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to wonder why consultants comment on people's personalities?

270 replies

EverythingYouDoIsaBalloon · 25/02/2025 15:00

Not a TAAT but I just read a post on a different thread that mentioned someone experiencing this, and it reminded me that I've heard about it several times over the past couple of years.

In 2023 I fractured my shoulder and as it wasn't a straightforward fracture I was referred to a consultant, who wrote in one of this reports that I was a 'very pleasant lady'. While that was nice to read, it baffled me a little as I didn't see the relevance.

Then a friend of DH's said a consultant had referred to him as a 'pleasant gentleman'. (Different part of the country, no chance it was the same person.)

Then another friend said she'd been referred to as a 'lovely lady' when seen for stomach problems.

Don't get me wrong, compliments are always nice. I just find it a bit strange in a health context. 🤔 I've wondered whether it's some sort of code for 'cooperative patient' or something along those lines, but then I can be a bit of a cynic at times.

Has anyone else experienced this, or does anyone know why it's done?

OP posts:
PandaTime · 25/02/2025 19:04

It really doesn't mean anything. People always think it's a secret code, but it's not. It just means the appointment went well.

saladandchipp · 25/02/2025 18:24

isaknowsbest · 25/02/2025 16:46

I was reading my NHS notes yesterday and I was surprised by how much it says in consultations of what I said. How do they get all of it ? They don't record you do they?? Is it just all the typing as you are talking?

I have a really good memory and type up (or talk to text) immediately after the appointment under certain headings.

Hurryupretirement · 25/02/2025 18:16

Unfortunately I think it was probably meant to convey an unhealthy over involvement …,

Pottedpalm · 25/02/2025 18:07

festivemouse · 25/02/2025 15:05

It's a nice way of saying you're not a dick of a patient really.

This!

SheherazadesSpringNonsense · 25/02/2025 18:04

DD2’s notes said she had an anxious mother. I was not anxious I was really cross. Wish I’d had the energy to insist they deleted it as 15 years later I am still pissed off about it!

WhenDoWeFly · 25/02/2025 18:03

NameChange1412 · 25/02/2025 17:39

Using this username as this is quite outing if my best friend is a MNer!

My orthopaedic consultant wrote a letter describing me as a ‘pleasant, right-handed nurse’ Blush my best friend was so amused when I showed her the letter that she renamed me on her contact list and I am still saved as ‘pleasant, right-handed nurse’ to this day Grin

Pleasant = agreeable patient, not rude, racist or difficult
Right-handed = I can only guess that the comment about my dominant hand was because I saw him for a problem with my right shoulder, but who knows!
Nurse = don’t fob her off because she will know Grin

It can be important in some specialities to specify handedness. In neurology, handedness can affect the presentation of a brain lesion for example and can have an effect on scans and EEGs.

In rheumatology or orthopaedics, it will indicate how functionally problematic a disorder on one side could be. It could also explain why somebody has a stress injury in one wrist but not the other.

It is not a compliment or an insult ;-)

Timetochangenow · 25/02/2025 18:03

I was a medical secretary previously, when a particular consultant didn’t say a pleasant person, we knew they hadn’t got along! It’s harmless and fills space rather than being completely factual and frankly boring.

FartfulCodger · 25/02/2025 17:58

I work in healthcare and get copied into lots of letters and reports where people are described as pleasant, delightful, lovely etc. Some of them really aren’t so I think it’s just something some doctors say as standard. I write reports myself and would never use that kind of description. I try to keep things factual.

DrunkPuppy · 25/02/2025 17:58

It's definitely just to warn other doctors what you're like and keep a bit of track on whether there's any deterioration in your mood/appearance etc.

I've had 'casually dressed with clean and tidy nails and hair' which made me laugh and I've also had 'this pleasant and engaging lady who works as a solicitor' , probably code for be careful she may sue.

Once I got in a tempered discussion with a dermatologist and he wrote 'well informed and persistent' 😂

Livingoffroyalities · 25/02/2025 17:52

I think it is rather dated. I find younger consultants don’t describe patients in this way whereas older ones still do.

Pigtailsandall · 25/02/2025 17:52

I'm usually referred to as "delightful" as I'm a doctor and make extra effort to be super-nice to everyone because I know what it's like.

I also often get referred to as "fellow clinician" even though I haven't practiced for a while anymore, which is effectively code for "don't bullshit her"

SnakesandKnives · 25/02/2025 17:48

NameChange1412 · 25/02/2025 17:41

Haha, I got a copy of my cat’s vet history for an insurance claim and they’ve noted ‘gorgeous fur’ on his records Smile

They are correct!

lol we got ‘amazing furry tail’ on ours 😂

AnnaMagnani · 25/02/2025 17:46

If I write 'it was lovely to see X again' it usually means I'm thrilled my treatment made them better.

Maggispice · 25/02/2025 17:45

I’ve had both adjectives in the consultants’ letters to my GP.
It calms down my apprehension at the start of the letter and makes me feel like they see me as a human being with personality not just a patient.

