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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

For doctors to have hidden this from me?

136 replies

JustsamanthaJayne · 16/04/2025 18:28

So I've been ill for several years, symptoms have worsened since last year year
One of my symptoms is a facial spasm where my brain feels like it's squeezing and then my mouth goes to the side for a few seconds it's been worrying me
So I had an mri in 2018 they told me everything was fine and then had another mri in 2024 I was told i have an pineal gland cyst which is incidental
So i requested my medical records and on my 2018 mri report it said I have a small retention cyst in my right maxillary sinus ( this would explain why I've had so many sinus issues and now it could explain the facial issues as well) but they didn't tell me about it??
Now I've suddenly developed a pineal gland cysts but no mention of the right maxillary cyst on on my recent mri scan?? Did it just disappear?
I don't understand why I'm getting 'incidentental' cysts at random like this and doctors are not concerned about this ?
My folate is low again with no explanation ? I constantly drained and having horrible nurological symptoms
Am I being unreasonable to be dismissed like this ??

OP posts:
Fartughtyred · 17/04/2025 09:37

Smallmercies · 17/04/2025 07:28

Do you have health anxiety?

Oh thank goodness the ' Health anxiety cavalry have arrived!

Are you always so dismissive?

Smallmercies · 17/04/2025 09:33

Greengagesnfennel · 17/04/2025 09:31

Thank you.

Gives me hope that not all the profession are as arrogant as some of the posters on here.

It's not arrogant to point out the futility of seeking reassurance on Mumsnet after multiple normal, reassuring MRI results.

Greengagesnfennel · 17/04/2025 09:31

MistressoftheDarkSide · 17/04/2025 07:48

OP you have my sympathy.

While "Not All Doctors" unfortunately there are a good cohort that seem to come under the banner of a joke that has stuck with me after decades of medical obfuscation and arrogance, applied not just to myself but numerous family and friends:

"What's the difference between Gid and a doctor?"

"God doesn't think he's a doctor".

The prevailing attitude of some that patients should not question or be pro-active in health care processes leads to loss of trust and poor outcomes that could have been avoided by clearer communication leading to mutual respect.

I hope you can get to the bottom of this.

This immediate leap to "it's psychological" in so many scenarios is condescending and breeds animosity, and is often a useful tool in the "avoiding accountability" handbook of too many professionals / authority figures.

Thank you.

Gives me hope that not all the profession are as arrogant as some of the posters on here.

Smallmercies · 17/04/2025 09:30

prettytoxic · 17/04/2025 08:25

It sounds like you might be experiencing compassion fatigue and projecting. Yes, of course some patients might have health anxiety. But others might have valid concerns and/or worrying symptoms that legitimately require a second opinion or review of previous findings/scan results to ensure nothing has been missed. It’s basic medical care.

OP has posted before about this exact topic, so has clearly had multiple second opinions.

MissDoubleU · 17/04/2025 09:25

Smallmercies · 17/04/2025 09:22

Except the OP hasn't been dismissed, she's had multiple investigations. Which is very different from your mum's situation. But I'm sure OP will appreciate your input.

This is the issue. OP has found out they have a cyst, which immediately becomes “I have a lump in my brain. I also have neurological issues (a facial twitch) so the two must be connected”

In reality it’s very unlikely the cyst would cause any symptoms. OP mentioned having sinus issues. Sinus issues themselves can cause a facial twitch. Sinus pressure can also cause high levels of fatigue.

Bogginsthe3rd · 17/04/2025 09:24

JustsamanthaJayne · 16/04/2025 18:28

So I've been ill for several years, symptoms have worsened since last year year
One of my symptoms is a facial spasm where my brain feels like it's squeezing and then my mouth goes to the side for a few seconds it's been worrying me
So I had an mri in 2018 they told me everything was fine and then had another mri in 2024 I was told i have an pineal gland cyst which is incidental
So i requested my medical records and on my 2018 mri report it said I have a small retention cyst in my right maxillary sinus ( this would explain why I've had so many sinus issues and now it could explain the facial issues as well) but they didn't tell me about it??
Now I've suddenly developed a pineal gland cysts but no mention of the right maxillary cyst on on my recent mri scan?? Did it just disappear?
I don't understand why I'm getting 'incidentental' cysts at random like this and doctors are not concerned about this ?
My folate is low again with no explanation ? I constantly drained and having horrible nurological symptoms
Am I being unreasonable to be dismissed like this ??

I don't think anyone has hidden anything from you. Sounds like an incidental finding.

Smallmercies · 17/04/2025 09:23

Beeloux · 17/04/2025 08:52

Ignore the ignorant comments trying to insinuate you have health anxiety.

There are many incompetent medical staff. My ex was a doctor and used to hear some horror stories.

I was once accused of having health anxiety by a trainee GP years ago. This was after they’d discovered a large ovarian cyst which they believed could to be cancerous (they had also told me it was much smaller than what was actually recorded on the initial ultrasound report).

