Tags: aches, arthritis, blood test, cats, doctor, flare, flare-up, GP, hospital, joint pain, knee, medicine, methotrexate, MTX, NHS, nurse, pain, R.A., RA, rhematoid arthritis, rheumatoid, Rheumatoid arthritis, rheumatoid arthritis (RA), rheumatology, stiffness
Thanks to the state of the NHS today (which, if you read this blog often you will know I harp on about endlessly) it is simply not possible to have a relationship with your GP these days (unless you’re incredibly lucky or live on some tiny island that actually has its own GP or something!) My GP practice has around 10 GPs plus locums. It’s pot luck who you get to speak to when you call and they phone you back, and then if they decide you should be seen you won’t see the person you spoke to that morning.
It also seems that they don’t have much of a relationship with the hospital and seem to have some sort of mythic belief in the power of the rheumatology helpline, as I’ve also mentioned before.
The patient calls the GP because they have an RA flare. This is a shocking waste of the GP’s time because these lucky, .lucky patients have an RA helpline that they can call and that will solve all their problems. They can speak to a lovely nurse* straight away and the nurse will wave her magic wand, waggle her magic pixie ears and solve the patient’s problem.
* Actually that’s the only true bit – the one we have at the moment IS a lovely nurse!
The lovely nurse, or even a secretary or receptionist, never EVER answers the helpline. It is an answerphone. That’s the way it’s set up. It’s not an answerphone on odd occasions when they’re exceptionally busy, it’s ALWAYS an answerphone. The message on the helpline says something like: ‘If you’re calling about a non-RA related problem, please call your GP. If you’re calling to change an appointment, please call reception. If you’re calling about an urgent need, please call your GP. If you’re calling to buy fish, please contact your fish monger. If you’re calling to moan about Brexit, please contact your MP. If you’re calling because you’re a moron, voted ‘Leave’ and can’t work out what a helpline is for, please call someone else and bother them. Now, if you really, really want to leave a message, we suppose you can. Give us your hospital number and name and telephone number and we’ll try to call you back in 24 hours – but no promises mind.’
I don’t know about you (actually I probably do, if you have RA) but I consider a flare pretty urgent.
While in an ideal world I would sit back on a couch, watch the telly and let my servants feed me grapes while I rested my knee and waited to see if it would clear up on its own, I do actually have a life (and no servants, and hubby is great but also has a life, and the cat just ain’t interested in helping), so I can’t just sit about and rest it. On that basis I can’t wait potentially 48 hours or more for the helpline to phone, and the nurse say, ‘Call your GP and get some prednisolone’ because then I can’t call the GP until Monday as 48 hours is Friday morning and by the time I’ve heard back from the helpline the GP has run out of appointments. By that time I will have been flaring for over a week!
What Polly did Next
So … I went to the appointment grudgingly granted me by the grumpy GP. (Ooh, nice alteration that penguin!) Fortunately it’s with a much more pleasant locum GP than the one I spoke to on the phone. Unfortunately of course she doesn’t know me from Adam (or strictly speaking, as a doctor, she can probably spot I’m not Adam from the wobbly bits, so I should say she doesn’t know me from Eve). This means that she doesn’t know if I’m a moron or not, and therefore has to assume I am, as we always have to cater for the lowest common denominator.
‘How can I help you?’
‘I’m having an RA flare in my knees, as usually particularly in my left knee. It’s stiff, not very flexible and painful at times.’
‘Have you called the helpline, because really -‘
‘Oh, and what did they say?’
‘I said I’d called them, not that I’d spoken to them!’ I then explained, gently, ’cause she was a locum and therefore wouldn’t necessarily know any better, the realities of the helpline. (I didn’t mention Brexit or fish mongers.)
‘Hmm, you had a blood test only yesterday and your bloods were hardly elevated at all.’
