Tag: NHS

My Prostate And Me – Part 12


Well here we are again. After another long hiatus, I thought it was time to update you all. The lack of posts on this subject is purely down to, in part, happenstance and in part, inertia on my part. So, for that, I apologise.

So, my last post was back in 2020, following a five year hiatus. Only 28 months this time, I must be improving.

My previous post ended with me waiting for various scans, which were duly carried out, as follows:

  • 1st August 202 – CT Scan
  • 3rd August 2020 – MRI Scan
  • 11th August 2020 – Bone Scan
  • 25th August 2020 – PET CT Scan

Much as I like playing with all the NHS toys, I could do without the palaver of driving to the hospital, searching for a parking space, then waiting for my turn in the scanning department. Don’t get me wrong, I am very grateful for the attention that I am getting. Anyway, the net result of all these scans was, overall, a positive one. The scans indicating that there was no sign of the cancer around the prostate itself, and, apparently, no sign of metastasis. Prostate cancer apparently tends to migrate to the bones, or so I believed. So also getting the all clear from the bone scan was a positive thing.

Or, maybe the prostate cancer was hiding ?

Although there was no sign of the cancer around the prostate or in my bones, they did discover something in my lung !!! I became aware, very recently, that Prostate Cancer can metastasise to the lungs. So my case became the subject of one of the hospitals multi-disciplinary meetings.

Apparently there was much chin and arse scratching, bone tossing and probably some discussion about how Pompey were doing in the football league. The net is that my urologist talked to the chest doctors. They, the chest doctors, suggested that, whatever it was, was in a difficult to reach place. They further suggested that “we” should wait for 6 months and then have another scan. Then decide what steps to take.

My man, the urologist, didn’t think that was such a good idea. He felt, if this was the prostate cancer, it would be better to be proactive and treat it accordingly. Consequently he decided to start me on a course of Prostap injections.

And so it was that, on the 14th October, 2020, I started my course of Prostap. One injection every 4 weeks. This continued until November of 2021.

During this time, continuing blood tests and a scan showed the “thing” in my chest had shrunk and my PSA levels were dropping. In the words of my urologist, the “thing” had self diagnosed itself to be Prostate cancer. So we continued on with the Prostap jabs until, following a conflab with my urologist, we decided that I should take a break.

Apparently Prostap, along with most medications, comes with its own baggage. One potential side effect is the impact to ones bones, increasing the possibility of osteoporosis. With everything else that’s going on I certainly didn’t need that in my life.

I continued having blood tests to monitor my PSA and each of those was followed up with a telephone consult with my urologist. Always a very pleasant few minutes chatting followed by wishing each other well until the next call.

Latterly the calls included a concern about the fact that my PSA levels were bouncing around up to a new high of 3.2. Thats up from the zero point something I was at once the initial Prostap course was well underway.

At the end of August 2022, during a telephone consult with my urologist, it was decided that I should restart the Prostap injections. I had the first of the new course at the end of September. This time round the jabs are on a 3 month cycle and my next one is scheduled for March.

Following the last blood test, the Prostap, after only 3 months, appears to be working its magic. My current PSA level is 0.4 Great news by any measure..

From initial diagnosis, Brachytherapy in 2015 and thru to Prostap it has been an interesting experience. If, in the future, I have anything significant to report I’ll post again.

Before I go, I would like to thank all of the NHS staff who have handled my various visits to and stays in the Queen Alexandra Hospital, Portsmouth. You have, thus far, been amazing.

The journey, certainly isn’t over, but for now that is it.

Taking The Edge Off


Merry Christmas to you all. And I truly mean that. I hope you have managed to have a great time, and that you have managed to stay healthy, despite Covids best efforts and those of the other seasonal diseases that tend to crop up at this time of the year.

Over past years Gerry and / or I have managed to contract one of the various bugs doing the rounds during the Christmas period. Being sick really does take the edge off things especially when it means not seeing the grandkids opening their presents.

