u/AudienceHead6899

Referred to GPSI in ENT, not consultant.

England based and wondering if this sounds usual.

2004- aged 14/15 - cholesteatoma, successful mastoidectomy, bone replacements, eardrum graft etc. hearing was restored as good as other ear.

12 years of follow-ups with ENT consultant. He was happy, said to request re-referral if any future concerns. I now live in a different part of the country.

Recently- Gradual hearing loss, noticeably worse past couple of months. No pain or discharge or obvious infection when GP looked in ear.

However, I only had signs of my first cholesteatoma once a lot of damage had already been done. So the lack of other signs doesn't completely reassure me.

Last week- saw GP, asked for ENT referral to check for recurrence. GP initially was going to refer to just audiology because I'd "had the cholesteatoma treated". Only after I reiterated my concern about recurrence she checked online and found it can reoccur.

Today - received an ENT appt for October. I've heard ENT is very busy so fair enough.

I'm nosy so I looked up the doctor and he's a GPSI (GP with special interest in ENT) rather than a hospital based ENT consultant.

Is this usual?

I'm a midwife and if a woman needs to see an obstetrician they're usually referred to see a consultant, who they'll see for the first appointment and then registrars in that consultant's clinic for follow-ups. I realise obstetrics is an acute service though so may be different.

Is ENT quite different to this?

Does this sound like a usual route?

I also have an audiology appointment next month.

Edit: typo

reddit.com
u/AudienceHead6899 — 2 days ago

Is my rhubarb ok?

Is this normal looking or am I doing something wrong?

A lot of the stalks are collapsing. And it has a lot of smaller , criss-crossing stalks.

I have harvested the bigger outside stalks from it a few times since the start of April.

I also cut off emerging flower buds a few weeks ago.

It has been very rainy and cool here over the past couple of weeks (Yorkshire, England).

Plants were put in about two years ago I think.

u/AudienceHead6899 — 3 days ago