‘They never are.’ The mere fact that my bloods are even a smidge elevated is a pretty strong indication of a flare with me. Sometimes I flare and there’es no indication whatsoever in the bloods. Now this is where a doctor relationship would come in handy. If she’d actually known me, known that I’ve had RA for nearly ten years, known that I’ve had umpteen flares in my left knee, known that blood tests are not a helpful indicator with me, known that I have a brain, we could have skipped the pointless bits, more of which are coming up.
‘Ah, well let’s have a look.’ Prod, poke.
‘Did that hurt when I pressed there?’
‘No, I just thought I’d make screamy gurgling noises for fun.’ (Nope, I didn’t really say that either, I just said yes.)
‘Can you bend it?’
‘This much.’ Demonstrated a very slight bend.
‘Ah. Have you tried pain killers… like paracetamol?’
I’m afraid I just looked at her and laughed, finally managing to choke out a ‘yes’, followed by ‘interspersed with ibuprofen.’ She looked amazed that I’d been able to think of painkillers all by myself.
‘Well I’ll prescribe a course of steroids. Now if they don’t work, we’ll have to consider other possibilities like osteoarthritis, as they should work for RA.’
‘Well, they’ve worked every other time I’ve had them, so touch wood that they will this time too.’
‘Oh … right.’ Look of mild astonishment, either that I’d had them before (it’s in the notes dear) or that I actually knew that I’d had them before, who knows.
So I thanked her very nicely, ’cause I’m a well brung-up penguin … and I might run into her again, and off I went to the chemist to get my steroids.
Again, after nearly ten years of RA, I think I recognise an RA flare when I see one … I really hope I’m not proved wrong and that the steroids do work again this time and it doesn’t turn out to be OA. That would be sooooo embarrassing after this post!
Tags: aches, arthritis, Brexit, flare, joint pain, knee pain, methotrexate, RA, rhematoid arthritis, Rheumatoid arthritis, rheumatoid arthritis (RA), rheumatology, sleep, stiffness, stress, tiredness, work
I haven’t posted for a while because I haven’t really had much to post about – health-wise I’ve been good. I’ve been a bit stiff in the mornings for the last few days, but nothing to write home (or indeed blog) about. Then today I woke up stiff and tired, having had a migraine try to start in the night (successfully stopped with drugs!) I really couldn’t wake up for an hour or so this morning – not literally, I got up, had breakfast, went to work, but felt really brain fuggy. (Can’t blame the methotrexate as I take it Monday evenings and it’s Monday morning!)
Then when I got up to go to lunch, or rather tried to, I started to stand up and ended up collapsed back in my chair. No dramatic pain or anything – I was just so all-over stiff that joints weren’t doing what they were supposed to do! So after sitting a minute or two and flexing various bits (luckily on my own in the office so no one to see how weird I looked) I managed to get up and go for a short walk. I’ve been trying to walk about 1.5 miles at lunchtime but today I didn’t make 0.5 miles! The stiffness did mostly ware off but I was left with significant pain in the good ol’ left knee, where I usually get a flare if I’m going to have one. I’m really hoping I’m not!
Perhaps it’s the stress of ‘Brexit’ – the ‘Wow – where did that come from?’ title could also apply to that and it seems that partially to blame (apart from racists, stupid people and perhaps a handful of people with genuine concerns) may be the polls (as opposed to the Poles, which a lot of East Anglia would like to blame, I’m sad to say). The polls kept saying we’d vote to stay, so people decided that it wouldn’t matter if they had a ‘protest vote’. ‘Let’s vote leave, just so the government can see we’re annoyed with them – we’ll end up staying anyway.’ I’ve actually heard people say it, and then there’s this http://article in the Independent. No doubt people like this thought they were being terribly clever and original, but you get enough people doing the same thing (not that original after all guys) and guess what, we end up voting Leave.
Never mind the embarrassment of waggling stiff limbs about randomly in front of people, I feel embarrassed to be English at the moment! (I would say British but the Scots voted to stay!)
