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Medical Matters

Discussion in 'Health and Fitness' started by John, Jan 12, 2018.

  1. Walter

    Walter Community Supporter Meets Club Member

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    Steve,
    My GP says only if you are Diabetes type 1.
    Walter
     
  2. Steve

    Steve Admin Community Supporter Meets Club Member Inner Sanctum Lotto Syndicate Member

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    Walter,

    I can see why someone might try and say it in a simple way like that to prevent long pointless discussions.

    I'm a type II on insulin though and what I said all applies to me.

    I had a quick look and this is a page of NHS guidance to doctors re this stuff: http://www.panmerseyapc.nhs.uk/recommendations/documents/PS176.pdf

    Have a read of that and you should be able to see why you are told what you are, and what actually happens in cases like mine. I guess it may seem very complicated but it seems to make sense.

    Steve
     
  3. Steve

    Steve Admin Community Supporter Meets Club Member Inner Sanctum Lotto Syndicate Member

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    My scales were great when I got them but the firm was bought out by Nokia and they issued a new app. I've not been happy with that. Mine measure air quality and tell you the weather forecast for the day in your area and fat levels and show a chart of how your weight has been going, plus heart rate and so on.. all on their own screen. I got them in John Lewis. They also send all that to their own app. I have not recently tried to look at it via any Apple Heath app and I've noticed a lot of my gadgets that are not bought from Apple don't seem to talk to the Apple apps.

    The mall at the NEC seemed a bit sad and boring to me, one of those setups aimed at females with too much money perhaps. So many shopping malls seem to be like that these days, I think men should demand they all close as they are 'not inclusive'... :) Where are the computer shops, and comic shops, and gadget shops, and fishing rod shops, and frumpy mens clothing shops, and so on.... :)

    The chain restaurants there did seem to offer some decent choices. Also it was nice to be able to go into the casino there, though of course it was sadly not a patch on the sort of casinos people normally want, like the ones in Las Vegas and similar. Of course the UK seems to be banning 'showgirls' now and more and more folks will need to go to spots like Las Vegas to see men and women acting normally and as they have for thousands of years... here it is all 'stay well away from the opposite sex at all times' from what I read in the papers... :)

    I hope you get to talk to someone about your diabetes more soon now. Knowing if it is just very mild or very serious at present probably makes a lot of difference to what you need to do about it. Having it under control could make a lot of difference to how well you heal as I understand it. Sounds much more sensible for a nurse to visit you for blood tests rather than you being taken to various hospitals. I think I have mentioned this stuff before... a warfarin clinic will have oodles of folks attending who should all be at home, and all the ambulances and staff and so on seem such a foolish way to handle it.

    Steve
     
  4. John

    John Community Supporter Meets Club Member Inner Sanctum

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    Steve,

    I seem to have got the app working and the scales save any readings I make when I don't have the iPhone with me until the next time I use the app.

    Well the GP has declined to do the bloods so the hospital has booked an ambulance. I did expect that as the surgery has ignored most of the recommendations made in hospital discharge letters over the last three years.

    John
     
  5. Steve

    Steve Admin Community Supporter Meets Club Member Inner Sanctum Lotto Syndicate Member

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    John,

    Ambulances and several hours used up for a blood test seems to often be the case with the NHS. I don't really understand why it is done that way.

    I like and rate the Dr I see. The surgery don't ever do a blood test for me. They used to take the little box of sharps I fill up from doing injections and tests etc. at their reception... but they told me they were stopping that service some time back. None of this is any great problem for me as all the local hospitals will do the blood tests just by me walking in and waiting my turn. With the sharps box I'm aware of one local clinic that collects them in, and I walk in there and hand them in when I have a full one.

    So, although it is hard to understand why minor things are not done locally by the medical centre where the GP is based, it doesn't put me out to any great extent and it isn't really a problem in my case.

    In your case it seems that it is the mobility that is making it hard to deal with, I guess you'd agree. I assume if your leg heals up and things go as you'd like you would perhaps be able to use a cab or even a bus. I also assume that if you ever wanted it, you might even get an adapted free car to use. You choose not to drive and have no license as far as I know though. I do wonder if there is anything I can suggest.. if people get those cars they hand over their mobility allowance and that fully pays for it. My thought is are you perhaps entitled to that, and would it perhaps cover the cost of specialist help.. with someone caring for you for some amount of hours each week, and taking you to and from hospitals and GPs and so on in that time.

    I suspect you may feel safer and better cared for with the ambulances while things are at the stage they are, with you not healed yet. Once you are maybe looking into what can be done to make you more mobile when you feel a lot better then there may hopefully be a lot more options that you could consider.

    Wish I could think of some more helpful thoughts. If you were closer to my location I'd be offering to pick you up and take you to things and retired local friends and relatives with cars helping each other is perhaps something I'd expect to see more of.

    All the best,

    Steve
     
  6. John

    John Community Supporter Meets Club Member Inner Sanctum

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    Steve,

    Getting the GP to do the tests was the hospital’s idea not mine. I suspect it may have something to do with whose budget the resource was paid from. I didn’t expect any other outcome. The ambulatory emergency department has booked an ambulance for me now.

    The district nurse failed to turn up today to change my dressing. The system is overloaded and recently the nurses have been coming from another town to help out the Kenilworth nurses. They aren’t connected to the Kenilworth system so I suppose I fell through a crack.

    John
     
  7. Steve

    Steve Admin Community Supporter Meets Club Member Inner Sanctum Lotto Syndicate Member

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    John,

    I've seen lots of government announcements about what things GPs will be doing from then on... but I've not personally noticed any of them actually being done. I suspect most GP medical centres are meant to do blood tests and be open full time during the week plus during evenings and at weekends and so on.

    When I've used the nurse services at my local GP they have been very good indeed. Doing things like burn dressings and so on.

    NHS info on Blood tests: https://www.nhs.uk/conditions/blood-tests/

    GP services and ratings: https://www.nhs.uk/service-search/ I tried that with GP and your town in it and you seem to have some GPs rated highly and some not in your area. It also shows some of the services they say they provide. You might like to see all the local ratings for services, and perhaps add your own scores in places. I could have linked to your local ones but as you show your location as West Midlands I didn't do that.

    When I was diagnosed with heart problems and they said they thought I had about 6 weeks left they then went on to 'let me fall through the cracks' by forgetting to send me any appointments! Only when I asked many months later did they use that expression and restart them with an apology. That was one of the best heart hospitals in the World in theory at the time I think.

    I can only suggest you phone and ask why nobody arrived and so on, and you know to do that I'm sure. The problem is probably not that now and then they don't make it, I'd imagine it is whether they notice that and arrange to come next day or if they attempt to just leave it until the next visit is due, which is probably not good enough as either the change of dressings was due/needed or it wasn't.

    With my latest illness, the skin cancer, after it was cut out they said I had to be seen every 12 weeks for 5 years to make certain any further cancer was spotted early and removed. Worked fine for a while... then they got into some sort of pickle and cancelled my next two appointments... so I have a 9 month gap until the next one. Either these checks were needed or they weren't, and the NHS seeming to show muddled systems/thinking at times seems quite dangerous.

    For instance if you are short of people to do these checks then stop using 2 people to do each one, as they do, and don't cancel any checks... or make the checks every 16 weeks for everyone, or whatever... what you don't do is skip from 12 weeks to 9 months with no explanation at all... As with most NHS problems, they may blame this on money, but actually it seems to scream out that it is a problem of management/systems/planning...and in fact it could all probably be done a lot better for a fraction of the current cost.

    Steve