Follow-up apt at Addenrbooke's - complete waste of time!

So I’ve just driven 1.5 hours to get to Cambridge to see Mr Axon for a ‘treatment plan’.

Only I didnt see Mr Axon - I saw his side-kick who didnt even give me his name!

He asked me how I was and I responded ‘chronic’ and he said ‘really??’ - I’m like YES REALLY!!! He said ok lets go the list of your symptoms so I gave him my extensive list and all he said was ok I think we need to do VRT.

I said given that all my ENG results came back fine and the Audiology Scientist told me I did NOT need VRT, you’re now saying I do?! He said, it will help get your balance issues under control and deal with your axiety. I said well that isnt tackling the root of the problem and he said ‘no, you need to go back to your neurologist and see whether he still thinks it’s migraine’.

He said I will have to go to Cambridge for the VRT (1.5 hr drive each way) and that they would write to me with a start date. I asked about further medication and he said ‘I’m not here to prescribe medications for this and I dont think vestibular suppressents will work on you’.

I just burst into tears in his office and said this hasnt helped me at all and 3 wks ago I was told I did not need VRT and today I had high hopes for a solid treatment plan and you’re saying we’ll try VRT and it’ll help your axiety too.

I just walked out.

I feel even more out of my depth and alone than I did 3 hours ago and dont know what to do. I’ll have to go back to my GP to get a referal back to my Neuro and in the meantime stick with the Nortriptyline in the hope that might do something for me over the coming weeks.

He said ‘I dont know what’s wrong with you - it may well be migraine but you are a complex case’.

I feel like I’m up sh*t creek without the proverbial paddle. Maybe I’ll just tell my GP that he said I could try Clonazepam/Klonopin and get it out of him that way as the Valium is not doing enough to dull down the dizzies/rocking - well, the 2mg that I’ve taken hasnt - maybe if I eat the bottle that should help calm stuff down!!! :shock:

Hope everyone here is having a better day than I am in pouring, rainy London.

Muppo :frowning:

Muppo

My heart goes out to you. Sounds like you really didn’t need this ‘sidekick’ guy.

I just checked your Mr Axon and colleagues’ webpage and although he’s an otoneurologist he seems to have particular skills/interest in skull base surgery. Sounds like MAV and dizziness isn’t his or his colleagues’ top expertise area. I may be wrong, but the guy u saw sounds like he doesn’t know his a*** from his elbow. Was he another Consultant or was he Mr Axon’s Registrar?

I don’t know how you came to choose Addenbrookes - were you recommended it by someone? I know it’s hard and soul destroying but I think you need a second opinion. Perhaps you should ask for a Queen’s Square referral (UCLH’s National Hospital for Neurology and Neurosurgery) - at least there the otoneuro team link up with the migraine clinic team (well they did for me). You’re in London aren’t you? I found my QS consultant very thorough, knowledgeable re. MAV and sympathetic, but I ended up seeking a 2nd opinion in Kent because I wasn’t convinced about her medication suggestions.

Meanwhile ask your GP re. clonazepam. I find the branded Rivotril far superior to some of the generics (no, I don’t have shares!). This should hopefully calm things down a bit for you in the meantime. I take between 0.25 and 0.5 mg per day only as required.

I’m now on day 3 of Lyrica, still at 50mg b4 bed. Supposed to up it tomorrow to 2 x 50 mg for 3 days. Dizziness much improved on day afer 1st dose, but this must be placebo! I was practically bedbound for nearly 2 weeks so the change is remarkable. I’m pretty convinced my MAV is caused by my hyperactive stressed out brain so I’m telling myself Lyrica is calming it all down. Also feeling relatively calm and relaxed (for me), and was able to go out to Sainsbury’s yesterday for a short shop - nothing short of miraculous! Was told to expect feeling drowsy and wiped out - almost the opposite - have woken up feeling v. refreshed so far. Mild headache in evening yesterday, may be coincidential. Feeling hungry though and determined not to put on weight with this!

This bloody rain is only for today - tomorrow’s forecast for London area looking good!

Thinking of you

Dizzy Izzy

Muppo,

I started at Oxford, moved on to Addenbrookes (3 hr drive from here) to see (surgeon ENT). At Oxford, had all the ENT tests, told I had menieres from ECOG, took all my notes to Addenbrookes. Had two tests, walking up and down the room and standing on a leather stool with my eyes closed (I was not impressed). Said I had hyperventilation (in thing at the time), and an inner ear lesion, was sent to High Wycombe for VRT, where I travelled back and forth two or three times as well (the exercises did nothing for me).

