Another week in this crazy world.

My Bladder the subject of a national mdt. Such fame! New tactics:more self cath . More antibiotics and less statins because of interactions with antibiotics.

Asthma: Dr Lungs appointment. CT shows improvement from November. But right lung still infection. So long course of antibiotics. Same one as bladder. That’s good. But stop blood pressure meds because of interactions. Dr Kidney has not responded to emails and letters asking for assistance from Dr Lungs. God if the Consultants can’t communicate what’s the chances for we mere patients?

Dr Lungs wrote to gp. Request referral to Bart’s London. Due to exacerbation of asthma requiringlong term antibiotics and steroids. A sundry GP rang me. She had no idea her asthma nurse, her paramedic, her practice nurse had all been involved in my asthma care. She said she’d refer me to our local hospital. Ignored my protestations. She furthermore argued I would have to be on steroids. I am I said. Oh she replied. Why? FFS READ YOUR NOTES. She also asked me why I was seen in London hospitals anyway. How long have you got ( I didn’t reply). I just began the list…bladder kidney spine implant 1 2 etc etc…She said she’d ring me back. She did not. But a random nhs text arrived. She is referring me to our local shit hospital. Not Bart’s. Ffs. It’s hopeless.

The Bart’s Difficult Asthma service.
All of our patients have uncontrolled asthma at Step 4 or Step 5.

• Step 4 – poor control on moderate dose of inhaled steroids plus long acting beta 2 agonist plus add-on therapy
• Step 5 – continuous or frequent use of oral steroids

We offer investigations and immune treatments including anti-IgE antibody injections (omalizumab) and access to other promising new therapies through participation in clinical research trials.

Argh.