Got my first hospital appointment on Monday, what should I expect?

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I am new to this forum, having spent several weeks researching Lymes Disease. I got bitten by 2 ticks which resulted with the Bulls eye rash. One was on my ankle and the other on the back of my leg. I never felt the bite and only noticed when the rash came out. I could see the puncture wound and the rash expand as time went on. My ankle one was small, but the one on the back of my leg grew and covered the entire back of my leg! At the time I thought I had been bitten by a spider, so researched spider bites but nothing resembled the rash I had...it was months and months later that I came across the same rash in pictures on the internet when I was researching another problem I had, that it was a tick and that this was first stage Lymes Disease. I don't remember having any flu like syptoms, but do remember slapping on the IB gel over the rash as it was uncomfortable. I rememeber now complaining to freinds that I felt 'unwell' but never saw the doc, as how do you just go to one saying you feel unwell?

I live in Madeira, live next to a banana plantation and know that with the amount of time I spend in my garden, my ticks were lurking in my back yard!

I forgot about it and got on with my life.

I would say that in the last 6 months my feeling of unwell returned. Fatigue and random pains in my joints.

My neck glands would swell up and down like a yoyo, some days worse than others.

Headaches that would last for days, pressure at the back of my neck. But I am a cluster headache and migraine person anyway...but these seems different.

My knees, were the first and biggest problem for me as they have deteriorated quickly...give out at any opportunity and squeak and creak when I flex them. Some days they swell up at the back of the leg.

Random pains and aches, here one day gone the next.

But the worse and most debillitaing is the brain fog, memory loss and fatigue. Again random, a few good days then a couple of bad ones and the feeling on being unwell...can't describe it, just don't feel well!

Over the last few months my toes (the two either side of my big toe) just go dead, mostly the left, some times both. It's irritating!

But i the last few weeks I have now started the tingling. Last week I woke up and couldn't walk as the pain in my knee was unbearable....by mid afternoon it was fine.

A few days later I woke up and my left hand was in agony, as if I had fallen on it in my sleep and had sprained all the tendons and muscles, I couldn't hold a cup...the pain was excruciating.

I felt so ill, I drove myself to the hospital and was given a jab of diclofenac in my bum, prescribed strong anti inflamatories and told I had fibromyalgia. Was assured my knees were arthritis and that I would have some blood tests and xrays when I would next see my doctor.

This is the fun part. I live on a foreign island and haveonly just got myself into the medical system here. I never go to the doctor and hadn't seen one for about 2 years. So on Monday I had my very first appointment with my local GP. English is not his first language and having sat with me for a while listening to my bizzare non sensical problems in a language that is not his own, his diagosis was that I see a shrink and get a psych evaluation. I left feeling humiliated, offended BUT frustrated as I had got to a point where I was conscerned and needed to talk this through with a medical proffessional that my suspicion of having had the bites, the rash and not seeking treatment at the time, could be connected to what I was going through now.

I wrote to him the next day explaining this and attached copies of some information I had got off the internet. Chose my words carefully expalining that I was conscerned and that if he took the time to read through the material and felt there was some milage in this to contact me back. I have to say as a result of that appointment with him, I was never going to go back to him.

The following morning he rang me personally, apologised and insisted on me seeing him that day. I went back and spent an ahour and a half discussing my symptoms, the bites, the rash, how I felt at the time. He did several tests and ruled out fibromylagia. Showed me pictures of rashes and had himself researched Lymes on the internet. He had already called the hospital and spoke to them, telling me they wanted to do a study on me. Apparently getting Lymes in Madeira is rare, although they have had a few cases of it reported.

I had 5 vials of blood taken and urine sample yesterday, then he insisted on seeing me again and said that the hospital would call and I should expect an appointment with them within a week to 10 days. He also said that at this stage my infection would be difficult to treat.

The hospital called me yesterday afternoon (Friday) and I have an appointment for Monday I am shocked at the speed of this but am worrying as I have no idea what to expect as I have to take a translator with me as no one in the disease department speaks English!

