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To wonder whether gaslighting is part of the UK medical curriculum?

112 replies

Seeingred70 · 21/03/2025 13:14

Slightly inflammatory title, but the recent thread by the poor mum who had to fight to get her concerns about her son (who turned out to have a brain tumour) heard and actioned, so mirrored my own experience of getting my daughter’s (now stage 4) cancer diagnosed, and those of friends and acquaintances who’re battling or have battled to get their concerns about their/their child’s health taken seriously, that I can’t help wondering whether doctors are actually trained not just to assume most patients are ‘worried-well’, but to actively come up with benign explanations for clinical signs and symptoms of disease that will reassure patients and negate the need to treat them, until they are so ill that it is a medical emergency.

My story: in brief:

My daughter was completely and utterly exhausted with elevated inflammatory markers, that went from 4 x the upper normal limit, then 8, then 11. The paediatrician (after a four month wait during which 4 attempts to expedite the appointment failed): ‘that’s probably just her normal - my inflammatory markers are often in the 30s’. By this point, she had lost almost all daily functioning. She had anaemia, and pretty much every symptom of systemic inflammation there is, plus rare antibodies associated with several serious conditions in her blood and other biochemical signs of disease. The paediatrician insisted it was chronic fatigue. It took a very robust challenge from me (two letters and an argument in clinic) to get referred to a specialist , who ultimately ordered a ct angiogram, which ultimately lead to a diagnosis of cancer.

I’ve recently been experiencing severe palpitations, and had two abnormal ECGs in A & E. Family history of dilated cardiomyopathy. Cardiologist: they probably just positioned the leads incorrectly. I have challenged this and am booked in for an echo. But why assume incorrrect positioning when the results reflected the symptoms?

Step-daughter had a 5 cm mass detected at her anomaly scan. Referred to gynaecology: growing uterus obscured the ovaries so rescheduled for 12 weeks post-partum. Ovaries were clear - gynaecologist: must have been an ovarian cyst that burst. Me: hmm, can the ovaries even be visualised at the 20 week abdominal ultrasound? (Quick google and the answer is, more often than not, no, not both of them). Is it possible that what the midwife sonography saw was higher up? More fights; scan performed; abdominal tumour of the same variety as my daughter’s is discovered; 7.5 cm ((turns out husband has a dodgy mutation).

Other anecdotes: a friend whose daughter’s recurrent migraines were attributed to eating too much fatty food by a paediatrician who didn’t even ask about her diet (which, incidentally, contains very little fatty food). A friend whose son’s pronounced limp - which a private podiatrist put down to a protective gait due to the pain he is experiencing (and refused to take payment because he couldn’t help - said he needed an MRI to locate the source of the pain) was attributed to psychosomatic pain due to poor mental health, with the accompanying burst blood vessels around his ankles being attributed to friction from his socks. A friend whose son was hospitalised with an asthma attack on the day she had seen the GP with concerns he was asthmatic and was told he ‘just had a cold’.

So, what do you think? Am I just one very unlucky ‘service user’ with some very unlucky friends, or is there something wrong here? It has to be said, once diagnosed, the doctors are great, at least in so far as all the gaslighting stops and they start listening to you, rather than dismissing you, but I feel like it is unnecessarily difficult to get to that point, and I dread to think what happens to those who assume the doctor always knows best.

OP posts:
verysmellyjelly · 22/03/2025 11:42

Bogginsthe3rd · 22/03/2025 11:39

It sounds like you have a degree of hysteria and paranoia maybe?

Are you talking to the OP? Her daughter has incurable cancer. I don’t think “hysteria and paranoia” is at all appropriate here.

Bogginsthe3rd · 22/03/2025 11:39

It sounds like you have a degree of hysteria and paranoia maybe?

2JFDIYOLO · 22/03/2025 11:35

I think in future I'd trust an experienced nurse-led diagnosis using AI more than a GP.

There is just so much more to know now, in terms of new knowledge around disease, new drugs, side effects, contra indications etc that how CAN one GP possibly store it all in their heads?

