Autonomic Dysfunction/NNH/Prof Matthias/POTS

Issues relating to disorders which are related to, or which may occur as a consequence of HMS. Including but not limited to: Ehlers-Danlos Syndrome, Marfans, Osteogenesis Imperfecta, Sticklers Syndrome, arthritis, depression, chronic fatigue syndrome. To include everyday problems such as IBS, eyes, teeth, etc.....

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Re: Autonomic Dysfunction/NNH/Prof Matthias/POTS

Postby mikev » Tue Apr 16, 2013 10:20 pm

judi_helen wrote:Hi there,

We worked out that my daughter - then 17 and known EDS probably had PoTS. There is an organisation like HMSA for people with syncope and PoTS. We got some names of doctors from them. I'm not sure I can name the group on the forum but you will probably find them if you Google PoTS. My daughter was referred to the local cardiology dept and from them to a consultant for elderly medicine. Apparently because they specialize in falls with unknown causes quite a few PoTS doctors are care for the elderly consultants.

It was a bit strange sitting in his out patients waiting area but he was super. He explained that PoTS has to be managed not cured and so every decision would be jointly made between my daughter and him (not me, quite right!). He asked her to bring another adult with her who observes her when she has symptoms - could be me but not necessarily. That went down very well as she felt she was being treated as an adult not a child. Needless to say, I've been invited to each appt. When she was reviewed, he gave her 3 options - carry on with conservative management, take medication to raise blood pressure, take medication to dampen pulse rate. He discussed the pros and cons of each and asked for her opinion. When she asked for medication to dampen the pulse rate he said, ' I suggest we try Ivabradine. Go home and look it up on one of these sites checking the side effects etc and ring my secretary to let me know what you think'. I wonder if he does that for all his patients.

Her PoTS is now much better controlled, though it was worse last year in hot weather so we will see what the summer brings. I think this doctor's approach really helped, especially as my daughter is off to uni in September and wants to feel she is more independent.

We are near Birmingham if that helps we can ask the moderator how to share the doctor's details off the forum

hope that helps,

Judi


This is what puts me off spending money to see any one, I dont need to be told I have something else incurable Id rather try to cure it myself- it makes me sick to gut TBH that medicine is so little integrity left their happy to just cash in on big pharma while the rest of us are left to suffer or get lectured about how bad it is for us to seek " alternatives " they fail to provide.
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Re: Autonomic Dysfunction/NNH/Prof Matthias/POTS

Postby gila » Wed Apr 17, 2013 10:13 am

????? sorry mikev, I dont understand your reaction to that post at all... although I also dont agree with many things re pharma companies, their interactions with med bod world etc ...

for me this post shows there are enlightened consultants out there who know little known/little understood conditions, explain things as they stand to the patient, explain the possible current treatment options, advise patient to further research the meds options, give patient the choice which route to go down=actively involve the patient in their treat/management, are aware that chronic conditions healthcare at its best is teamwork. for me...it couldnt be better.
and as far as I know this was a "free" nhs doc...
and as far as I know there are quite a few med bods out there trying to figure things out, trying to find causes and cures.
and there s at least one who has it herself, who is trying to think outside the box and involves other patients in her "musings" and research. ( check her on prettyill.com )
xxg
ps :oops: and please keep in mind the try "staying on topic" rule when answering, so please no "general pharma industry discussion" etc( you could pm me if you fancy that) but if you found any alternative things that do help your pots, autonomic dysfunction issues do let us know.
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Re: Autonomic Dysfunction/NNH/Prof Matthias/POTS

Postby Jaydee » Thu Apr 25, 2013 7:49 pm

Dear Potsy ladies and gents,

I am just wondering time scales for appointments for Prof M and follow up visits. My first appointment is towards the end of May (which I have waited for almost a year).

What can I expect at this 1st appointment and will it take forever to be seen again, hear from them etc.

Thanks for responses.

JD
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Re: Autonomic Dysfunction/NNH/Prof Matthias/POTS

Postby Gaia » Thu Apr 25, 2013 8:31 pm

I can tell you what my timescale was:

referred April 2010
first appointment end of August 2010
admission for 4 days of tests June 2011
follow up appointment Feb 2012
follow up appointment Oct 2012
admission for octreotide testing Jan 2013
follow up appointment Nov 2013...


In other news, got my GP to start me on a beta blocker since this was suggested at my appointment in October even if the GP didn't get a letter following that appointment (apparently, my tests in Jan showed similar POTSy reactions to my first round of testing, but there wasn't enough improvement in my numbers to make it worth trying my on octreotide)
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Re: Autonomic Dysfunction/NNH/Prof Matthias/POTS

Postby Fluffym » Fri Apr 26, 2013 4:12 pm

When having autonomic dysfunction tests can anyone recommend what the best sort of clothing to wear is please? I'm thinking trousers due to being turned upside down but that's as far as I've got. I will be sent home wearing a blood pressure monitor too which I'm guessing might make undressing interesting. Any hints and tips are very welcome.

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Re: Autonomic Dysfunction/NNH/Prof Matthias/POTS

Postby Gaia » Fri Apr 26, 2013 5:54 pm

Just loose comfortable clothing is fine with trousers. BP monitor you can remove to have a shower so clothing choice isn't such an issue there - you can just work round it.
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Re: Autonomic Dysfunction/NNH/Prof Matthias/POTS

Postby Fluffym » Fri Apr 26, 2013 7:53 pm

Thanks Gaia

Got a feeling the two days I've got to be at the hospital are going to be very long ones, particularly as they want me to travel there and back each day. Will need to make sure I've got a quiet day before I go and a few quiet days after to recover. I guess most of us on here have to plan like that. :)

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Re: Autonomic Dysfunction/NNH/Prof Matthias/POTS

Postby Fluffym » Sat May 11, 2013 2:44 pm

Well I've been to have my autonomic tests done and now await the results. Anyone know how long I might have to wait? The staff in London were all really lovely and clearly understood not only the autonomic issues but also EDS. Felt very understood when we had to stop the tilt table test early because my back was killing me. Did not make me feel bad or inadequate because of it. Glad I've been,although I'm now really struggling with the consequences of extreme fatigue, despite having slept for 13 hours last night and 11 the night before (with Blood pressure monitor nudging me throughout the night!) Do hope it passes soon.

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