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Date: 11.09.2010
From: Abbie

Subject: Hoping wednesday will bring some hope!

Hi Guys! I've not been in for a while as really been going it tough with alot of things. Been under Rheumatology since Aug '09 for PA. Put on mtx immediately come Jan was put on mtx shots as pills were making me ill and not working. Saw Rheumy in April who put me on yet more pred and gave me yet another steroid shot. He also said come back in July and will know by then from neurologist If you can have Remicade/Infliximab with the mtx. July came and as ALWAYS no apt turned up so GP had to push to get me seen. Got seen in July but by 5th Rheumy in less than 1yr. No one could find my records so that Rheumy new nothing of Infliximab/Remicade so put me on Ciclosporin and gave me 5th steroid shot in 1yr and said come back in 6MONTHS UGH! Ciclosporin gave me the most horrendous side affects so called Rheumy dept repeatedly with no reply. In end saw GP 3wks ago who took me off Ciclosporin and said He'd contact Rheumy about Infliximab. Got letter today cancelling Jan apt but with apt for this weds. I'm really hoping this apt will sort my treatment once and for all. Do you think i'm un reasonable to give them till the new year to get treatment going whatever treatment they feel best and then If still nothing get referred to another hosp? Just had enough really. Will let you know how weds goes. Go well X
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Date: 11.09.2010
From: Sally

Subject: Re: Hoping wednesday will bring some hope!

Hi Abbie, I've replied to you in another post but wanted to respond to the last bit of your post here. As I said, I am in a similar position to you in that treatment isn't working, some isn't suitable and I've been very ill these last 3 weeks, only just getting back on my feet. Very scary as thought I had pneumonia. My point is (ramble,ramble)that I can emphathize with you as seems lots of treatments are not suitable for me. Might be the case for you too. As I understand it, it can take quite some time find the right one and it appears is mostly trial and error. I agree with you that if no new treatment is offered at all then you should ask for a second opinion/another consultant. However, if it is a case of the next treatment not being suitable/not working/horrid side effects maybe you should let them try more......depends on how you feel I guess. The frustration levels I feel are enormous and am sure it is the same for you. The only problem getting a new referral is the wait and then the tests etc. etc. and I imagine it is pretty unlikely that you would get anything any faster. I suppose you could research the different consultants at various hospitals and see who is working at the cutting edge of research etc. but I would be prepared for a bit of a wait if you change and you might be left without immediate access to a rheumy in a crisis in the meantime - certainly one who will have access to your medical history. I would be careful about it.

As for the rheumy department not responding to your calls I think that is a separate issue and you could either go to the PALS office in the hospital and make a complaint or tell your rheumy on Wednesday. I ring my rheumy's secretary and that works or I ring the specialist nurses and that sometimes works :) My rheumy rang me this week and discussed my treatment (increased steroids lol!)and am waiting for my appt to be brought forward.

I'm sorry you feel so frustrated - it's so difficult to plan anything when you don't know how you will be. I am constantly cancelling things and having to readjust my plans. Grrr!
xx
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Date: 12.09.2010
From: Jill

Subject: Re: Hoping wednesday will bring some hope!

NEVER ever feel bad about Pushing them for your Treatment, blimey they shld sort that out Long b4 New year, so No Abbie U r defffo NOT being pushy......Your the one sufffering, tell them toi sort it out Immed ....tc OK xxx PS I agree with Sally, good info there xxx
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