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Author Topic: How Did You Find The NHS Has Treated You?  (Read 2041 times)

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Offline Clarkey

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How Did You Find The NHS Has Treated You?
« on: March 03, 2009, 04:46:16 PM »
Hi its me again I am afraid,

I think the UK people can only help me out with this thread who know about the way the NHS system is run. I am sure some of you have read Nick's Fat Pad Saga! on the 100 post up diary section but for those that dont know about my knee problems I wil quickly tell you.

Fell over while jogging onto pavement in October 2007 and not been able to run or walk fast since and have swelling on the bottom of my kneecap. I feel pain and catching on the lateral side of my right knee and the bottom of kneecap and recently on the medial side.

I had an MRI scan done in July 2008 and scan showed up an Inflammed fat pad thats surrounded by fluid. I seen a hospital Physio now 4 or 5 times now and not got anywhere really in terms of getting my knee sorted out. I was ment to have an cortisone injection in my right knee but OS on the day of injection decided I dont need injection.

Today found out from the Hospital Physio that the OS's that saw my MRI scan and knee history have decided to leave it as it is and now need to go back to see Physio towards the end of this month. My Physio when I last saw him said of the injection does not help or go ahead might need a scope, but now saying I dont need either.

I was woundering if any KG members have had problems llike I have with the NHS in terms of trying to see a OS. Have you been told your knee fine and been forced to go private rather then NHS. Its now into the 17 month with my injury and feel the NHS are taking the piss out of my knee problem.

Nick >:( {2009} ::)

« Last Edit: March 05, 2009, 05:01:24 PM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline vikki776

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Re: How Do You Find The NHS Has Treated You?
« Reply #1 on: March 04, 2009, 07:31:58 PM »
This made me laugh sorry, but your trouble with the NHS is the story of my life, i have now actually had to go private to try and get my knee sorted as the NHS OS i have seen and several others want nothing more to do with it!!!!!!!!!! Good Luck to you keep on pushing those damn medical people until you get what you want, i for one definetly will be!!! x

Offline clarky_vl

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Re: How Do You Find The NHS Has Treated You?
« Reply #2 on: March 04, 2009, 10:48:19 PM »
Hi,
Nick and Vikki I am sorry that you have both had bad experiences with the NHS, it seems to me like some people have really bad experienes and others get pretty lucky, and it varies quite a bit... I have to say I must be one of the lucky ones, because they have been pretty good where I am (Plymouth) I have been really impressed, (aside from the reaaaally long wait for most things such as appointments to come through  :P) generally they try really hard to help me, and even to speed things up, and fit things in around when I can do them too  :o I know... I am pretty surprised myself I have to admit!!

Anyway, it is a shame you two have had a crap time with them, and I hope you get help soon. Where abouts are you two??

Vicky
11/10/07 ACLr-hamstring, lat meniscectomy, microfracture
29/7/08 ACL revision-hamstring/LARS
7/7/09 ACL revision-quad/LARS
20/2/10 Screws out, bone grafts, arthroscopy.
6/7/10 ACL revision-BPTB allograft
14/3/11 Screws out, bone grafts, arthroscopy.
Then: ACL revision + extra-articular repair

Offline vikki776

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Re: How Do You Find The NHS Has Treated You?
« Reply #3 on: March 05, 2009, 01:13:26 PM »
Hi Vicky, Yes you have been lucky and i'm pleased it is working out for you despite the long NHS waits!, which i wouldn't mind if i got a result afterwards but i never do! I live in the north of Scotland and our hospital waiting lists are not as long as most other cities, but that does not seem to mean they have more time to give you the care you need and they are certainly not prepared to go the extra mile to help you!!

