Robert

Robert has had a back problem his entire adult life. He developed Chronic Obstructive Pulmonary Disease (COPD) due to his occupation. Steroid treatment for COPD caused osteoporosis in his right hip and shoulder. He has had a deep vein thrombosis (DVT), pulmomary embolism and heart attack.

Robert explains a history of problems with his legs and back going back to 16 years of age. He was found to have a trapped nerve on investigation. He has vertebrae missing in his back. He refused surgical intervention as he would have had to give up work. Instead, he used to wear a corset and avoid sideways movement, e.g. by giving up playing cricket and gardening.

Robert lives alone. He had a fall outside a year ago whilst maintaining the outside of his home, which he thinks damaged a nerve in his arm and is causing problems with writing. Physiotherapy initially worked, but after 3 sessions he was back to square one and stopped going.

Earlier in the year he had to call 999 because he couldn’t breathe and was admitted to hospital via A&E. On investigation, it was found out that he had been bleeding internally, attributed to being on warfarin.

Robert feels he has received very good care that does not square with media reports about NHS services. There are eight doctors at his local practice and he doesn’t mind which one he sees. He has to adapt to what he does as his conditions progress. Currently, any exertion causes difficulties.

He offers the following advice for patients: And absolutely the best way, I accept what I’ve got and I think that’s the main thing you’ve got to do. If you’ve got anything, especially if it’s chronic, you’ve got to accept it and, what’s more, carry out the instructions and take the medication that you’re given. I think they’re quite good people, intelligent people, the folk who deals with you and I try and understand ‚the instructions I carry out, and then I do my own work as well and I do attend lectures actually. I’m in a Breathe Easy group.

Robert’s GP sent him for a bone test because he’s had a lot of steroids over the years. He was found to have osteoporosis and has symptoms in his hips and legs.

Age at interview 80

Gender Male

Robert had a fall but didn’t mention it to his GP because he doesn’t want to trouble the surgery any more than he already does. He also doubts whether they could do anything about it.

Age at interview 80

Gender Male

Robert’s GP asked him to be seen by medical students as part of their training. Robert self-medicates in emergencies and puts in his own test samples without prompting from the surgery.

Age at interview 80

Gender Male

When Robert was in hospital he injected a clot busting medicine himself rather than have nursing staff do it. He prefers not to use drugs where possible and takes a food supplement to counteract side effects.

Age at interview 80

Gender Male

Robert’s previous doctor told him that they cannot operate on his hip due to his other medical conditions. He puts up with a limp as a result.

Age at interview 80

Gender Male

Robert doesn’t mind which doctor he sees at his local practice as they are all good and have equal access to his medical record.

Age at interview 80

Gender Male

Robert was on morphine in hospital but doesn’t like taking painkillers because they cause constipation. He will take Disprin occasionally and co-codamol if the pain is bad.

Age at interview 80

Gender Male

Robert cannot do exercises at present due to his health problems. He might benefit from a knee operation but his age and conditions mean he cannot undergo a general anaesthetic.

Age at interview 80

Gender Male