Edit: I've just tested Chat GPT for something I have had:

"Please assess this issue and give a diagnosis: I am female, aged 62, past menopause. My right shoulder is excruciatingly painful. The pain is there all the time but is awful if I jog my shoulder. My range of movement is very limited. I sometimes feel tingling in my arm and hand. What is my condition and how should it be treated?

ChatGPT said:
Your symptoms suggest a shoulder pathology, and the most likely possibilities include:
Rotator Cuff Tear – Common in older adults, often causing severe pain, limited movement, and weakness. Pain worsens with movement or pressure.
Frozen Shoulder (Adhesive Capsulitis) – Stiffness and pain develop over time, making movement increasingly difficult. This condition is more common in postmenopausal women.
Shoulder Osteoarthritis – Gradual degeneration of the joint, leading to pain, stiffness, and limited motion.
Cervical Radiculopathy (Pinched Nerve in Neck) – Tingling in the arm and hand suggests possible nerve compression, which could be linked to spinal issues.
Calcific Tendinitis – Calcium deposits in the shoulder tendons can cause sudden, severe pain and limited motion.
Next Steps:
Medical Evaluation: See a doctor (orthopedic specialist or rheumatologist) for an assessment.
Imaging: X-ray, ultrasound, or MRI may be needed to confirm the diagnosis.
Treatment Options:
Pain Relief: Anti-inflammatories (ibuprofen, naproxen) or prescribed pain relievers.
Physical Therapy: Strengthening and stretching exercises may help regain movement.
Cortisone Injection: If inflammation is severe, a steroid injection might provide relief.
Surgery (if severe): If a rotator cuff tear or another structural issue is found, surgical repair might be necessary.
Since your pain is constant, severe, and affecting movement, it’s important to seek medical attention soon. In the meantime, rest your shoulder, use ice/heat therapy, and avoid painful activities.
Would you like advice on specific exercises or pain relief strategies while waiting for medical care?"

It was indeed frozen shoulder, I had anti inflammatories & physiotherapy.

I think we're at the beginning of a massive shift in the way initial consultations work.

AmusedGoose · 21/03/2025 17:54

What a strange reply.

SassK · 21/03/2025 17:47

We all know our own bodies. If something is wrong, and you want your GP/first line medic to refer you for investigation, it is sometimes necessary to say you have 6 out of 6 red flag symptoms (even if you only have 3 or 4 out of 6).

iPadMum · 21/03/2025 17:45

A few years ago my husband had some odd symptoms that his gp decided were migraines, even though the symptoms didn’t fit. I wrote all the symptoms into google, it came back with a rare condition that the gp almost laughed off.
H was so ill he couldn’t work, couldn’t drive, felt dizzy when walking. He went to the gp repeatedly, had his eyes tested, no good.
Eventually he happened to see a locum who had been a neurologist, sent him straight to hospital to see his ex colleagues - it was the very rare condition that I’d googled on day 1. Sadly they caught it late and H had a stroke (recovered fully after a few months). Google and AI could be a very useful tool in more timely diagnosing, rather than solely relying on drs who often get it wrong!

6 years after that H went to the gp (different practice) because of burning sensations in his chest and down his left arm. The GP didn’t take blood pressure, didn’t send him for an ecg or anything, just said it was stress. 7 days after that appointment he had a sudden cardiac arrest whilst doing parkrun. Again he fully recovered!

These are just the dramatic events in my family, there are loads more that are annoying but not life threatening.

So many are fobbed off with awful results. A young mum in my area told she had IBS, eventually found she had bowel cancer and died a few weeks later. A mother told her child had a cold, died 24 hours later of sepsis. It’s so worrying.

(Have namechanged as that’s quite outing!)

Seeingred70 · 21/03/2025 17:24

Seeingred70 · 21/03/2025 17:16

@Springisintheairohyeah I’m so sorry. And they are classic symptoms of it that a GP just shouldn’t miss!

I don’t know how to sort, but it was by YourRubyMaker; title was ‘Going out of my mind with worry’ I think

OP posts:
Kardamyli2 · 21/03/2025 17:23

I find GPs to be the worst. Possibly because they have a little knowledge of many things. I also think they have a bad habit of patronising mothers with unwell children.