I felt fine yesterday and started to feel like maybe he was right and I need to see a shrink as this is all in my head, but then I woke up this morning as my thumb on my left hand was twitching which spead to my index, then middle finger.....it wouldnt stop, a freind came over and saw it and couldn't belive what she was seeing. My right kidney area has been aching all day, and I had stabbing and needle prick feelings in my head this afternoon. This evening it has all calmed down again, apart form an ached from my left hand to elbow...tomorrow I will probably be fine again.

So my question here is, what am I to expect on Monday....will I have any more tests and what are they likely to be? Has anyone had a similar experience and symptoms? Am I alone in this or am I completely bonkers?

 

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  • Posted

    I am sorry you are having such problems but it also happens in the UK.

    you could see your daughters GP and ask for western blot or you could have it done privately at The Doctors Laboratory at a cost of about £250. I never had postive ELISA so paid for W blot which also came back negative, I believe this is because of the steroids I was given. However as you say all tests are unreliable.

    can I suggest you Google Winchester Travel Health. I paid to see a lyme specialist there and he wrote to my GP to suggest he prescribe me antibiotics and plaquenil for 3 months and then review. Don't give up, I realise it is soul destroying and when feeling poorly it is hard to keep fighting. Also contact Lyme Disease Action (LDA),

    they provide invaluable support and advice.

    Let us know how you go xx

    • Posted

      Thank you for your response, having a forum like this certainly helps with kind people like yourself offering advice and suggestions, will google both now and take a look.

      I did read somewhere that steroids affect the tests...that they should be done free of medication, but even with that they can be inconclusive anyway.

      One question as in one of your posts you mentioned you had your kidneys checked out...I ask as this last couple of weeks, my kidneys have started to hurt and today my right one is vrey painful...had a look over my blood results and although I am no doctor my creatin levels are in the notmal range...again as the pain is random..last for hours, then goes, wandered if this was just another small signal...

      Hope you are feeling better with your treatment x

  • Posted

    Initially when I was really ill had lots of blood, leucocytes in my urine so had kidney scan then looking for tumour but all clear. Recently had low back and loin pain, tested urine which showed either infection or inflammation so now waiting for further CT scan of kidneys. My GP thinks maybe have stones due to all the steroids I had. My pain has gone now so may have passed stone. You may experience pain everywhere, some days shoulders, other days back etc. at first I hurt from head to toe.

    remember your muscles, tendons, joints, glands and nerves can all be inflamed so guess pain is to be expected. With the right treatment you will improve, please stay strong and keep pushing for diagnosis xx

  • Posted

    After a 3 hour exhausting visit to the surgery today, my PCR test came back negative as well and the doctor has now concluded it to be the end of the matter. He was nice though, agreed that the tests can be inconclusive but as someone who doesn't know much about Lymes can't diagnose on symptoms alone..has to go by the blood results. Door is now closed. He then suggested I went to see a Lymes specialist in UK. He has referred me to a neurologist and rheaumatologist and also asked if I would like to see a psychiatrist.

    Still agrees that I had stage one with the bites and rashes...but won't acknowledge it further than this. I asked if ones immune system can fight off the bacteria by itself, he shrugged.

    So I am back to square one again. Not sure how I feel today apart from all hopes dashed and trying to fight this...I don't have the energy today.

  • Posted

    Hi,

    Not a huge surprise that your bloods came back negative. A large proportion of people do come back with negative results, the tests aren't perfect. At least your doctor admitted he didn't know much about Lyme Disease.

    In the UK, the GPs are given a guide to diagnosis by Public Health England. Not all of them will be up to date on that, but it's easily available to run off so they can refer to it. 

    This is a horrible time, when you are in limbo and haven't had a diagnosis. Have plenty of rest and stay strong. 

    You'll be going to Scotland soon and the GP there should be familiar with Lyme Disease and the symptoms.

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