Ended up going to another A&E as I could barely walk. It had ended up rupturing and twisting around my ovary. Was rushed in to surgery.

Sorry you're going through this OP. From now on request a copy of any ultrasound/mri scans and medical reports. Take them to any future appointments with consultants. Hope you get sorted x

Horror stories such as yours are very helpful to health anxiety sufferers ☺️❤️

Smallmercies · 17/04/2025 09:22

Bigfatsunandclouds · 17/04/2025 09:19

You seem determined that the OP has health anxiety and my anecdote proves that health care professionals can dismiss patients as anxious despite having chronic symptoms. The OP has a cyst on her brain and had one previously and you are still dismissing her.

Except the OP hasn't been dismissed, she's had multiple investigations. Which is very different from your mum's situation. But I'm sure OP will appreciate your input.

MissDoubleU · 17/04/2025 09:20

If the cyst is under a certain size they wouldn’t need to tell you as it’s not a concern or source of symptoms.

I spent ten hours in a hospital waiting room last weekend to be told I had a particularly large cyst on my right ovary (which they suspected at first could be appendicitis) and I’ve basically been told to take painkillers and hope it goes away.

A pineal gland cyst would only be of concern to doctors if it was itself unusual or over a particular size. If it’s small enough not to report it to you then it’s likely not the cause of your issues.

Bigfatsunandclouds · 17/04/2025 09:19

Smallmercies · 17/04/2025 09:01

I'm sure that anecdote will be very helpful to the OP 😍

You seem determined that the OP has health anxiety and my anecdote proves that health care professionals can dismiss patients as anxious despite having chronic symptoms. The OP has a cyst on her brain and had one previously and you are still dismissing her.

Smallmercies · 17/04/2025 09:01

Bigfatsunandclouds · 17/04/2025 08:59

I wonder how many women are labelled with health anxiety whilst suffering and unable to access treatment because of this. My DM was labelled a nuisance with pain in her leg years ago, turned out to be a rare bone eating tumour which would have been found sooner if the GP had sent her for an X-ray. He didn't, he accused her of trying to get out of work, refused any treatment and said she was anxious.

I'm sure that anecdote will be very helpful to the OP 😍

Bigfatsunandclouds · 17/04/2025 08:59

Smallmercies · 17/04/2025 08:53

That is what every single person with health anxiety thinks - that there is some sinister underlying cause that the doctors are unable or unwilling to identify.

I wonder how many women are labelled with health anxiety whilst suffering and unable to access treatment because of this. My DM was labelled a nuisance with pain in her leg years ago, turned out to be a rare bone eating tumour which would have been found sooner if the GP had sent her for an X-ray. He didn't, he accused her of trying to get out of work, refused any treatment and said she was anxious.

Smallmercies · 17/04/2025 08:58

user499978802 · 17/04/2025 08:55

And sometimes they're right.

See OP's previous post. She is not going to be reassured by any number of investigations.

Smallmercies · 17/04/2025 08:57

AndImBrit · 17/04/2025 08:54

The point was because YOU believe terms are “bad” or “outdated” or “offensive” doesn’t mean they are.

Oh bore off. People reclaiming slurs as a means of empowerment is not the same as ignorant people using outdated terms because they can't be bothered to educate themselves. But you know this, you just want to be contrary.

Hwi · 17/04/2025 08:57

Commonsense22 · 17/04/2025 07:31

In most countries scans are explained image in hand to the patient by specialists. It is much better.
Our system plain sucks. Withholding information doesn't save time. It breaks trust and increases the risk of missing diagnoses.

Patients deserve to know, however trivial it may seem to the doctor at the time.

This. And not only does the NHS suck, our private system sucks as well. I am not talking medical knowledge or professionalism, I am talking insane methodology or lack thereof. A friend is a medical secretary in one of the private hospital chains, where desperate and not rich people (they also sell payment plans to pay for the simplest scans at an incredibly high interest rate) come when they can't get seen for weeks on the NHS. So it goes this way - first you have to see a doctor for a scan referral - it is around £300, then there is a scan (you have to wait for some time, it is usually booked up quite a lot), which can be £240 - to thousands. Then the scan gets 'written up' by radiologists (who are not present all the time in the private hospital, so there is a wait) and emailed to the referring doctor. Then the referring doctor (not in the private hospital all the time, only probably 2 days a week, so there is a wait) dictates a letter and it gets sent to the secretaries to type up. The letter is being typed up (there is no specific consultant-related typist to expedite, it is a typing pool where all secretaries type all specialties, so currently they are typing letters from end of March). The typed up letter is then emailed to the consultant, who is not present in the private hospital all week, so the typed up letter is waiting in the consultant's inbox until it is the consultant's day in the private hospital. The consultant then OKs the letter and secretaries send it to !!!!! the GP of the patient, not the patient themselves!!!!! After that my friend says they get loads of phone calls from patients, to which they reply - so sorry, we sent the letter to your GP last week or 10 days ago or suchlike and we can't disclose it to you on the telephone, please contact your GP. To say that I was shocked when I found this methodology out, is to say nothing. I thought private was amazing until my friend explained things to me.

user499978802 · 17/04/2025 08:55

Smallmercies · 17/04/2025 08:53

That is what every single person with health anxiety thinks - that there is some sinister underlying cause that the doctors are unable or unwilling to identify.