Hopefully the stiffness and knee pain will be a short-term issue. Alas, the same cannot be said for the state of Britain!
Tags: ear ache, immunosuppression, infection, methotrexate, MTX, RA, Rheumatoid arthritis
I hope those of you in the UK appreciate the Sun style headline! All will become clear shortly, but let’s start with a once upon a time, like all good stories. Once upon a time, two weeks ago in fact, I had ear ache pretty badly … I called the doc, saw the nurse practitioner, got antibiotics for an ear infection, was told not take my methotrexate that week so it didn’t fight the antibiotics (so to speak), took the antibiotics, got better (but not 100%) and that should have been the end of that … only it wasn’t.
Guess who forgot NOT to take the methotrexate? Bad Polly Penguin!
So anyway, Monday night the ear was niggling quite badly again (and I’d been off the antibiotics for a few days) so I thought, right, I’d better call the doc tomorrow and not take the MTX. Of course yesterday morning the ear felt fine. ‘Still call the doc,’ said wise hubby … and I really, really meant to, but we were very busy at work and I completely forgot. The ear was fine all day. So I thought right, better not delay the methotrexate any longer and I took it last night (and had a most appalling stomach upset, incidentally!)
‘Still call the doc about the ear,’ said wise hubby again, ‘you don’t want it flaring over the weekend when you can’t get a doc,’ so I thought I would … and in fact the ear was niggly again last night and this morning, so at least that reminded me.
Got through to the surgery very quickly. The system is normally you speak to the receptionist, they get a doctor to call you back and then, if the doctor feels the need, you go in and see them. In this instance, to my amazement, as soon as I said what the problem was the receptionist said, ‘Can you come in now?’ So I did. Fantastic, I thought – red flagged because of my immunosuppression – I didn’t think they did that.
And now, finally … for anyone patient enough to have read this far, we get to the baby doc shock! I went in and saw the doctor, who I think is a locum (they mostly are as we have terrible recruitment problems – heaven knows why, it’s a lovely part of the world). She must have been just out of training. She was really lovely, hadn’t had the softness knocked out of her yet, excellent bedside manner, sweet as pie (much sweeter than the original ‘Baby Doc’) and very helpful. She checked both ears, checked my temperature, asked about the history of the last couple of weeks … confirmed I actually had some infection in both ears (which was a surprise) and asked me to come back in a week or so just to make sure everything was OK after I’d finished the antibiotics. All well so far.
‘Shall I take my methotrexate next week, while I’m taking the antibiotics?’ I asked. Baby doc looked thunderstruck. Heck! So much for the red flag for immunosuppression – she didn’t even know I was on methotrexate. ‘I’m on methotrexate for RA,’ I elaborated. ‘The nurse practitioner said not to take it last week because of the antibiotics, so should I take it this time or not?’ (I admit I failed to fess up to having taken the MTX last week!)
‘You’ve got RA? How long have you been on the methotrexate?’ she asked.
‘Oh ages,’ I said cheerfully.
‘But you’re so young for RA!’
My turn to be thunderstruck. Yes, I KNOW GPs have to know a smidgen of everything and there’s a heck of a lot of everything out there, so they can’t be expected to be experts on anything; yes, I know that she’s only just out of nappies … sorry, school … sorry, college; yes, I know it’s a commonly held misconception … but … well, can I just say aaaaaaaaaaargh.
I didn’t say aaaaaargh to her. After all, she’d been very nice and helpful and I didn’t want to antagonize her … but I did point out that RA can hit at any age, and that mine had started nine years ago when I was 39. Unfortunately, perhaps, I didn’t really push the point … maybe I should have done. She’s probably still a ‘GP trainee’ and might have found the information valuable. Thing is, I was kind of in shock that she’d made that comment and I just didn’t react fast enough.
My apologies for the whole ‘RA’ and arthritis ‘community’ – I feel that I’ve let us down!
