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AIBU?

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Stop telling people to go to A&E!

454 replies

Miriad · 26/05/2024 13:39

I see it on here a lot. Someone is getting fobbed off by their GP and not getting diagnosed. So they get told to go to A&E, where they have the ability to do blood tests and urine tests and scans to figure out what’s going on.

I’ve been sobbing in agony for three weeks and my GP isn’t helping me, and I can’t get another GP appointment for a fortnight, so posters advised me to go to A&E.

I waited six hours only to get yelled at by an angry doctor, saying my condition is neither an accident nor an emergency. According to him I don’t need urgent treatment even if I’m crying with pain - because pain isn’t urgent. If I’m stable and not at risk then I need to go home and see my GP.

A&E can not be used to bypass a useless GP and access tests and scans. They will not diagnose you or refer you. Their job is to give you the minimum care to make you stable so you’re not at risk, then send you home.

So stop telling people to go there. Maybe in the olden days you could go there for help if your GP was rubbish, but not any more.

OP posts:
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SmudgeButt · 26/05/2024 17:48

I guess I must have been lucky.

I had been getting shooting pain in my mouth and managed to get an appointment with my dentist. Nothing the matter with my teeth.

A few days later the pain got worse, like having a blunt knife jammed up through the top of my mouth into my eye. Absolute agony. I could barely talk but called 111 who said A&E and so got my DH to drive me to the hospital. It was a 3 hour wait and the pain had started to subside when I made the mistake of having a drink of water and that set it off again. About an hour later a Dr saw me and started to suggest I should see a dentist. I told him about the appointment just a few days earlier and he did some poking and prodding, diagnosed neuralgia and prescribed some tablets. He was ever so kind.

Gemz1010 · 26/05/2024 17:47

Our local A&e has GPs there as well so they triage on the door, GP, Nurse or full on A&E.. it's frustrating GP practices don't have to pay for A&E time to focus the practice on getting people seen

Biotinbooster · 26/05/2024 17:43

What other posters are saying about interstitial cystitis.

It is absolute agony, like a bad UTI hat never goes, I was in absolute agony, so feel for you, but not life threatening I don't think

Amazon Prime for next day delivery D-Mannose.

I've used Naturesupplies brand in the white plastic box

wiffles · 26/05/2024 17:41

The system is a bit broken. I see a private gp. I shouldnt have to and i am lucky i can do so.

IroningThrone · 26/05/2024 17:41

Pinkfurby · 26/05/2024 17:22

Another poster posted this a while ago.

DelilahBucket · 26/05/2024 17:40

Meanwhile my GP surgery told me to go to A&E for painkillers because there was no one available to issue me a repeat prescription. I imagine A&E staff are getting pissed off with this kind of advice but they wouldn't have shouted at you OP.

Thriving30 · 26/05/2024 17:38

DaisyCat33 · 26/05/2024 13:57

What part of your body was the pain in OP?

Different areas are treated differently. For example, Chest pain = emergency. Something like leg pain = not so much.

Edited

Leg pain can be if it's a DVT.
Pain in any part of the body can be an emergency if it's an abscess and has turned into sepsis.

QuietLifeNoDrama · 26/05/2024 17:37

Op I'm sorry you didn't get better care or compassion from the doctor in A&E but telling people not to go if they're in pain is just irresponsible. You said yourself "They checked my heart, temperature, blood pressure, said I was stable and told me to go away."

Despite the fact that you left without treatment they did carry out a clinical assessment. If people take your advice and sit at home the consequences could be life threatening. They have no way of knowing if they are stable without going to see a medical professional.

Do you have an urgent care centre near you? We have about 3 within a mile radius that all take walk in appointments. Failing that try what others have said 111 or the GUM clinic. If I was in that much pain I wouldn't give a shit who saw me where.

Miriad · 26/05/2024 17:35

dreamingbohemian · 26/05/2024 17:27

Probably but that's going to take at least a month so might as well try the GUM clinic, it can't hurt

OP you don't actually know for sure you don't have an STD. Those symptoms could be pelvic inflammatory disease, there is no swab for that. You need to see someone who knows what they're doing not just a nurse swabbing you.

How would I get an STD when I haven’t had sex?

I’ve tried to book with the GUM clinic online but the only options are “I have an STI”, “I don’t have symptoms but want to be tested for STIs”, or “I need help with contraceptives”.

No option for UTI or thrush.

So I picked “I have an STI” but when I answer the multiple choice questions it just says this service is not suitable for your needs, call your GP to discuss further. And I can’t get in to see the GP.

OP posts:
Covidwoes · 26/05/2024 17:34

@Miriad was your urine sent off for culture? If not, that's a mistake, as even if urine comes up clear on a dipstick, it should be sent to be cultured.

Loloj · 26/05/2024 17:31

Your symptoms sounds similar to mine when I suffered recurrent UTI’s. Tests often came back clear but pain was unbearable. Saw a couple of consultants along the way. One said infection can still be present but doesn’t always show up on results - prescribed daily antibiotic. Also has surgery to widen urethra. Also found d-mannose powder which can be bought online to be excellent - mix with water and drink - you can’t drink enough of it - definitely worth a try.

Mitsky · 26/05/2024 17:27

Do you know if you have fibroids? Because I experienced a degenerating one recently and the pain was indescribable. Pharmacists can provide co-codamol at a higher strength than you can buy.

dreamingbohemian · 26/05/2024 17:27

Pinkfurby · 26/05/2024 17:18

She needs a urologist not a sexual health clinic.

Probably but that's going to take at least a month so might as well try the GUM clinic, it can't hurt

OP you don't actually know for sure you don't have an STD. Those symptoms could be pelvic inflammatory disease, there is no swab for that. You need to see someone who knows what they're doing not just a nurse swabbing you.

