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Medical Forum / Diseases and Disorders / Diabetes / March 2008

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Diabetes - The Annual Check

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Zozzer - 28 Feb 2008 10:53 GMT
Whe I go for my annual check on my Blood, Retinopathy
and Neuropathy my local NHS trust makes three seperate
appointments on three seperate days. And whilst the disability
discrimination act covers diabetes and my employer allows me
time off without pay, it does not sit comfortabley and he see's
me as a person who is always at the hospital.

So not only do I loose three days pay, he loose three days
work. Somewhere at the most inapropiate time.  So it makes
you wonder how much diabetes affects industry as well as our
health.

I just can't understand in the computer age why appoints
cant be organised a little better and save money for all
concerned I believe there ARE some NHS Trusts who
co-ordinate the checks and do all three on the same day.

Wigan NHS - DON'T
Bolton NHS - DO.

What about all the rest of the country.

--
Zozzer
DaveT - 28 Feb 2008 14:47 GMT
> Whe I go for my annual check on my Blood, Retinopathy and Neuropathy my
> local NHS trust makes three seperate appointments on three seperate
[quoted text clipped - 15 lines]
>
> What about all the rest of the country.

Different departments in your hospital maybe. If the different
specialists ire covering different hospitals they may never be in your
hospital at the same time.
Why do you have to take a full day off just to see a Quack. They do not
mind if you go in your work clothes, after all they are wearing theirs.

Signature

DaveT T1 Dx 1955 (aged 9)
Basal Hypurin Beef Lente
Bolus Lispro

Zozzer - 28 Feb 2008 15:18 GMT
> > Whe I go for my annual check on my Blood, Retinopathy and Neuropathy my
> > local NHS trust makes three seperate appointments on three seperate
[quoted text clipped - 21 lines]
> Why do you have to take a full day off just to see a Quack. They do not
> mind if you go in your work clothes, after all they are wearing theirs.

I've not a problem the departments being in different pars of the hospital.
As it is my local hospitals are very large "Factory Hospitals" covering
populations of 150,000+ and they do have specialist staff in permanent
residence.

I dont always have to take a full day off work,  until recently the local
hospital used to have an early clinic at 7am for taking blood samples
which meant I could on some occaisions arrive late at work. That's
no longer operating.   Then they tried doing the Neuropathy on
Saturday mornings (ideal).  Again theyre no longer offering the service.

However living  such a long way from work I do have to take a day
off for hospital appointments.

Not everyone lives in the ideal 9 -5 environment,  some people work
away from home and only return at weekends.

Surely it would not take THAT MUCH effort to co-ordinate
appointments.

--
Zozzer
John Williamson - 28 Feb 2008 15:31 GMT
>> Whe I go for my annual check on my Blood, Retinopathy and Neuropathy my
>> local NHS trust makes three seperate appointments on three seperate
[quoted text clipped - 21 lines]
> Why do you have to take a full day off just to see a Quack. They do not
> mind if you go in your work clothes, after all they are wearing theirs.

The way it works with the practice I use in North Staffordshire is to
book an eye exam with the local optician at a time and on a day to suit
me, & book a blood test on the way in to work (It's a fasting test, so
they see me before 10, usually.), then a week or so later I can book an
appointment for the MOT, where they do the neuropathy & other tests.
Total effect is a late start at work one morning, an afternoon (Which
will always be on a day I've got off anyway) where I need to be indoors,
& an hour or two off work for the appointment, spread over 3 weeks or
so. There's no reason not to book the blood test & the eye exam on the
same day if I just happen to be off work on a weekday. The wait between
the blood test & the appointment is because the blood has to be sent to
the central pathology lab, as the practice can't do the choleterol &
Hba1c tests on site.

It's handy for me that I don't work a regular Monday to Friday 9 to 5
job, though.

Signature

Tciao for Now!

John.
(Type 2, tablets & exercise & diet....)

Nicky - 29 Feb 2008 08:44 GMT
> I just can't understand in the computer age why appoints
>cant be organised a little better and save money for all
[quoted text clipped - 5 lines]
>
>What about all the rest of the country.

I get blood and neuropathy MOTs at my GP's surgery. It has to be done
before 10am to catch the delivery to the hospital labs, so at the most
takes an hour out of the working day. Retinopathy needs a trip to
hospital, by bus because of the drops, so that generally does take the
best part of the day until I can see again.

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Beav - 09 Mar 2008 22:47 GMT
>> I just can't understand in the computer age why appoints
>>cant be organised a little better and save money for all
[quoted text clipped - 11 lines]
> hospital, by bus because of the drops, so that generally does take the
> best part of the day until I can see again.

A dark visor on my helmet works for me.

