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why would the GP not have a record of my condition?

(14 Posts)
AshleyWilkes Wed 04-Nov-15 16:01:06

Diagnosed with polycystic ovaries 7 years ago. Previous doctor fully aware of it and worked with me, gave us both advice while we were TTC.
We moved to a different area last year. Registered with new GP straight away.

So I went for the dreaded smear test today. Sat with the nurse and she asked me questions, the usual stuff.
When she asked me how long ago I had a period, I replied it was approx 6 weeks ago.

"Oh so you're overdue?"
I replied well yes I have polycystic ovarian syndrome and my periods have always been all over the place.

She seemed surprised and I commented that I assumed it would be on my notes.
From the look she gave me you would have thought I'd suggested she jump naked out the window.

"Oh no dear, it's not on your notes."

Am I right to feel slightly bemused? Left the surgery feeling a bit confused.

SisterMoonshine Wed 04-Nov-15 16:06:47

If it wasn't for the: "Oh no dear, it's not on your notes"
I was wondering if you'd just maybe caught her out that she hadn't looked at your notes.

ItsAllGoingToBeFine Wed 04-Nov-15 16:07:45

Do nurses have full access to a patients notes? I thought they just did the job they were asked to, and didn't refer to notes?

LineyReborn Wed 04-Nov-15 16:08:22

She means, Oh dear you're not expecting me to have read your notes?

LineyReborn Wed 04-Nov-15 16:09:07

In my practice my notes come up on the computer screen for both doctors and nurses.

Enjolrass Wed 04-Nov-15 16:09:24

I mentions my pcos to my nurse when I had my smear a few weeks ago.

She then read my notes. As far as she was aware I was there for a smear and that was it.

Sidge Wed 04-Nov-15 16:22:11

Do nurses have full access to a patients notes? I thought they just did the job they were asked to, and didn't refer to notes?

Nurses aren't doctor's handmaidens you know, they are actually independent practitioners, especially in primary care.

We assess, diagnose, treat and review patients regularly often without even seeing a doctor <gasp>

OP - It depends how your notes have been coded on the computer system - often previous medical history can be scanned but not yet summarised, or just the current active problems that are requiring ongoing treatment or medication (such as asthma, heart disease, kidney disease, etc) so wouldn't show up on the 'front screen' or list of current active medical problems.

If I have someone booked in for a smear I'll look at their current meds, any diagnosis or active problems but I wouldn't go in and read all their notes.

hollinhurst84 Wed 04-Nov-15 16:38:00

Well my notes say I'm asthmatic. I'm not. And they keep saying it's been put in past problems but every time they ask "how's your asthma?"
So I can see how something could be missed off!

AshleyWilkes Wed 04-Nov-15 16:38:22

Thanks for the clarification from your perspective.

I'm seeing my gp next week for something else so will mention it then.

ItsAllGoingToBeFine Wed 04-Nov-15 17:12:32

Nurses aren't doctor's handmaidens you know, they are actually independent practitioners, especially in primary care.

I'm really sorry, I didn't mean it to come across like that blush Its just that in my practice you go to a treatment room for minor stuff like ear syringing/stitch removal etc. The nurse has a note on her computer that says name and something brief like "stitch removal" You have to tell her where stitches are, which ear etc

Sidge Wed 04-Nov-15 18:01:26

That's pretty standard ItsAll - the appointment systems often have a small box for the receptionist to put the reason for the appointment in but the nurse should always clarify what the patient is actually there for (you'd be amazed at how often it's not what's in the box!). I usually have a quick look at the front page and meds and any alerts but don't have time to look through all the notes.

Sorry if I was a bit snippy, I get very tired of the presumption that nurses just do as they're told when we actually have a lot of skills, experience and knowledge. I got asked recently "do you have to do any training for this job" hmm grin

DownstairsMixUp Wed 04-Nov-15 18:06:43

I moved nearly five years ago from my home town to where I am now and loads of my stuff was not in my notes from my old GP. hmm not sure how it still happens!

iamaboveandBeyond Wed 04-Nov-15 19:12:07

My nurse def had access to my records when i went for my smear yesterday (see my thread about it, lol) but i told her i had a bastard mirena in and she didnt know. I think its just standard that they dont read your lifes history beforehand, nothing to worry about smile

Pleasemrstweedie Wed 04-Nov-15 21:09:00

My allergies were not in the summary, which meant I couldn't get antibiotics when I needed them. Nurse practitioner said it would take her too long to try to find an original letter in my notes, noting that I had 'a lot of notes', and told me to go to A & E if I started getting red lines up my leg!

I don't reckon the summaries are very good. I bet they miss all sorts of stuff out.

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