However, an unexpected benefit of the precautions taken, during the Covid pandemic ,seemed to be a reduction in the number of these seasonal infections. Sadly, now that many of the precautions have been relaxed there are many bugs doing the rounds. And, of course, Gerry has gone down with the dreaded lurgy, yet again. I say yet again, as this must be the third bug she has contracted this year.

Usually we are scanning around for the culprit, hunting down patient zero, searching for the one that passed on their germs. However, this year there are several candidates.

On the Friday before Christmas we were visited by a friend who said her husband was suffering with something. On the Saturday, Christmas Eve and our 45th Wedding Anniversary, we were visited by our daughter Angie and her husband Jon. He was suffering with a sore throat, croaking well.

That brings us to Christmas Day itself. Our granddaughter Keeley was hosting us this year, and of course nobody wanted to call it off, but, Keeley and her eldest, were both suffering with their own lurgy variant. And we didn’t see her youngest as he was in bed all day doing battle with his own lurgy. Although we had a good time and the food was yummy, the day was a little subdued. The edge had definitely been taken off.

Obviously, the odds were not in our favour and Gerry started with a tickly, then sore, throat late on Monday, Boxing Day. And there we have it, multiple folks at which to point the finger of blame.

Our concern is, as always, that anytime Gerry contracts one of these coughy cold/flu things, it invariably travels down onto her chest and evolves into a chest infection. Earlier this year she had two such episodes resulting in three prescriptions of antibiotics.

This morning, wanting to get a jump on things, I started the marathon task of trying to get an appointment to see / speak to a doctor. To stand a chance of getting an appointment, you have to start calling Crookhorn Surgery at 08:00. I started calling on the dot, with the following results ……

75 Calls = Number of attempted calls when the line was engaged.
This is only possible when using a modern phone, hitting redial immediately the system drops the call. I can’t imagine what folks do that are still reliant on landline phones and those that aren’t au fait with modern technology.

7 Calls = Number of calls picked up by the automated system, where I had to listen, excitedly, to a message which informed me that they were busy and to call back later. At which point the call is cut leading to huge disappointment.

At 08:13, after some 82 redials, I managed to break through to join a queue where I was informed, regularly, that my wait time was one minute. After some time I actually spoke to a human. The net result, after just under 10 minutes, was that we had been triaged and informed that we would receive a call from a doctor by 13:00.

This is better than last time where we attempted to get through, and, after 40 minutes were informed that there were no more appointments that day and that we would have to call back the following morning.

The good news from this, is that we had received the call from the GP, who duly prescribed the antibiotics. At 10:21 I received a text from the pharmacy to say that the script was ready for collection. By 11:30 Gerry had taken her initial dose.

Obviously, this is an improvement over our previous experience. But it does not reflect well on the NHS. Covid regularly gets the blame for whatever ails the NHS. All I can say is that prior to 2019 we were able to get appointments fairly easily, that we actually got to see a doctor on almost every occasion. Since 2019, trying to phone for an appointment is a chore, which rarely results in a face to face appointment.

Today my wife was called by a doctor who prescribed antibiotics over the phone. He didn’t see my wife, didn’t take her temperature, didn’t listen to her chest / lungs. This is not the NHS service that we are used to. But it seems that we are going to have to accept this as the new norm.

Well Said ….


I have copied this, as is, from a post on the “One Police” Facebook page.

It was triggered by the Sarah Everard tragedy but is relevant to so much more that is going on in the UK. This post touches on the nasty attitudes which have been visible for several years now. Permeating our society and throughout BREXIT, the pandemic, BLM, and so much more.

There are people in this country, and around the world, who are hell bent on division and antagonism. People who will happily hijack what was meant to be a peaceful event, albeit one that te authorities had said should not go ahead.

As ever the police are stuck between a rock and a hard place.

I debated for hours whether to post this or not…….

I’ve read lots of tweets and posts over the last week, and especially in the last 24 hours which have made me angry, sad, furious, shocked, mortified, confused, and just plain pissed off.

