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!
Oops – well I’ve got myself a great big bruise this time, but not sure what I did wrong … other than probably rushing it and not sitting down and properly reading through the booklet to make sure that I’d absorbed everything thoroughly and knew exactly what to do.
It didn’t sting nearly as much this time, probably because I didn’t stand up right after doing it, but it bled a bit and bruised mightily. Perhaps I was just unlucky in where I put it, or maybe I didn’t press down hard enough before and/or after. Oh well … hopefully I’ll do better next week, and will read the book a bit more carefully too!
Well, it’s done! Of course it’s not done, ’cause i have to keep doing it for as long as it works, but the first one is over with … and it wasn’t bad at all! Hurrah.
I got to the hospital nice and early because parking is hell. It took me ten minutes to find a space in the car park, but it’s been much worse on other occasions so I’d left loads of time and had time fora pre-appointment coffee. That meant I was as relaxed as possible when I got in.
I was called into the first bit (weighing etc.) almost immediately and then waited only ten minutes over my appointment time to see the nurse, which was really good … and it wasn’t the old battle-axe either; it was the very nice nurse I’d spoken to on the phone, and she was very nice in person too.
She went through the yards of explanatory leaflets etc. very patiently and then we got down to business. I’d hoped I’d be allowed to do the deed in my thigh but knew that they might say tummy was better … and what they say goes! Fortunately what she actually said was, ‘We advise you to rotate the four possible sites – left leg, right leg, left side of tummy, right side of tummy, but if you don’t fell comfortable doing it in the stomach just swap between legs, and vice-versa’. I haven’t decided whether I’ll do it in the stomach yet – it’s still quite unappealing – but at the appointment I injected into my leg.
The nurse carefully explained about how to hold the injecting pen, which bit to press and when and ‘Don’t take it off your leg as soon as you’ve pressed it or there’ll be an almighty mess!’ So I did as I was told, pressed the big, shiny, yellow button and counted to five and then took it off … and didn’t feel a thing! Wow!
‘I didn’t feel a thing,’ I said, in surprise … shortly followed by, ‘Ow … I do now!’ It was quite stingy and painful a few seconds after the injection, but I just had time to think, ‘Oh no, don’t tell me I’m going to have an allergic reaction or something,’ before the pain passed, never to be felt again!
I’ve had no side effects, unless you count a TINY bruise, and definitely no stomach problems this week, so I’m pretty happy at the moment. Perhaps next week I’ll try the stomach … but at least I know that if I hate doing that I can just do the legs.
Tags: arthritis, hospital, injection, methotrexate, MTX, presription, RA, Rheumatoid arthritis, rheumatoid arthritis (RA)
I got an invoice in the post yesterday from the hospital, ‘Charge for prescription fee’. I haven’t had a prescription fro the hospital – what the heck are they on about? Then I thought, ‘Aha – it’s probably for my appointment on 8th Feb – the injection’ so I phoned finance and pointed out that I had a pre-payment certificate, expecting a whole load of argument about, ‘Oh, we don’t deal with those’, but no – it went very smoothly and she processed it through with the pre-payment certificate- all fine.
Then I took another look at the invoice for some reason – not sure why – and read it properly. ‘Charge for prescription fee 17.01.16 – as no credit terms are offered, please remit by return. If no payment is received within 30 days the invoice will be passed to our debt collection agency.’
Now I was pretty riled and slightly confused – but imagine how some poor little old lady would feel receiving that – OK, it’s not a large amount of money but the aggressive tone is enough to give you palpitations if you’re that way inclined. (I’m not, luckily – it just made me cross!) So I phoned the finance department back and said, ‘Oy, what’s this about 19th of January. I wasn’t there on the 19th of January.’ only (slightly) more politely. ‘Just a moment, I’ll check …’ <Hold music> ‘Yes, that’s right, it was processed on the 19th of January.’ Deep breath … ‘Yes, I know that … but I wasn’t there on the 19th of January so what is this for?’ ‘Oh … er…. we’ve only got the same info that you have – we’re just asked to process the invoice. So you didn’t have an outpatient visit?’ ‘No.’ ‘And you didn’t visit A&E?’ ‘No …’ Did I not just say I wasn’t there? Was that not clear enough? Obviously not. ‘Oh … well, would you like to check with pharmacy?’ So she gave me the pharmacy number and said, ‘But don’t worry, it’s processed on your per-payment certificate anyway.’ And I’m afraid that riled me even more – typical number-cruncher attitude – it doesn’t really matter what it’s for as long as the numbers balance. But I didn’t say anything except a polite thank you for the pharmacy number.
So I phoned the pharmacy – ‘Oh yes, it’s for an injection – it was sent to your GP on the 19th of January.’ ‘
‘It better not have been – because they can supply their own quite handily I believe – they don’t need them sent from the hospital. Are you telling me I’m being charged for something I’m not going to get because my next appointment is with the hospital, not the GP? Or is it perhaps a dose that’s been sent to the hospital rheumatology department, because I do have an appointment with them on 8th February.’ And of course that’s what it was. Hurrah.
Is it really that hard to put on the invoice ‘For hospital methotrexate injection on 8th February’ and take out the whole ‘You are an evil person who hasn’t paid instantly for something you didn’t even know about’ bit? Apparently so. Grrr …
And that only took 20 minutes to sort out and was a one-off. A very intersting post from Carla over at Carla’s Corner, on the time needed to cope with a chronic illness. I have a tiny weeny fraction of what she has to cope with and it still gets me grumpy and slightly stressed.