Tags: arthritis, Arthritis Care, Arthritis Research UK, chronic pain, cloudy with a chance of pain, RA, Rheumatoid arthritis, weather
Isn’t that a fantastic title for a study of chronic pain to see if it is/might be related to the weather? Well, if you’re in the UK and have arthritis or chronic pain and smart phone you can do more than just enjoy the great name – you can be part of the study!
All you have to do is agree to participate and download the Umotif app with the code word ‘cloudy’ – allow it to know your location and fill in the details (which really won’t take more than five minutes and probably less) each evening. I think you’re supposed to be able to set a reminder in the app, so that your phone will ping and remind you to complete the survey … as yet I haven’t worked out how tough!
To find out more about the project, funded by Arthritis Research UK, you can go to their website.
This sort of study needs lots and lots of people to really make it work, so if you’re eligible please do join in – it would be fascinating to see if any link to the weather is established. And as the article about this in Arthritis Care’s Inspire magazine points out, if nothing else the study might get a few headlines about arthritis, which ain’t that easy to do!
Even better, this really is ‘Citizen Science’ – anyone who wants to can explore the data, look for patterns and, if they find any, submit their ideas and hypotheses! Cool!
Tags: art, carla, Rheumatoid arthritis, wren
Sometimes I feel a wee bit isolated over this side of the pond – all my American blogging friends are meeting up for health blogging conferences and things and I’m stuck over here … but how cool is this?
Not only a card signed by all my ‘US mates’ who were at the latest conference … a really lovely thought of Carla’s (from Carla’s Corner), but also a wonderful picture of me, accompanied by some little friends doing one of my favorite things, yomping about the British countryside (in spite of a dodgy knee, presumably, given the stick) … and by our very own Leslie Vandever, better known in the RA community as Wren, whose art I just love!! I really will treasure this.
But this didn’t just arrive through the post … it was hand delivered by Carla, who came all the way from the States (via London, Edinburgh, and Glasgow as you do) to meet up with me in Norwich and present it to me … OK, so she didn’t exactly come all the way from the States to present it to me, but I’m mighty grateful that she came all the way from her London vacation base … and a day after returning from Edinburgh. We Brits thinks it’s a long way from London to Edinburgh but it’s apparently nothing to an American whose home state is five times the size of the UK … as Carla’s hubby (who reminds me a lot of mine!) pointed out.
They also treated me to a lovely lunch and thanked me for coming … huh? I’ve driven half an hour each way, and jumped on a bus from the park and ride … and taken a day off work* (woohoo) and they’d taken a day out of their vacation and a 5-hour round trip to buy me lunch and deliver this wonderful card and they’re thanking me?! So once again – THANK YOU CARLA AND JACK! And thank you Wren for the wonderful card, and thanks to all you RA bloggers at the conference for the singing of it! Hi to Cathy, Eduardo and Brit, whose blogs I already know, and the rest of you I look forward to ‘meeting’ on line in the near future … now I have your blog details to hand in the card!
It was such fun meeting up and none of those awkward silences that sometimes happen when you meet with people you don’t know well … I think we could have carried on talking for hours, but they had a train to catch and I was supposed to be going back to work.*
Thanks again guys -and maybe one day I’ll get out to the States and meet up with some more of you!
*It was supposed to be part of a day off but it kind of um … extended …
Tags: doctor, methotrexate, prescription, receptionist, surgery
That’s doctor’s surgery, not a need to have surgery, I’m very glad to say!
I put in a repeat prescription two days ago, went in to collect it today, only to be told they didn’t have it in at the chemist. (The usual route is for me to deliver my requirements to the surgery, and they pass it on to the chemist, who is thankfully very nearby, for collection in 48 hours.)
So I went to the surgery and said, ‘I put in a prescription two days ago but they don’t have it at the chemist.’
‘Oh well, it can be up to 48 hours.’
‘It’s been more than 48 hours.’
