First of all I gave her a letter from the optician for referral to my ophthalmologist. Saw optician at beginning of week (requested an earlier annual test as am having sudden onset of other problems with vision). In letter it says; patient (Px) came for early eye exam; past 6/12 weeks feels VA (visual acuity) is reduced. Px left VA reduced compared to 12/12 ago. Left IOL (intraocular lens= had cataract op 16 years ago) is slightly hazed but not enough to acount for VA drop. Px also has epiretinal membrane (shimmer over macula). Please can be seen for ophthalmological opinion. Left under top lid on eversion small flat pigmentary spots, Px stated irritation that position past few months. Px also mentioned sx of kaleidoscope effects lasting approx. 15 minutes in BE multiple episodes past 2 years, explained most likely ocular migraine.
So to me this may indicate damage to optic nerve, and could this be caused by microcytic anaemia and B12 & folate deficiencies? Could this be another symptom?
Then I asked her who checked my blood results as I was surprised to be told EVERYTHING was NORMAL when in fact my RBC are above range (as indicated by Lab): 5.24 10* 2/L (3.8 - 4.8) and my MCV: 82.4 fL (83 - 101) and MCHL: 26.7 pg (27 - 32) both of these below range as indicated by Lab. GP defensively told me she had checked results and this was "normal for me considering my health issues" !!!! Obviously not prepared nor caring to help me improve my quality of life and accepting my health will decrease until I drop dead!
Told her I felt I had probably be wrongly diagnosed with vaso vagal syncope a year ago, as I only tested mildly (and most people put through the Tilt Table Test would, as have been told by neurologist and cardiology seen privately), and that my fainting episodes more likely due to the fact my RBC have a poor haemoglobin uptake as shown on blood test results, and a B12 deficiency: B12: 434 ng/L (197 - 771). She said Ferritin levels were ok: 43ug/L (30 - 400) as was Folate: 7.5 ug/L (3.89 - 26.8). I pointed out my levels were very close to the minimum levels of the ranges and that taking into account how ill I have been feeling for past 15/18 months (and really before that) and getting worse I would like the chance of being given B12 injections to see if it made any difference, stating B12 is a water soluble vitamin therefore can not cause any harm... She then said she would consider starting injections for a period of time (3 months) but that she would discuss it with her surgery panel and let me know by letter on Friday.
".... I had a chance to discuss B12 with my colleagues. Concensus was to see if there was a response to B12 by giving you ONE dose and then seeing what happens to your blood work at 2 weeks....".
Obviously this is not going to work and give them the right to say NO need for B12 as no real improvement.... Or am I wrong in thinking so? Can one dose make any difference??
I also said I think I should see an haematologist, to which she replied he would not see me with such results. Could that be true when there is an overproduction of RBC and that they have a low intake of haemoglobin? I am absolutely puzzled... Help PLEASE.
I also mentioned I was feeling stressed and depressed to which she rather quickly said "Ah, you're admitting to mental illness although you don't like to".... as she was obviously very keen to placate me by dishing out antidepressants.... then a label was given and job done, she could tick my problems off! Replied the answer was not in giving antidepressants but in helping me to find an accurate diagnosis because I could not go on like this any more. Told her (not for the 1st time) I was so ill that I was unable to do anything at all, and this for 15/18 months... 70 BUT feeling like an 85 years old woman spending my time on a sofa waiting for death, NO DOUBT I was depressed when I am a doer, I want to go walking with people, want to do activities, am sociable and now feel soill and isolated, life passing me by. I have been unable to attend my tai chi classes for months now, something I enjoyed doing for years!
She was to have referred me to a cardiologist over 6 weeks ago (at my request as having strange symptoms with heart and getting out of breath at slightest effort), and found out on Friday she had not done it and of course she did not tell me... I found this out by phoning the hospital cardio's secretary who said I was not on the waiting list for her consultant but had noticed GP had sent a fax on Thursday to another consultant. This consultant's speciality is TOE (transoesophegeal Echocardiogramme), the consultant she was supposed to have referred me to over 6 weeks ago had a speciality in the heart physioelectrics.
When I went to see her I had many photocopies of guidelines for B12 injections requirements, etc. having highlighted my symptoms etc... she did look at them briefly. But.... nothing is happening. Of course I am not going to accept the ONE b12 injection and will write to her to explain my reason... but need to get b12 treatment so PLEASE any suggestion would be most appreciated.
So would anyone be able to give me once more advice as how I need to proceed PLEASE. Also what should I do regarding microcytic aenemia? Surely can't leave it at that? The cause behind this must be found, it could be a simple fact or more serious... Thank you to anyone who will be willing and able to help me.
Most grateful to this Forum.
Sorry this is very long...