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Managed care? Options
jenni_b
#1 Posted : Wednesday, July 06, 2011 10:29:56 PM Quote
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Hi all

Do you know what this means in practice?

I have a consultant appt on monday- before the CT scan on the tues evening (bit silly I know but I should be grateful!)

Apparently, according to the SHO this is for a discussion of "managed care" for me as there are NO viable drug options.

I know the outlook right now is grim so thats no surprise.

The GP Wonders if this will mean the hospital will at last be taking more of an interest in managing and supporting me but I cannot see this happening.

What do you know of this term and what it means?

Jenni x


how to be a velvet bulldoser
jeanb
#2 Posted : Thursday, July 07, 2011 8:43:33 AM Quote
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Sorry darling, no I don't know what this means. If the GP doesn't know, maybe you are right and it will be more hospital involvement - OT, physio etc. I realise that things are looking grim for you just now, but I also KNOW with absolute certainty that your faith, coupled with your inner strength which can only come from God, will see you through.
Much love
xxxxxxxxxx
Anne-P
#3 Posted : Thursday, July 07, 2011 10:25:16 AM Quote
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Hi Jenni

I would imagine that it means because there are no more 'treatment' options for you to try at the moment, that they will now try to 'manage' the condition; which probably means they are going to have have a plan to try and deal with the symptoms as they occur, rather than trying to modify the disease or change the T or B cells formation.

You might want to write down all the things and drugs that helps with the symptoms - and make sure you get whatever you want of these (ie OT, physios, care help, morphine etc). No doubt they'll mention trying out any new drugs that are not yet licensed... so you'll have to think about whether or not you want to be a guinea pig.

I know this is really heart-breaking and disappointing (medically speaking!) - but medics are not taking into account prayer and God - which we know is and who is far greater!

lots of love and a very big hug going your way

Anne xxx
sheila_G
#4 Posted : Thursday, July 07, 2011 10:49:25 AM Quote
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Dear Jenni

I agree with the others. You are in my prayers and I will ask my prayer group to pray for you. God bless

Sheila x
suzanne_p
#5 Posted : Thursday, July 07, 2011 10:56:31 AM Quote
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hi Jenni,

can't give you any answers .. but would like to send my love and support to you as you go through all this,

Suzanne x
bevie
#6 Posted : Thursday, July 07, 2011 12:08:23 PM Quote
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Hi Jenni, sorry i can't give you any answers either, but wanted to send you my support at this time. I hope your gp is right about getting more support from the hospital.

Bevxx
dorat
#7 Posted : Thursday, July 07, 2011 12:11:46 PM Quote
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Hi Jenni,

I hope it means you get a lot more support from the hospital than you have had so far, with access to physio, hydrotherapy, and anything else that will help to manage your condition.

Sending lots of hugs.
Love, Doreen xx

Rose-B
#8 Posted : Thursday, July 07, 2011 12:19:03 PM Quote
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Hi Jenni,

Sorry I cannot imput any info, but I really am thinking about you at this time, you are a great
girl with lots of inner strength so good luck x
Sue10
#9 Posted : Thursday, July 07, 2011 3:19:21 PM Quote
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Hi Jenni

Sorry to hear that you have reached this stage in this horrible disease and hope that the hospital will be helpful in offering all the pain management support etc that is available.

Will be praying for you.

Best Wishes

Sue
ceri44
#10 Posted : Friday, July 08, 2011 9:26:36 AM Quote
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Lots of luck for Monday Jenni... And I hope the hospital offer you all the support you need.
Thinking of you Love Ceri xx
Paula-C
#11 Posted : Saturday, July 09, 2011 7:16:34 PM Quote
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Hello Jenni

I would think that it is what Anne said, ways of helping with the symptoms being like you said that at the moment there is no viable drug option available. Fingers, toes and everything else crossed that a new drug is just on the horizon that will help you.

Hope that they can put a care package together just tailed especially for you.

Sending you love and good luck for Monday.

Paula xx
helixhelix
#12 Posted : Sunday, July 10, 2011 12:29:14 PM Quote
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Is managed care the new NHS buzzword about integrating all the different services to give patients better experience, so you get a patient centered care plan? Well I think thats the theory but I guess as ever it will depend on what's available in your area, and whether the local teams can manage to work together.
jenni_b
#13 Posted : Sunday, July 10, 2011 1:33:40 PM Quote
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Hi to everyone!

I have my emergency appt with consultant in the morning and have the wobbles actually. The fact is the hospital it utterly hopeless at communication. If I wasn't with it, I wouldn't ever have appts for anything rheumatology wise at all. There is just no follow up.
We have tried many times for an mdt meeting, last time matron of the hospital ward tried and if she can't get a response no one can.
I cannot see them doing any better than they are as they as simply hopeless.

I do have care hours from ss.

We are just having dfg building work here and a wheel chair accessible car. All of which will make life easier.

I don't know about a lot of things but in amongst the middle of it I know GOD is good and I am immortal until he says otherwise so intend living accordingly!

Jenni xx
how to be a velvet bulldoser
sheila_G
#14 Posted : Sunday, July 10, 2011 9:26:53 PM Quote
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Dear Jenni. Stay positive and remember you are not going alone tomorrow.

Sheila x
Rose-B
#15 Posted : Monday, July 11, 2011 12:10:33 PM Quote
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Hello Jenni

Hoping things are going well for you today thinking of you
dorat
#16 Posted : Monday, July 11, 2011 12:25:21 PM Quote
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Thinking of you Jenni.

Doreen xx

Julia17
#17 Posted : Monday, July 11, 2011 2:01:20 PM Quote
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Thinking of you Jenni, so much hope of a positive outcome for you.

Julia xx
Vicky13
#18 Posted : Monday, July 11, 2011 8:08:29 PM Quote
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Hi Jenni,

I'm only just managing to catch up with the online world of NRAS and you've just had so much to get through! I've been thinking of you and was so disappointed when the drug didn't work for you, I managed to read the forum on my phone but can only type gobbledigook on it with my current fingers.

So really I'm just posting to say I'm thinking of you, we're about the same age so I really empathise with you, you've been amazingly strong and I'm sure you've not run out of strength yet! LOL We'll all help BigGrin

Big hugs and love

Vicky xx
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