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Your clinician may recommend the PIFU pathway if it is safe for you to manage your own follow-up appointments. Once you and your clinician agree you should go onto a PIFU pathway, your clinician will discuss with you the signs and symptoms of when your Rheumatology condition is active, which will also be highlighted in your clinical letter. You should contact us to arrange an appointment if you experience any of those signs and symptoms. If you are put on a PIFU transfer pathway, at the end of the agreed timeframe, you will receive an appointment. If you do not…
Once you return home from the hospital your community midwife will be in contact to make an appointment with you. The bereavement midwife will also be in contact to make an individualised plan of how to support you, this may be by a home visit, a follow up appointment or by telephone support. When the results from any tests are available or it is appropriate, the bereavement midwife will arrange for you to meet with your consultant to discuss the events of losing your baby and the potential reasons why. The consultant may also help you in planning for another…
The service provides the following: Home visits: For newly diagnosed patients within 2 weeks of their diagnosis. This appointment usually is approximately 2 hours in length For initiation of injection training for the disease modifying training Follow up visit 4 weeks after injection commencement For patients who are in Nursing homes for symptom review and support For patients who are unable to attend clinics for symptom review and support Clinic locations: Sarum House MS Therapy Centre Leominster hospital Ross Hospital Ledbury Hospital Bromyard hospital Kington GP Practice Llandrindod Wells GP Practice Hereford Oxygen & Wellness Therapy Centre Video and Telephone…
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…
Quitting smoking is the best thing you can do for your health. Even if you’ve smoked for years, quitting will still reduce your risk of heart and circulatory problems. It’s never too late to quit. By giving up smoking, you protect your body from the harm of dangerous chemicals that damage the structure of the vessels, which can lead to a heart attack. If you want to quit, there is help and support available locally and nationally. You’re more likely to quit for good if you have the proper support that’s right for you. Have a look at the resources…
Herefordshire Cardiac Services are based at The County Hospital. The service consists of the following: Cardiology department Coronary Care Unit and Lugg Ward Wye Valley Community Diagnostic Centre The Angiography Suite Herefordshire Cardiac Services consists of a dedicated multi-disciplinary team which provides an effective and efficient service, and all work to improve the health of the people of Herefordshire with heart problems. The service aims to treat patients as individuals and ensure that each patient experiences an integrated and seamless service appropriate to his or her needs. Useful Links Queen Elizabeth Hospital, Birmingham Wolverhampton Hospitals Worcester Royal Hospital University Hospital…
If your child has a health or developmental condition that is impacting on their everyday life, this is often referred to as an additional need. This may have been present from birth or these may have become more obvious as your child has grown up. Your child's additional needs could be developmental, physical, learning, behavioural or sensory. Their needs might be easily met with a regular plan of care or a creative approach to their management. Some additional needs may continue throughout life and as a family there will be times you may require support from a number of services. There is…
This accessibility statement applies to www.wyevalley.nhs.uk This website is run by Wye Valley NHS Trust. We want as many people as possible to be able to use this website. For example, that means you should be able to: change colours, contrast levels and fonts using browser or device settings navigate most of the website using a keyboard or speech recognition software listen to most of the website using a screen reader (including the most recent versions of JAWS, NVDA and VoiceOver) We’ve also made the website text as simple as possible to understand. AbilityNet has advice on making your device easier…
  All patients are given verbal advice on self-care at initial assessment and this is followed up with written information. Information is reiterated at follow-up appointments. Carers often attend with the most vulnerable and we include them in the discussions where appropriate. Patients and carers can often manage simple foot care if shown how to use nail nippers or a good nail file effectively. We advise on where to obtain the appropriate equipment. We also advise on appropriate footwear again giving advice on where to obtain suitable accommodating footwear e.g. for oedematous feet. A range of information leaflets are available…
Reduced fetal movements describes a reduction in the usual amount of movements your baby makes, a loss of movements or weaker movements.  There are a few reasons why you might feel your baby’s movements have changed, if baby is in a different position, if you are in a different position or where the position of your placenta is, for example, if your placenta is at the front of your tummy then you might feel less movements. You will probably have started to feel your baby move from around 16 to 20 weeks of pregnancy and from around 32 weeks you…

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