Hurrah! I’m ‘back to normal,’ or as normal as someone who calls herself Pollyanna Penguin ever gets! What a relief. I managed four full work days last week AND a nice weekend (as opposed to collapsing in a heap at the weekend because of too much work). And yesterday I had a day off to attend a painting class – cyclamen – absolutely beautiful (that’s the original flower, rather than my painting which was so-so, because I’d done no painting for nearly three months!) In spite of being in a horribly cramped room and having to pull my chair madly in or stand up every time ‘teacher’ or anyone else wanted to go passed, and in spite of having my knee down all day and not moving much because we were too busy painting, I was still able to drive an hour home (Mum drove there) and then drive half an hour each way to go for our weekly shop, and i was fine afterwards.
Now if I can just get rid of this sinus headache … still, I’d rather have that than a knee flare … just about.
Tags: aches, arthritis, fatigue, flare, joint pain, knee, methotrexate, pain, RA, reaction, Rheumatoid arthritis, stomach upset, stress, tiredness, work
Well the knee is certainly a whole lot better and I’m now tapering off the steroids – I ended up with 11 days on 40 mg and then a taper down to nothing. The bad news is, not surprisingly, it’s not 100% better yet, and so far I haven’t managed a full day’s work since this started. Fortunately (not from a financial standpoint, but otherwise) we’re not that busy right now. I’m not too worried as that’s often the case in January and there are things simmering away that should come in over the next few months, and it does mean that if I just can’t manage a full day then so be it. At least the boss can’t get cross with me! (Having said that, I’m probably my own harshest critic, so I guess I can get cross with me!)
On top of the whole knee thing, yesterday I had what was pretty much certainly a full-blown methotrexate-related stomach upset, so I’m very glad now that I’m going on the injected stuff in a couple of weeks! Feeling OK today, if a little tired, but I was a complete wreck for a while last night – thank heavens for Imodium is all I can say!
Still, even if I don’t last all day today at work, I’m confident that I’ll be doing so by the end of the week, so things are on the up! I hope things are going well for all of you too.
They say little things please little minds, and my little mind is pretty chuffed at the moment. Here’s why:
- I’ve managed to have a bath – first one in over two weeks, as the leg wouldn’t bend enough to get in the bath before! LOVELY! Apologies if this is ‘too much information’!
- I’ve just been out for a birthday meal with a friend. OK, so it was plan D, with plan A being a long walk pre lunch and lunch in a cafe an hour’s drive away, whereas this was no walk and a pub 20 mins away, but great food, great company and I managed to sit through it fairly comfortably with my leg down. (It’s not my birthday for a while yet, but only date we could both manage for ages!)
- This is the first time this week that I haven’t needed a nap, having had a cracking good sleep last night!
So all in all, delighted to say, I really am on the mend. Not pain free yet but hopeful!
For my next trick … I have to find the balance between some gentle exercise and not overdoing it! Wish me luck and I hope things are going as well for you!
Tags: arthritis, flare, joint damage, joint pain, pain, RA, rheumatoid, Rheumatoid arthritis, rheumatoid arthritis (RA)
Yay – the swelling has pretty much all gone and so has the inflammation – I have pretty much full ‘bendability’ back in my left knee – woohoo … but yes, I’m still being careful! Of course if you have an injury, swelling and inflammation happens for a reason – to take more blood to the area to repair the injury, and to stop you moving it in ways that are going to cause the injury to worsen. Now in RA, given that it’s those helpful wee blood-cells that are actually doing the attacking and causing the injury, it kind of confuses things a bit, but nevertheless the swelling DOES stop you moving the joint in ways that are likely to cause more injury … and when the swelling’s gone, so is that warning and protecting system. And one thing hasn’t gone yet … the pain! Luckily the pain isn’t there all the time for me, which is great – I’m very, VERY glad about that – but it does mean that while I’m sitting at my desk pain-free and want to leap up and get a cup of coffee, it’s rather important to remember not to leap unless I want to end up an embarrassing heap on the floor!
No doubt about it, this flare is definitely nearly over … but not quite. I was chatting to a friend on the phone the other night, someone who knows me distressingly well, and when I said that she said, ‘Well just don’t go and do anything stupid … like you usually do.’ Now I could have said something (quite a lot actually) about pots and kettles here (Maggie, if you’re reading this you know who I’m talking about!), but I have to admit she has a valid point, so … although today is the first day where I’m not using my stick AND the first day where (so far) I haven’t got my Physicool bandage on (but it’s with me in case I need it), I will still only be working a half-day. And just to make absolutely sure about that, I haven’t brought lunch in with me, so I’ll have to go home if I want to eat … or walk down the road to the shops, which I’m not up to doing yet – especially in icy fog!
I’ve been doing half-days all week and no doubt would have recovered slightly faster if I hadn’t worked at all, but that’s the thing about being self-employed – no work, no pay… and you let your clients down and you get a bad reputation and then you’ve got no business, so here I am! Thankfully this week we haven’t been that busy, but next week looks like a corker so I must be super-careful not to do anything stupid and make sure I’m fine for then.