AlteredStater · 25/02/2025 17:45

After my last hospital-related thing, the consultant merely referred to me as 'Mrs AlteredStater' and used no adjectives at all! I had disagreed with him about treatment and had refused to proceed further. All politely but still against what he wanted. So I figure saying nothing descriptive is also saying something!

HelpMeGetThrough · 25/02/2025 17:42

I saw my consultant a couple of weeks ago and apparently it was a pleasure to meet me again.

I guess it was better than the last time, when he saw my rolling around in agony and then routed around inside me for 4 hours.

DanFmDorking · 25/02/2025 17:41

I was called a 'very pleasant gentleman' - I was really pleased!

NameChange1412 · 25/02/2025 17:41

iloveeverykindofcat · 25/02/2025 17:32

I have this on good authority from a retired consultant: "pleasant" is code for "basically normal, we had a normal interaction, unlikely to flip tables/assault you/verbally abusive clinic staff." I guess they see all sorts. Its considered old fashioned nowadays so its omission isn't necessarily a warning, but it used to be.

My allergic cat has "this adorable female juvenile" on her notes, which makes me laugh, because she is both adorable and a bit of a juvenile delinquent, so it suits her. She's doing great now but she was scratching herself raw when I first rescued her, she's allergic to multiple common proteins used in cat food.

Haha, I got a copy of my cat’s vet history for an insurance claim and they’ve noted ‘gorgeous fur’ on his records Smile

They are correct!

argyllherewecome · 25/02/2025 17:40

My dc had to attend a consultant paediatrician once as a baby and I was amused to read afterwards that he'd written in her notes "child's father is currently undertaking Phd in X university". Totally not relevant, and I hadn't even told him this myself! When she was being weighed prior to seeing the consultant the nurse asked me what I and my husband (who wasn't even in attendance) did and I told her. She obviously told the consultant at some stage, and he didn't feel that my lowly teaching job was worth recording.

maras2 · 25/02/2025 17:40

Just remembered how rude some Consultants were back in the day.
I was preparing letters and notes for the next day clinic and one Lord God Almighty of one area of the alimentary tract had written to his counterpart. the God of another beginning ' This fat smoker is demanding your opinion on her dodgy, may need removing, Gall Bladder'
With a referral like that, I wonder if she received the treatment that she presumably needed. Angry

NameChange1412 · 25/02/2025 17:39

Using this username as this is quite outing if my best friend is a MNer!

My orthopaedic consultant wrote a letter describing me as a ‘pleasant, right-handed nurse’ Blush my best friend was so amused when I showed her the letter that she renamed me on her contact list and I am still saved as ‘pleasant, right-handed nurse’ to this day Grin

Pleasant = agreeable patient, not rude, racist or difficult
Right-handed = I can only guess that the comment about my dominant hand was because I saw him for a problem with my right shoulder, but who knows!
Nurse = don’t fob her off because she will know Grin

EverythingYouDoIsaBalloon · 25/02/2025 17:39

Meecrowahvey · 25/02/2025 17:30

Despite making an effort to dress nicely/groom well, doctors usually describe me as 'unkempt'.

I dread to think what a consultant's letter about my permanently unkempt DH would say... 😄

But then, as pps have suggested, it's changes from the norm that might point to a problem, I can see that certain statements in notes could help to track any worrying developments.

OP posts:
BoundaryGirl3939 · 25/02/2025 17:37

Do they have a God complex? It's quite patronising.

WhenDoWeFly · 25/02/2025 17:34

IfItWasUpToMeIWould · 25/02/2025 17:23

Utter rubbish, not judgemental, simply honest, which is very much lacking on occasion where most things have to be sugar coated. The medical profession are tip toeing around patients and dealing with some very difficult individuals, and if they can give the heads up about a patient’s personality and behaviour in this way I say fair play to them.

Could not disagree more. I have managed to be a successful hospital consultant, with great feedback from colleagues and patients, without ever having to describe someone as pleasant or otherwise.

WorriedRelative · 25/02/2025 17:32

EverythingYouDoIsaBalloon · 25/02/2025 15:09

These replies are interesting, as they're more or less confirming what I had been wondering about this. Now I'm wondering, though, doesn't that introduce a potential problem in so far as if nothing along these lines is written in the notes, anyone who's following up in the future might think 'Ah, my colleague didn't write that they were nice, so perhaps this person is a bit of an arse'? 😄

Exactly!

It is all code, pleasant lady/gentleman basically means normal, not a nutter, all fine.

Other ways of referring to people that I have seen regularly include:
Delightful
Knowledgeable
Well informed
Lively child
Talkative/chatty
Reserved
Fragile
Anxious/worried
They are normally positive on the face of it but you have to read between the lines.

You sometimes see reference to the patients profession. This knowledgeable lawyer means watch your back they will test your knowledge and sue you if you make a mistake. Doctors often make it clear if the patient or their parent/partner is a fellow medic too for similar reasons.