Doctors: just wondered if anyone else is... - Vasculitis UK

Vasculitis UK

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Doctors

valwood profile image
27 Replies

just wondered if anyone else is having the same problem as me, it’s impossible to book an appointment at the surgery with a Dr of choice but keep being placed with locums. I’ve tried to speak to the surgery but everything has to be done by messaging now. I feel as though I’m banging my head against a brick wall.

It’s the same at the hospital, the Rheumatologist retired just before Covid and I’ve been seen by two locums who knew nothing about GPA and the last one accused me of wasting her time. Neither of them spoke very good English and as I am now profoundly deaf I had great difficulty understanding them. Any advice on how to deal with this problem.

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valwood profile image
valwood
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27 Replies
artists profile image
artists

I noticed that you live very near to me . It was a locum who first sent me to rheumatologist at west Suffolk. They then sent me to London for diagnosis where the treatment is excellent. I’m interested to know if you get rituximub . West Suffolk would only give it to me if it was funded from London . I wondered if this is because my vasculitis was not diagnosed here . You must make it clear that you don’t hear well . Maybe you will get a new consultant. I think ipswich has a good name , or at least it did .

valwood profile image
valwood in reply toartists

it did! I’ve talked to them until I can talk no more. This country is appalling in its treatment of disabled people.

artists profile image
artists in reply tovalwood

yes l agree no one should have to fight so hard to be heard .

alybill profile image
alybill in reply toartists

it appears to be the formula/protocol implement of your particular trust. Some trusts have a pocket of money that is set a side for more expensive treatments.

Main1234 profile image
Main1234

hi so sorry you are having a difficult time arranging an appointment with a GP who knows about you and your illness.

I would send a letter to the practice manager stating why you need to a named GP and that you have a rare and complex illness and difficulty with your hearing.

You may find you need to wait a few more days but they should accommodate you.

Best wishes

valwood profile image
valwood in reply toMain1234

Thanks, maybe trying the old fashioned way might work.

012703060610 profile image
012703060610 in reply tovalwood

I had to do this in the states. I got auto moved to a new GP when mine got promoted. This GP wants nothing to do with my complex illnesses. I wrote a letter to the head of internal medicine and sent it certified….. it sure if there is something like that in the UK. Sending it certified alleviates them saying they never got it!

piglette profile image
piglette

I often find that some locums can be quite caring as they are not bogged down in the admin and office politics, so are freer to concentrate just on the patient. The days of the family doctor who we know and love seem to be over sadly.

valwood profile image
valwood in reply topiglette

The trouble is in this area there are very few Drs who speak without an accent, I really do need one who speaks clearly.

piglette profile image
piglette in reply tovalwood

I read somewhere that nearly fifty per cent of doctors are now foreign.

valwood profile image
valwood in reply topiglette

I’ve no problems with foreign Drs as long as I can understand them but I’ve had so many wasted appointments because of accents.

piglette profile image
piglette in reply tovalwood

I find it difficult to understand some people living in UK!! Do you speak a foreign language? I know that I have a bad accent when I do, I can hear myself.

Investigator1 profile image
Investigator1

Hi Valwood, I think the route to take is what has been suggested here but follow it up or CC it to your local MP and make sure you detail your local practice. That’s what they are there for. I am afraid when it comes to Doctors (GPs in particular) there has been a big change in attitude since Covid. Now this sounds controversial so please don’t think I am sabre rattling but one of my Renal Nurses said because the vast majority of practices and GPs went from face to face consultations to over the phone they have got used to not being as busy, reset and reevaluated. At hospital level a lot have retired and what vacancies have been filled is by Doctors who havnt a brilliant command of English and don’t have that “Patient Care and understanding” attitude because it’s not a priority in the countries they originate from. They are competent individuals but are used to dealing with totally different systems, demands and attitudes and that’s not thier fault. Last year I was rushed into Darlington Memorial with what turned out to be low Sodium, I was in a right state but I was constantly accused of taking drugs, pulling out drip needles when none of it was true, it wasn’t a nice experience. It’s the way it can be now I am afraid.

NYinLON profile image
NYinLON

If hearing/understanding the doctors is an issue for you, taking someone with you (relative, friend, etc) seems an easy solution.

valwood profile image
valwood in reply toNYinLON

I took my daughter with me last time and she was told to sit down and shut up.

alybill profile image
alybill in reply tovalwood

extremely rude and unprofessional. They may be a Dr but they have no manners. I am sorry for you and I feel your pain and frustration. Be polite, keep your voice in a lower tone, not shouting. You may wish to start a diary, not a bid long winded one, a line or two each day.

Record the day date and time.

Who did you speak to and was the result satisfactory to you.