Went on to Prof Luxon (more ENT tests) then on to Queens (National Hospital for Neurology) to be treated for migraine. Quite a lot of expertise there and all drugs to try. I kept doing round trips (7 hrs) (always a 3 hrs wait) to London, but to be honest, it was just the next drug to try, in the end I decided to stick with my neurologist in Oxford who let me try whatever drug I wanted to try next (for you, National Hospital for Neurology would be good, you are in London). They also can get hold of Flunarazine there if you did want to try that one, whereas my local neuro cant.

Christine

I’m so sorry you are going through this. I’ve been in the same boat off and on for many years. No one has really helped me but part of my problem is i can’t take a lot of the meds cuz i have low blood pressure and low tolerance for medication.

my GP gives me valium thank God but right now that’s not working too well either. I’m so sick today.
i hope you get some help soon. I keep toying with the idea of doing my home VRt exercises again but i don’t know.

chris

From personal experience and what my therapist told me, VRT does not do much for people with MAV. Unless it is right next door or you have a driver to bring you home, I would advise against an 1.5 hour drive after words. VRT made me so dizzy by the time I was done with a session, we even stopped twice becuase I got so dizzy that the therapist wasn’t willing to go do anymore therapy. In the end, we agreed that VRT was wasting my time.

The one good thing that I will say about VRT is that I did learn that I have quite a few more motion related triggers than I thought. :oops:

You poor thing this is appalling treatment. If you are near London try the London Neuro Hopsital. On the other hand why not try Dr Surenthiran at the Balance Centre Medway Maritime Hospital. He has private clinics all over the place as well. I believe he does one in BlackHeath Hospital London. Google him and see. It will cost around £250. Stick it on the bloody credit card . He will then transfer you onto his NHS list at Medway. He will sort you out. At this stage you at the very least need a diagnosis and can work from there.

with regards the valium, which I am using. 2mg is nothing you need 5 at least. Although the body does develop a tolerance to it.

Yes I agree with Fiona - see Dr S privately, get a prescription for something he thinks will work for YOU (may be nortripyline, may be Lyrica, may be something else), then he’ll ask you if you wish to transfer to being NHS patient (and your GP can write an NHS prescription if the private one is too dear (my Lyrica cost £240 for 40 days’ supply on a private script!!!)), so you ask your GP to refer you AFTER you’ve seen him and got a treatment plan going.

Do it on MONDAY - ring up his secretary and make an appt for when he gets back from his hols!

D-I xx

Dr S is on hols until 24th Dizzy, his secretary is new and part time (not returning calls} so look for Spires hospitals in the Medway/ London area this is were he usually does hi private practice.

Muppo , here’s the link for Blackheath:

http://www.drfosterhealth.co.uk/hospital-guide/hospital/private/BMI-The-Blackheath-Hospital-10034.aspx

http://www.drfosterhealth.co.uk/hospital-guide/hospital/private/BMI-The-Blackheath-Hospital-10034.aspx

Hey Muppo,

Sorry to hear about this very disappointing meeting with the doctor. I agree that it sounds absurd to be driving hours to go for VRT when you’ve already been told that VRT is likely not to make a difference. It’s usually useless for MAV. It sounds like this guy was grasping at straws and had no idea – nor was he even able to recommend medication. Waste of time. How much Nori are you on at the moment and for how long have you been on it?

You’re not up shit creek without a paddle. Don’t go down that line of thinking if you can help it. Keep moving forward systematically until you find someone who can oversee your treatment. Nori is definitely a good start. Can you get an appt with Dr Rosalyn Davies over there? She knows what to do about this.

Scott

Hi all

Firstly, thank you for your replies, I’m slowly dragging myself out of my pit of despair… and feel I have support here.

DizzyIz - thanks sweetheart, I always appreciate your messages/kind words and yes I think you’re right about their areas of interest at Addenbrookes. The ENT I saw in December told me to go there as they were one of the best units in the UK to treat dizziness and balance disorders so that’s what I did… I live in Essex just on the East London border.

I have no idea who the jerk was that I saw but all he repeated over and over was ‘you need to have VRT to help your balance, which will help your confidence, which well help your anxiety but your neurologist needs to find the root of the problem’. I could’ve swung for him.