‘Well it can be up to two days, if you put it in on Monday morning, it might not come out until later today.’
‘Why say 48 hours then? It’s been longer than 48 hours. Please could check on the system and see if it’s been done.’
Rather unwillingly she checked the system and said, ‘Yes, we issued it on the 19th,’ and sat back with a satisfied smile. ‘We issued methotrexate, folic acid, hydr… hy… hydrer … can’t pronounce it but we issued all that stuff.’
Deeeeeep breath … ‘OK, well they don’t have it at the chemist. What now?’
‘Can you go over to the chemist and check?’
Really deeeeeeeeeeeeeeeeep breath. ‘As I said, I’ve just come from the chemist.’
‘Well could you check again. It might be there.’
Well, it’s only up the road, not like I have anything better to do … oh wait, yes I do … never mind. Back to the chemist.
‘Could you check on the shelf please – the surgery say they issued it on the 19th. It’s happened before that it wasn’t on the database but it was on the shelf.’
So very grudgingly the pharmacy assistant checked the shelf. It wasn’t there. ‘Well it wouldn’t be,’ she said, ‘ it wasn’t on the database.’ I’m getting really tired of repeating myself at this point but I said, ‘It’s happened before. Would you mind ringing the surgery and telling them, or shall I carry on being a yo-yo and go back and tell them again?’
‘Would you mind going over? It’ll take us ages to get through to them!’ Well I had to concede that was a fair point so I went back over. By this time I had lost any vestige of patience i had. Funny, my mum thinks I’m very patient… but that’s just an indication of her extreme impatience!
I went up to the same receptionist, glared my most menacing penguin glare and said, ‘I’m back.’
‘Oh … it’s not there then?’
‘Funnily enough, no.’
‘But we issued it on the 19th.’
‘You said.’ More glaring.
‘Well have you had the methotrexate?’
‘No, of course not. I haven’t had any of it. That’s what I’m saying. It’s not there.’
‘Well …I can’t understand why they keep disappearing …’ HA! So it’s not just me this is happening to then, marvelous! Good old surgery ****’s up again! ‘Well, I’ll print it out right now.’
‘I’m going to run out of my medications by tomorrow night – I can’t wait 2 working days.’
‘Oh no, we’ll get a doctor to sign it and send it over this afternoon.’
So I’m waiting to see if they get it right this time – good job I have spare methotrexate as it takes the pharmacy three days to order it in!
Tags: arthritis, Barcelona, gluten, gluten free, RA, Rheumatoid arthritis, Spain, stomach
So I did gluten free for a month before we went on holiday to Barcelona – where we had a FABULOUS TIME and ate all sorts of wheat-related products! I can safely say, I think, that it made absolutely no difference to my arthritis, which carried on being mild to moderate and twinging and whinging in exactly the same joints as usual. However, I’ve always had a dodgy stomach for years, the worst thing being wind – and almost as soon as I’d gone gluten-free the windiness massively reduced – almost entirely stopped in fact. That’s a big thing for lifestyle, if not for RA!
So then we went to Spain – wow, warmth, sunshine, fabulous food … but I didn’t bother to attempt gluten free while I was there, while at the same time not going out of my way to eat gluten! We had a pastry of some sort with a fruit salad for most breakfasts, a roll with some dinners and sandwiches for some lunches – we also walked very nearly walked my feet off … even hubby was getting a bit tired! I’ll post some photos when I get them on to my PC, but so far no time this week! We had a wonderful time and saw all sorts of amazing things and … with one notable exception, possibly caused by too much really exceptional paella, my tummy was fine! However, this fits in fine with the possibility of a mild intolerance rather than an allergy – no reason for stomach to react instantly in a bad way.
When we got home I’d run out of gluten free cereal and we weren’t going shopping for a day or two so I had bran flakes again – BAM! Stomach back to square one! Hmm, interesting. No more bran flakes I guess! So I then decided to play this week as gluten free cereal but not to worry about the other food and see how it goes. So far … not fantastic. I might well be going back to (almost) gluten free quite soon!