How this carryon is affecting your physical health, your mental health

Confidence in the Dr and have one or two Drs to work with. What you don’t want is to start your story at every face to face consultation.

It’s easy to see a Dr who is well out their comfort zone and they ask questions which are not particularly relevant, and I am ok if they have a google before they come and see me.

My first introduction to this “merry go round nose being stuffed up had an op. On two other occasions i was nebulised at GP surgery. An asthma diagnosis was made. I told the Dr it wasn’t asthma. The second time I was nebulised again another told me “you have asthma so get used to it your given diagnosis is still asthma. There was something not quite right. I was a retired GP and listened to what I had to say and offered to refer me to a physician with an interest in allergies. It took another asthma exacerbation I was admitted . I was in A&E until 5am +++ and the rest is history. It took a long time to get a proper diagnosis and the treatment. And them my life took on the worst journey and it has plagued me for 16+ years.

Start a file keep all your hospital notifications of clinic

Note down when appointment is changed by you, or indeed the hospital and why it was cancelled?

We old hands can wax lyrical and go on and on. Enough for tonight. I’ll bet your head is very busy. This forum is highly recommended, it will teach you and guide you and remember most of us have a form of vasculitis. Look after yourself, you need to look after yourself. You can always come to the forum and ask more question, or help another poor soul that starts on this journey, for the rest of their life. Best of luck,, sending you “very special healing hugs”, invented by one of my grandsons for his great great grand granny who love them.

Let us know how you get on.

AmyS1 profile image
AmyS1

Three practical things:1. With your hearing have a full assessment with an audiologist so you can hear as much as possible. Maybe hearing aids etc

2. Tell the Dr's you are hearing impaired as them to use voice dictation software for you. They speak and show you what they have said on a screen.

3. Contact help groups for hearing impairment for other help to enable you to access your health needs.

Hope this helps.

valwood profile image
valwood in reply toAmyS1

All that done, I’m profoundly deaf but it make’s absolutely no difference.

juli-pa profile image
juli-pa

It is becoming a joke to see a doctor. Takes me sometimes an hour to get through on the phone. Just booked an appointment as I have red marks appearing on my face & I have to wait 4 weeks for an appointment . Really not good enough.

valwood profile image
valwood in reply tojuli-pa

I sympathise with you. Can you phone on the day and get an urgent appointment? Problem is they might not understand your condition.

juli-pa profile image
juli-pa in reply tovalwood

I try to phone early for appointments but you can’t get through on the telephones it’s an absolute joke. I am thinking of changing my GP but seems they all have the same problem. When my symptoms got really bad & I didn’t know what was wrong I thought I had rheumatoid arthiritis as was in so much pain but they wouldn’t refer me to rheumatologist. I spoke with the practice manager who told me I had osteoarthritis due to my age via the phone. Six months later & deteriorating finally got Rheumy appointment diagnosing Vasculitis GPA with kidney involvement lucky for me I was slow progressing but could of been fatal.

valwood profile image
valwood in reply tojuli-pa

They took over ten years to diagnose me, lots of damage done by then.

juli-pa profile image
juli-pa in reply tovalwood

😱

Mooka profile image
Mooka

I moved a year ago so have limited contact with my surgery. I did recently have to have an appointment and spoke to the receptionist on the phone and was asked which doctor I would like to see. I did have to wait three weeks for the appointment though. For anything vasculitis related, other than the need for antibiotics, I wouldn’t waste time with the GP I would phone the specialist nurses at the hospital. If you are not getting the right care at your hospital you should ask your GP to refer you to a specialist hospital like the ones already mentioned. I know that means having to get a GP appointment but I’m sure it will be worth it in the end. I speak from experience because I did this 11 years ago. I know that I get the best care I can possibly hope for in our depleted health service. The problem is this is so stressful for you and will be detrimental to your health. AmyS1 suggestions are excellent. I know they have a good ent dept at west Suffolk as I’ve been in their care. One of them specialises in vasculitis issues. Good luck it takes a take to fight your case but this is your health and you need to do it.

valwood profile image
valwood

The next available appointment is at the end of June. Unfortunately the specialist nurses at Ipswich Hospital don’t seem to know anything about Vasculitis. My rheumatologist left pre Covid and I have been seen twice by Locums who don’t know about Vasculitis. Im with immunology at Addenbrokes and they keep me supplied with rescue antibiotics.

alybill profile image
alybill

I live in Hadleigh Suffolk and attend Addenbrooks for my EGPA and COPD and the staff are so good.

Suzi70 profile image
Suzi70AdministratorVasculitis UK

Sadly there is a big problem with recruiting GPs and Rheumatologists in the UK, especially rheumatologists and not all rheumatologists have an interest in vasculitis, sadly.

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