"Chaotic micro management"

I had several mobility problems and went to see my GP in Nov 2021. Was referred to MSK London. From first offered appointment in March 2022, every single problem was handled at a different dates, at a different location with extremely varying levels of competence and a complete breakdown in communication between the various departments and locations. It doesn't help if doctors can't keep proper records. They don't listen and they certainly don't like being asked questions.

Seven months on, I am told (for one complaint) "I don't know what it is, so how about a cortisone injection?". Really? In physiotherapy, isn't the usual approach "if there is no trauma, then look for bad habits"? Well, there never was any search for a change in lifestyle or (new) bad habits.

Well, at least, thanks to hours of searching on the internet, I have found a way of getting through the night relatively painlessly. So that is not thanks to your services. And I am regaining some mobility, thanks to gentle, very gentle yoga classes (which I pay for) and a chance remark from a radiologist friend abroad which put me on the right track. Yes, a bad habit crept in as a result of Covid obliging me to work exclusively from behind my desktop computer.

As for one of the other complaints, there is been no improvement at all, despite telephone diagnosis and exercices. So perhaps the diagnosis is wrong. Perhaps it is not the gluteus medius and maximus at all, but the piriformis and the long dorsals???

But then, don't blame the physiotherapist who is forced to diagnose without being able to see the patient move or feel where and how much resistance there is in a joint.

Mind you, NONE of the persons I have met has actually bothered to look at how I move. Is that serious physiotherapy?????

It is a waste of my time, my tax money. And it must be very frustrating for more seriously minded medical staff too.

So after 7 months, I still don't know what is going wrong, why and what the best way might be to live with the pain crises. And can I avoid the problems getting worse? I have the impression that after a certain age, the NHS would rather see us inactive, discretely dying out of sight. And of course, we can't possibly remember things accurately. Well, I want my life back!

Because I had 4 problems and because these were tele-micromanaged, I have no idea to which appointments your customer satisfaction and health forms related. What I do know is that one of them has now embedded itself in my computer and pops up on the front page every time I open Google Chrome.

And, eh, how about fewer leading questions on that form. Example: "How many times this week did you need help". That is presuming there is help at hand. Perhaps you should add: "And was that help available?".