Don’t enforce the law = massively criticised / hammered in the media.
Do enforce the law = massively criticised / hammered in the media.

Ask yourself what are they supposed to do? Coronavirus legislation is what it is, we are still in the middle of a global pandemic, and 10’s of thousands of people have died as a result, directly or indirectly depending on which view you take of Covid.
But the fact is the rules are laid out, as per the wishes of the government. And they are there ultimately to attempt to keep us safe. The task of enforcing these laws (as always) falls to the police, along with everything else they’ve got to do.
So again, what are they supposed to do? Enforce the law, or don’t enforce the law. They will be hammered either way. Can’t win.

What happened to Sarah Everard was utterly horrific. And it goes without saying i completely understand the strength of feeling towards the case and the issues raised. The sad reality is what we all saw last night was the blatant hijack of a vigil (which had been rightly told not to go ahead and backed by the courts) by activists, anti-police agitators, opportunists with ulterior motives and those hell bent on causing a disturbance. All under the ever present camera lenses of those with other agendas.
Spraying “All Coppers Are Bastards” on a police van is not supporting Sarah’s family.
Shouting “No justice, no peace” is not supporting Sarah’s family.
Holding up “Defund the Police” banners is not supporting Sarah’s family.
Unfortunately a reaction was sought by some, a reaction was had (through the clear disregard of the law, public safety, call it what you will), and the aftermath perfectly timed and captured for the media to lap up and farm out.

I know who WAS supporting Sarah’s family though. The police family liason officer’s, sticking by them throughout the most awful time of their entire life.
The investigation team which has worked and IS working tirelessly to put the person responsible for this horrific act behind bars.

And let it be said right now, if it even needed saying: NOBODY HATES BAD COPS AS MUCH AS GOOD COPS.
They go against every oath we hold dear. They ARE NOT us.

Last night could have been and should have been a huge outpouring of support for Sarah, with doorstep candlelit vigils across the country in scenes like we saw with “clap for our NHS heroes” albeit an unbelievably sad reason on this occasion.
But in all the noise and smoke, the real message and the real show of support has been lost, as we woke up to celebrities, government officials and the *media lambasting the police.

*The utterly poisonous mainstream media quite literally, day in day out, wake up with the seemingly sole intention of dividing people, and causing hate.
In any way they can, they sow the seeds of hate between us, whether it be race, religion, gender, anything. Because it generates clicks, and in turn money.

We’re at a point now where the police are always seen as the villain. My inbox has been pinging away with calls of “murderers” and “scum”. We’re so quick to forget names like Wayne Marques, Ian Dibell, David Whyte, Keith Palmer, Nicola Hughes, Fiona Bone, Stephen Oake, Sharon Beshenivsky and many others. Who risked everything and in some cases gave everything to try and keep us safe.

I don’t know where this all ends up. I don’t even know why i wrote this. Maybe i’m just sick and tired of hearing the one sided narrative, and want to try and give a voice to the “silent” majority.

Don’t get me wrong, we are NOT perfect, never claimed to be. We’re only human and can / will make mistakes, it would be hugely naive to think otherwise. But we’re not the enemy.

I guess i’ll sign off by saying this is only my opinion. I’m not speaking on behalf of the police, although in amongst the handful of likes and comments it will inevitably get, i just hope the message gets through.

I, for one, hope the message gets through too. Something needs to change in the attitudes of the vocal minority. And certainly the media wants to do some serious soul searching, to look at themselves and where their allegiances lie.

The silent majority also need to find their voice.

News Article Should Carry A Warning


I have just read the attached article regarding Colchicine, a drug that could, potentially, be used to treat patients with Covid-19.

https://app.portsmouth.co.uk/2021/02/05/a-drug-used-to-treat-gout-could-reduce-covid-hospital-stays-according-to-new-research/content.html

Whilst I am supportive, of any additional tools made available, in this worldwide fight with Covid-19, I believe the author of this article has been delinquent, in not warning of the risks associated with the use of Colchicine.

