have had the courage to have done it before! I'm still disappointed but also empowered! With all the wonderful friends with excellent advice that j have found here and of course, my darling B.

Feeling positive about a Thursday.

Hope you're feeling well chick 😘

C xx

Fennella02 profile image
Fennella02

That's very poor of your GP practice - worthy of a letter of complaint.

Onwards and upwards from here. Thinking of you for your next first appt!

Charliebear68 profile image
Charliebear68β€’ in reply toFennella02

Thanks Clareb,

My GP is sadly lacking and I've filled out forms for new GP..I just want to have some kind of continuity until I'm a bit further along the way.

Bless you - definitely onwards and upwards 😘

C xx

Rubylu profile image
Rubylu

Oh no, what a saga. I hope that next week your rheumatologist has all that is needed to move things forwards.

How exhausting.

Thaler care

Charliebear68 profile image
Charliebear68β€’ in reply toRubylu

Hello Ruby Tuesday! Love the name, I'm singing (in my head anyway...)

I hope the rheumatologist can at least tell me I'm not going bonkers and not in my head!

You take care too

C xx

Rubylu profile image
Rubyluβ€’ in reply toCharliebear68

I get the 'bonkers' bit! You do start to question yourself with the myriad of symptoms you can get. Hopefully the rheumatologist will find some objective signs that will explain what's wrong. I'm sure you're not bonkers.

Name changed for a few reasons, but still me! Great song and I wear a ruby, 'cos I love them!

I do hope Rheumi can help you feel a bit better soon. X

Lupiknits profile image
Lupiknits

Hope it goes better next time. Grrrr, GPs

Charliebear68 profile image
Charliebear68β€’ in reply toLupiknits

Thanks Lk - I have a new acronym for my GP and it isn't general practitioner πŸ˜‚

Hope you're feeling well 😘 C xx

Lupiknits profile image
Lupiknits

If they make you play piggy in the middle, then they are swine πŸ·πŸ·πŸ–πŸ–πŸ’©

misty14 profile image
misty14

Hi charliebear

So sorry to read of your wasted first Rheumy appt!. No excuses by your GP surgery, well done you for sticking to your guns and getting it sorted!. Do hope Thursday goes well now specially as some of your bloods need action taken!. Fingers tightly crossed for you. How's MIL?. Happy EasterX

Charliebear68 profile image
Charliebear68β€’ in reply tomisty14

Thanks Misty,

MIL is on the mend thankfully 😊 she's now in step down and is much more mobile!

I'm sure Thursday will go better - PMA!! Bloody results in hand and in no mood to take any fobbing off πŸ˜†

Happy Easter my darling - hope you have a wonderful, pain-free weekend

C 😘😘

misty14 profile image
misty14β€’ in reply toCharliebear68

Thank you charliebear, you take care and be all guns blazing on Thursday!. Glad MIL is improving, big worry less. X

Charliebear68 profile image
Charliebear68β€’ in reply tomisty14

😘😘😘

Silvergilt profile image
Silvergilt

Who in the world still uses a fax? Did they get the memo the internet is a thing?! Oy vey, sometimes the backwards system utterly boggles me here...but it's good you managed to get it sorted. Fingers cross the next trip will be more fruitful for you.

Fennella02 profile image
Fennella02β€’ in reply toSilvergilt

It does seem very old fashioned but I remember when I had my private respiratory appointment at the Nuffield - all he had was a very crumpled fax from my Rheumy. The link between private and NHS needs to be improved - this is the 21st century!

Charliebear68 profile image
Charliebear68β€’ in reply toFennella02

It didn't even register with me but I really have to laugh - I wonder if my surgery still uses carrier pigeon too? It would explain a lot!

Hope you have a happy, pain free Easter 😘

C xx

Charliebear68 profile image
Charliebear68β€’ in reply toSilvergilt

Happy Easter SG,

I have had my eyes opened over the past few months. Finding this forum has given me he strength to know when I'm being fobbed off and the kahoonis to do something about it!!

Thank you and I'll keep you updated

C xx

Rubylu profile image
Rubyluβ€’ in reply toSilvergilt

Data protection act restricts what can be sent by email if patient personal data is on it. Even faxes (which are the norm in NHS) require a fax to be sent to confirm recipient will be at the delivery port and details have to be split into divided portions to protect data. If the NHS had been allowed to operate with one universal electronic patient management operating system, like it was intended, then these sorts of issues would be a thing of the past. You certainly need a proactive and motivated surgery team to make sure information is transferred in a timely manner. Maybe a letter of enquiry to the practice manager?!

Good luck with your next appointments.

Silvergilt profile image
Silvergiltβ€’ in reply toRubylu

that's mindbogglingly absurd. I suppose since I've spent most of son's life communicating with the DWP and am regularly astounded at how little information they seem capable of finding on their own systems, I shouldn't be surprised, but good grief, that needs to change. As it stands, the companies that bought medical info off the NHS have easier access to records than the NHS itself. Yikes.

