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Seeing a Rheumatologist Privately

(36 Posts)
Starof1972 Sat 08-Feb-25 19:26:31

Hello. I am really struggling at the moment with hand pain, especially the MCP joints joining fingers to hand. My RA was classed as seronegative with normal blood results but disease activity shown on ultrasound scan. My last scan was three years ago and my GP only sends me for blood tests if I ask which is usually every year.
Recently the pain has been much worse and I would like to see a private rheumatologist in the North East area. I feel that my disease is not being monitored well enough and is dismissed as "only seronegative" but the pain is unbearable lately despite regular codeine.
Does anyone here have a the name of a recommended consultant for me please? And, if so, can you tell me how the first appointment went for you.
Thank you.

Marydoll Wed 12-Feb-25 17:42:04

Please let us know how you get on. Remember emphasis how this impacts on your mental health and daily living.
Good luck with your appointment.

Iam64 Wed 12-Feb-25 20:03:03

Good advice from Marydoll on the need to emphasise, rather than minimise your physical and emotional problems .

I remember how exhausted and low in mood I was 12nyears ago, before biologics changed my life. My consultant told me recently how clearly she remembers this. My biologics were weekly, then every ten days, now reduced to every 14 days - I’m doing well and hope you get the right diagnosis and treatment

Claremont Wed 12-Feb-25 20:21:34

Starof1972

Just wanted to thank you all again. Having thought everything through and discussed with my family, I made initial enquiries with Nuffield Health and will have an appointment by the end of next week. Best wishes to those who are struggling.

Hope it all works well. I certainly do not blame you at all for trying to cut the waiting time by using the private sector. I would do the same in your situation.

But I hope you agree it shouldn't be this way. We have a three tier system now. HHS on massive waiting lists, a foot in each camp to cut waiting time but back on NHS, and private.

A friend of mine in her 80s recently had a severely embarrassing and debilitating condition, that left her homebound on her own. 2-3 years waiting list! Her son who is not at all well-off and with young children, had to borrow the money to pay for her to be operated privately. Over £10.000 and within 2 weeks. It just should not be this way. And many Consultants encourage this- as it is VERY very lucrative.

Wish you all the best.

Iam64 Wed 12-Feb-25 20:55:57

How could anyone disagree that the difficulties facing our nhs shouldn’t be happening
The wait lists aren’t the fault of consultants

Claremont Wed 12-Feb-25 20:59:42

Very much a mous operandi for some Constultants, and has been for a very long time.

Iam64 Wed 12-Feb-25 21:08:02

I know this, as I expect do most people

Starof1972 Thu 13-Feb-25 07:45:57

Of course I wish things were different and I realise how fortunate I am to have the means to be able to go down this route.
The decision I have taken is that I shall pay for the necessary scan and x-ray to tie in with seeing the consultant but just to have my questions answered as to how regularly I should be monitored if I am deemed to be in remission of RA will help me enormously. I want to be able to take as long as I need to explain my worries. Indeed, I want to see this year as a turning point and get on top of this relentless pain.
Once again, I appreciate the input you have all provided.

M0nica Thu 13-Feb-25 07:56:20

Claremont

Monica 'You do not have to stay in the private system once you have a diagnosis and since almost all private consultants work in the NHS as well.'

I understand why people feel so desperate in the current climate. But this is illegal and so so wrong. The two should be totally separate, and private consultations should not lead to being picked up by NHS, and on priority list.

This post was a simplification of a complicated situation. DD was on the list, but had nearly died, and I mean that quite literally, as a result of the incompetence of her GPs.

The private consultation recognised that her condition was potentially cancer and the consultant put her on the Cancer pathway, like her, he had no confidence that her GP was capable of doing so, even if requested.

Unfortunately some GPs and practices become well known to hospitals for their incompetence and hospitals have ways of working round them.

Many years ago we cared for an aunt who was admitted to hospital terminally ill and when the hospital were querying why her problems had not been picked up earlier, asked us what surgery she was attached to, and when we told them, rolled their eyes heavenwards and muttered something about killing more patients than they cured.

shysal Thu 13-Feb-25 08:06:16

It seems odd to me that you were taken off medication because you were in remission. Surely it was the meds that kept you in that position.
I am in remission on Methotrexate and biologics, but when I had to discontinue during breast cancer surgery and radiotherapy the RA symptoms returned. The biologic is a miracle drug as far as I am concerned, even stops the pain from OA in my knees.
I hope you get satisfaction soon.

Starof1972 Thu 13-Feb-25 08:28:34

M0nica that must have been a dreadful time for you and your family. So many times we hear of similar situations these days.
shysal, that is something else I want to discuss! My OA is medicated but nothing to keep RA at bay which is why I worry about not being monitored for background joint damage. I was very recently bereaved when I had the last appointment with the consultant and just left the room in a daze. After a few weeks I was actually delighted to think that the disease was "in remission" and thought no more of it until symptoms began to niggle again and I read up more about it. I myself know of patients who are still prescribed DMARDS whilst there is no sign of active disease so I do need answers.