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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To have found my first mammogram really upsetting?

711 replies

YompingJo · 28/04/2024 07:11

Got a letter through with very basic details if an appointment. Turned up and found the whole thing demeaning. Tiny room, intimidating machine taking up most of it. The radiologist was monosyllabic and bossy and manhandled me into the right position including grabbing each breast and shoving it into position, pushing other bits of my body out of the way, not once asking first. I know it's a necessary procedure, but a bit of sensitivity would have gone a long way, and having the respect to ask for consent before grabbing a breast is a basic consideration. I'm autistic and needed to know much more what to expect beforehand. The letter gave a way to request assistance in the case of SEN, but I don't consider myself to have SEN and didn't know what I'd need until I was right there, so that wasn't any help. There was a QR code for feedback, which I gave but I just feel... invaded and demeaned. AIBU?

OP posts:
ConsistentlyInconsistant · 29/04/2024 08:17

Yet they are chastised for not being smiley, not talking, not asking for consent when their priority is making clear images that can be clinically interpreted under time constraints. It is so baffling.

Well you're easily baffled. Clearly don't work in healthcare or know anything about informed consent, which should be obtained before any medical procedure, especially when it involves grabbing a woman's breasts, otherwise you could be looking an assault complaint. I would have though medical professionals would be more than aware of this. Sexual assaults in hospitals is rife.
Sorry you had to go though that OP, I would absolutely be putting in a complaint, that HCP needs to learn some bedside manners and have some training in gaining informed consent.

ChardonnaysBeastlyCat · 29/04/2024 08:15

Marinade · 29/04/2024 08:06

Rhetorical statement, try it sometime.

Try what?

Show complete disregard for patients and then try and be clever when you are told you are wrong, instead of realising that people have reasons for concerns? Is this what I should be trying?

. If you don't understand that reading the invitation letter, taking up the invite without coersion and with free will for a medical procedure that anyone can read about, implies consent then I really cannot help you.

Do you not realise how similar this is to every rapist’s defence? It goes like this “ She must have known what was going to happen there, she read my texts, she texted back, she came over willingly, this implies her consent”.

So no, I don’t want your help, rhetorical or otherwise.

And I hope you are not a HCP.,

YompingJo · 29/04/2024 08:06

knockyknees · 28/04/2024 21:45

You know what's even more upsetting? Being told you have breast cancer after having had a mammogram.

Mammograms save lives, and it's far preferable to have a slightly unpleasant experience for five minutes, and then go about your life as normal, than to have to deal with years of horrible cancer treatment following the results of said mammogram, regardless of the technician's technique.

I am normally of this stoic mindset too. There was just something about this whole experience that was not OK. I normally speak up without hesitation if I feel my boundaries are being crossed but as someone previously mentioned, I guess it was the power dynamics of the situation that stopped me doing so.

The letter, and the check in process, made it all seem so routine. At the check in the woman ascertained it was my first mammogram, so I assumed that would be taken into consideration. I was so taken aback by the manner of the radiographer, and how unexpectedly vulnerable I felt walking topless into the room and then having bits of me grabbed with no prior warning, that my normal confident DGAF attitude completely left me and I didn't feel able to speak up at that point.

I am hugely grateful for the service, just not for the manner in which it was carried out.

OP posts:
Marinade · 29/04/2024 08:06

ChardonnaysBeastlyCat · 29/04/2024 08:05

Why would I want help from you?

Rhetorical statement, try it sometime.

ChardonnaysBeastlyCat · 29/04/2024 08:05

Marinade · 29/04/2024 08:04

I am saying that your comparison of it being purely about consent when referring to a medical procedure vs a violation is simplistic and therefore reductive. I am not saying that I want to complicate it. If you don't understand that reading the invitation letter, taking up the invite without coersion and with free will for a medical procedure that anyone can read about, implies consent then I really cannot help you.

Why would I want help from you?

Marinade · 29/04/2024 08:04

ChardonnaysBeastlyCat · 29/04/2024 07:53

Why would you want to complicate it?

Consent is simple, you are either informed what’s going to happen and you agree or you’re not.

The only people who want it complicated are the ones who want to abuse someone. Abuse comes in many forms. If there isn’t a clear policy of informing and consenting patients for simple procedures then this sets the scene for potential abuse.

it’s really not that difficult to understand, unless some has an different agenda.