Wendy39 profile image
Wendy39β€’ in reply toSilvergilt

It's very out dated isn't it. I was organising a private appt with Neurosurgeon before xmas and the insurance company didn't get the original fax from GP. So I went in and asked them to re-send it immediately whilst I stood there and waited. I thought then, how odd. Typing it and sending it via email as attachment would surely be better? If it's a security thing, a consultant sent me notes once and it was encrypted with password which he text me separately. Much more efficient. I don't think smaller GP's surgeries have the funds to stay up to date with tech any more.

Wendy39 profile image
Wendy39

Oh my goodness you poor thing! That kind of cock up (no better words for it!) is inexcusable. I've had my share of terrible appointments but to not type and send the referral letter in time for an appointment is appalling. Thank goodness B stood up the GP's staff and got it done immediately. I bet you were exhausted by all of this. I have taken to getting copies of everything now. My monthly bloods, referral letters, Consultants letter to GPs' following appts. etc. I have actually written to my Rheumy and Dermy's secretaries and asked that in future all correspondence is CC'ed to me as a matter of course (and that my written request is noted on my file permanently) and luckily they have stuck to this. I ask for my monthly bloods to be printed at GP's reception when booking next month appt, they charge Β£1 a sheet but the GP will do it at an appointment for nothing. After all we are entitled to see these documents, they relate to us and our health. So I think after learning the hard way, I have a copy of all of my most recent stuff. It's time consuming being so on top of it all this way, but you are kept in the loop. I have my fingers crossed that Thursday's appointment is much more positive and successful! It can't get worse can it. Best wishes. Wendy x

Fennella02 profile image
Fennella02β€’ in reply toWendy39

You should be able to access your GP file online by now. I know I can but haven't yet registered for this option yet as my GP is better than superb at keeping me in the loop. She phones after every blood test to update/advise me. Amazingly, she phoned me two weeks ago, WHILST ON ANNUAL LEAVE, purely to ask me how I was feeling as she had spotted a sudden leap in my ESR ( she keeps tabs on her patients from home when she isn't at work). She's fab.

Wendy39 profile image
Wendy39β€’ in reply toFennella02

I've never heard of this before. You can access your GP file online? Does this apply to Wales? Knowing my luck, only England.

Charliebear68 profile image
Charliebear68β€’ in reply toWendy39

My GP does offer this online but you can only access certain things. You're unable to see blood results, your file, appointments...the only thing I've managed to access is repeat prescriptions and what you have on prescription. I've requested to be able to gain access to everything but not heard back. This was about 2 months ago. It could be me being a bit of technophobe...

Wendy39 profile image
Wendy39β€’ in reply toCharliebear68

OK. I can order my repeat prescriptions on line but never heard of accessing more. Thanks for the info.

Fennella02 profile image
Fennella02β€’ in reply toWendy39

You can via emishealth.com but you need special passwords when you have shown your ID again to the surgery. It's a legal entitlement but only in the past 6 months or so.

Yes, my GP is too good to be true x

Wendy39 profile image
Wendy39β€’ in reply toFennella02

Clare67 your GP sounds amazing! Worth her weight in gold.

ExtremeDuvetDaze profile image
ExtremeDuvetDaze

Grrrrr this makes me mad.... on top of already feeling exhausted and poorly you then have to deal with this incompetence, it's so how infuriating! Poor you I really feel for you, I know how you feel as do many others on here.

Well Charlie here's hoping your next appointment is productive and you get the help and answers you need, I have everything crossed for you and wishing you well.

Happy Easter Monday

Big hugs

Diane🌺Xxx

Charliebear68 profile image
Charliebear68β€’ in reply toExtremeDuvetDaze

Hello my lovely,

I agree, it's infuriating and unfortunately, the norm at my doctors πŸ™„ I'm much more positive about the next appointment with rheumy - I think I'll be better prepared myself πŸ˜†

I really don't know how I'd cope without this forum - just knowing that when someone says that they know how you feel they actually do is amazing.

Happy Easter Monday to you too chick, thanks for your support 😘

Charlie πŸ₯πŸ£πŸ” xx

ExtremeDuvetDaze profile image
ExtremeDuvetDazeβ€’ in reply toCharliebear68

Same here Charlie it's a great having this forum to turn to and knowing that others 'get it' goes a long way to staying sane or saneish..πŸ™ƒ!

I guess it's given you a bit more time to prepare too. It's taken me a few years to sus it all out , I was drifting until I found this forum and with advice and support from others here about being prepared I'm in a better place and I'm not afraid to ask questions and challenge Dr's. I now get copies of everything for my own file too.

Keep us posted as to how things go.

Good luck πŸ€žπŸ€and take care

Hugs, Diane🌺🌸🐣xx

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