just recently Ive had minor surgery on my Achilles,all has when well and on the road to recovery .but during my consult period i also complained about my knee and the response was its structurally fine so don't worry about it . so i go back today for check up Achilles is great ,so ask agian (different consultant)about my knee as its been sore of late and now this guy is sending me for MRI scan as he seems concerned about it as the pain is coming from just to the side of the knee cap.
this i find frustrating as i now need to tell my work that i need to get more time of my work. how come they couldn't of picked this up the first time around.
you could always try paying for an MRI out of your own pocket?
Maybe it's one of those things that takes time to see and diagnose? It's highly possible that a non-nhs doc would have taken the same route, they're only human.
So they sending you for a MRI scan and your complaining?
We have an NHS...whats your problem? 🙄
BTW, did you know
In the United States, an MRI scan of the neck region costs about $1,500. In Japan, the identical scan costs $98. Under the pressure of cost controls, Japanese researchers found ways to perform the same diagnostic technique for one-fifteenth the American price. (And Japanese labs still make a profit.)
http://www.washingtonpost.com/wp-dyn/content/article/2009/08/21/AR2009082101778_pf.html
He could be a weak consultant sending you for an MRI scan that he knows will show nothing in order to stop you complaining 😉
Not saying that is the case but quite possible. Everyone wants scanned all the time but scanner time is costly and under pressure.
I had an injury to my elbow that didn't seem to be healing - GP referred me to the orthopaedic consultant. Before seeing the consultant I was sent to a very senior experienced physio who was basically screening for the orthapod. A decent chat with her - told the injury could take 6 months plus to heal, surgury was not indicated any way - and lo and behold she was right. One unneeded referral to the orthapod and one screening appointment that saved the orthapods time.
in fairness its taken 3 physios and now to consultants to spot this .but why did the first guy not send me for a MRI ?
(MRI = £1000)
So let me get this right ......... you tell the doc that you're a little concerned about your knee, they respond by telling you that it's "structurally fine so don't worry about it", you go back after a period of time saying it's no better/worse so they respond to that, by saying 'ok, let's send you for an MRI then ............ and now you are [u]complaining[/u] about that ? 😯
...........yeah, right, "bloody" NHS .... 🙄
[i]in fairness its taken 3 physios and now to consultants to spot this .but why did the first guy not send me for a MRI [/i]
Knee injuries are notorious to diagnose and they often give time it's chance. First guy wouldn't send you as he felt there was no need, they cost money and some one else who needed it more would have to wait. Then there's the fact you've had problems with your Achilles they probably suspected it was this putting load on your knee. There's far more to it then "ooh my knees sore" "Ok let's get you down to theatre and we'll fix that this afternoon."
While medical training is fairly fixed, each doctor has their own methods of working. While it's possible that one was more reluctant to send you for an MRI than the next, why has it got anything to do with the NHS?
I've had two MRI scans done this year and when I asked how much would it cost privately I was told anywhere from £700-£1200 per scan, depends on where I get it done. I can't complain about the nurses doctors as they have all been brilliant.
have to be honest i was looking for the guy to recommend me a good physio , but he thinks i have tore some thing 😐 hence the MRI
you could always try paying for an MRI out of your own pocket?
And why should he?
You could always go private or try fixing it yourself.
Listening to non-stop whinging is one of the "benefits" of working for the NHS. Fekkit, somethines I think I'd rather be Scottish Justice Minister.
[i]And why should he? [/i]
He's not prepared to wait. He doesn't believe the Dr. They're refusing because there's no need.
Maybe you just weren't very good at conveying the problems to the doc?
[url= http://www.singletrackworld.com/forum/topic/whats-wrong-with-my-legs ]Maybe you told him there is nothing wrong with you?[/url]
Some posts on hear do seem to suggest that people think the NHS is a privilege, not a right.
If one doctor does something not to your liking it's not the NHS' fault.
My Wife was seeing a consultant for her hips that she wasn't really happy with, as he just kept sending her to physio when it hadn't helped for 3 years. She asked for a second opinion from a Consultant who specialises in young adults with her condition. This consultant normally works in the private sector but he takes some NHS patients.
Anyway, she is now getting really good treatment from one of the best consultants in the country, has been booked in for an operation a lot of orthopaedic surgeons don't even offer, all on the NHS!
Bit long winded, but hopefully gets the point across how good the NHS can be.
TJ - Was that very senior experienced physio at the ERI? If so they are probably a consultant physio and earn around £95k, so still not cheap.
Some posts on hear do seem to suggest that people think the NHS is a privilege, not a right.
It is a right
But there's no right to any treatment that any hypochondriac may think they need
I wish more people would see it as a privilege and not just a right.
