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NEW MEMBER - BAD DAY :-( Options
GILL
#1 Posted : Friday, September 24, 2010 9:45:47 PM Quote
Rank: Advanced Member


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Joined: 9/21/2010
Posts: 32
Location: west midlands
Hi, just joined nras and thought I would say a bit about myself.

My name is Gill, I'm 52 years old and have children that are married now, I'm a widow and live on my own. I've had RA now for 33 years, had ups and downs along the way, but for the most part very remain very positive.

I have been on most of the treatments, the most effective being gold injections, but had to stop them after about 5 years due to them suddenly effecting my eyes.

The reason for my bad day is, just had a bit of a todo with my GP. I have my bloods taken at the hospital and ring the next day for my results and fill in my book but my GP does not like this and has told me it is not the hospitals job to moniter my bloods and that they are only doing so to get money, I don't belive this because I now that my Rheumatologist & his team of nurses do care. They have a very good helpline and are always there for you.

The thing is I have had my blood's taken by the hospital for years now and don't really want to change. Does anyone know if there is a written rule on who should take them?

Sorry to be moaning, promise I will be happy tomorrow. Smile
misty
#2 Posted : Friday, September 24, 2010 10:11:56 PM Quote
Rank: Advanced Member

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Joined: 12/3/2009
Posts: 74
Hi Gill,
Welcome to the site, I don't write very often, but this is a very good site, with lovely people all willing to offer advice and support. I have my blood form printed at my GP's surgery, and then take it to either the hospital or our local Asda store which has an NHS blood taking facility in it. They just take the form and my monitoring booklet and send it to the hospital with my blood samples. The results seem to go to both the GP and the Rheumatology department and my book is filled in by the hospital and sent back to me. The nurse the other day at my GP surgery questioned where I had my blood taken as she said if they don't take them they don't get the results. I challenged this, saying that they must get them, as I have been phoned by the GP practice because bloods have been of concern to them. When she looked at the records, she found this to be so. It does seem reading peoples posts on here, that all areas seem to have different practices. When I first started on medication, this was it seemed monitored and prescribed only by the hospital. However as I understand it, once I was stable on the medication, with no concerns for them, the prescribing and monitoring of bloods was transfered to my GP, with continued appointments to Rheumatology. Sorry reply long winded, but hope it helps.
Take Care
Candy
Rose-B
#3 Posted : Friday, September 24, 2010 10:16:25 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 4/20/2010
Posts: 1,749
Location: Somerset


Hello Gill

Welcome to RA and its forum. Sorry you have RA and for so long, but I am sure
you will find this site excellent for support and advice.

With reference to a set rule regarding the bloods I do not know for sure. All my bloods
were done by my GP when i was on mtx. On my 6 monthly visit the RA nurse take bloods but
when my results were dangerouse he did write to the Spec for the advice.

My name is Rose from Somerset. I was diagnosed with RA 2 yrs ago and failed on
mtx, suph, and recently leflun. Waiting to hear from my specialist for the next stage in the
meantime depo inject helping.

Welcome and keep posting


Rose

JulieM
#4 Posted : Saturday, September 25, 2010 10:03:03 AM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/4/2009
Posts: 1,524
Location: W. Yorkshire
Hello and welcome!
I had my bloods taken at the hospital when I first started. Then after a few weeks, and my tests were okay I was discharged from them and handed over to the GP.

The nurse there takes my bloods and enters the last months results into my book at the same time.
I suppose everywhere has different routines.

It should be possible (with your permission) for your doctor to have access to your results too.
YES I'VE CHANGED, PAIN DOES THAT TO PEOPLE.
SueB
#5 Posted : Saturday, September 25, 2010 4:33:33 PM Quote
Rank: Advanced Member

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Joined: 8/1/2010
Posts: 255
Location: hampshire
Hi and welcome. I'm Sue -57 and diagnosed this time last year. I'm on mtx hydroy and folic acid. I'm still on 2 weekly blood tests which are done at the hospital because that is more convenient to me. I would need an appointment at my GP but at the hospital I can call in on the way to work . I leave my book at the rheumy office in their special box and it gets posted back to me. My results are sent to my GP within 24 hours - I know that because when there has been a dodgy result he phones me - usually more quickly than the rheumy nurse.

We have enough to put up with. Surely it should be done in the way that gives you most peace of mind.

keep posting - you will always get lots of support here.BigGrin
Sue
Maria_R
#6 Posted : Saturday, September 25, 2010 8:00:34 PM Quote
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Joined: 12/4/2009
Posts: 856
hi Gill
It seems that there are so many different systems!

My bloods are always done at the hospital- the consultant has given me a repeat request form as I have them every month. Results are sent to my gp and they print them out for me.