That and a sign on my front saying "Caution, blind ride coming through" :-)

Signature

Beav

VN 750
Zed 1000
OMF# 19

Salford Viv - 02 Mar 2008 20:54 GMT
The situation at Salford.
MOT done at the GP surgery.
Early morning appointment (8.30-9) for bloods, usually fasting.  Go into
work after (well, after breakfast, that is).
2 weeks later, appointment with the nurse for the results.  Do neuropathy
check at the same time with a chiropodist who just does the checks.  Any
problems, have to be referred to the chiropody clinic, which is in another
GP surgery, for a separate appointment.
Retinopathy at local opticians with fancy camera.  I have to book the day
off for that one, can't see straight for ages afterwards because of the
drops.
So it's not very "joined up" at Salford.
Luckily employer operates flexitime, so late starts and early finishes are
allowed, providing I work the time up later.

Tell your boss you are actually healthier than the rest of his employees,
who don't look after themselves and don't get a yearly medical. :-)

Signature

vivienne_parish@hotmail.com
Type 2 since Aug 99/age 48/UK
diet only for blood sugar
amlodipine 5mg+candesartan 16mg+bendroflumethiazide 2.5mg for BP
ezetimibe 10mg for lipids

> Whe I go for my annual check on my Blood, Retinopathy
> and Neuropathy my local NHS trust makes three seperate
[quoted text clipped - 20 lines]
> --
> Zozzer
Flying Rat - 02 Mar 2008 21:32 GMT
> The situation at Salford.
> MOT done at the GP surgery.
[quoted text clipped - 8 lines]
> drops.
> So it's not very "joined up" at Salford.

one of the reasons I registered at Clarendon is that it is a bit more
joined up there. Podiatry is in the same clinic, and Salford Royal are
now discharging patients without complications back to the GP for
ongoing management.

So I've got the podiatrist, GP and diabetes nurse all on the same
corridor.

Seems like we are about to get one of those fancy new polyclinics too,
where the old precinct police station used to be (next to the library)
although which GPs it will affect I don't know. Lance Burn seems to be
doing OK, as does that one on the other side of the precinct which
server the Heights (Sorrell Bank surgery).

There is also a new one over the other side by the Racecourse. Littleton
Road IIRC. Quite a bit of money being spent hereabouts lately with the
Royal getting rebuilt and about bloody time too

Ratty
Nicky - 02 Mar 2008 22:47 GMT
>Tell your boss you are actually healthier than the rest of his employees,
>who don't look after themselves and don't get a yearly medical. :-)

Now ain't that the truth.

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Andy Hall - 03 Mar 2008 15:41 GMT
>> Tell your boss you are actually healthier than the rest of his employees,
>> who don't look after themselves and don't get a yearly medical. :-)
[quoted text clipped - 5 lines]
> D&E, 100ug thyroxine
> Last A1c 5.6%  BMI 25

Ironic isn't it?
Trinkwasser - 08 Mar 2008 17:22 GMT
>Whe I go for my annual check on my Blood, Retinopathy
>and Neuropathy my local NHS trust makes three seperate
[quoted text clipped - 17 lines]
>
>What about all the rest of the country.

We've been having some problems getting everything organised for my
mother while she was very ill a while back.

The GPs are superb at organising stuff like getting adjacent
appointments for the two of us, or getting her to see one or other
clinic and me to see the GP simultaneously, or getting her flu
jab/vitamin B12 injection simultaneously with another visit, so it's
obviously doable.

Hospital stuff is another matter though, at one stage she was seeing
specialists at two different hospitals, each an hour from here in
opposite directions.

Yes you guessed it, they gave her two appointments the same time on
the same day, one per hospital.

Thus they got her off TWO waiting lists while only wasting the time of
one consultant . . .

Bloods are one thing now done at the local cottage hospital, right
opposite the doctors' surgery.

I get my eyes and feet checked privately by local people, the optician
is actually pretty competent and has a new camera which works without
dilating drops (the flash is *fierce* though), the big advantage of
this is that they run on time rather than four hours late as per the
horse piddle departments, plus I can walk there and back rather than
driving for an hour. Also they tend not to have the special offer free
gift infections the hospitals specialise in.

<cough cough>
Beav - 09 Mar 2008 22:44 GMT
> Whe I go for my annual check on my Blood, Retinopathy
> and Neuropathy my local NHS trust makes three seperate
[quoted text clipped - 15 lines]
> Wigan NHS - DON'T
> Bolton NHS - DO.

The care of adult Diabetics in Bolton is absolute f.cking shite and it
always has been.

To get ANYTHING done properly and to see the REAL diabetic consultant more
than twice in your life is a full time job in itself.

> What about all the rest of the country.

They can't be worse than Bolton.

As an example. The Clinic is held on various days, but bloods are ONLY taken
on Tuesday mornings. (two trips) Urine samples taken to the clinic are
shipped out for analysis, so if you want to know the results, you take the
sample to the clinic at least a week before your appointment time and then
go back a week later (two trips).

Signature

Beav

VN 750
Zed 1000
OMF# 19

 
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