Edited

I am saying that your comparison of it being purely about consent when referring to a medical procedure vs a violation is simplistic and therefore reductive. I am not saying that I want to complicate it. If you don't understand that reading the invitation letter, taking up the invite without coersion and with free will for a medical procedure that anyone can read about, implies consent then I really cannot help you.

KrisTheGardener · 29/04/2024 08:00

I find breast imaging people are always quite detached, matter of fact and robotic. I suspect it's because they aren't allowed to give anything away and if they are too friendly, people might be more likely to ask if things looked okay. Only once have I had a friendly one for a breast ultrasound when younger and she did tell me that things looked okay after the scan.

ChardonnaysBeastlyCat · 29/04/2024 07:53

Why would you want to complicate it?

Consent is simple, you are either informed what’s going to happen and you agree or you’re not.

The only people who want it complicated are the ones who want to abuse someone. Abuse comes in many forms. If there isn’t a clear policy of informing and consenting patients for simple procedures then this sets the scene for potential abuse.

it’s really not that difficult to understand, unless some has an different agenda.

Marinade · 29/04/2024 07:45

ChardonnaysBeastlyCat · 29/04/2024 07:39

It’s a screening procedure, not a
lifesaving one.

And it about consent, so yes, there are similarities.

It is 'about consent' if you apply a very simplistic and dumbed down approach, yes.

IWantOut29 · 29/04/2024 07:41

aerkfjherf · 28/04/2024 07:14

you are so fortunate to be in a country where this service is offered, just be grateful it has been done. It isn't fun in any circumstances, but it is a real privilege to get it

Oh wow. I cant believe that's your take on this?

Marinade · 29/04/2024 07:39

MrsWhattery · 29/04/2024 07:33

And the comparison to rape is relevant even though the two things are on different levels. Comparing them isn’t saying one is as bad as the other, it’s just pointing out something they have in common. “You consented because you agreed to turn up/entered the room” is used as a defence of rape and is inaccurate in both cases.

Totally ridiculous to compare a medical procedure used to screen and identify potential disease to a violation of one's body in the context of an assault. You really need to get a grip.

ChardonnaysBeastlyCat · 29/04/2024 07:39

MotherofGorgons · 29/04/2024 07:15

Only on MN would a lifesaving procedure be compared to a rape.
This is all very OTT.

It’s a screening procedure, not a
lifesaving one.

And it about consent, so yes, there are similarities.

MrsWhattery · 29/04/2024 07:33

And the comparison to rape is relevant even though the two things are on different levels. Comparing them isn’t saying one is as bad as the other, it’s just pointing out something they have in common. “You consented because you agreed to turn up/entered the room” is used as a defence of rape and is inaccurate in both cases.

MrsWhattery · 29/04/2024 07:30

I really don’t agree that attending means you consent to whatever they might do, especially if it’s your first time and you’re not sure what it involves or how it will feel.

I find smears extremely difficult and have occasionally been unable to go through with it - I was able to say I’m sorry I just can’t and rebook. I do regret wasting an appointment and always really try but it’s not true that I have pre-consented by walking in.

Of course HCPs don’t literally say “do you consent?” at every single step but they explain and say what they’re about to do so you can ask questions or say if you’re uncomfortable.

Remember that a significant proportion of women have been sexually abused or assaulted, and having their boobs grabbed may be difficult. I have every sympathy with overworked NHS staff but as PPs have said it doesn’t take any more time to be chatty and respectful as they do a mammogram- surely it makes their job easier to have an informed, co-operative/communicative patient.

MotherofGorgons · 29/04/2024 07:15

Booksoverbros · 29/04/2024 06:00

"And actually, being there, is consent to have the procedure done."

That sounds familiar.

Same thing is often said to women who try to report rape.

"You willingly went into the room/on a date, so whatever happens afterwards is fair game".

Your attitude and perspective is appalling.

Only on MN would a lifesaving procedure be compared to a rape.
This is all very OTT.

Lifestooshort71 · 29/04/2024 07:00

I've had many mammograms (and recently cancer) and usually the practitioner will say something like....I'm just going to manoeuvre you in to position. I can't remember ever having my permission asked and would have thought it odd. A bit of idle chit chat puts me at my ease and that was obviously missing for the OP but cramped conditions and a scary machine are par for the course with the NHS.

Marinade · 29/04/2024 06:54

daisychain01 · 29/04/2024 03:38

But that really is NOT the norm, so we need to stop perpetuating the inaccuracy that it is. We have one person @YompingJo saying she had a bad experience, and she's already said she's given them feedback, but most of the technicians are very professional, explain the procedure and are as compassionate as they can be while having to process significant numbers of women in as efficient a way as possible.