ElbowsUpRising · 21/03/2025 17:19

Rriefrw · 21/03/2025 15:15

It's what the NHS is like sadly. This is why we go private

To be honest I haven’t found private any bettter. I’ve paid £hundreds to be gaslit and fobbed off privately as well. Though the ones I’ve seen are private and NHS so maybe they just can’t help themselves. Perhaps a fully private doctor would be better. 🤷‍♀️

Just been reading about Katherine Ryan who has been diagnosed with skin cancer for the second time and her private doctor tried to convince her that the mole wasn’t cancerous but she insisted on having it shaved and checked. She says thank God she did!

ViaRia01 · 21/03/2025 17:17

@Seeingred70 sorry this is off-topic a little but where was the thread about the boy whose symptoms transpired to be a brain tumour? Would you be able to link to it by any chance? My husband has a similar sounding experience in his early twenties. Thank you

Seeingred70 · 21/03/2025 17:16

@Springisintheairohyeah I’m so sorry. And they are classic symptoms of it that a GP just shouldn’t miss!

OP posts:
Seeingred70 · 21/03/2025 17:11

@notanormalday fingers crossed you get answers after Monday. Ask them at the scan how long the report will take, and to whom it goes so you can start asking for the results - my experience is that otherwise the report tends to stay in an inbox somewhere for an unnecessary length of time.

OP posts:
Springisintheairohyeah · 21/03/2025 17:09

No, I'll add to your list (I've posted this on other threads as well), my mum had ongoing doctors visits for extreme bloating, breathlessness, pain severe enough to cause fainting, vomiting, prolapse, urinary difficulties - being fobbed off, it's IBS, its the menopause, it's fibroids, it's your diet, your weight, your lifestyle etc (she was an active size 14 - 16). The last diagnosis from her GP was anxiety, and she was sent away with a prescription for anti anxiety medication and the number for a telephone counselling helpline. 48 hours later she took herself to A&E, waited 17 hours, and was promptly diagnosed with advanced ovarian cancer. All the while she was berating herself for not doing her mindfulness exercises properly.

Bunnycat101 · 21/03/2025 17:09

I think a lot of people have had dismissive experiences. I’ve actually found my experienced practice gps to be excellent but the more junior staff in paediatrics to be more of a challenge.

One example- I had a poorly baby- GP stayed open later than opening hours to see her and sent us straight to the hospital as a red flag for sepsis. The reg who was on that night missed a raging kidney infection in my baby and sent me away with patronising advice about nappy size. She was quite sheepish the next morning when I was back with a very poorly baby).

notanormalday · 21/03/2025 17:07

I’ve always had mostly positive stories about my Gp. But I’m in a similar position as you re my daughter. For months now she has been complaining of severe pains in her stomach, losing black discharge/fluids outside of her period. Like clots. One side of her groin was swollen. So after seeing a nurse she sent us for a scan that was 4 weeks ago we have the scan this coming Monday. And she’s been off school today with pains again. I’m so so worried but just don’t feel like I’m getting anywhere fast.

ElbowsUpRising · 21/03/2025 17:00

NoStyleLeft · 21/03/2025 16:40

Interesting, please can you share more on how this works?

You just open up the chat gpt website or app and type a message to it….almost as if you were making a post on here. So you tell it that you’d like it to consider some possible diagnosis from a list of symptoms. It’ll come up with some disclaimer that if you are concerned you should seek medical assistance. Then go on and tell it who you are, age and sex (don’t know if it needs this), what your symptoms are, how long you’ve had them and res anything in your last medical history or family history you want it to know.

Have attached a screenshot. Gp spent months wondering if it was a weird eczema and saying if it carried on they’d refer him to dermatology but never actually did, just kept giving him tiny tubes of steroid cream.

To wonder whether gaslighting is part of the UK medical curriculum?
Cognacsoft · 21/03/2025 16:50

Mydogisamassivetwat · 21/03/2025 16:46

Yup.

