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James Paget Rheumatology Options
Angiecha
#1 Posted : Wednesday, March 06, 2013 2:54:53 PM Quote
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Location: Lowestoft, Suffolk
Hi

Is anybody else out there under James Paget Rheumatology?

The reason I ask is that when I attended both Norwich and Bury St Edmunds Rheumatology departments they were insistent on checking for protein in one's sample. This has never happened at the Paget even though I have been prepared. Just get blood pressure & weight checked.

I never feel I am getting any support from them, I don't know whether there is a Rheumatology Nurse or team. As I am not in oodles of pain like a lot people on here, I am pretty much dismissed - I feel so rushed I've never remembered to ask the questions I wanted (yes - I should write them down). My blood pressure was extremely high at my last visit and the Dr didn't even mention it.

Should I worry I am not getting checked for protein? Should I be asking what my blood tests show (if anything)? What are other people's experience of the Paget?

Angie
Be yourself - everyone else is taken. XX
Naomi1
#2 Posted : Wednesday, March 06, 2013 9:07:41 PM Quote
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I'm with Torbay hospital. I have regular blood tests for Mtx but have never had my protein levels checked as far as I know. Maybe once in the very early days but definitely not since. I'm interested to hear what others say on this.
Sheila-R
#3 Posted : Wednesday, March 06, 2013 11:09:16 PM Quote
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Not with the hospital you mention as I'm in Nottingham, but whenever I go to Rheumatology I always have to take a urine sample so presumable they test it for protein ... although have never asked. If you are getting short shrift is it worth changing hospitals ?
Best wishes
Sheila
Naomi1
#4 Posted : Thursday, March 07, 2013 12:55:53 AM Quote
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If it's a urine test then i've only ever had one right at the beginning nearly 2 years ago.
Angiecha
#5 Posted : Thursday, March 07, 2013 10:49:00 AM Quote
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Yes, it is about a urine test for protein. Maybe I no longer need it then.

May ask to go back to Norfolk & Norwich University Hospital.
Be yourself - everyone else is taken. XX
Dorothy-W
#6 Posted : Thursday, March 07, 2013 11:34:01 AM Quote
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hi angie, i am with paget and i feel the same as you,its a here's what you've got this is the meds blah blah,doc see you in 6 mths i only see the nurses if i ask or i phone them with a query,they are normally very good at responding but are kept busy, i do see dr thomas at lowestoft hospital he does a clinic every 6 mths there,if they want to see me before that i go to paget and he is so good and does listen but i rely on my gp most of the time and our well woman/nurse clinic,i have never had a urine test and not been informed of das etc,i did try and get this info but was told if any problems they wiill get in touch(which they do), i dont really have an issue to be fair as i get looked after well when i do need them,yes i know what you are saying but do tell the clinic if you are unhappy,its annoying as all hospitals are run differently, i do my bloods every 4/6 weeks and thats about it for rhumy but gp likes a full count done once a year ,dorothy
Angiecha
#7 Posted : Thursday, March 07, 2013 12:07:30 PM Quote
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Thanks Dorothy

That's really helpful. I'm also with Dr Thomas and he is a nice chap - I must have caught him on a bit of a bad day. I had to wait an hour for my appointment so he may have been rushing. I should have persisted and asked outright about my neck & shoulders.

Angie
Be yourself - everyone else is taken. XX
Paula-C
#8 Posted : Thursday, March 07, 2013 2:49:53 PM Quote
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I always take a urine sample with me when I go to see my consultant. I am weighed, sample is always asked for but I never and never had my blood pressure taken. I have seen patients having it done so I assume that it is only if you are on certain medication that they check your blood pressure.

Last time I say my consultant I sat near where they call you to be weighed etc and I was amazed at how many were sent into the toilet to produce a sample. So from that it seems that my hospital insists that your urine is tested.

Paula
zena_mary
#9 Posted : Thursday, March 07, 2013 6:50:19 PM Quote
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Hi, I have always had bloods done in my local surgery who have also taken my blood pressure at the same time although mine is always fine.
Like Naomi I only had urine samples tested at the beg. for a few months, the nurse at that time said that it was not asked for in their requirments from the rheumy team but she would be happy to do a protein check every 6 mnths or so if I wanted.
I am never asked to give urine samples on the odd times that I've had bloods taken at the hospital.
If you are concerned,I would just ask about it at your next blood test.
I attend the Robert Jones and Agnes Hunt Hospital, Shropshire.
Zena x
Dorothy-W
#10 Posted : Friday, March 08, 2013 9:17:07 AM Quote
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angie, glad to be of help,try asking the rhumy nurses or your gp about your shoulders,it was my gp who i went to re mine and that got the ball rolling i also go to physio off and on in lowestoft( was paget ) i now phone them myself but usually check with gp if ok before hand, as for waiting for dr thomas i was cancelled a few times as he really does get busy poor man,i tend to have a list of questions and give it to him that way he ans and i am happy,i have been when he has had a stress day in paget then comes to clinic but the nurses in low'ft keep him in teas and pamper him a bit, its better in lowestoft as its a set clinic on that day and normally very calm,i do go to paget now and again,when i went onto inj for mtx i was sent to the sandra chapmen clinic to learn to inj now thats a busy place and the atmosphere is so happy considering and they had to wait for ages for treatment and you get a cuppa Smile maybe see you in low'tf clinic sometime,dorothy
gill987
#11 Posted : Sunday, March 10, 2013 7:17:41 PM Quote
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Hi angiecha and Dorothy w I also see dr Thomas at the Paget. I saw him July last year for first time then again in November in that time my bloods confirmed RA but no treatment started or diagnosed till the November. He is very busy but I do feel there is little back up from any dedicated rheumatoid nurses they only have an OT. No protein check either. Next appt after commencement of treatment 7 months!

