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Back to Rapid Cardiology The two carotid arteries are the main vessels that supply blood to the brain. They originate from the main arteries of the body (the aorta and brachiocephalic artery) in the chest and travel up through the neck and into the skull. Atherosclerosis of the right or left carotid artery is the most common cause of a stroke. A carotid duplex scan is a technique to take a picture of these arteries using sound waves (ultrasound). A sound-wave transducer is placed gently on the neck. The walls and interior of the artery are visualised and the velocity…
Inflammatory arthritis activity can vary and there will be times when it is manageable and other times when you may experience flare-ups. A flare-up of your inflammatory arthritis may include symptoms such as worsening of joint pain, swelling, stiffness, fatigue and general “unwell” feeling. Flare-ups are unpredictable and can start suddenly or after an illness such as a chest or urinary infection or a stressful period (physical or mental). Triggers may not always be identifiable. You must seek urgent medical attention if you have a joint that becomes red, hot, swollen, and painful and a fever, as this may suggest…
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The County Hospital has its own Angiography Suite where cardiac diagnostic tests, heart pacing, and the fitting of pacemakers are carried out. The Suite has its own dedicated staff, which assists the doctor and takes care of patients during their visit. It is managed by the heart and lung department. Coronary Angiography Coronary Angiography is a special x-ray of the coronary arteries. The coronary arteries do not show up on a plain x-ray. Coronary Angiography involves a dye being injected down the coronary arteries, which together with their smaller branches, then show up clearly on an x-ray “like a road…
  You don’t need to bring too much for your little one, here are a few suggestions: Newborn nappies Cotton wall/wipes Baby grows and vests Muslin A couple of hats A blanket for the car seat when leaving hospital Any colostrum you have expressed, keep this in a freezer bag, named and with the date and time you expressed. On arrival at the hospital give it to a member of staff who will store it in the freezer for you If you have chosen to formula feed you will need to bring a formula feeding starter pack which includes the…
In preparation for your caesarean section Before your elective caesarean section, a couple of pre-operative tests will need to be undertaken. These will include a swab looking for MRSA. MRSA is a bacteria often found on the skin and in the nose of healthy people but can cause infections after surgery. This will be done 4 to 6 weeks prior to your surgery usually at one of your hospital appointments. A blood test needs to be carried out to check that you are not anaemic. A sample will be kept in case you need a blood transfusion during or after…
If you have a flare-up of your Rheumatology symptoms and need advice, follow the steps below and we will help you: 1.     Contact the Rheumatology department: 01432 36 4020 orrheumatology.patient@nhs.net 2.     Leave a voicemail message and include following details: Your full name and date of birth Your hospital number and/or NHS number (if known) Explain that you are having a flare-up and need some clinical advice Please make sure you say you are on PIFU pathway 3.     The team will review your concerns and decide if you need a telephone or face-to-face appointment. 4.     If the team thinks you need…
I have a query regarding my biologic medication – who do I contact? You can call the Biologics team on 01432 355 444 ext. 5794 or the Advice Line on 01432 36 4020. You can also email the biologics team on wvt.rheumbiopatient@nhs.net   I have a query regarding my subcutaneous Methotrexate - who do I contact? You can call the subcutaneous Methotrexate coordinator 01432 355 444 ext. 5785.   I have been discharged from Rheumatology – how do I get seen again? If you have been discharged from Rheumatology you will need to see your GP to discuss obtaining a…
An instrumental birth refers to the use of either forceps or ventouse (suction cup). An instrumental birth happens for 1 in every 8 births.   Forceps are metal instruments which fit together around your baby’s head to speed up the process of baby being born during the pushing phase.  The doctor will pull the forceps as you also push down during a contraction. Ventouse is a suction cup which is placed on baby’s head firmly and also pulled by the doctor while you push.   The choice of instrument will depend on the situation, how many weeks pregnant you are…
The Trust offers video consultations to some of our patients, as appropriate. The decision to offer this type of appointment will be made by a medical professional depending on your individual care needs. Video consultations are easy to use and are often more convenient for our patients. The Trust uses the MS Teams Bookings application for video consultations, which is a secure web-based platform for patients with pre-arranged video consultation appointments. The patient will receive a link either by email or text to join the MS Teams meeting and by clicking on the provided link on their mobile device or…

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