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…

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…

You should take a lateral flow test if you have COVID-19 symptoms, even if your symptoms are mild. If you develop COVID-19 symptoms, please follow the guidelines on the NHS 111 website and temporarily stop taking your Rheumatology medication (see table below), EXCEPT for steroids (Prednisolone), Hydroxychloroquine and Sulfasalazine,until you are fully recovered. This advice applies for any infection. You may be eligible to receive anti-viral medication against COVID-19 If your test is positive, you must report your result athttps://www.gov.uk/report-covid19-result  or by calling 119. Your local health board will contact you to arrange a telephone appointment with a healthcare professional who will decide whether…

Membrane sweeps A membrane sweep or ‘stretch and sweep’ is when the midwife or doctor inserts two fingers into the vagina, through the cervix (if it is open enough) and uses a circular sweeping motion around the membranes in order to try and stimulate your body to release the hormone prostaglandin and create tightenings. NICE guidelines suggest that a sweep can be discussed and offered to women from 39 weeks. Although a membrane sweep isn’t a formal stage in the induction of labour process, it is still classed as a method of inducing labour and is often thought of as…

Some babies will be offered additional care or observations after birth, this is called transitional care. If you have needed to take Labetalol for high blood pressure in pregnancy If you had gestational diabetes If your waters had been broken for more than 24 hours If it was thought you might have developed an infection during labour If your baby was a low birthweight If your baby was born before 37 weeks If you had meconium stained liquor during labour If your baby is jaundiced and receiving phototherapy If you have taken drugs in pregnancy If you had known Group…

If you have forgotten or were not able to take your Biologic drug at the right time, take it as soon as you remember. Your next dose of biologic will need to be taken with the usual time gap between injections for your type of biologic. This will mean that the day of the week you normally take your drug will change. For example, if you take weekly Etanercept, and inject on Tuesdays. You might forget to take your weekly injection on a Tuesday, but then remember on Wednesday and take it then; you would then need to change your…

What you choose to put in your body really affects how you feel and how healthy you are. Eating the right sort of foods in the right amount is one of the most important things you can do for your overall health. Eating unhealthily can lead to obesity, high blood pressure, high cholesterol or type 2 diabetes. These conditions can increase the risk of heart and circulatory problems. There are lots of resources available to support you to understand a healthy approach to food and how to get into good eating habits that will help look after your heart health.…

When you have diabetes, you’re more at risk of heart and circulatory disease. And poor circulation makes other diabetes complications worse-like problems with your eyes and feet. That’s why it’s even more important to take good care of your heart when you have diabetes. If you have high blood sugar levels for a period of time, even slightly high, your arteries can start to get damaged, and make them more likely to develop fatty deposits (atheroma). If atheroma builds up in your coronary arteries, this can lead to a heart attack. To help protect yourself, get your HbA1c, blood pressure…

Being physically inactive is when you don’t move your body for long periods of time. High blood pressure, high cholesterol, type 2 diabetes and being overweight all increase the risk of heart and circulatory problems. Being physically active regularly helps reduce these conditions. Being active is anything that raises your heart rate, this can be activities like hanging the washing out, walking outdoors or sports. You should be able to hold a conversation while you are active. Regular activity doesn’t just protect your heart, it can help improve your general health and wellbeing. The amount of physical activity you can…

1 in 13 babies are born prematurely (before 37 weeks) in the UK.  If you start showing signs of labour before 37 weeks you will need to ring our triage department as soon as possible and come in to be assessed.  Early labour signs can include: Your waters breaking Abdominal pain Regular tightenings Vaginal blood loss Our special care baby unit in Hereford can provide care for babies who are 32 weeks and above. Therefore if you were to go into labour before this then a transfer to an appropriate unit would be organised as a matter of urgency. Once…