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GP refusing to send me to private investigations

157 replies

Wobblyheart · 19/09/2024 15:38

I want to preface this with saying that my GP practice is really amazing compared to what I have experienced before, on time, understanding, caring, accommodating. They have ordered a significant number of investigations for me already, but not being able to find anything abnormal. So I do understand why they are doing it but I feel so incredibly frustrated.

Long story short, I have been suffering with relentless fatigue (nothing like any thing i have experienced before) for 2 years, my muscles hurt and burn on a minimal exertion and out of breath from minimal activity. I have a bloated stomach all the time, and some digestive issues. Recently I discovered a really large - maybe 10 cm or so - sausage shaped lump in my right side. GP could feel it too on the examination. Suggested it could be my ascending colon. However, my worry is that the lump is ALWAYS there, irrespective of bowel movements or anything else. After 3 FIT tests and normal bloods, GP refused to refer me for a private scan. I understand and dont want to be a burden for NHS anymore but why refuse to send me privately?

I do suffer from health anxiety and the rationing is that it will not help me. However, without knowing what this lump is, my anxiety meds (a high dose) doesnt do anything for me, without knowing i wont be able to try for another pregnancy (and I am 38 already). I understnad why having another scan might make anxiety worth but i feel like denying it to me just resorts me to a half-living in a state of tourteous uncertainty. If i did not a physical lump and this 2 year exhaustion, I would find it much easier to move one, but this is not the case here. I know that no amount of CBT, drugs etc wont be able to help me whilst I feel utterly drained of energy for no obvious reason and feeling the "swelling/lump" in my abdomen.

I hate this situation so much. Because I totally understand where the GP is coming from but it is not going to be helpful for me. I hear people and some people say this to me too: "advocate for yourself". I'd like them to try and be a young woman with health anxiety and real physical symptoms and try to advocate for themselves. I am burnt out. Scared. and so so so so tired.

OP posts:
Paganpentacle · 19/09/2024 16:40

GPs and the NHS don't refer for private anything.
If you want it- you arrange and pay for it.

Wobblyheart · 19/09/2024 16:40

Orangesandlemons77 · 19/09/2024 16:38

Do you not think the Op should get checked out what is causing the problem before recommending something like this??

It's okay, it was in a way helpful too. I am much hoping that I do not have malignancy as I have a 2 year old so would like to still have hope that I will be okay.

OP posts:
Wobblyheart · 19/09/2024 16:38

blobby10 · 19/09/2024 16:37

My 26 year old son has been exhausted for the past 3-4 years, loads of tests from doctors through previous PMI but all came back clear - the diagnosis was Long Covid or Chronic Fatigue or Post VIral Syndrome with the advice of 'learn to live with it as we can't do anything'. His symptoms sounded exactly like yours except for the sausage shaped lump. Over the past 8 weeks, he's had 5 sessions of acupuncture and taken twice daily a prescribed herb mix in hot water (from a fully trained GP who moved into Eastern medicine) and cannot believe how much better he feels. He still gets tired easily, still has aching legs but way less than before and now feels like he can be optimistic about living his life as a young man should be able to.
Would this be something you would consider?

Oh 100% and absolutely, but I need to find out what this lump is first.

OP posts:
Orangesandlemons77 · 19/09/2024 16:38

blobby10 · 19/09/2024 16:37

My 26 year old son has been exhausted for the past 3-4 years, loads of tests from doctors through previous PMI but all came back clear - the diagnosis was Long Covid or Chronic Fatigue or Post VIral Syndrome with the advice of 'learn to live with it as we can't do anything'. His symptoms sounded exactly like yours except for the sausage shaped lump. Over the past 8 weeks, he's had 5 sessions of acupuncture and taken twice daily a prescribed herb mix in hot water (from a fully trained GP who moved into Eastern medicine) and cannot believe how much better he feels. He still gets tired easily, still has aching legs but way less than before and now feels like he can be optimistic about living his life as a young man should be able to.
Would this be something you would consider?