I don’t mean risks associated with the proper administration under medical supervision.

What I am more concerned about, is the potential for Joe Public to self medicate, should they, like me, have this medicine in their cupboards.

Colchicine is a drug, used to treat patients suffering from Gout. The article says that use of Colchicine could reduce Covid hospital stays. And whilst that may be true, what the article does not say is that Colchicine is not safe for long term use.

As a Gout sufferer I have been prescribed Colchicine. It was prescribed to suppress my first flare up of Gout, taken over a few days. Subsequently, it was used to ensure that a second flare up did not occur, as I started my daily regime of Allopurinol.

At that time, it was made very clear, by my GP, that Colchicine was to be treated with respect.

Since then, I  have held a small supply of Colchicine in reserve, should the Gout return. Thankfully, I have not had to resort to the emergency tablets, the Allopurinol is doing its job.

My sister, also a Gout sufferer, can attest to the diarrhoea side effect, caused by the higher dosages.

My point is that at the time of the initial prescription I was warned of the toxicity of Colchicine.

From the NHS Web site ….

What if I take too much?

Taking too many Colchicine tablets can be very dangerous. It could be fatal.

Symptoms of taking too much Colchicine can include:

● feeling or being sick (nausea or vomiting)

● stomach ache

● bloody diarrhoea

●signs of low blood pressure (such as feeling dizzy or lightheaded)

Come on “The News” do due diligence and balance optimism with a required caution. There are folks out there who may just try self medicating if they start to exhibit Covid symptoms.

Idiocy – Party Goers Waving Two Fingers At Authorities


More than £11,000 in fines issued for baby’s birthday party in Nottingham

https://www-bbc-co-uk.cdn.ampproject.org/c/s/www.bbc.co.uk/news/amp/uk-england-nottinghamshire-55963093?utm_source=upday&utm_medium=referral

A one year old baby doesn’t understand or care about parties. This gathering was all about the adults. Adults that decided to gather, regardless of the rules or the law.

Basically they have all waved two fingers at the government, shown total disrespect to our emergency services and the NHS.

There is no excuse. These people deserve everything they get.

“If There Is A Need”


From the BBC ….

Vaccinations minister Nadhim Zahawi says they could open 24 hours a day, if there is need

What planet is Zahawi on ?

If there is a need ? Where does the bloody “if” come from ?

Of course there is a need. Has he not seen the news. The numbers of sick and dying increasing. The NHS bordering on collapse.

Surely the default should have been a steady increase of vaccinations to match the availability. Then steadily increasing to 24/7 provision until this pandemic is quashed.

The more people vaccinated will surely help alleviate the NHS overload.

I don’t understand our governments “softly softly” approach to everything to do with this pandemic. Slow to the harsher tiers, slow to full lock down, slow to hard border controls. And why so slow to enforcement ?

We should be giving vaccinations 24/7 now !!!

My Prostate and Me – Part 11


“See you all in six months !!!”

So said I, five years ago. A lot has happened in those five years although not a lot in the land of the prostate. Or perhaps I should say, not a lot, to my knowledge.

In 2015 we retired, and since then, we rebuilt our conservatory, holidayed in France – 2months and Italy – 8  days. We have spent 3 stints in Australia. Those 3 Ozzie visits totalled 12 months in all with the last trip stretching into 7 months, in part due to the pandemic.

And so to my prostate …

After our return from the latest Ozzie adventure, I was scheduled for a Urology Consult (telephone) 28th July. As is the norm, these are preceded by the taking of blood samples. As my GP had requested a blood sample to check my blood sugar levels, it seemed appropriate to combine them. So on Wednesday 22nd July, at eight in the morning, I presented myself at my local surgery and provided the necessary samples. I then sat back to await the consult scheduled for the following Tuesday. The next day, Thursday 23rd, I received a call from the GP surgery, could I come in and give another sample.

