Today I finally received a shielding letter from my GP. The letter said I should have received a letter from the hospital, but as I had registered as at risk on the Gov.uk website they were sending me a copy of the original. It seems to me that the system is fairly chaotic, though I suppose the system is under huge pressure which is absolutely unprecedented.
The letter says to shield for 12 weeks, but having already shielded for 5 weeks I assume those count towards it. Somehow seeing it in writing makes one very aware of your own vulnerability, even when you know it already.
Hoping every one is keeping safe and well.
I am taking Methotrexate 15mg injections and Etanercept 50mg weekly and prednisolone 10mg daily i am self isolating but not had anything official yet. Is there anyone else on these meds not heard anything?
I suggest you contact your GP as you should have received a letter by now.
Your medications put you in the "shielding category" according to the table produced by the British Society for Rheumatology.
Hi Sally I hope you get yours. You are certainly in the highest scoring. I haven’t had a letter either and l know from speaking to one of the rheumy nurses at the hospital about postponing my infusions for a couple of months, that they cannot identify who is on what medication easily from their records to write to them, so I doubt I’ll get one. I know they struggle with anything out of normal procedure as they are so stretched. I did register as vulnerable with the government online form. Just got a standard acknowledgement a couple of weeks ago. I am going to write to my GP to clarify where I think I stand.
I am on Mtx injections and Rituximab infusions every six months. That scores 2 and in the self isolate category from the British Society of Rheumatology. Btw the nurse I spoke to said aggressively to me ... I don’t give a monkey’s about NRAS ... when I mentioned the difference in scoring category. I simply said I’d go with what everyone is following from the British Society. I told him I only mentioned it to him to point out there were differing views. I find him so rude anyhow and don’t really like to deal with him but it’s him or no one at the mo. I am not taking oral steroids but I know my lungs are very sensitive to Rtx and it causes me to pick up chest infections and pneumonia. I’m on antibiotics every other month (Doxy) usually, for the past two years. Had 11 lots of abx in the past 16 months. It gets rid of it but it bounces back. (Clear CT and X-ray). I have been told by my consultant I get regular episodes of bronchitis (has turned to pneumonia when abx haven’t been prescribed) ) as a result of Rtx and low immunity. I don’t think my bronchitis is a comorbidity as such although it is more troublesome when it happens than the RA! I also have Graves’ disease which is hyperthyroidism but it’s stable and not classed as a reason to shield of course. I take Carbimazole to control it since 2006 and for the foreseeable future. Graves is classed as a comorbidity but not in the terms of this issue and for shielding.
The last paragraph on the British Society for Rheumatology at the foot of their chart includes the following ... “Patients who have R.A. are at an additional risk and may need to be placed in the shielding category”. Surely that and my meds would warrant a letter? I don’t think my hospital will provide one. As I said, too pushed to do admin.
It’s a bit of a grey area tbh for some people, but I am going to write more of less the above to remind my GP and hope if she is unable to provide a confirmation letter, that she can our my letter on my file. I don’t think the rheumy nurse who I spoke spoke to even knows I have chest issues as he doesn’t know me. He could assess me wrongly as I am not his patient as my biologics nurse sister can only do infusions now and not able to phone people. She’s the biologics expert so to be speaking to a nurse who doesn’t know much about them and is assessing you for categorisation .... it doesn’t work well really! Anyhow ..... good luck with yours. x