Maria
Dorothy-W
#7 Posted : Sunday, September 26, 2010 4:13:42 PM Quote
Rank: Advanced Member


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Joined: 9/13/2010
Posts: 786
Location: east anglia
hi gill,welcome,i get my bloods at hospital but i dont have a book or get print outs,i usually see my gp 2-3 days after bloods taken i see him all the time and clinc every 6mths,i just get a load of blood forms and get on with it, i am 53 and widowed last year,my son(27) and his girlfriend stay with me,hope short term and my daughter(25) has her own house, i have only been diagnosed 3 yrs but on 25mg mtx and folic just over a year and hydroxy a few days,sulph hated me,had depo injection couple times, this is a marvellous site so many questions and answers,i've learned so much more,i can never get my nurse to speak to, but on here its just as good if not better as you get the answers from experience, good luck,dorothy.
suzanne_p
#8 Posted : Sunday, September 26, 2010 7:31:47 PM Quote
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Joined: 8/25/2010
Posts: 1,289
Location: Buckinghamshire
hi Gill,

it seems odd that your GP should query the way your bloods are taken after all this time !!

i go to my GP's every fortnight as it's in my Village and as i am not under control yet i can ring the Rhuemy Nurse at the Hospital the next day where she has the results back on her screen. i am only phoning until under control.

i thought all blood results well any results went onto the National Database where GP's and Hospitals can both access them.

i would ask that you do whatever is convenient ... if i had to go and give my bloods at the Hospital every fortnight it would be a nightmare as it's a 25 minute drive and the parking is a nightmare.

i can't believe there is a written rule in this day and age with Computers and Technology.

hope you work things out,

Suzanne
LynW
#9 Posted : Sunday, September 26, 2010 9:20:16 PM Quote
Rank: Advanced Member

Groups: Registered

Joined: 12/4/2009
Posts: 2,127
Location: Thornton Cleveleys
Hi Gill

Welcome to the forum. Hope you find lots of help and useful experiences to read up on.

Like you I have had RA a long time, diagnosed sero-negative 22 years ago and since then run the gamut of medications and a number of surgical procedures. Currently on Enbrel and a few other bits and pieces thrown in for good measure; there's nothing like a well mixed cocktailRollEyes . I have four children, aged between 16 and 22, all in various stages of education. I'm married and live in Lancashire.

One thing to remember on the forum is that we are all allowed to moan and let off steam and no apology is necessary! So go for it and don't worry about it Smile

As with everything different areas each have their own way of dealing with blood test results. It should be established at the outset whether you are under 'hospital care' or 'shared care'. It does affect the way you are treated and monitored and the way health staff are paid.

I am under 6 monthly review by the consultant but my blood tests are done by my GP surgery. I go there with my monitoring book 3/4 days after the blood test to collect the results from reception. They fill in my book whilst I wait and off I go! I tend to monitor the results myself and if I feel there is a problem I arrange an appointment with my GP. I never let the book out of my sight as it's the only record I have of what's been going on long term! I'm very attached to it and it travels everywhere with me just in case!

I would be inclined to ask your hospital what their take is on this and establish the correct routine for future. Blood test results should be available to all health staff but I know mine are only seen by rheumatology if a request is made.

Dorothy-W I'm pretty sure that those on methotrexate should have a 'Shared care' monitoring book. I've had one for 9 or 10 years now. Might be worth asking when you're in clinic again. It's good to have because it's an ongoing record of drugs taken, appointments with all health staff, side effects can be recorded and of course blood test results.



Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

Sue10
#10 Posted : Monday, September 27, 2010 3:43:02 PM Quote
Rank: Advanced Member


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Joined: 6/18/2010
Posts: 351
Location: Herne Bay Kent
Hi Gill,
Welcome to the forum, I am sure you will find it so helpful and encouraging. I have had ra for the last four years and am currently in the middle of changing treatments. Hope you manage to sort out the confusion with your results.
I do not have a monitoring booklet and just go to my gp and pick up results before going to visit the consultant. I would be interested to know where the monitoring booklet comes from as it would be useful to have my own record of how the disease is being controlled and how my body is coping with the medications.
All the best
Sue
suzanne_p
#11 Posted : Monday, September 27, 2010 3:55:20 PM Quote
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Joined: 8/25/2010
Posts: 1,289
Location: Buckinghamshire
hi Sue10,

i was given my monitoring book as soon as i was put on Methotrexate along with all the info on the drug.

there's quite a lot of sections filled in, apart from inflammation levels .. how your liver is coping, etc.

sorry don't have the book to hand but i think it's well worth asking about one.

Suzanne
GILL
#12 Posted : Monday, September 27, 2010 8:44:11 PM Quote
Rank: Advanced Member


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Joined: 9/21/2010
Posts: 32
Location: west midlands
Thanks for all your reply's. It is interesting to read all the different ways we get our results. I know I have to have a good talk to my Rheumatologist when I see him on 25th October. Over the weekend I changed GP's, had a good talk to the new one but she still want's me to have my bloods done there. The trouble is that the hospital I attend is in a different area to the one I live in and where my GP is, but you would think in this day and age with the computer systems that are in place it should not be to hard.