Offline friendsfan

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Re: How Do You Find The NHS Has Treated You?
« Reply #4 on: March 05, 2009, 02:11:55 PM »
My story was like this  one until I went for a second opinion at another NHS hospital, and I cant fault them, short waiting times, Ive got a great surgeon who listens...
5-3-07 injured knee-no ROM
2-5-07 LK scope + MUA
26-6-08-LK TTT and scope
10-12-08-LK MUA
12-6-09-RK scope
26-8-09 RK TTT

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
Re: How Did You Find The NHS Has Treated You?
« Reply #5 on: March 05, 2009, 05:18:30 PM »
Hi All,

Was so worked up the day I posted my thread that I made a grammer mistake should have been how did you find the NHS, not how do you find the NHS lol.

I managed to get an appoitment to see my NHS Physio this Wednesday at 5pm the orginal appointment was 24th March at 10:20am but could not take time off work so asked them for appointment after 4pm and they managed to fit me in next week which is good of them for a change.

I not saying the NHS are a crap service as I been treated very well when I been for appointments and scan etc, its just annoys me that they wont let me see an NHS OS and seeing my Physio again for the 5th time in 9 months and even he does not know what to do now. Common sense to me is to refer me to see an OS as its now into the 17 month after my fall and think its high time I see an OS.

I live in Birmingham and being such a large City takes a while to get a hospital appointment but going to one of the top UK NHS Orthopaedic Hospitals with OS's that work private as well as NHS. What annoys me the most is how can a the OS's that saw my scan say I dont need a injection or a scope if they not even examined my right knee. Until they examine my knee they cant rule out an injection or maybe even a scope if there nothing more conservative they can do.

Not having a go at the NHS as they do a fantastic job in A&E etc just annoyed that I being pushed away from seeing an OS, I paid into the national insurance for 10 years now so about time they made use of my money and others.

Nick :) {2009} :)


RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline tornado

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Re: How Did You Find The NHS Has Treated You?
« Reply #6 on: March 06, 2009, 07:21:44 PM »
Hi

I recently was in a NHS hospital for 2 nights for a synovectomy.  I found the hospital and staff excellent in all respects.  6 months previously I had an arthroscopy at a private hospital through  BUPA. The NHS experience was superior (by the way I had the same surgeon for both). Limited BUPA cover meant I had insufficient funds for a private care the second time.








Offline JaneDown

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Re: How Did You Find The NHS Has Treated You?
« Reply #7 on: March 06, 2009, 10:13:35 PM »
With the NHS it really is a postcode lottery, it depends entirely on where you live as to how quickly you get dealt with. In my case I went to my GP in July 2008, got referred straight to an OS (in about August 2008 I think, certainly no more than a few weeks), he told me there would be about a 3 month wait for an arthroscopy but in fact in less than 3 weeks they kept phoning me up trying to get me in for cancellations that had arisen. I then chose a date at the beginning of October (as I just wanted to put it off!!) so it was not in the school holidays and when my husband could be at home for a few weeks and had the bilateral arthroscopy on 4th October 2008 (so 3 months from original GP appointment!). Now whilst this is very quick....it was also a bloody disaster and left me worse off than when I'd started... but that's another story! But definitely depends where you live. I'm in Crowthorne in Berkshire where the NHS appears to be desperately waiting for people to want to see an OS!!!!
Knee pain since 2002
2006 MRI shows lateral meniscal tears
Oct 2008 Bilateral partial lateral meniscectomies (long recovery!!)
Jan 2009 MRI shows surgery caused damage to medial meniscus!!!
June 2013 knee injury, agony!!!
August 2013 - left knee medial partial meniscectomy