Fiona - thank you for your kind words and thoughtfulness in sending me the links. I will try to make an appointment with Dr S after he returns from holidays. On Friday and Saturday I took 4mg Valium - 1 am 1 pm and it really helped - today I only took 1 this morning and now its evening, everything is ramping up again so I dont want to take them willy nilly so the effect wheres off :frowning:

Scott - thank you for your suggestion of Dr Rosalyn Davies - I see that she is basked at The National Hospital for Neurology and Neurosurgery at Queens Square… DizzyIz is this who you saw there? I am currently on Nort (which I got my GP to put me on) and did 2 weeks at 10mg per night and I’ve now had 2 nights at 15mg. I was going to stay at 15mg for a week and then go up to 20mg … it’s basically my own treatment plan given all the research and helpful posts I’ve recieved from this website. Thank you for responding to my post and words of encouragement.

I’m just in such a desperate place of needing to be well enough to go back to work… that would be the biggest milestone for me.

So I guess now I need to make an appointment with either Dr S in Kent or Dr Davies in London… ?

I am seeing my GP next Friday so will whoop him about Clonazepam (Rivotril).

Love to you all x

Hi Muppo

I’m pleased you feel supported and now are able to formulate a plan.

If you’re going down the NHS route first I can’t really say Dr S is better than Queen Square or vice versa. A lot may depend on whom your GP thinks they have a contract with or who is more appropriate for an extra-contractual referral. If you are able to use ‘choose and book’, I’d go with the one with the shorter waiting list.

Rosalyn Davies seems to be the top woman for MAV at The National (sorry I always call it Queen Square - I used to work there and that’s what we always referred to it by), but I saw her colleague Dr Doris-Eva Bamiou, largely because she’s a friend of a friend who got me in to see her quickly. She’s lovely but probably not as experienced as Rosalyn Davies. I would recommend her except for the fact she muddled up my medication. She may have a shorter waiting list than Dr Davies though.

Not sure how easy it would be to get NHS referral to Dr S, living where you do. By the way, I used to live in that area - Buckhurst Hill - loved it, lots of celebs from East Enders in Waitrose! I got a private referral to him within one week - cost £240 for 40mins, but I’m transferring to the NHS hopefully. I have a very obliging GP who more or less does what I ask of him (bless).

The Queen Square lot seem to like putting people through lots of vestibular tests - some nicer than others. Dr S didn’t do any of that (much to my relief).

Anyway, good luck with your GP and the clonazepam (ask for Rivotril if you can, although they may be awkward about that I suppose, and it’s only me who seems to have noticed a difference from the generic on this forum).

As for me, I’m having fun and games with my pregabalin (lyrica) - started off miraculously well but getting excruciating migraines now I’ve upped the dosage. This may be totally coincidental as I’m about to start my period and I’m always worse then, but I’m worried the Lyrica’s not working of course, being a glass half empty sort of person. But early days. I’ll be posting in more detail in a couple of weeks re. my progress on it or lack of.

Best of luck

Dizzy-Izzy xx

Muppo,

Please see my last post in the visual vertigo thread on VRT.

Best … Scott 8)

Hi all

Scott - yes I did read your VV post and found it v interesting… hope your appointment goes well and will be interested to see what they advise you.

DizzyIz - I live in Loughton!! So we would’ve been neighbours hahahah - where do you live now?

I’m confused with what you mentioned re going via NHS to see Dr S if you’re saying my GP might not do that because of where I live - but if I see Dr S privately first, I can then get transferred afterwards? When I asked my GP to do a referral to Addenbrooke’s, he’d never heard of Mr Axon or even the word Neurotology and just said he’d find all the details and do the referral…

What I will prob do is pay to see Dr S and then transfer onto the NHS as you have done. My GP is v supportive and will also kinda do what I ask of him so I will be also discussing Rivotril with him on Friday too.

x

[size=150]Update…[/size]

I have booked an appointment with Dr S at Blackheath Hospital on Friday 8th April. They could’ve seen me THIS Friday but my GP couldnt get the referral letter done in time.

Plus I thought - if I wait a few more weeks to see Dr S, it gives me longer on the Nort to see how it’s working for me - by that time I would’ve had 1 week on 15mg per night and then 2 weeks at 20mg per night (well, that’s the plan anyway).