Anyway I'm sure things will work out in the endSmile
SueB
#13 Posted : Monday, September 27, 2010 9:38:39 PM Quote
Rank: Advanced Member

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Joined: 8/1/2010
Posts: 255
Location: hampshire
I thought everyone on mtx had a monitoring book. I find it invaluable. When I was given it it was stressed that I had to keep it with me and take it to every doctor's appointment. It explains what all the bloodtests are and what the acceptable range of results is.. It enables me to keep track and see if results are getting better or worse.. Both my GP and consultant loook at it when I see them, they say it is easier to track the results in that format.
Do ask for one. And good luck.
SueBigGrin
Paula-C
#14 Posted : Tuesday, September 28, 2010 7:47:03 AM Quote
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Joined: 12/3/2009
Posts: 838
Location: Nottinghamshire
I'm on MTX and after the initial run of fortnightly blood tests the hospital asked me to see if my GP would carry on prescribing the drug and doing the monthly blood test. They were happy to do the prescriptions but didn't want to do the bloods. I don't mind too much. The hospital is nearer that my GP's surgery and I know that if I have any problems I will be able to see a specialist nurse whilst I'm there. Did this once when a rash appeared.

I take my booklet with me and the results from the previous test are entered in, so I see them when they are a month old.

Sue stated that it tells her in her booklet what acceptable ranges are for the tests. Mine doesn't. Could someone please post up what acceptable levels are please on all of the tests then I can keep an eye on them.

Paula x x

Dorothy-W
#15 Posted : Tuesday, September 28, 2010 1:49:08 PM Quote
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Joined: 9/13/2010
Posts: 786
Location: east anglia
lynn, thanks will have a word about this at clinic, its something i dont know about but will find out,will have another go at getting nurse.good luck to all
Lorna-A
#16 Posted : Wednesday, September 29, 2010 3:24:09 PM Quote
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Joined: 3/8/2010
Posts: 914

Hi, Gill,

I'm just back from Norway, so hi and pleased to meet you. I am Lorna, and I have had RA for 3 years now, I am on the triple therapy and it is very well controlled. I am married to Ken for 28 years and have 3 lovely daughters, I have my bloods done at the local doctors and I monitor my own results and fill in the share care forums. I have done this since being diagnosed. The RA clinic at the hospital keeps a check as well. Really glad you have found the forum, keep posting. Lorna x Smile
Sheila-R
#17 Posted : Wednesday, September 29, 2010 7:47:32 PM Quote
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Joined: 1/29/2010
Posts: 264
HI Gill and a belated welcome to the forum.
I mostly have my bloods done monthly by the nurse at the GP's surgery, as I have one lot done she writes the results of the previous one in my booklet, usually I get a phone call from one of the GP's a couple of days after they have been taken if any of them are not right for me. The hospital can also get these results on their screens.
However if I take a hospital envelope for bloods to the GP and they are sent off in that then the GP doesn't get a copy of the results back, which means the nurse had to ring for them. When I go the the GP's with a hospital envelope we've found the way round this is to send the the hospital blood envelope but also enclose a GP envelope in with it, that way the GP's always get the results and my book always gets filled in
Don't know why it works this way, it just does.
Best wishes
Sheila
GILL
#18 Posted : Wednesday, September 29, 2010 10:38:05 PM Quote
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Joined: 9/21/2010
Posts: 32
Location: west midlands
Thanks again for all your posts and for welcoming me to the the forum.

Had some blood results back today and they are not good, so MTX stopped again. Think I might have to try something else, the trouble is I have already had most of the drugs. But not to worried, I may have to back to something I have already tried and see if it works second time around.

I wish you all a pain free night, take care. x
FIONA752
#19 Posted : Friday, October 01, 2010 9:34:02 PM Quote
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Joined: 12/4/2009
Posts: 312
Dear Gill, Hello and welcome to the forum.
I am Fiona, 53, diagnosed R.A Positive at age 38.
I have 3 grown up kids who have left home.
I take Hydroxychloriquine and have my bloods done at the hospital,
every 4-6 months.
My G.P does an annual health check and takes blood.
I am experiencing a flare-up at the moment and can't help wondering
if it is the change of season into Autumn making me worse.
Anyway, it's lovely to see you posting.
Best wishes,
FionaSmile
LynW
#20 Posted : Saturday, October 02, 2010 7:58:45 PM Quote
Rank: Advanced Member

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Joined: 12/4/2009
Posts: 2,127
Location: Thornton Cleveleys
GILL wrote:
Had some blood results back today and they are not good, so MTX stopped again. Think I might have to try something else, the trouble is I have already had most of the drugs.


Hi Gill

Sorry to hear of the problems you are having and the stopping of your mtx. I too have travelled that road recently! I don't know what medication you have had but if you have failed on two DMARDS and meet other criteria such as raised ESR, DAS etc. you may be considered for anti-tnf treatment, or have you already tried some?

Take care,

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

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