Apparently they wanted to rule out any potential issues with the analysis of the previous sample. As you can imagine my brain went into hyperdrive, what had the blood sample shown. I duly presented myself at the surgery and gave up some more of my blood. Although the person on the call didn’t know why I needed to give another sample, the nurse taking my blood was a little more forthcoming.

It appears the first sample showed my PSA level was up.  This second sample was to determine if there had been a balls up in the lab or if something more sinister was happening.

Friday I received  call from the surgery asking if I woud be prepared to have a telephone consult, with my GP Dr Mannings,  on Tuesday evening. I pointed out that I also had a telephone consult with the Urologist on Tuesday morning. That’s great quipped the receptionist, you’ll be able to tell the doctor what the results are and what your urologists plans are.

With all this interest in my blood and doctors left, right and centre wanting to speak to me my curiosity was definitely peaked.

So Tuesday 28th duly arrives and I have my telephone consult with the Urologist, Mr Hodgson. Yes, he confirmed, my PSA has risen.

Apparently last June my PSA was 3.6 but these latest blood tests show my PSA at 7.9 and 8.9. A sure indicator that something is going on down in the nether regions although still lower than the 13.3 which was where I was at before having the Brachytherapy

Because of this my consultant wants me to have a series of scans. CT, MRI and full body bone scan. The call is ended with the promise that I will be contacted with appointment details.

Sure enough, later in the day I receive a call from the Scanning Dept., would I be available on the morning of Saturday 1st August, for a CT scan ? Yes of course, and so I am duly booked in for 09:00.

Later the same day I have my consult with my GP. He already knew about the consultants plans but is like a child being handed a bag of sweets, so excited, when I tell him that already have the first of my scans booked.

The NHS is actually working very swiftly and efficiently. Obviously I have Covid-19 to thank for this, the hospitals are operating in a very stripped back mode. All to my advantage.

Over the next few days I receive calls and set up the remaining appointments. Monday 3rd August @ 19:00 for the MRI and Tuesday 11th August for Full Body Bone Scan. The bone scan is in two parts. I have to turn to at 11:15 for a radioactive injection. Go away for a while, then return at 14:30 for the actual scan. Apparently, after the injection, due to its radioactive nature, I have to steer clear of any pregnant women and young children Same advice I was given after I had my Brachytherapy.

I duly attended the three scans. One thing I noted is that I am able to lay completely still during these scanning sessions. They each have taken anything between twenty minutes and forty five minute. At home I find it just about impossible to keep my legs still, whether I am sitting watching TV or laid in bed. Maybe I need to get a huge doughnut installed at home.

For each of the scans I also had an injection. The one administered during the CT, I was warned, would trigger a warm sensation in my nether regions. Something akin to wetting oneself. Not something you want to consider when typically any sensation in the bladder region typically turns into a pee panic. As it happens, the sensation I felt was around the neck and up around my ear. Something like I used to feel when my Mum had caught me out in a lie. For the MRI I was given an injection of Buscopan. When I mentioned that my wife takes Buscopan for her IBS te doctor said it’s the same stuff but won’t hang around as long but that it might affect my eye sight i.e. blur my vision. He assured me it would have cleared my system before I got back to my car for the drive home. As for the bone scan and the radioactive injection I was informed that, other than having to stay away from pregnant ladies and young children, there were no side effects, that I wouldn’t be aware of it in my bod.

All that remained was for me to await the results. I assumed that I would receive a phone call from my consultant, Mr Hodgson.

I did receive a phone call, but not from Mr Hodgson. It was from a yong lady, I assume from the Urology Department reception.

She informed me that she was calling to book me in for a Pre-op Assessment !!!

My heart dropped, my stomach did a flip. “Pre-op ?” I said, “pre-op for what ?”  “Well, you came into Urology yesterday” says the young lady. “Nope” says I, “I didn’t, I haven’t had any contact with Urology since the 28th July”. “Oh !” she says “And you haven’t seen the letter ?” Again “Nope” says I, “In fact I would have expected a phone call from Mr Hodgson, not a bloody letter”. She is really apologetic and puts me on hold briefly. When she comes back on line she asks me if I want to wait for the letter, or she could read it out to me. I take the latter option. So, she reads the letter to me. My heart and stomach resume a more calm state.