He's not prepared to wait. He doesn't believe the Dr. They're refusing because there's no need.
i had the choice to go private and not pay (work)for the first opp and am prepared to wait on the nhs as i personally think the waiting times are reasonable .its not that i dont believe the dr it why wait till now to take a look as this was my first problem!
I wish more people would see it as a privilege and not just a right.
Why is that? After all, it is a nationalised service set up to provide healthcare for all that need it. It is such a pity it doesn't deliver on its promises.
i've only just noticed this thread. i recently went to the doc to check out a few things, among them a dodgy knee with pain at various times coming from all round it.
they sent me for an xray straight away, after which i am now sorting out an appointment for an MRI scan. all went smoothly and quickly.
my advice would be move to hackney. 🙂
....... provide healthcare for all that need it
Need is very different to want
He doesn't believe the Dr.
From what I understand from the post, the Dr didn't believe the patient and now, after they had an opportunity to sort the other problem, another doctor has identified a possible problem . The OP DID tell them about the problem at the consult.
Goan no - and no physio earns that much I don't believe. That is more than a surgical consultant.
A senior physio attached to the orthapod team who runs surguries at various points around the city screening for the orthapod.
Need is very different to want
Agreed - but now they accept he did have a possible problem...
[i]Why is that? After all, it is a nationalised service set up to provide healthcare for all that need it. It is such a pity it doesn't deliver on its promises[/i]
You right [b]all that need[/b] it have that privilege but there's those don't need it and see it as a right that they should get some help. It's delivers on many of it's promises but like any industry or business it will some times fail. You saying they failed you somehow maternity with your twins?
M_F - if a large chunk of their funding didn't go on unnecessary procedures such as IVF, then maybe there would be enough left to provide better care for those who have an ailment that effects their quality of life.
The NHS is a privilege.
[i]From what I understand from the post, the Dr didn't believe the patient and now, after they had an opportunity to sort the other problem, another doctor has identified a possible problem[/i]
I read it as he did and he checked it out couldn't see any problems, since then they are still not sure so are sending him for MRI to put him at ease and to rule it out.
TJ - Physios go up to band 9 which tops out at £95k. Sounds exactly the role that the consultant physio attached to ERI Ortho does.
[i]M_F - if a large chunk of their funding didn't go on unnecessary procedures such as IVF, then maybe there would be enough left to provide better care for those who have an ailment that effects their quality of life.[/i]
OMG! Take cover everyone.
unnecessary procedures such as IVF
In my PCT no chunk goes on IVF as they do not provide the service.
The NHS is a privilege.
Which proves that you really don't have an idea what you are talking about.
OMG! Take cover everyone.
Nah, not rising to him on that one - he is just doing it to wind me up, so I have just put him straight on the provision locally.
Goan - I really doubt it. Band 9 is for the people who run groups of hospitals. Band 7 or 8 at best for that sort of role - unless you know better of course
These are examples of roles and the AfC bands at which they may be paid:physiotherapist (Band 5);
physiotherapist specialist (Band 6);
physiotherapist advanced (Band 7).
[i]
Nah, not rising to him on that one - he is just doing it to wind me up, so I have just put him straight on the provision locally. [/i]
Very sensible.
unless you know better of course
Goan doesn't know better, he knows bestestest.
M_F - I know what your provision is locally. But my sister inlaw managed to wangle 4 or 5 lots of treatment out of her PCT, that could have been used to provide other more useful treatment.
I'm sure it's been said before but you do have a large amount of issues in your life don't you Mr Fanylion and even where there isn't really an issue, you do your level best to create one don't you?
Goan
In the NHS, physiotherapists start on Band 5 of the Agenda for Change pay scales. From April 1, 2009 this has been £20,710 - £26,839 a year. Specialist physiotherapists on Band 6 earn £24,831 - £33,436 a year. Advanced physiotherapists and those with management responsibilities on Band 7 earn up to £39,273 a year.At the highest levels, physiotherapy managers and[b] consultants [i]can earn up[/i] to £65,657 a year,[/b] depending on responsibilities.
TJ - In this case I do know better.
Better than the NHS site quoted above. 🙄 I simply do not believe that a consultant physio earns more that consultant doctors.
M_F - I know what your provision is locally. But my sister inlaw managed to wangle 4 or 5 lots of treatment out of her PCT, that could have been used to provide other more useful treatment.
Again, you appear to be talking utter nonsense. The maximum allowed is three cycles as set out by the National Institute for Clinical Excellence.
So unless she somehow defrauded her PCT, or the procedures were undertaken some time ago (the current guidelines have been in place for some 5 years - my knowledge of the rules before then are more shaky), then you are talking rubbish.