After yesterdays gp appointment and referral that is going to be made to rheumatology i decided to find out about a private consulation. This enquiry led me to find out the extent of different types of rheumotoligists, and even at the point of referral you need to see someone who has expereince in that paticular area. I was even told there was a thyroid rheumatology, one for connective tissue, bone including osteroathritus whcih includes spine and neck pain. And the list goes on. I was also told that if the consultents didnt specialise in your paticular area you would be referred elsewhere instead of them second guessing.
The reason i used the heading Upstairs Downstairs is because it feels like a class division to me and in my expereince we are given the downstairs referrals. We might improve if we were given appropriate referrals to people with specialist interest in our conditions.
Its the same with Endos, we are sent to general ones who again in my expereince have no interest in thyroid conditions, yet an endo who specialises in thyroid would have more knowledge of how this disease impacts on othe organs.