None of the three scans suggest any spread of  the disease.

Needless to say, this news was not what I was expecting. Nevertheless, it was encouraging. The letter, from Mr Hodgson, set out the next steps to be taken to determine if in fact my cancer has recurred.

Those steps are

  • A PET CT
  • Template Biopsy (to be carried ot under GA and the reason for the Pre-Op)

The PET CT has been scheduled for Tuesday 25th August @ 15:00 and I have had the Pre-Op. This was in two parts. Part 1 was on Tuesday 18th, a telephone assessment which was then followed up with a hospital visit on Thursday 20th, where they carried out an ECG, swabs for MRSA and took a urine sample.

So there we are, all up to speed. I’ll post my next episode after the PET CT and when I know the date for the biopsy.

Portsmouth QA Hospital – Appalling Service


I am sick to death with the lack of response from the Queen Alexandra Hospital Eye Department, AGAIN.

My wife has been on the phone for over 10 minutes and nobody is picking up, AGAIN.

A few weeks ago, after my wife had been waiting several weeks for an appointment, she tried to phone the outpatients area. After several attempts calling on the designated number, and after I sat with the phone ringing for over 15 minutes, we gave up and resigned ourselves to the fact that we would have to drive to the hospital and visit in person.

The lady we spoke to was very friendly, expressed surprise that the phone wasn’t answered, pointing to the desk immediately behind her and the phone on it. Apparently indicating that it wasn’t out of earshot. She also mentioned that the telephone system allowed for the phone to be in use but would not show that to an external caller, allowing the phone to ring and ring and ring. Really ?

We left with promises of an appointment ringing in our ears.

We did get an appointment and following a session with the consultant another appointment was deemed necessary.

And here we are again waiting on a follow-up appointment. Supposed to have been within four weeks but here we are again, no appointment and having to do the chasing.

In fairness I should say that an appointment was offered following a cancellation, over the phone, but as we were in London my wife was not able to accept, as it was for the following morning. The person on the phone said she would arrange another appointment, but, here we are again still waiting.

Looks like we will have to go through the same cycle AGAIN.

This is appalling service. All my wife wants to do is jog someones memory that she is waiting for an appointment. Same as last time.

We may be retired but that doesn’t mean that we want to spend interminable minutes listening to the ringing tone. Nor does it mean that we enjoy driving up to the hospital, searching for parking spaces and paying the extortionate charges for said spaces.

I have nothing but praise for the medical staff in this hospital but I have to say that the administrative staff leave a lot to be desired.

How hard is it to answer the phone ?

How hard is it to follow-up and do what you said you would do ?

 

Hands Off Our GPs – NHS: A serious threat


I received an email from 38degrees and have pasted the entire message below.

Having paid into the NHS via taxes for over forty years. I have had little or no need to call on the NHS throughout my early life. So, as you can imagine, I am disgusted to find, just when I am reaching an age where I may need to the services of a GP a little more frequently, the government has an eye to limit my access and make me pay, AGAIN !!.

It is hard enough to get to see a doctor at the best of times. The last thing we need is a limit on the number of visits you are allowed.

Take a read and see if you don’t feel the same way. If you do, add your name to the petition.

This could be very serious. The Conservatives are floating plans to cap the number of times we are allowed to visit our GP. [1] If we run out of visits – because we’ve got a sickly child or long-term health condition, for example – we could be forced to pay to go elsewhere.

At the moment it’s just a proposal. [2] But if the Conservatives don’t see a big public backlash, it could soon be a grim reality. So let’s raise an outcry as quickly as possible and push them to drop the idea immediately.