Tags: Giulia Enders, gluten, gluten free, Gut, joint pain
So, I’ve finally jumped on the band wagon and I’m trying out gluten free. At first I thought, ‘Oh, it’s another fad like the Atkins diet, it’ll soon fade away, just as that did’ – and yes, before I get all the cries of outrage in the comments, I know some people still use it and find it good; I also know much of the ‘science’ behind it was debunked and that, like all fads, there are some people who find it useful but a lot of people just wanted to try out the latest thing, found it didn’t work for them, and it’s quietly disappeared out of the press etc.
I thought the same would happen with gluten free, even though a lot of people whose opinions I respect were trying it out and finding it useful. The tipping point was a couple of extra people I respect really swearing by it and a partial reading of Gut by Giulia Enders, a highly entertaining read (although only in small doses, which is why I’ve not finished it yet) about ‘the body’s most underrated organ’ – yes, it’s more than one organ but we’ll forgive her that as a translation error; the original is in German. She’s a ‘real scientist’ and points out the vital difference between gluten allergy and celiac disease (which are not the same thing, thanks Kate for pointing that out!), which I know I haven’t got, and gluten intolerance, which perhaps I have. She lists the possible symptoms for gluten intolerance: ‘digestive problems’, flatulence, headaches and painful joints. Without going into unnecessary detail, let’s just say I read that and thought ‘box ticked’ about everything there! So I ummed and urred about whether to give it a try and then put lots of unnecessary obstacles in my own way, because I didn’t really want to, and I especially didn’t want to find I actually had gluten intolerance. What?! No more cakes (except brownies of courses – everywhere loves to proudly advertise their gluten free brownies – not a special effort; the basic brownie recipe has no flour in it!) Also no more bread, crackers, matzo? YIKES!
Then I read what Saint Giulia had to say a bit more carefully. ‘Gluten sensitivity […] is not a sentence to a life of gluten avoidance.’ HURRAH! So I got some excellent advice on what was available from my gluten-free aunt, and gave it a trial run last week. The trial run involved cutting out my beloved daily breakfast bran flakes (yes, I know I’m odd but I actually LOVE bran flakes) and eating as normal apart from that, but noting what foods I normally eat did have gluten in so I could find alternatives and cut them out. (While my aunt’s gluten free breakfast sounded amazing, you’d have to be retired to have time to prepare it!) So breakfast is now simply a gluten-free cereal, nowhere near as tasty as bran flakes IMO but not bad. I hardly ever eat bread anyway although I do enjoy it, so for the gluten free experiment I’m just not eating bread – easy. Same applies to matzo although I normally eat them a tad more often than bread. I’ve replaced noodles with rice noodles (which will take a bit of getting used to on the cooking front – a big, wobbly gelatinous mass for dinner last night. (‘And that was just hubby,’ says hubby!) I’ve replaced our standard (oh God, we’ve gone middle aged and have a standard dinner every week) southern fried chicken, with a non-bread-crumb coated, but just as easy to sling in the oven, chicken thing. Where we used to sometimes have jacket potato with fish cake, which I always thought was a bit of a potato overdose anyway, I will now have jacket potato with tuna; hubby can still have his potato overdose. And finally, pasta bake – happily there is a gluten free pasta made with rice flour – it’s a bit odd but once you throw all the other pasta bake ingredients at it, it’s fine.
So now I’ve been gluten fully gluten free for all of four days – obviously no startling effects yet but I have seen some effects which may or may not be related.
So far no big difference as far as the joint pain goes, and I had a migraine last night so I’m thinking the headaches haven’t dramatically improved yet either (although maybe migraines don’t count as they’re not ordinary headaches), but the stomach-related stuff, again without going into unpleasant detail, is definitely improved. It’s not perfect but there’s a clear improvement. Whether it’s related or not I wouldn’t like to say just yet, but it’s improved.