On the plus side the OT said they are trying to set up a dedicated team just guess there isn't enough pennies to cover everything. I get the impression the N&N is better with several rheumy consultants and nurses but further to go especially as I work and don't want to take too much time off.

Glad to hear your gp surgery is supportive Dorothy.

Lets hope things improve and stay positive ThumpUp x
Dorothy-W
#12 Posted : Monday, March 11, 2013 4:27:22 PM Quote
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hi gill, i have never been asked to go to norwich but i dont want to as yes it is too far and it can take all day there,my son attends a clinic in N&N and we can wait upto 2 hrs for the doc,then bloods etc etc,i have been there 7 hrs and if you are late they will refuse to see you,,really things have been the same way since i started to go paget in 2007 the rhumy nurses keep changing i havent seen the same one more than twice if that,i must admit the o/t's are so good and the physio's but as i say i do tend to go the gp road,nice to know the clinic getting it's act together would be really helpfull,when i go to lowestoft clinic all the patience do is moan about the paget but to be fair they dont want to travel either so i feel a catch 22,yep my surgery is good thankfully and i get a blood m.o.t every year,we have a well woman clinic etc also so really very on the ball,dorothy
Angiecha
#13 Posted : Tuesday, March 12, 2013 12:17:11 PM Quote
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Location: Lowestoft, Suffolk
I saw a GP after my Rheumatology appointment about my shoulders & neck. She said it was typical of RA and to take the anti inflamatories regularly (I didn't but do now) and to top up with paracetamol if I need it.

To be honest, things have improved since I did as I was told and keep taking the Naproxen Blushing

Didn't know Lowestoft Hospital had a clinic - might ask to go there instead as it is close to where I work. We shall have to try and coordinate our visits!

Thanks ladies. x ThumpUp

Angie
Be yourself - everyone else is taken. XX
Dorothy-W
#14 Posted : Tuesday, March 19, 2013 2:57:12 PM Quote
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hi angie, just caught up had my sister here on holiday,glad you getting there,i was on naproxen and got taken off when i settled down a bit as one of its side effects is the liver and kidneys yippeee i hear you say another worry,i was fine as i still had all the rest of my sweets to take,hopefully you can get to low clinics,i also get bloods and podiatry done there be better for you and not too busy(bloods ARE first thing)could do on lunch hour,would be nice to meet you,nice to put a face to the typing,hah hah,if you can look out for the meetings every so often at the orbit centre,on whapload road, the lady that runs it has had a baby and not all well but i hope someone can take over for her(she is lovely),i am not that up on things so id be of no use whatsoever,dorothy
rosie1157
#15 Posted : Friday, March 22, 2013 2:27:49 PM Quote
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My last two appointments at Bristol Rheumatology my letter asked for a urine sample. When I asked why I was told to ignore it as the letter was wrong Confused
Rosie
Dorothy-W
#16 Posted : Saturday, March 23, 2013 9:35:04 AM Quote
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hi rosie, no explanation at all as to why it was asked for in the first place?typical,dorothy
Dorothy-W
#17 Posted : Thursday, April 18, 2013 10:21:17 AM Quote
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angie, was at my gp today and he was not happy as my rhumy got cancelled for last week and now i am due in june,he said they are so short on rhumy teams at paget thats why it is in a mess and not responsive,i asked about what will happen when lowestoft closes and he had no idea but there will be clinics set up in town and we might go back to getting bloods done at the surgery so who knows what will happen now,thought let you know, i rely on my gp so much with things connected to my ra, he is such a sweetie and so patient/helpfull and i can get to see him when need be,dorothy
Angiecha
#18 Posted : Thursday, April 18, 2013 2:31:07 PM Quote
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Hi Dorothy

I asked to speak to the Rheumy nurse about painkiller, she rang me at the end of the week but I couldn't take the call, she hasn't tried again. I understand what you say about them being understaffed so will accept that there's no-one to blame and I should be patient!

Also, because I had a fall, I booked an appointment with my GP, got a different one this time and he was fabulous, not dismissive like the other one. Explained about my ankle injury, answered my question about painkillers and prescribed a low dose of co-codamol to help my ankle. He went so far to warn me that they can cause constipation and I should get some laxative. He also put my mind at rest about the paracetamol/codeine that I find helps. I was worried as it says it's addictive, but he said that would only happen if you took it when not in pain.

My understanding is that Lowestoft Hospital won't close but will either be moved to a suitable building or separated out into sections in more appropriate buildings.

Didn't know there was an RA group in Lowestoft, thought there was only the one in Yarmouth.

On holiday from 26th April, 8 night cruise from Southampton. Looking forward to the break.

Angie
Be yourself - everyone else is taken. XX
Dorothy-W
#19 Posted : Friday, April 19, 2013 3:36:53 PM Quote
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angie,so glad you got a nice doc to help you out at last and seems to be in the know,as for r/nurses that is typical of that dept,i waited 3 days for a return call from them and then found out my original nurse had left,no wonder i never got the same one twice,as i say i tend to go to gp mostly and he knows that,well i've been going there now for 19yr and i'm always honest with him,fingers crossed lowestoft gets sorted out without alot of hassle and a cruise oh you lucky girl you enjoy every second of it, have fun,dorothy
sylviax
#20 Posted : Monday, April 22, 2013 9:26:29 AM Quote
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Hi all you southfolks and northfolks!! Aah it's making me feel very wistful hearing all the discussions about Lowestoft and Yarmouth and Norwich and the St james Paget hospital - I remember having the most wonderful carnivals to raise money for Lowestoft hospital - do you still have those?? Happy childhood days!!

Lots of love - Sylvia xxx
Be kinder than is necessary because everyone you meet is fighting some kind of battle
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