Offline clarky_vl

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Re: How Did You Find The NHS Has Treated You?
« Reply #8 on: March 06, 2009, 10:59:07 PM »
hi,
Oooh yeah I would agree with that. I had a similar experience, GP referred me, and within 4 weeks I had been for an initial assessment, and then a week later had a confirmed diagnosis, met my surgeon, and was on the waiting list and cancellations list, and had the op within 6 weeks. Second time around the surgeon actually rang his secretary while I was there after having it diagnosed, and booked me in for a time I could do (after exams) which was only a couple of weeks later, and then got is secretary to do all the paperwork then and there. The third time he spent a good 45 minutes with me talking everything through, had me fitted for a brace the next day, an MRI the following week, and said I could chose when I have the op (school...), I have asked for a specific week, so it has been so good. They are always helping me out, spending lots of time with me, and diagnosing and treating things as soon as they can. ad the actual care whle i had my ops was really good. The only problem i have with them is the after care and follow up appointments, which are often late as i said earlier, and you have to nag for appointments that were supposed to arrive and things.... but yeah, it has been very good for me! maybe Plymouth and Berkshire have less knee injuries?!  ;D

Vicky
11/10/07 ACLr-hamstring, lat meniscectomy, microfracture
29/7/08 ACL revision-hamstring/LARS
7/7/09 ACL revision-quad/LARS
20/2/10 Screws out, bone grafts, arthroscopy.
6/7/10 ACL revision-BPTB allograft
14/3/11 Screws out, bone grafts, arthroscopy.
Then: ACL revision + extra-articular repair

Offline UK Girl !

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Re: How Did You Find The NHS Has Treated You?
« Reply #9 on: March 09, 2009, 07:58:24 PM »
I was impressed with the way that I was dealt with - when the problems were not so urgent I was happy to wait my turn but when it became serious I saw the os within about 3 days ! mri within the month - which is good for nhs !

My daughers case is even more impressive - she on initial diagnoses has torn a cartalidge and has tendon damage - she saw her gp about 3 weeks ago and has the mri tomorrow ! results of scan on friday ! now that is good!

so why is it taking sooooo long to fix this blooming shoulder - yeah okay I only had to wait 2 weeks to see the consultant - but he still hasn't fixed it !- been going on for 2 yrs.
1978 - ruptured acl and all cartalidge removed.
several debridements over years
TKR 10TH JULY 2006 http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=28257.0  Aug 07 patellar maltracking - more physio! Still pain - but so much better !
BIOMET AGC  TKR  (with 10 yr warranty !)

Offline midge1uk

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Re: How Did You Find The NHS Has Treated You?
« Reply #10 on: March 09, 2009, 09:38:05 PM »
Hi just thought i'd add my two pennies worth sorry strike that due to the credit crunch that is now five pennies worth!!!!! I was treated very well under the orthopedic choice run by the NHS which allows you to chose when and where you would like your initial triage appointment be it NHS hospitals of private hospitals doing NHS to chosing where you would like to have any planned procedures. My only gripe is the privatre OS that treated me was so far up his own backside he should of been inside out!!!!!! mine was so unapproachable both before and after op that it actually made me realise NHS staff beat private staff hands down for treating patients as real people. Private staff members are in my opinion more interested in the front they show not the patient in front of them!!!I know you kinda aimed this thread at the UK market but i know that there would be plenty of our american friends on this site that wish they had an health service equilevent to ours, I know we are supposed to be paying for the NHS through our taxes but i watched a program not so long ago that told us that the average US resident pays 6000 dollars for basic health care!!!!!makes you think. Midgex (Southampton)

Offline mairead

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Re: How Did You Find The NHS Has Treated You?
« Reply #11 on: March 10, 2009, 07:43:48 PM »
I'm not particularly happy with how I've been treated.  After my fall in which I fractured my patella (I shattered it) I had excellent treatment, quick operation etc, but since then it has been mixed.  I am still in pain, I've had some of ohe of my wires removed, they don't want to take out the rest of the wires as my kneecap may fall apart - yet they still ask why I'm using a walking stick!  Cos I am in pain!  I have no knee reflex,  and so can't walk properly,  my knee is still hot and swells up.  I've done all my PT exercises, done as told - to push myself and still my quad muscles won't come back.   The doctor I saw today was initially dismissive, until he saw my x-rays then he changed his tune...   I'm going to ask my GP if I can see a knee specialist,  my GP at least takes me seriously, but it is because he also has a knee problem.