I watched my mother be treated for mental illness as a child - she was actually dying of colon cancer, my dad took out a loan to go private and she was diagnosed almost immediately after 3 years of fighting her GP and eventually being told it was mental illness because she kept making appointments to see him. It was too late and she died 4 months later.

When I started work at 18, I took out my private healthcare policy. I’m 45 now and will never be without t it.

Edited

My aunty visited the gp with bladder problems, blood in her urine for 2 years, was fobbed off. She had cancer. She was a smoker and a few questions should have alerted any gp to the possibility. She died soon after eventual diagnosis.

My dn aged 16 was poorly for weeks. Struggling to stay awake, sore throat, losing weight.
Dsil took her to the gp 3 times and was told it was a stomach bug and then a kidney infection. Dn was not improving.
Dsil rang me to vent and I asked some leading questions and diagnosed glandular fever over the phone. I worked in pathology at the time.
Sure enough dn was given a blood test at dsil’s request and she did have gf.

Mydogisamassivetwat · 21/03/2025 16:46

Rriefrw · 21/03/2025 15:15

It's what the NHS is like sadly. This is why we go private

Yup.

I watched my mother be treated for mental illness as a child - she was actually dying of colon cancer, my dad took out a loan to go private and she was diagnosed almost immediately after 3 years of fighting her GP and eventually being told it was mental illness because she kept making appointments to see him. It was too late and she died 4 months later.

When I started work at 18, I took out my private healthcare policy. I’m 45 now and will never be without t it.

528htz · 21/03/2025 16:42

notnorman · 21/03/2025 16:38

I have gynaecologist relatives who don’t really believe in Endo and think women exaggerate - so there’s no hope really. And one is a woman.

This is terrible. AI would be logical and non prejudiced too.

NoStyleLeft · 21/03/2025 16:40

ElbowsUpRising · 21/03/2025 16:25

I’ve used AI for myself,and dh over the past year and both times it’s successfully diagnosed us where the GP has failed (in dhs case several appointments over a few months with different gps). Chat gpt had him diagnosed in minutes and he went to a&e and told them and was admitted as an emergency.

id been fobbed off for 20 years. Though mine wasn’t as acute as dh.

I will always use Chat GpT prior to any medical appointment from now on.

Interesting, please can you share more on how this works?

notnorman · 21/03/2025 16:38

NoStyleLeft · 21/03/2025 16:31

I feel as though doctors are told to ignore signs of endometriosis, because if they actually identified the 10% of women of childbearing age who had it, the resultant laparoscopic surgeries to remove it (~ let alone the repeat surgeries every five years) would bankrupt the NHS. I truly hold this belief.

I have gynaecologist relatives who don’t really believe in Endo and think women exaggerate - so there’s no hope really. And one is a woman.

528htz · 21/03/2025 16:38

In the future they'll just have higher grades of nurse who can perform diagnosis with AI. Surgeons will probably have to continue. The health service will save a lot of money and have a better success rate, increased efficiency, better patient outcomes once they go down this route. They need to start trials if they're not already. I think the average patient has to visit their GP several times before they receive an accurate diagnosis. They don't even physically examine you anymore in most cases. The avoidance of patient deterioration, sickness pay, risk of dying or losing function, infection and ongoing pain would be a major step forward, alongside receiving a timely and accurate diagnosis.

NoStyleLeft · 21/03/2025 16:31

I feel as though doctors are told to ignore signs of endometriosis, because if they actually identified the 10% of women of childbearing age who had it, the resultant laparoscopic surgeries to remove it (~ let alone the repeat surgeries every five years) would bankrupt the NHS. I truly hold this belief.

Seeingred70 · 21/03/2025 16:27

@Cluborange666 I’m so sorry you had to go through that!

OP posts:
ElbowsUpRising · 21/03/2025 16:25

I’ve used AI for myself,and dh over the past year and both times it’s successfully diagnosed us where the GP has failed (in dhs case several appointments over a few months with different gps). Chat gpt had him diagnosed in minutes and he went to a&e and told them and was admitted as an emergency.

id been fobbed off for 20 years. Though mine wasn’t as acute as dh.

I will always use Chat GpT prior to any medical appointment from now on.