And another thing that’s improved is not mentioned as a possible symptom of gluten intolerance, although it is listed as a possible intolerance symptom for other things. I’ve suffered from really awful catarrh (post nasal drip) for years and years, and that has dramatically improved too. Coincidence? Perhaps. We’ll have to wait and see.
And the great thing is that if it does make a difference, I don’t have to avoid all those nice gluteny things for ever; I just have to be careful and sparing … and probably stay off those bran flakes!
I’ll keep you posted on how it goes.
Local pharmacies, which have been hyped up over the past few years as the place to go for primary care (don’t bother your overworked doctor with coughs, colds, allergies, heart attacks, death – try your pharmacist first!), are now under threat from yet more government funding cuts.
The best write-up I can find is here at the Pharmaceutical Journal, back in December last year, but it’s only just impinged on my awareness because our wonderful, helpful, friendly local pharmacy has a petition going, which of course I’ve signed. I’ve also written to my MP and signed a parliamentary petition here, which is in desperate need of more signatures. This link also has links to a number of other information sources on this if you’d like to look into it further.
Of course you can only sign if you’re in the UK but I think I have a few UK readers and I hope you’ll support this with me!
We have very few amenities in our town and the surgery is in dire straits as always, but the pharmacy, which is a non-chain pharmacy owned and run by someone who worked for years in chains and saw everything they did wrong, is just wonderful. It would be really, really awful to see it go. We would be left (unless that closed too) with a fairly awful Boots chain pharmacy, and if that goes we’d have to travel out of town or put up with a central warehouse sending out prescriptions by post, with all the fun I can envisage that entailing – errors, refusing to send to work which would mean I’d have to wait home on work days for my scrip, etc. etc. Not to mention the fact that the surgery has made three errors to my prescription in the past year, one of which the pharmacy actually picked up and got back to them about! If I had to use a central warehouse, they no doubt wouldn’t pick up on errors and I’m sure it would take longer to sort out the issues when they do occur.
Tags: blood test, GP, GP surgery, injection, methotrexate, MTX, nurse, RA, rhematoid arthritis, rheumatology, sickness, surgery
At the behest of the hospital rheumy nurse, I’ve just been down to the surgery to have a blood test, since as I’m hopefully now getting more methotrexate into my system with the injections, they need to make sure that I’m not overdosing.
I got to the surgery, I went over to where the board hangs up where you collect your number and wait to be called for a blood test – no board. I headed back to the reception queue – the MASSIVE reception queue, the slow reception queue – in fact it wasn’t slow, it was immobile.
It took me 20 minutes to get to the front of the queue to say, ‘Where are the blood tests?’ only to be met by a blank look and, ‘Isn’t there a board …’
‘No, that’s why I’ve been standing in this queue for the last twenty minutes.’
‘Oh … well one young lady went home sick so perhaps they’re not doing them.’
‘It would have been helpful to put a notice up to save me queuing, and probably halve your queue at the same time!’
‘Oh, isn’t there a notice up? I’ll talk to someone about that right now.’
‘Don’t bother – they finish at 11 anyway and it’s 11 now.’
At least I needed to go anyway to get a printout of my new repeat prescription with the Metoject pen and then put that in to be reviewed by a doctor.
I sympathise with the sick phlebotomist; I sympathise with the rushed off their feet reception staff; where I draw the line is attempting to sympathise with blatant incompetence. How much effort would it have been for one of the receptionists (perhaps while she was getting coffee, as one of them did while I was queuing) to write a quick note saying, ‘No blood tests today due to staff sickness. Please try tomorrow but ring first.’ Not long I suggest. It also wouldn’t take long to inform all the receptionists (all three of them) that there are no blood tests, and yet clearly that hadn’t been done either.
It’s a good job I wasn’t going for a blood pressure check as my blood is boiling – at least it’s keeping me warm on a cold day!