@YompingJo mentioned it was in a cramped room, well imagine that being your day after day working conditions often in a portacabin in Tescos car park .... we all go in, have our scan and we're done. Those ladies are in there for hours, doing scan after scan after scan, so let's cut them some slack.

lets check our privilege.

Totally agree. Lets get things into perspective. I am sorry but walking into that room on the understanding that a mammogram will take place is of course implying that you are giving consent to the procedure. If you did not consent you would not show up for the appointment. These people are performing such important tasks every day in sometimes cramped conditions. Yet they are chastised for not being smiley, not talking, not asking for consent when their priority is making clear images that can be clinically interpreted under time constraints. It is so baffling.

Marinade · 29/04/2024 06:49

Deludamol · 29/04/2024 04:11

What puts me off is all the rude PPs telling her to suck it up, princess. That makes me feel like I could get treated like absolute dogshit at a medical appointment and no one would think it was unreasonable.

And some of these PPs are medical professionals? God no, I don't want to be at their mercy!

You sound so over the top it is ridiculous. I cannot take anyone seriously who contemplates the potential for them to be treated like 'dog shit' at a medical appointment. Please do grow up and stop using such childish analogies.

AubreysMonkey · 29/04/2024 06:49

However busy or harassed an HCP is, a smile and a little verbal dialogue whilst treating you is surely the benchmark?

echt · 29/04/2024 06:04

Booksoverbros · 29/04/2024 06:00

"And actually, being there, is consent to have the procedure done."

That sounds familiar.

Same thing is often said to women who try to report rape.

"You willingly went into the room/on a date, so whatever happens afterwards is fair game".

Your attitude and perspective is appalling.

Revolting and inaccurate analogy.

Booksoverbros · 29/04/2024 06:00

aerkfjherf · 29/04/2024 05:47

no, just get a sense of perspective. Someone was rude to you while offering an amazing service to detect a deadly disease while it is still early enough to be treated.

And actually, being there, is consent to have the procedure done.

And if you get breast cancer, I assure you, the procedures done to you will be many, and a lot more intrusive than this!

"And actually, being there, is consent to have the procedure done."

That sounds familiar.

Same thing is often said to women who try to report rape.

"You willingly went into the room/on a date, so whatever happens afterwards is fair game".

Your attitude and perspective is appalling.

aerkfjherf · 29/04/2024 05:47

Booksoverbros · 29/04/2024 04:11

Ah yes.

Be a good woman, grateful for what you can get and shut up.

Seriously???

We are allowed to appreciate the NHS and also have feelings around the way we are treated.
The only way that things change are by speaking up and a situation like this is not okay.

Medical professionals should ask and talk you through what is going on, unless in a dire emergency (but I've found that most still do it then).

Being touched without consent in a non emergency medical setting is triggering for all sorts of people for a variety of reasons.

no, just get a sense of perspective. Someone was rude to you while offering an amazing service to detect a deadly disease while it is still early enough to be treated.

And actually, being there, is consent to have the procedure done.

And if you get breast cancer, I assure you, the procedures done to you will be many, and a lot more intrusive than this!

Deludamol · 29/04/2024 04:11

knockyknees · 28/04/2024 21:56

OP could now potentially be put off having further mammograms as a result of her experience.

Equally, the OP could put someone off having a much needed mammogram, and their breast cancer goes undiagnosed.

What puts me off is all the rude PPs telling her to suck it up, princess. That makes me feel like I could get treated like absolute dogshit at a medical appointment and no one would think it was unreasonable.

And some of these PPs are medical professionals? God no, I don't want to be at their mercy!

Booksoverbros · 29/04/2024 04:11

aerkfjherf · 28/04/2024 07:14

you are so fortunate to be in a country where this service is offered, just be grateful it has been done. It isn't fun in any circumstances, but it is a real privilege to get it

Ah yes.

Be a good woman, grateful for what you can get and shut up.

Seriously???

We are allowed to appreciate the NHS and also have feelings around the way we are treated.
The only way that things change are by speaking up and a situation like this is not okay.

Medical professionals should ask and talk you through what is going on, unless in a dire emergency (but I've found that most still do it then).

Being touched without consent in a non emergency medical setting is triggering for all sorts of people for a variety of reasons.

IamtheDevilsAvocado · 29/04/2024 04:06

Overall there is implied consent that you're there... BUT in the moment, during an intimate procedure when folk may be feeling vulnerable? Of course they should be doing this!