Author Topic: my issues with opthalmology department  (Read 417 times)

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Offline himtoo

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my issues with opthalmology department
« on: 03 February 2018, 09:35:07 AM »

hi all


the continuing saga of never getting timely appointments.


as we all know our eyesight is precious and as I have had laser a couple of times and injections -- i probably qualify as somebody that does really need my appointments to be every 6 months as my consultant requests.


but for the last 5 or 6 years ......... it ends up being 8 or 9 or even 10 months between because of cancellations , or sheer patient demand and they claim unable to fit everyone in.


i have had 2 official complaints in the the trust , and have actually met up with the department manager that sets appointments.


it is a shambles to be honest.-- my latest appointment is sheduled for june 2018 ( 7 months since last appointment)  -- but will it get cancelled -- still plenty of time.


( rant over )
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline Paulines7

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Re: my issues with opthalmology department
« Reply #1 on: 03 February 2018, 10:55:56 AM »
It is the same in Salisbury Hospital, Paul, though it was the urology department that was involved.  John was due to see his consultant in early December in connection with his prostate cancer that has returned and the bleeding that he has from his bladder due to radiotherapy damage.  That appointment was postponed until January 4th then that appointment was re-scheduled for 18th February. 

All of his previous appointments have been well over the 6 month check up, most by 3 months.  I think most hospitals in the UK are short on Consultants since Brexit.  We have relied on Europeans and the rest of the world to provide us with consultants, doctors and nurses but many of them now do not think they will be welcome here.  Couple this with the fact that diabetes has increased so much recently, and the hospitals just cannot cope. 

Paul, I hope they see you in June and that appointment they have given you is not postponed. 
Diabetes Type2 diagnosed March 2014.  Treated by diet only.  HbA1c 60 on diagnosis, 52 in June 2014, 50 October 2014, 44 December 2014, 48 May 2015, 50 Sep 2015, 53 Jan 2016, 50 Oct 2016, 56 Feb 2017, 50 Jun 2017. 50 Aug 2017. 47 Feb 2018. 50 Jul 2018. Pacemaker fitted 2008 - replaced 2017.

When I get old I don't want people thinking
                      "What a sweet little old lady"........
                             I want 'em saying
                    "Oh Crap! Whats she up to now ?"

Offline BBarb

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Re: my issues with opthalmology department
« Reply #2 on: 03 February 2018, 05:48:27 PM »
The same thing happens here in the eye clinic.  I am scheduled for an injection every 4 weeks according to the consultant, but the department continues to send them 6 weekly, and over christmas it has been 8 weeks and still no notification.
I rang my consultant's secretary and she promised to look into it but so far, no result.
This is not a diabetic related problem and the I find the injections painful and distressing although most people tell me they are 'a doddle' and totally pain free - so part of me doesn't want to have any more.  All the same they are obligatory if I weant to save my sight.
This seems to be the state of opthamology departments throught the country.
I don't think you can blame Brexit.

Offline himtoo

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Re: my issues with opthalmology department
« Reply #3 on: 04 February 2018, 09:32:35 AM »
I have had injections in the eye and I totally agree with you -- they are painful and distressing.

T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline Paulines7

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Re: my issues with opthalmology department
« Reply #4 on: 04 February 2018, 10:54:10 AM »
.... John was due to see his consultant in early December in connection with his prostate cancer that has returned and the bleeding that he has from his bladder due to radiotherapy damage.  That appointment was postponed until January 4th then that appointment was re-scheduled for 18th February

I don't know why I typed February in my post.  His appointment was put back 6 weeks to 18th January.   ::)


I don't think you can blame Brexit.

John has been into hospital 3 times since November 2017 and was told that the shortage of nurses is because a lot of European nurses have gone home as their future is insecure.  There used to be a few Spanish nurses in urology a couple of years back but they have gone.

I have a German friend who has been living in the UK for 35 years.  She married an Englishman and had two children here, has always worked and paid her taxes.  Since Brexit she has been very worried about the future and I have had tearful emails from her.  They have now decided to move to Germany which means leaving their grown up children, grandchildren and her husband's mother, in the UK.  Since Brexit, she has had some nasty youths shouting at her to go home.  It has brought out the worst in people.

I am sorry to have hi-jacked your post Paul but I believe the reasons for staff shortages in the NHS are twofold.... lack of money and Brexit.  The shortage of staff, to my mind, is why appointments are being postponed.
Diabetes Type2 diagnosed March 2014.  Treated by diet only.  HbA1c 60 on diagnosis, 52 in June 2014, 50 October 2014, 44 December 2014, 48 May 2015, 50 Sep 2015, 53 Jan 2016, 50 Oct 2016, 56 Feb 2017, 50 Jun 2017. 50 Aug 2017. 47 Feb 2018. 50 Jul 2018. Pacemaker fitted 2008 - replaced 2017.

When I get old I don't want people thinking
                      "What a sweet little old lady"........
                             I want 'em saying
                    "Oh Crap! Whats she up to now ?"

