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Medical Forum / Diseases and Disorders / Arthritis / February 2006

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Coats - 01 Feb 2006 13:24 GMT
Went for the results of my blood test today. Doctor said she'd already sent
the referral letter to the rheumatologist. Great, apart from the fact that
its the same consultant that I saw in September who told me my tests were
normal and I was too young to have any sort of arthritis. :-( I'll go again
and see what he says this time.
My blood came back  with a RA Latex count of 56, she said up to 20 is
'normal'. But she also said I didn't have the 'inflammatory factor' (?)
which is why the rheumatologist may have decided not to treat me. ( I just
think its cos he's an arse) She also did say that my hands did look swollen
and she thought I could very well benefit from a visit to the OT to see if
they would supply me with anything in the interim.
I've cut down on my Ibuprofen, I'm taking the slow release capsules. Not
quite as effective but anything's better than nothing. I've also started
taking glucosamine and cod liver oil, she seems to think this is a good
idea. At least it can't make it any worse.
So any advice for me to remember when I go to see the consultant with an
attitude problem? Do I not take any pills and do lots of things with my
hands before I go to make sure they are at their worst so he knows what he's
looking at? I'm a  bit wimpy when faced with consultants.
Cathy.
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Coats
Red meat isn't bad for you. Fuzzy green meat is.

er@gmail.com - 01 Feb 2006 14:12 GMT
>Went for the results of my blood test today. Doctor said she'd already sent
>the referral letter to the rheumatologist. Great, apart from the fact that
[quoted text clipped - 16 lines]
>looking at? I'm a  bit wimpy when faced with consultants.
>Cathy.

Cathy, Oooh Cathy........

I realy do feel for you, as I'm sure many others here will, who [may I
say it] have in one way or another been in your shoes.

Your RD may be, in your words "an arse" but alas he's a highly trained
medical  arse who for the time being you are going to have to win over
[unless you seek a referal to another RD via your GP].

I'd look at it a bit like a TV drama about a court room scene. The RD
is the judge and you are the defence lawyer.

Thus you gather your evidence in the defence of "Cathy" writing it
down ['cause you don't expect to go in court and remeber it all off
the top of your head] and put it to the Judge [RD] bit by bit/ date by
date, so you are sure he sees a diary of events which show the syptoms
have not abaited and indeed got worse.

He, hopefully, will then examine the evidence [ and Cathy] and faced
with "the continuing and overwhelming pain this individual is still
suffering to this day, me lord... [ sorry got a bit carried away with
my Rumpole act] come to a better conclusion than the last time.

Also, if you are as you say "a  bit wimpy when faced with consultants"
you could consider taking someone with you for moral support.

Good luck and keep us posted.
--
preceed with 2006 to email
diclidophora@yahoo.co.uk - 01 Feb 2006 16:38 GMT
It is your right under the NHS to seek a second opinion. In your case I
would strongly suggest that you do this. I would go along with unsigned
above in that you should collect your evidence and attempt to
understand the significance of your blood tests, so that you can
effectively discuss your condition. Also, take a friend to the
consultation.

Peter
Coats - 01 Feb 2006 20:05 GMT
> It is your right under the NHS to seek a second opinion. In your case
> I would strongly suggest that you do this. I would go along with
[quoted text clipped - 4 lines]
>
> Peter

I'll be treading carefully this time. If he tries to dismiss me I shall ask
questions instead of nodding and slinking away feeling small.
Thanks.
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Coats
If there are no stupid questions, then what sort of questions do stupid
people ask? - Dogbert

Coats - 01 Feb 2006 20:04 GMT
> Cathy, Oooh Cathy........
>
> I realy do feel for you, as I'm sure many others here will, who [may I
> say it] have in one way or another been in your shoes.

Well thank you.

> Your RD may be, in your words "an arse" but alas he's a highly trained
> medical  arse who for the time being you are going to have to win over
> [unless you seek a referal to another RD via your GP].

I can ask her to refer me to another local consultant who has a fantastic
reputation. I just thought I'd give the *really* local one another chance.

> I'd look at it a bit like a TV drama about a court room scene. The RD
> is the judge and you are the defence lawyer.

OOoo, I always liked Ally McBeal. :-))

> Thus you gather your evidence in the defence of "Cathy" writing it
> down ['cause you don't expect to go in court and remeber it all off
> the top of your head] and put it to the Judge [RD] bit by bit/ date by
> date, so you are sure he sees a diary of events which show the syptoms
> have not abaited and indeed got worse.

Ahh, ok.

> He, hopefully, will then examine the evidence [ and Cathy] and faced
> with "the continuing and overwhelming pain this individual is still
> suffering to this day, me lord... [ sorry got a bit carried away with
> my Rumpole act] come to a better conclusion than the last time.
> Also, if you are as you say "a  bit wimpy when faced with consultants"
> you could consider taking someone with you for moral support.

I may well do that.

> Good luck and keep us posted.

Thanks for the advice, and yup. In about 10 weeks i'll let you know whats
going on. (cos thats how long it took last year to get an appointment with
said medical 'arse')
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Coats
If there are no stupid questions, then what sort of questions do stupid
people ask? - Dogbert

Sandy Morton - 02 Feb 2006 00:32 GMT
> Thanks for the advice, and yup. In about 10 weeks i'll let you know
> whats going on. (cos thats how long it took last year to get an
> appointment with said medical 'arse')

Hi Cathy and I hope that everything works out for you - but see my
other post about cataracts.  I went to the optician last May 'cos I
couldn't see too well to drive at night.  He referred me to the
consultant (I won't try to spell the word) at Inverclyde who asked me
when I would like the op.  I asked for the beginning of September and
got the 2nd.  Went back for a checkup and was asked when I wanted the
other eye done - requested sometime in February so that I could be
back at work by Easter (I hire bikes and enjoy working) - got a
letter to be in on the 30th of January.

As earlier don't knock the NHS - politely request your rights.

hth

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A T (Sandy) Morton
on the Bicycle Island
In the Global Village
http://www.millport.net

Coats - 02 Feb 2006 12:39 GMT
>> Thanks for the advice, and yup. In about 10 weeks i'll let you know
>> whats going on. (cos thats how long it took last year to get an
[quoted text clipped - 9 lines]
> back at work by Easter (I hire bikes and enjoy working) - got a
> letter to be in on the 30th of January.

I have had lots of good experiences with NHS care. It just seems that I've
had these problems for 20 years and its taken that long for a doctor to look
at all the reasons why I've been and put them together. I know thats like
the majority of poeple here which is why I like getting opinions from
everyone, it keeps you real. :-)

> As earlier don't knock the NHS - politely request your rights.
> hth

I will, and thanks.
Cathy
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Coats
You can't get where you want to go if you don't know where you are.

MikesBrain - 02 Feb 2006 00:50 GMT
2006-02-01, Responding to er@gmail.com...

> Also, if you are as you say "a  bit wimpy when faced with consultants"
> you could consider taking someone with you for moral support.

Unless you really have confidence in your medical support,
whoever or whatever they may be, I'd always recommend taking
someone with you to sit in on things. A witness can make all
the difference sometimes, and a friend can often remember
things you can't as you will tend to be focused on your
own main concerns.

Writing up "dear diary" notes when you get home can also be
useful. We've "won through" several arguments/disputes due
to good note keeping.

Mike@N.UK
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Coats - 02 Feb 2006 12:41 GMT
> 2006-02-01, Responding to er@gmail.com...
>>
[quoted text clipped - 11 lines]
> useful. We've "won through" several arguments/disputes due
> to good note keeping.

I'll bear that in mind thanks.
Cathy.
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Coats
You can't get where you want to go if you don't know where you are.

 
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