I am seenig my GP on Friday to get him to write a referral letter for the Blackheath apt on the 8th and an NHS referral for the Medway Maritime to be getting that one in the system (plus beg him for Rivotril/Klonopin). I just read that under the law you are entitled to ask your GP for a referral to ANY consultant, no matter where they’re based, if that’s what you want to do. They cannot refuse you on the grounds of location etc.

I have also written a stinking letter today to Mr Axon outlining my disappointment at not seeing him on Friday and the general conversation and conduct of my consultation with his puppet :!:

One piece of ‘good news’ today though is that my disability allowance claim was agreed and processed and they’ve agreed to backdate it 3 months, so that’s SOMETHING.

DizzyIz - let me know where you live now and if you’re up to it/interested, maybe I could pay you a visit for a coffee break without the coffee!! :lol:

I swear I am moving back to New Zealand this YEAR if it kills me!!! :mrgreen:

Muppo

So pleased you have a plan of action and things are actually moving. Also good idea to get the NHS referral sorted sooner rather than later. I’m having to wait as my GP’s on holiday at the moment and I don’t trust any of the others in the practice!

I was reassured by your statement:

I just read that under the law you are entitled to ask your GP for a referral to ANY consultant, no matter where they’re based, if that’s what you want to do. They cannot refuse you on the grounds of location etc

I sort of knew this but have had difficulty in the past with getting extra-contractual referrals to specialists.

I will be thinking of you on 8th April. Guess what? I used to live in Blackheath!!! It was many years ago that I worked at Greenwich Hospital (which was on the Blackheath side of Greenwich) in the days before they pulled it down, and had a lovely flat in Blackheath which I shared with a friend who now lives in New Zealand! I actually also did a bit of work at Blackheath private hospital for a while, b4 the days Dr S was there I expect.

I’ve lived all over London, but moved out to Bucky Hill after getting married in 1998. Used to love going to Loughton, and went for many many bike rides in Epping Forest. We left in 2002 and moved down to Surrey (Leatherhead, where my husband’s from - not really anywhere near you!) to be nearer dh’s parents for help with babysitting etc. for our girls. Ironic really that he’s now chucked me out and I hardly see them. But I have to concentrate on getting better b4 I can tackle all that crap. We still love each other so I hope things will work out.

Have had a better day today. Yesterday’s migraine from hell hopefully wasn’t a reaction to the Lyrica but more to do with time of month. Tomorrow I’m up to my target dose of 150mg (50mg x 3 daily).

Best of luck

Dizzy Izzy xx

DizzyIz

This is so funny - we’ve probably passed each other on the streets :lol:

I’m in Blackheath/Greenwich a lot as my best boy mate (I love him he dont love me usual BS :lol: ) has a beautiful apartment on Blackheath Road - the old Greenwich Academy Boys School - you must know the building - it’s gorgeous and a stone’s throw away from Deptford Bridge DLR station.

I absolutely love that area and all the greenery around Blackheath. And spooky about your friend that now lives in NZ!!! I probably rented a room off your mate at some point !! :lol: I used to live in Christchurch and was meant to be moving to Wellington - all my stuff has been sent over on the boat and I’m living in the same 2 pairs of jeans and 6 t-shirts!!!

Epping Forest rocks. We moved to Loughton when I was 7 (I’m 33 now). I’ve spent 4 years living away from the UK tho, did 1 year in New York, 1 year in Vancouver, 1 year in Sydney (not far from Scott - I was in Coogee) and 1 year in NZ …

You do have to concentrate on getting better and it’s good to know the love is still there - but would be better if he could deal with his issues with your illness and dish out the love at the same time (in sickness and in health and all that jazz!).

Well, if you’re ever feeling up to it or meeting in Central London one day (not sure how mad that might send both of us but hey, at least we’d have each other to lean on right??!!) just give me a hollar.

Good luck with the Lyrica - keep us all posted on progress…

xx

— Begin quote from “Muppo”

[size=150]Update…[/size]

One piece of ‘good news’ today though is that my disability allowance claim was agreed and processed and they’ve agreed to backdate it 3 months, so that’s SOMETHING.

— End quote

REVISION - letter today saying they are NOT going to pay me disability. So, a phone call last week saying they are and a letter this week saying they’re not.

Fantastic.

That does suck. Did you happen to catch the name of the person on the phone, to follow up with?