Offline Pattidevans

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Re: my issues with opthalmology department
« Reply #5 on: 04 February 2018, 11:42:12 AM »
There certainly did seem to be a lot of European staff in the opthalmology dept in the local hospital.  I don't know if they are still there.  It's some years since I attended.  The nurse was Spanish but spoke good English, the Dr was Italian and I couldn't understand a word he said.  Clearly the nurse couldn't either as she had to read the notes to translate for me.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline himtoo

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Re: my issues with opthalmology department
« Reply #6 on: 05 February 2018, 01:30:33 PM »
not a hijack at Pauline -- it is all related directly --- so hearing of others experience and who staffs their hospital outpatient departments seems totally on topic !! :)
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline sedge

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Re: my issues with opthalmology department
« Reply #7 on: 05 February 2018, 02:34:17 PM »
You may have noticed I haven't said a single word on the subject.  I do NOT wish to tempt providence!

However I absolutely do have the greatest sympathy and empathy with all of you!
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Liam

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Re: my issues with opthalmology department
« Reply #8 on: 05 February 2018, 07:40:03 PM »
I'm sure I've shared my story before. My local hospital had problems filling the consultant role. While this was happening they kept sending me letters saying I'd missed appointments I was never told about. I'm sure this was some method of cheating the system to meet targets.

The new consultant is rubbish imo At least his understanding of diabetes. I even had the GP nurse that sees the diabetics agreeing with me that it was poor he asked me repeatedly if I'd always been on insulin after telling him I'm a type I.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline Pattidevans

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Re: my issues with opthalmology department
« Reply #9 on: 06 February 2018, 09:02:09 AM »
It’s truly shocking that any eye consultant should not know about T1and insulin, given the fact that eye problems are such a well known complication.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Dr DeEath

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Re: my issues with opthalmology department
« Reply #10 on: 06 February 2018, 01:28:05 PM »
Appointments, whether hospital or getting one with your GP, are a total pain these days? I will always ponder if the retinal bleed I had last year would have been spotted earlier if my annual appointment had not been pushed out six months, and therefore needed much less laser! Every time I have been told the follow up will be posted to me but it never happens.

Whilst medical staff (doctors and nurses) are under ever increasing pressure the army of inept administrators around them IMHO cause many of the issues - be it appointments or repeats!
T1 for over 50 years.  MDI on Porcine insulin.  Lisinopril and Atorvastatin.

Offline himtoo

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Re: my issues with opthalmology department
« Reply #11 on: 07 February 2018, 11:38:51 AM »
Every time I have been told the follow up will be posted to me but it never happens.

Whilst medical staff (doctors and nurses) are under ever increasing pressure the army of inept administrators around them IMHO cause many of the issues - be it appointments or repeats!

this is the same scenario I face , appointment after appointment. ( year after year )
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline Paulines7

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Re: my issues with opthalmology department
« Reply #12 on: 08 February 2018, 03:01:39 PM »
Diabetes Type2 diagnosed March 2014.  Treated by diet only.  HbA1c 60 on diagnosis, 52 in June 2014, 50 October 2014, 44 December 2014, 48 May 2015, 50 Sep 2015, 53 Jan 2016, 50 Oct 2016, 56 Feb 2017, 50 Jun 2017. 50 Aug 2017. 47 Feb 2018. 50 Jul 2018. Pacemaker fitted 2008 - replaced 2017.

When I get old I don't want people thinking
                      "What a sweet little old lady"........
                             I want 'em saying
                    "Oh Crap! Whats she up to now ?"

Offline Quantum Learning

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Re: my issues with opthalmology department
« Reply #13 on: 08 February 2018, 03:07:56 PM »
This could explain many of the staff shortages in our hospitals.

https://www.theguardian.com/society/2018/jan/23/doctors-blocked-by-home-office-from-taking-up-vital-nhs-jobs

Absolutely ridiculous, can this, or any other government get anything right?
Type 2 dx Nov 2012 with fasting BG 14%/129.5
HbA1c Jan 2013 79/9.3%
April 2013 50/6.7%
July 2013 39/5.7%
Oct 2013 39/5.7% Chol 5.9
July 2014 45/6.3% Chol 5.5
Aug 2015 61/7.7% Chol 5.9
May 2016 84/9.7% Chol 6.9
Oct 2016 53/7%  Chol 6.3
Dec 2016 41/5.9% Chol 6.0
June 2017 51/6.8% Chol 6.1
Oct 2017 52/6.9%
Jan 2018 51/6.8% Chol 5.9
Metformin SR 2000mg, Doxazosin 4mg, Lansoprazole 30mg, Fexofenadine 180mg Co-Codamol 30/500g when needed. Amitriptyline 20mg
Toujeo/NovoRapid, Allergic to Levemir

Offline Pattidevans

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Re: my issues with opthalmology department
« Reply #14 on: 08 February 2018, 06:59:48 PM »
Blooming ludicrous!  The article said the Home Office "privately" realised it had got the salary threshold wrong!  So blooming well change it then!
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans