so a little while ago I went back to my GP and said, please help me, I've been diagnosed with a chronic illness, which prevents me functioning in every part of my life, and to date all I've been provided with is 12 weeks CBT (Cognitive Behavioural Therapy). So they sent a letter requesting another appointment with the consultant at the Royal Free. (Dr Gabrielle Murphy)
I had been scheduled to see her again in October- their standard, we see our patients regularly appointment (Once per year).
I have been looking forward to the appointment for some time, although admittedly the evening before and day of the appointment I was nervous about it. I looked for the letter to check the times etc of the appointment, but couldn't find it. (I'm usually a person who is organised but I simply cannot do that at the moment, it's as much as I can do to open letters and read them, putting dates into my diary). I also sought the results of my blood test that they originally did, but was unable to find them either.
I figured they'd have the results on file, and was fairly sure I'd written the correct time in my diary.
I arrived at the hospital at 3.25pm, reported to reception that I had an appointment with Dr Gabrielle Murphy, I was informed that they no longer used that clinic, and that I would need to go down to ICDC on the ground floor. I asked for directions to get there, when I got to the ground floor there was no mention of ICDC on the big sign with all of the departments, so I asked the main reception. Oh, the "Ian Charleson Day Centre, you mean?" "I guess so", I replied. I was given further, more accurate instructions and found the "ICDC".
I reported to reception, saying I had an appointment at 3.30pm with Dr Gabrielle Murphy, "take a seat" was the response. "Um, do you not want to take my name, so that she knows I'm here?" I was somewhat flustered by the off the cuff "take a seat".
"No, they don't have a reception service, so you just take a seat and they will come out to see you."
so I took a seat...
And waited. My body was in pain, extremely uncomfortable, and I was extremely fatigued (Not surprising considering I've been diagnosed with Chronic Fatigue Syndrome/ME).
I waited.
After 20 minutes I returned to the reception, smiled at the guys working inside, and asked politely if there was a telephone number for the fatigue clinic, as I was still waiting for my 3.30pm appointment, and it was now 3.50pm. A helpful gentlemen said, "I'll go and speak to her, and make sure that she knows you are here."
Excellent, I thought, now at least I can be sure that she knows I've arrived, a few minutes later the nice gentleman returned from further up the corridor, saying that he had spoken to her, and that she knew I was here.
Even better, I thought, now I don't have to worry, I just have to be patient, even though it is quite distressing having to sit here, because of the physical pain and discomfort I was experiencing.
Shortly after the nice gentleman confirmed I was in the right place, and that the consultant knew I was waiting I had to re-arrange myself to be more comfortable. I went with sitting on the floor, with my head leaning against the chair, with my coat over my eyes to block out the light. I must have dozed there for a while, half asleep.
A woman said "Are you ok there?" I looked up, bleary eyed, um yes thanks, I'm just very tired and waiting for an appointment, I was told the consultant knows I am waiting for her.
I felt embarrassed that I was sitting on the floor and awkward. I told the woman who I was waiting for.
I nestled back into my comfortable position, resigned to wait until the consultant was ready to see me. The time was now 4.25pm.
The nice woman came back a few minutes later, and explained that Dr Gabrielle Murphy was in clinic 6 upstairs, and that I would need to go up to see her.
I cried. I'd been waiting for an hour, in pain and discomfort, having asked to confirm that I was indeed in the correct place, and now I was being told that I wasn't. That the appointment I'd waited weeks to get, I was now over an hour late for, and that I had to now walk further to get to see the consultant.
The nice woman didn't know what to do. I explained that I was feeling a little over emotional, and how distressed I was that I'd waited so long for the appointment, to be waiting for an hour before being told I was in the wrong place. She gave me directions to get to clinic 6 that were shorter than returning to the main reception. She asked whether I would be ok. "yes, thank you for your help" I responded, grateful to her that she had stopped to ask about my welfare, and grateful that finally, I was going to be in the correct place.
I arrived at Clinic 6 reception, explained the situation. "Oh yes, take a seat, she'll be with you shortly". I took a seat.
Around 4.45pm Dr Gabrielle Murphy approached me, I expected a "Hello", or some kind of greeting "Are you Claire Boyles?" "Yes", I smiled, relieved that I was finally able to have my appointment. I never received any greeting from her, formal, or otherwise.
The next 5 minutes involved Dr Gabrielle Murphy telling me that it was my fault that I was waiting so long, because if I'd brought the letter with me, it wouldn't have happened.
I pointed out that no member of staff had ever asked to see my letter, and that I had been unable to find it that morning. One of the most distressing symptoms of CFS/ME for me is being confused easily, not bringing a letter is a direct result of that.
She started reading through my file "I have a letter here from your GP saying that you told them that you're unhappy with our service that we've provided you".
"No, that's not what I said to my GP, what I said to my GP is that I have been diagnosed with a chronic illness which affects every area of my life, and my ability to function and all I've been provided with is 12 weeks of CBT, which while it was useful and provided support emotionally and mentally, has had no significant effect on my physical symptoms. What I would like is support to understand how I can begin to recover, and create health in my body"
She continued to look through my file... "Well you say CBT wasn't any use for you, there is nothing else we can do for you."
I was in shock.
She continued to say that, graded exercise therapy may have been more suited to me, and that's what Brian the consultant had recommended at the time.
I explained that, at the time I had been doing exercise, and from how graded exercise therapy was explained to me, I didn't see how it differed from what I was already doing.
She read bits & pieces out from my notes, at one point asked why I hadn't attended sessions of therapy. "I was too ill to go I guess on the day"
I ran out of energy writing this, and had to stop at this point, I haven't had the energy/heart to return to it yet, but decided if I left it any longer, it probably wouldn't get published at all. It's important to me to publish my blog posts around the time they were written.
I will add the following, to summarise my visit:
She barely made eye contact with me, did not assess my symptoms at all (the last time this was done was the initial appointment).
She told me that should couldn't help me, because funding was restricted to one choice of therapy only, and I'd chosen CBT. And that she couldn't make any exceptions, because if I told anyone in the fatigue community, then everyone would want a 2nd course of treatment...
I asked, if money was no object, what course of treatment would you recommend, her response "Graded Exercise Therapy".
When I asked if the system didn't allow for providing the treatment, how could I go about changing the system? "Write to Cameron, or Lansley, I think that's his name, he's the Minister for Health".
I was shocked.
After a further few minutes with her head buried in my file, and my looking down at the table, in an attempt to "keep it together" emotionally, I looked up at her, and made a gesture as if to say "What now? I'm at a loss for words".
She then started saying that maybe, if she brought it to the team with the angle of having had the wrong therapy, maybe then I could get graded exercise therapy.
But, if I do this, "You have to promise not to tell anyone within the fatigue community" she said.
"I don't know anyone within the fatigue community"
She agreed to bring it to the team.
I asked her to pass on my apologies to the CBT therapist I'd been seeing, that I'd missed my appointments.
"They don't take things personally you know."
"Yes, but if you could please pass on my apologies to her when you see here, I would appreciate it."
She scribbled a note on the file.
I thanked her for seeing me, despite it being an hour later than our scheduled time.
I left, in shock, in pain, in emotional turmoil.