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gemski3899

Presenting at A&E beofre diagnosis

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gemski3899

Hello again!

 

Just wondered what peoples experience of presenting at A&E has been when they believe they are relapsing but have not yet been diagnosed.

 

I am awaiting neuro appt and 'urgent' MRI, and I am very unwell, I have really bad tremors in my right hand/arm, pretty bad virtigo both when standing and sitting, bad cramps which bring me to tears in my right thigh and left knee, current bout of retrobulbar (optic) neuritis, with associated headache, pain in neck and shoulder, extreme fatigue and trouble recalling words.

 

Is there anything that can be done by doctors to help as I am only on amytriptiline for cramps but this isnt helping, I cant sleep, I feel very unwell and have a two year old to care for on my own when he returns from his dads on monday.

 

Any advice or experiences welcome, would presenting at A&E help or hinder my diagnosis, my doctor has supposedly moved everything forward as she think i may have moved onto secondary progressive MS from RRMS and need medicating... if i even have it at all.

 

Fed up and in pain

 

Gem x


x x Gem x x

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happyandy

Hi Gem,

 

When I had my first attack I ended up in A & E. I was told I had peripheral neuropathy and sent home. However if I were you I would call-out a doctor or use the NHS 24 or whatever the equivalent is in England.

 

You dont sound right.

 

Andy


If I knew I was going to live so long I would have taken better care of my body

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gemski3899
Hi Gem,

 

When I had my first attack I ended up in A & E. I was told I had peripheral neuropathy and sent home. However if I were you I would call-out a doctor or use the NHS 24 or whatever the equivalent is in England.

 

You dont sound right.

 

Andy

 

This is about the fourth episode I have had this year, I have had them 4-6 times a year for the last 12 years, they are getting more severe and im not recovering fully in between anymore.

 

Thanks for the advice,

 

Just read your profile... I believe in positive thinking too... cant believe how much it can turn your life around!

 

Gem


x x Gem x x

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Hezza

Hi Gem,

During my 1st relapse with Optic Neuritis I spent a lot of time in my local Eye Casualty, I didn't even know Eye Casualty units existed!

 

Anyway this eventually resulted in one of the doctors sending me from there to the Neuro day ward in the hospital for assessment the upshot of which was confirmation of optic neuritis and a promise of follow up with a neurologist at the hospital.

 

As it happened I then saw my own GP who had been on hols and is an eye specialist and he said he wanted to refer me to a Neuro & I had private health insurance with work so took a different route.

 

I would say that if things are getting worse and becoming unbearable then if I was in your position I'd consider going to A&E. It may speed things up but there's also a risk that it won't help at all.

 

I really hope you get some relief, and answers, soon :hearts_circle:


Life is short. Eat dessert first. Jacques Torres

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Christina

Hi Gem

 

I agree with Cara, going to A&E might help but might not. A&E on a Saturday afternoon is likely to be very busy with sporting injuries coming in - that's my experience of shifts when I was working. What I'm saying is try to pick a 'good' time to go there, if that's possible. It's a lottery because I know a major could come in at any time and then the minor cases will go to the back of the queue. Weekends in general can be busier anyway because GPs aren't so available, so people tend to use A&E.

 

I turned up there when I lost sensation in my feet, legs and sacral area before I was diagnosed. It was a Saturday pm, after NHS Direct had sent an ambulance to take me there, me protesting because I thought it was an over reaction and I was embarrassed. However, it wasn't their fault because I could have had spinal cord compression which is very serious. A young junior doctor examined me and decided it wasn't spinal cord compression and sent me away saying, with these symptoms you should definitely see your GP but you're not an emergency. I knew that's what they would say! I limped away with my tail between my legs, very embarrassed. However, with eye problems there could be an Opthalmologist around, you could be lucky - depends what your hospital's like and you could have a completely different experience than I did.

 

I guess you just need to weigh up whether you have the patience to possibly wait around for hours for an unfulfilling consultation.

 

I tend to agree with Andy that the GP out of hours service might be a better bet.

 

Chris x


Not waiting for the storm to pass, but learning to dance in the rain ....

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Akorah

Hi Gem when i was diagnosed i was sent to hospital by my GP so went straight onto the ward and all the tests were done as an in patient and i was diagnosed within 48 hours but thats because my mum had just died due to a stroke and they thought i had had a stroke too. im not sure if you went into A and E what they would do but im sure they would have to treat you at least. Good luck anyway! :hearts_circle:


chelly xxx

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gemski3899

Thanks guys,

 

I struggled through the weekend and saw my GP yesterday, she diagnosed concurrent vestibular neuritis alongside my optic neuritis which apparently explains my virtigo and nausea, this was based on symptoms and nystagmus.

 

I had to go back today as I woke in the night with terrible cramps in my ribs which have continued relentlessly, has anyone else had this? can barely breathe! she has upped my amytriptyline which im hoping will ease it, its awful!

 

She just keeps emphasising that I do have a neurology appt in 6 weeks and there isnt anything she can do to bring it forward, so i guess i just keep treating the individual symptoms, im just afraid that these relapses are doing long term damage.

 

Thanks for your time everyone

 

Gem x


x x Gem x x

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Dianni

Hi Gem

 

If you have a neuro appt, you could try ringing the secretary and asking whether there have been any cancellations. You could explain why you are so anxious to see the neuro ASAP and there may be something that can be done. It doesn't always work, but it's worth a shot.

 

Hope the symptoms have eased at least a little.

 

Hugs

Di

xxx

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gemski3899

Might just do that Di,

 

I have been chasing the 'urgent' MRI so I might get onto the neuro too!

 

Good idea,

 

xx


x x Gem x x

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Miss Wiggle

hi Gem,

 

I went to A&E with one of my relapses as I was in so much pain and nothing was working for it at all and I hadn't been able to see the consultant yet. they basically told me to wait for the appointment and sent me away with some conventional painkillers which did absolutely nothing for the neuropathic pain that I was experiencing.

 

i guess if you have the time free it won't hurt to go down, you never know what might happen, but i guess don't pin too much hope on it.

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Lindyloo

Hi Gem

 

First i send you a hug and secondly i would just like to say everybody's experience with A&E is different. so dont let someone elses experience here put u off going.. You seem like you are having alot of symptoms going on and if i was u i would do what Andy has said .... your GP can write a letter for casualty which will speed things up with going through the system and waiting time... Visual problems should not be ignored.. I presented at casualty with optic neuritis and my leg felt like a truck had just hit me - i was in a lot of pain.. they admitted me and the process of diagnosis started there..

 

I wish i could speed all this up for you - i hope you have someone to help you look after your child.. maybe your doctor can arrange Help for you with this matter also..

take care

 

and lots of love

 

hope you feel better soon

Lindyxxx :squiffy:


LindyLoo xx

" This moment will pass " (Bono U2)

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Christina

Hi Gem

 

One of the more positive things to know about Optic Neuritis is that it usually goes away on its own after a few weeks and most people make a complete recovery from it. Sometimes steroids are prescribed if it's particularly bad and that will speed up the process. Usually vestibular neuritis improves over time as well, I know it's not much consolation when you're feeling so poorly.

 

The tightness around your ribs is something a lot of us with MS have experienced and it is horrible and scary. This can last for days and sometimes weeks and it can come and go, get better and worse throughout the course of a day. I guess the only way to bring your Neuro appt forward is to pay for it privately hun.

 

Chris x :squiffy:


Not waiting for the storm to pass, but learning to dance in the rain ....

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gemski3899

Thanks everyone,

 

I think with A&E you just have to risk wasting your time, Im not in terrible pain right now so I can wait, just sometimes the pain gets so bad I think of anything else!

 

My only concern with Optic Neuritis Chris is that I didnt have it treated when I had it in my right eye when when I was younger and im completely and permanently blind in that eye now... I guess each case is different even in the same individual.

 

My mum lives an hour away but I know she would help me with Theo if I needed her to,

 

Unfortunately I cant afford private treatment so really I should be very pleased that we have the NHS in the first place!

 

Im just praying for the end of this 'relapse' if thats even what it is!

 

xx


x x Gem x x

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Christina

Gem, that's really unfortunate and unlucky that your previous optic neuritis affected you so extremely. I can well understand why that must make you so anxious about this episode. Has your GP not offered you steroids or thought of an emergency Opthalmology appt given the way this has affected you before? Steroids is a standard treatment for ON - something your GP could easily give you or if she's not sure she could be getting you through to opthalmology as an emergency. If things get any worse with your sight, I would head to A&E.

 

Chris x


Not waiting for the storm to pass, but learning to dance in the rain ....

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Lindyloo

My optic Neuritis at the beginning of my MS story actually went into both my eyes because i wasnt given Steroids... i also developed inflammation around the muscles in my eyes and it was agony to move my eyes about... I was told to Never ignore eye problems... i think individually we do what we feel is right for ourselves by how we feel etc.. I hope it settles soon Gem... the eyes are scarey when they are not working the way they should be...

Also a course of steriods stops further damage to the Optic Nerve and stops further damage.. I only ever take steroids if i feel its not getting any better..

 

take care and rest as much as you can.

 

 

Lindyxxx


LindyLoo xx

" This moment will pass " (Bono U2)

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Wenders

Hi everyone

 

I'm new, been lurking for a few weeks since my diagnosis. I'm 46yr old woman, married with two teenagers and recently diagnosed with R&R MS.

 

I just had to reply to this post as I presented at A&E on 13th Sept. I'd had what was diagnosed as labyrinthitis since 1st Aug (3rd attack) l'hermittes sign, numb hands and loss of feeling, numb and power in my right arm. I had a neuro appointment in June and was waiting for MRI (consultant suspected MS & so did I). I went to the biggest hospital here in NI which I knew had a nuerologist on A&E. I didn't mention that I was waiting for MRI initially, I went in at 8am as I knew it wouldn't be busy. I was not fully recovered from labyrinthitis and was very unsteady on my feet (would fall over if eyes closed). The junior Dr who looked at me first could tell by my eyes that there was something going on, nuero signs weren't great, couldn't touch my nose kept missing it!! SHO looked at me and called nuerologist who I told about MRI and he'd seen my details on computer of June appointment and said he'd give me steroids but needed to check with his superior, but came back and said they'd rather do the MRI first before steroids so they'd admit me.

 

I was in hospital for 10 days, mostly waiting for MRI, but had intensive physio from a physio who specialised in dizziness, she improved my balance, and comfort as prior to that I was unable to lie flat as room would spin, I had spent 7 weeks sleeping upright on a chair in the living room. I also had visual avoked reponses tests, and then the MRI of brain and spine. My neurologist saw me twice during my stay and assured me I'd have a diagnosis and steroids (if nessecary) soon. Nuerologist confirmed that I did have R&R MS and MRI showed multible lesions, but he was confident that the symtoms that I've had in the last 10yrs shouldn't get any worse. I've had Bells palsy, 3 attacks of labyrinthitis (which he said was brain inflammation), l'hermittes sign and numerous numb incidents. I left the hospital shell shocked on steroids & betahistime (which I had been taking). Although suspected the diagnosis was still a shock, though coming to terms with it now. The steroids improved my balance & dizziness immediately but my arm and hands are still numb but slightly improved. Nuerologist said he'd contact my GP and make sure I go on steriods immediately if I am dizzy again.

 

I am glad I went to A&E as it did 'fast track' my MRI and diagnosis. I attend his clinic in a few weeks and he has suggested Betaferon. It certainly benefited me to go to A&E but certainly think it helped that it had a neurologist, otherwise I do think I'd have been sent home.

 

I hope if you do go to A&E it is worthwhile, perhaps check if your local hospital has a nuerologist on A&E and if not go to a bigger hospital. Good luck and I hope things improve for you soon x

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Lindyloo

Nice to meet you Wenders - Welcome... :squiffy:

 

thanks for sharing your story... i hope Gem goes to A&E also as i also took that route - which led to my diagnosis..

 

 

Hope to chat u soon

 

Love LIndyxxx


LindyLoo xx

" This moment will pass " (Bono U2)

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gemski3899

Thank you for taking the time to reply to my post Wendy,

 

It was good timing too as I have been in tears this morning having chased my 'urgent' MRI and found that the consultant at the hospital has altered it to 'routine' and I will have to wait 6-8 weeks. This impacts onme as I will not have had it before I see my neurologist as planned and Im afraid that I will be turned away again when he sees my file as with all the other consultants who have seen me.

 

Im so fed up, everyday I have symptoms that I feel I cant cope with then the next morning I have something even worse, like I started with Optic Neuritis which has left me with only half my vision in my one good eye, then vestibular neuritis which means I couldn't see or walk, at the same time my right dominant hand is weak and shaking, my left hip hurts so much I cant walk 10 minutes to pick my boy up from school, I have a banging constant headache from the neuritis, and this morning, I can barely move my head as side to side makes me dizzy and sick and moving it down causes such terible pain down my spine and legs it makes me nauseous.

 

I know everyone reading this has been through all this and 'got the t-shirt' and I really appreciate that but I dont know what to do anymore, I was feeling positive that my GP was listening but now the stupid 'etiquette' thing means she wont push for the MRI so as not to upset the consultant who changed my status even though I have had many more problems since I was last seen.

 

I can see me going another 5 years before I get any help, am officially worn down... if thats the aim of the medical proffession when dealing with 'hypochondriacs' then they have won im afraid. I dont want anything more to do with them... My only wish is that someone takes pity onme, gives me some sort of diagnosis and treatment and I can write to every doctor who patronised me and made me feel like a fool and tell them exactly what their impact was.

 

I dont even care if this is psychosymatic... I have needed help for 12 years and I have been completely alone....

 

I feel a bit better now... sorry everyone!

 

Me xx


x x Gem x x

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Christina

I'm really sorry Gem, the only thing I can suggest is that when your MRI appt arrives you ring the department and ask if they have any cancellations they could consider you, as you are really suffering with symptoms. Such a difficult situation for you hun!

 

Chris x :cheerleader:


Not waiting for the storm to pass, but learning to dance in the rain ....

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Lindyloo

Hi Gem

 

How about asking your GP to have you admitted into hospital... i think you should give your gp a call by telephone... I was lucky that my GP is fantastic and didnt hang about... she sent me straight to Casualty - hanging around having to wait is better than the way you feel now... it could be a good thing hun..

make the call and dont feel alone.... and remember everyones story here is different. hope you feel less alone now you have us lot..

 

love lindyxx


LindyLoo xx

" This moment will pass " (Bono U2)

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gemski3899

That may be an option Lindy,

 

Maybe tomorrow as my mum is coming over for the day then taking my son to his dads for the night,

 

I will call the surgery and see what my doctor says,

 

Thank you, I do feel much better knowing im not alone and an outside perspective on things is always grounding.

 

Gem x


x x Gem x x

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Wenders

Gem, please make a fuss and get seen. Our problem is we think tomorrow may be better and on it goes. We don't like making a fuss, but look how full A&E is on a Friday and Saturday night that is drink and drug related, self inflicted, fights and such like. Don't feel bad about going there.

 

If you need that MRI faster then you are going to have to either convince GP to admit you or turn up at A&E like I did. I purposely went early in the morning, on a Monday too as I knew I had better chance of being see and taken seriously!! It was the biggest hospital and also the one I had been at for the nuerologist so knew I had better chance of being seen.

 

I had telephoned my nuerologist's secretary the Friday prior to going up to the hospital to ask when the MRI was scheduled for and was horrified to be told I had been seen on 4th June and my letter of referal for MRI was sent on 5th of August, 2 months to write a letter!!! In that time I was nievely expecting to hear any day for my appointment. So I knew wait was going to be long and I just hadn't the strength to go on any longer without having something done. I was just hoping I'd get magic drugs but got admitted and you've read the rest.

 

You have nothing to lose by trying and hopefully you will get somewhere.

 

Good luck x

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happyandy

I agree with Wenders.

 

I am often bewildered why people feel guilty about seeing their GP's or trying to see their Neuro. As far as Im concerned i help pay these guys wages in the case of GP's they get a lot of money having meon the books. If I dont feel Im getting good service I would make sure I take the appropriate action. I would get friendly with the Neuros secretary and phone on a regular basis to get your appointment bumped up. It may have been bumped to make space for the Neuro's private referrals.

 

Andy


If I knew I was going to live so long I would have taken better care of my body

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gemski3899

You're right,

 

Good to get some perspective,

 

My chest is really painful and my head is banging, will go in the morning if I can get trough tonight

 

x x


x x Gem x x

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Lindyloo

Excellent advice Wenders!!!! and Andy...

 

 

lots of love Gems

 

 

 

Lindxxxxx


LindyLoo xx

" This moment will pass " (Bono U2)

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