I've been told that there is not a lot they can do for me,  just wait for the knee replacement which I've been told I'll need in a couple of years. 

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
Re: How Did You Find The NHS Has Treated You?
« Reply #12 on: March 12, 2009, 07:32:53 PM »
Hi again,

Even more annoyed now with the NHS as I just saw my Physio yesterday and told me my knee is fine now and should be able to run ok and must try harder to run. I have tried many times but cant run feel pressure and pain in the knee if I run too fast which I cant do but when I try too hard to run knee does not like it.

I was told 6 months ago you got a knee problem with your right knee an inflammed fat pad with flluid and could be a fairly big problem so tried ultrasound did not help me. Was ment to have an injection bit then the OS decided not to give it anymore the next option was a scope but now they wont scope my knee.

They now changed thier minds saying I dont have a knee problem after all even though there a problem on the scan with the fat pad that cant have gone away suddenly as knee is still swollen at the bottom. I think its unfair to be told its in my head as I know its not.

I am not happy at all with the way the NHS has treated my knee problem so far and might have to be forced to go private. I seeing an NHS OS which is something.

Nick :) {2009} :)
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline garth

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Re: How Did You Find The NHS Has Treated You?
« Reply #13 on: March 12, 2009, 10:19:32 PM »
Hi,

Experiences have varied for me.

I've had quite a few consultations in the last 18 months and most of the times I've felt as If I was rushed through with little time to fully explain to them what been going on. I've also felt that some of my more difficult symptoms have been passed over for the more obvious which has led to unanswered questions.

I've had two scopes on my left knee in the last 15 months and on both occasions the nursing staff couldn't have been more helpful. Scope one was on a very short notice cancellation (got the call at 9.00 am to be in hospital by 1.00 pm) and the only person who was able to tell me anything about the op was the hospital physiotherapist. I'll let them off as they were extremely busy though. No complaints though.

Scope two which was 6 weeks ago was at a smaller hospital (same OS though) and things there were spot on. This time I saw the OS before the Op where he very thoroughly examined my knees and told me what he intended etc. Probably spent 15 minutes covering things in all which is more than most consultations I've had. Then the anesthetist came along and along with filling out forms explained a bunch of things to me.
After the op the OS came and went over things for another 5 or 10 minutes and the anesthetist also popped in for a quick chat before he left work. Good people both of them.

Unfortunately I can't say such good things for the administrative things. After each scope I had to chase them up for follow on appointments and getting the consultation that led to scope #2 was a nightmare that involved lots of phone calls and being told to wait two weeks before trying again on two occasions.

I'm Lucky that I get my treatment from a very good orthopedic center, its a shame that I've had numerous problems on the admin side in the last 18 months.

The last people to get a mention are my local surgery and Physio. I live in a small enough place where I'm not just an anonymous person through the door. People can be so much more helpful when you know them.
I've been seeing the same phsyio for over two years now and she has been very helpful throughout, when she felt she wasn't making enough progress with me she sorted an appointment with a higher up physio which she also attended in order to help me out better.

I'd say that my treatment has been inconsistent. Some things work great, some are average and finally some areas have been a downright pain in the butt. I've definitely been passed about a bit which is a pain. After both scopes I've been told that phsyio will definitely sort the knee out. It didn't first time around and its too early to tell this time around.

I agree on the postcode lottery statement. I've not been affected but I've got a colleague who had an nasty bike injury and his local trust told him nothing could be done and to live with it. He went to my trust after getting nowhere and was on the operating table in days after they realized what a mess he was in.

garth
Knee troubles since 1997
Dec 07 - Scope, just a clear up.
Feb 09 - Plica removal
Nov 09 - Lateral release
Mar 11 - More done to LR and some 'tweaks'
Nov 12 - Fulkerson and possible vmo advancement, dont know yet!















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