Do you not think the Op should get checked out what is causing the problem before recommending something like this??

Orangesandlemons77 · 19/09/2024 16:37

20yearrenovation · 19/09/2024 16:33

OP I think the issue is you want a 2 week pathway however, GP feels a routine referral is indicated.

I would get the NHS referral reinstated. Can you choose and book? You maybe able to be seen in another area much quicker under the NHS. If you are willing to travel. You can also ring and explain you are anxious and ask to be put on a cancellation short notice list too.

In that case if they wrote a private referral the Op could get seen quickly though? I don't see the problem with writing the referral.

blobby10 · 19/09/2024 16:37

My 26 year old son has been exhausted for the past 3-4 years, loads of tests from doctors through previous PMI but all came back clear - the diagnosis was Long Covid or Chronic Fatigue or Post VIral Syndrome with the advice of 'learn to live with it as we can't do anything'. His symptoms sounded exactly like yours except for the sausage shaped lump. Over the past 8 weeks, he's had 5 sessions of acupuncture and taken twice daily a prescribed herb mix in hot water (from a fully trained GP who moved into Eastern medicine) and cannot believe how much better he feels. He still gets tired easily, still has aching legs but way less than before and now feels like he can be optimistic about living his life as a young man should be able to.
Would this be something you would consider?

20yearrenovation · 19/09/2024 16:33

OP I think the issue is you want a 2 week pathway however, GP feels a routine referral is indicated.

I would get the NHS referral reinstated. Can you choose and book? You maybe able to be seen in another area much quicker under the NHS. If you are willing to travel. You can also ring and explain you are anxious and ask to be put on a cancellation short notice list too.

20yearrenovation · 19/09/2024 16:29

Hope you are getting the treatment you need now.

Did your GP acknowledge that on reflection not referring you was a mistake or did they stick to following NHS protocol?

Wobblyheart · 19/09/2024 16:29

Kwip · 19/09/2024 16:25

cancer, currently undergoing treatment. Wasn’t the same issue as op, so don’t want to stress you op with worry. Hopefully you will get the all clear or find the root of what is causing the issues.

Edited

I am so so sorry to hear that. My thoughts are with you, I hope the treatment will be effective. Shame on nhs for not investigating it at the start but you have done everything right and gave yourself the best chance.

OP posts:
Orangesandlemons77 · 19/09/2024 16:29

Do you have e-consult? I would just use that and set out what you have said here, you are concerned and would like a private referral to rule out anything worrying and maybe send to the practice manager if they still refuse, or change practice.

DamnUserName21 · 19/09/2024 16:27

FawnFrenchieMum · 19/09/2024 16:22

Struggling to understand why people online know the OPs symptoms better than a GP. Not every person can go via the two week referral. GP has offered a standard referral which OP has turned down.

I'm just going by what OP has said and my experiences as an HCP and a patient.

Some GPs can miss things and/or be dismissive.

A 10cm lump should be investigated. IME, a thorough GP would advise 2 week pathway, even if they feel it's likely not sinister but to be on the safe side, as they cannot know for sure what's going on without a scan/scopy.

Kitkat1523 · 19/09/2024 16:27

Kwip · 19/09/2024 16:25

cancer, currently undergoing treatment. Wasn’t the same issue as op, so don’t want to stress you op with worry. Hopefully you will get the all clear or find the root of what is causing the issues.

Edited

Wishing you well

CeruleanDive · 19/09/2024 16:26

TheShellBeach · 19/09/2024 15:46

Why are you planning another pregnancy when you're utterly exhausted all the time already?

Why are you creeping around OP's threads and passing empathy-free judgement?

Kitkat1523 · 19/09/2024 16:26

Wobblyheart · 19/09/2024 16:21

Gulp. I just hope the GP is right and there is no malignancy.

The gp won’t be right or wrong…..be will be following nice guidance for referral

rainfallpurevividcat · 19/09/2024 16:26

OhshutupBarry · 19/09/2024 16:22

And yet a GP doesn't think so.