Please sign the urgent petition now: tell health minister Jeremy Hunt to rule out limiting our access to NHS GPs:
https://secure.38degrees.org.uk/dont-cap-GP-visits

Jeremy Hunt will be watching the public’s reaction carefully. He is an ambitious politician with an eye on his own popularity. If he sees a huge petition growing fast, he’ll realise this is damaging his ratings. So if enough of us sign, we could play a key role in getting this idea dropped.

Being able to visit the family doctor when we need it is a bedrock of a decent health system. GPs are often our first port of call when we’re ill. [3] Limiting access to GPs could mean a dangerous illness is left undetected until it’s too late – unless of course you’ve got private medical insurance…

But this isn’t just about GPs. This is about a principle at the heart of our battle to protect the NHS. Since the NHS was created, everyone in Britain has been able to rely on visiting a doctor as often as we need to. Limiting access would undermine the NHS at its very foundations. So let’s send the Conservatives a strong message: drop this terrible idea.

https://secure.38degrees.org.uk/dont-cap-GP-visits

Thanks for being involved,

David, Rebecca, Travis, Blanche and the 38 Degrees Team

PS: Here’s what the chair of the Royal College of GPs said about these proposals: “This was obviously written by someone who has never been unwell, or has never met people who work in the health service.” Let’s not let the idea get any further – please sign the petition now: https://secure.38degrees.org.uk/dont-cap-GP-visits

NOTES
[1] Daily Mail: Fury as Tories look to limit the number of times you can see your GP each year:
http://www.dailymail.co.uk/news/article-2331068/Fury-Tories-look-limit-number-times-GP-year.html
Independent: Cap on number of GP visits being considered by Tories:
http://www.independent.co.uk/life-style/health-and-families/health-news/cap-on-number-of-gp-visits-being-considered-by-tories-8632396.html
[2] The proposal is contained in a “Conservative Policy Forum” paper on NHS policy, you can see the whole thing here:
http://www.conservativepolicyforum.com/policy/local-health
[3] See for example this campaign on the importance of going to see your GP early if you could have symptoms of bowel cancer:
http://www.macmillan.org.uk/Cancerinformation/Cancertypes/Colonandrectum/Symptomsdiagnosis/Symptoms.aspx

Idiotic Outpatient Appointment Rules


On Tuesday 9th October, 2012 I had just completed an appointment with the consultant dealing with my Prostate Cancer. I left the hospital clutching the details of my next appointment.

Having elected for  “Active Surveillance” the next appointment, to review PSA blood test results, was scheduled for four months time. i.e. 11:10 on Monday 18th February, 2013

A while later, seems like a couple of weeks, I was notified that the appointment had been cancelled and that I would be advised of a new appointment in due course. Time passed, Christmas came and went and no new appointment. Knowing that I had to arrange for a PSA blood test a couple of weeks ahead of the consult and not having a specific appointment I took a punt and arranged for the blood test to be carried out on Friday 1st February.

Well time flies by when you are enjoying yourself and here we are, half way through January and I still had not heard anything regarding a new appointment.

So I contacted the Urology Department at the QA where they explained that the original appointment had been cancelled due to government and/or NHS rules and I had been placed on the Outpatients Waiting List. However, very helpfully she said she would arrange a new appointment for me.

“I have an appointment for you in February” she said.

“Monday 18th” she said.

“That’s amazing”  I replied “My previous appointment was on that day”

“What time ?” I asked.

“11:10”  she replied

“Bizarre” I responded. “That’s when my original appointment was scheduled”

“Oh I can’t give you that time” she jumps in. “The diary is showing a conflict with your original appointment even though it has been cancelled.” “I’ll have to give you another time. How’s 11:20 ?”

Obviously I accepted the new time and she said she would mail me confirmation.

So in summary, the new rules meant that my appointment had been shifted by 10 minutes, had cost me a telephone call and cost the NHS/QA  three appointment letters.

WHY ?

I can only imagine that they are applying the same petty bureaucratic rules that stop me from being able to book an appointment, to see my GP, greater than a month ahead of time.

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