HcbSS · 26/05/2024 17:26

Miriad · 26/05/2024 13:47

I can’t get a GP appointment for a fortnight and I’m crying with pain. But you can’t use A&E to bypass the inability to get a GP appointment. You will just get yelled at like I did, and told if your condition is stable they won’t do anything, then booted out.

I said I can’t get in to see a GP and I’m in agony. They just shrugged and said “pain is not an emergency”. Gave me a painkiller and sent me home.

This is awful OP. Very poor care.

Jimmyneutronsforehead · 26/05/2024 17:24

Miriad · 26/05/2024 14:08

You can’t see a GP if you turn up like that. Only a nurse. And the nurse has reached the limit of her ability to test and diagnose me. She said it’s beyond her, I need a GP but it’s two weeks for an appointment. Hence why I went to A&E - and got kicked out and told I have to wait for a GP, because I’m stable and pain isn’t an emergency.

I saw a tiktok doctor who was talking about what to do if you can't get seen, and he mentioned call 111 and if one of their clinicians thinks you should be seen by a GP they usually inform your GP so when you call them the next day at 8am for an on the day appointment you are seen as that's within their expected time frames. He explained there can be delays to this but essentially 111 have already triaged and referred so they have to pick it up, however you must still call.

Goslingsforlife · 26/05/2024 17:22

alfagirl73 · 26/05/2024 16:29

OP you're saying you wouldn't want to be seen in the GUM clinic; bear in mind if someone there saw you... they're in there too! Besides - if you are in that much pain surely medical treatment is more important than some randomer seeing you.

I think you are directing your anger and frustration at the wrong people. The conduct of the A&E consultant was not acceptable or appropriate - it is not the pain that is/isn't the potential emergency, it is the cause of it. If A&E didn't do an adequate examination then they could miss a potential emergency. I've seen many cases where this has happened.

You seem resigned to not getting treatment despite being in extreme pain. If I were in your position I would be doing the following:

  1. Turning up at my GP first thing and insisting on being seen or to be provided with an immediate referral letter to take to A&E.
  2. Requesting my GP records
  3. Returning to A&E if I wasn't getting anywhere with the GP and insisting on a proper examination
  4. Requesting my A&E/hospital record
  5. Complaints to PALS, CQC, GMC, NHSR
  6. Going to GUM clinic if no joy with immediate treatment at GP or A&E
  7. Consider Walk-in clinic
  8. A&E at another hospital
  9. 111/OOH emergency request
  10. Private GP

etc... etc...

You have to speak up and advocate for yourself; don't simply accept poor treatment. If you know something is seriously wrong (you know your own body) then keep pushing. There is no point having a go at people on here; you need to get on and act in your own best interests.

this. I don't know why the OP keeps parroting back over and over again what the nurse and a&e said. You need to send advocate. there are other ways to get seen. You shouldn't have to explore them but you are where you are.

Boomer55 · 26/05/2024 17:18

justasking111 · 26/05/2024 16:53

Yep our surgery has 11 GPs, last Monday there was one on duty. The surgery was empty. Our pharmacy busy. Three nurses in the surgery have quit, that's 50%.

Someone somewhere is taking the Mickey now at our surgery.

Same here. I wonder who is getting paid for what.

IroningThrone · 26/05/2024 17:18

Miriad · 26/05/2024 17:15

Honestly it never occurred to me to go there with a suspected UTI or thrush, because it’s for STDs.

GUM means "genitourinary medicine"

You're being daft and I'm starting to think this is just another NHS bashing thread which is a shit thing to do.

Pinkfurby · 26/05/2024 17:18

She needs a urologist not a sexual health clinic.

IncompleteSenten · 26/05/2024 17:17

Miriad · 26/05/2024 17:15

Honestly it never occurred to me to go there with a suspected UTI or thrush, because it’s for STDs.

Yes but more broadly speaking, it's for issues with your genitals and undercarriage.

Which this is.

Pinkfurby · 26/05/2024 17:16

If it's not bacterial, antibotics won't help. They can in fact make interstitial cystitis worse. I had to stop taking a very low dose for acne when I was first diagnosed as it stirred things up.

Miriad · 26/05/2024 17:15

Beveren · 26/05/2024 17:13

You can't be in that much pain, then, if the stigma of being seen at an STD clinic worries you more than the pain itself.

Honestly it never occurred to me to go there with a suspected UTI or thrush, because it’s for STDs.

OP posts:
Greenlittecat · 26/05/2024 17:15

Miriad · 26/05/2024 16:01

Aren’t they full of people who sleep around? What if someone saw me!

Grow up

Ladymuck2022 · 26/05/2024 17:13

Well you’d better tell hospital medics this too… their logic fails me.

Coil went in by general ie. Surgery for very good reasons by a gynaecologist situated in a hospital.
I am now signposted back to my GP… knowing people who haven’t birthed babies and cervix’s like mine are refused the coil.
I have to take up a GP appointment (you know for someone sick) whilst a GP takes the awful thing out in an allotted 10 minutes. 🤬 unlucky them knowing another hospital already tried this under gas and air failing - and this isn’t something a small surgery where it’s down to GP’s to take out dare say entinox is not held on site.

Forgive me that person needing the GP who I’m going to block may be forced to go to A&E..

I would go sit up an and e as private services tell me for more urgent wanted coil removal but I would be in the knowledge I’d be sent to early preg and loss unit seeing scenes I desperately don’t want to see.

I imagine when I finally get to see a GP for this removal who may fail and say what the hell you doing here if you’ve had this in by ga then I’ll be waiting many months for the next turn. So hospitals can fail patients too.