And GPs miss bowel cancer all the time. Better to be safe than sorry with a colonoscopy with these prolonged symptoms. FIT tests don't always show it up.

Kwip · 19/09/2024 16:25

20yearrenovation · 19/09/2024 16:23

What was the outcome?

cancer, currently undergoing treatment. Wasn’t the same issue as op, so don’t want to stress you op with worry. Hopefully you will get the all clear or find the root of what is causing the issues.

Wobblyheart · 19/09/2024 16:25

Kitkat1523 · 19/09/2024 16:23

dont use any old private gp…..choose a private company offering scans that you are happy with….then contact them and they have their own gps …..you just have a telephone consultation with them…l,they could be 100s of miles away from you….they then refer you on for your scan within the same company ……my DD did this for a full body mri…she had an appointment with a gp over the phone which cost £25 …..they okd. Her for the scan, then she had the mri ( cost 725) ….got her results 5 days later

Thank you, I will look into this route.

OP posts:
Kitkat1523 · 19/09/2024 16:23

Wobblyheart · 19/09/2024 16:17

I could but where I live there is only 1 private GP, believe it or not, and they are my NHS GP, and this is against their code on conflict of interest.

I think others have said it right, to get to see a specialist consultant.

I am just feeling down an wanted to moan because i can feel this lump and feeling so angry and sad at the same time. I wish I went private much earlier and didnt bother with the GP - I have been going to them with this issue since June.

dont use any old private gp…..choose a private company offering scans that you are happy with….then contact them and they have their own gps …..you just have a telephone consultation with them…l,they could be 100s of miles away from you….they then refer you on for your scan within the same company ……my DD did this for a full body mri…she had an appointment with a gp over the phone which cost £25 …..they okd. Her for the scan, then she had the mri ( cost 725) ….got her results 5 days later

20yearrenovation · 19/09/2024 16:23

Kwip · 19/09/2024 16:16

I had something similar both a no to nhs or a referral private, unfortunately I ended up just having to booked in with an appt for a specialist privately for the initial appt and then he did the referrals

What was the outcome?

FawnFrenchieMum · 19/09/2024 16:22

Struggling to understand why people online know the OPs symptoms better than a GP. Not every person can go via the two week referral. GP has offered a standard referral which OP has turned down.

OhshutupBarry · 19/09/2024 16:22

rainfallpurevividcat · 19/09/2024 16:19

Can you see another GP at the same practice or go to another practice?

I agree it sounds like a two week cancer pathway referral to me.

And yet a GP doesn't think so.

Wobblyheart · 19/09/2024 16:21

rainfallpurevividcat · 19/09/2024 16:19

Can you see another GP at the same practice or go to another practice?

I agree it sounds like a two week cancer pathway referral to me.

Gulp. I just hope the GP is right and there is no malignancy.

OP posts:
FawnFrenchieMum · 19/09/2024 16:21

Wobblyheart · 19/09/2024 16:17

I could but where I live there is only 1 private GP, believe it or not, and they are my NHS GP, and this is against their code on conflict of interest.

I think others have said it right, to get to see a specialist consultant.

I am just feeling down an wanted to moan because i can feel this lump and feeling so angry and sad at the same time. I wish I went private much earlier and didnt bother with the GP - I have been going to them with this issue since June.

There are loads of companies online that do virtual GP appointments. We’ve used several via our private health insurance.

Wobblyheart · 19/09/2024 16:20

Kwip · 19/09/2024 16:16

I had something similar both a no to nhs or a referral private, unfortunately I ended up just having to booked in with an appt for a specialist privately for the initial appt and then he did the referrals

Yeah, it is somewhat both reassuring and a bit sad to read that many went down that path. It should be that hard to advocate for yourself.

OP posts:
rainfallpurevividcat · 19/09/2024 16:19

Can you see another GP at the same practice or go to another practice?

I agree it sounds like a two week cancer pathway referral to me.