And sometimes they're right.

faerietales · 17/04/2025 08:55

Cannot believe some people are suggesting patients shouldn't be told all of their scan findings.

If Doctors’ were to tell people about every single finding in every single test or scan, wait times would be ten times longer than they already are. Not everything on a scan is abnormal or needs to be explained or looked into.

There’s a reason you need medical training to do scans and to interpret the results.

AndImBrit · 17/04/2025 08:54

Smallmercies · 17/04/2025 08:40

Way to miss the point 👉

The point was because YOU believe terms are “bad” or “outdated” or “offensive” doesn’t mean they are.

Smallmercies · 17/04/2025 08:53

user499978802 · 17/04/2025 08:51

I'm sure you're right, they won't be. But it also doesn't seem fair to assume that's the case about a poster, given the lack of any other information.

I will say, as someone who's been through it, and thankfully eventually got a diagnosis, having unexplained symptoms can cause health anxiety in an otherwise psychologically healthy person. Doctors should understand that and respond accordingly.

Because sometimes it is a physical cause.

Edited

That is what every single person with health anxiety thinks - that there is some sinister underlying cause that the doctors are unable or unwilling to identify.

Beeloux · 17/04/2025 08:52

Ignore the ignorant comments trying to insinuate you have health anxiety.

There are many incompetent medical staff. My ex was a doctor and used to hear some horror stories.

I was once accused of having health anxiety by a trainee GP years ago. This was after they’d discovered a large ovarian cyst which they believed could to be cancerous (they had also told me it was much smaller than what was actually recorded on the initial ultrasound report).

Ended up going to another A&E as I could barely walk. It had ended up rupturing and twisting around my ovary. Was rushed in to surgery.

Sorry you're going through this OP. From now on request a copy of any ultrasound/mri scans and medical reports. Take them to any future appointments with consultants. Hope you get sorted x

Smallmercies · 17/04/2025 08:52

prettytoxic · 17/04/2025 08:49

This. I worry about the lack of compassion and empathy from those who jump immediately to “she has health anxiety and therefore nothing she worries about is valid”. The cynical part of me thinks these replies are from burnt out NHS staff who are experiencing compassion fatigue and protecting their feelings on to their patients.

It's not lacking empathy to say that health anxiety isn't going to be alleviated by reassurance. It's just a fact. The OP has had intensive investigations and been offered reassurance, but is unable to benefit from it.

user499978802 · 17/04/2025 08:51

BobbleHatsRule · 17/04/2025 08:42

I guarantee that a patient with health anxiety will not be reassured by a 20 second conversation or even 20 minutes. They will be back wanting further investigation. The new investigations will just validate their angst.

I'm not saying they should be dismissed...not saying they shouldn't be kept informed...not saying they are deliberately presenting for attention, ngealth anxiety needs treating after all physiological and pathological causes have been excluded.

At some point they will have to rationally accept their isn't a physical cause. This is HUGE and hard

I'm sure you're right, they won't be. But it also doesn't seem fair to assume that's the case about a poster, given the lack of any other information.

I will say, as someone who's been through it, and thankfully eventually got a diagnosis, having unexplained symptoms can cause health anxiety in an otherwise psychologically healthy person. Doctors should understand that and respond accordingly.

Because sometimes it is a physical cause.

BobbleHatsRule · 17/04/2025 08:51

Foreheadthing · 17/04/2025 08:43

Cannot believe some people are suggesting patients shouldn't be told all of their scan findings. Of course they should! If there's an incidental finding the best course of action is to inform and educate and reassure. "We have also found xyz however this is the diagnosis, you don't need any treatment and it will go away on its own" or whatever they need to say.
Whatever the finding is could be relevant to other symptoms, or could be necessary to know for future. In this case the OP is also having sinus issues - it's just not what the scan was for. They are wrong not to inform the patient of the entirety of her results.
Education, a full explanation and reassurance helps health anxiety and would . Hiding things is just going to cause the patient to be even more anxious and ultimately less trusting of any future NHS results, probably increasing their anxiety.

I tend to agree with you regarding sharing all results. What I think needs to accompany this is a consistent expectation of patients that incidental findings do not need extrapolating to "serious"

Increased information could help this as more people would validate the fact that it is insignificant

Greysquirrels · 17/04/2025 08:50

I'm a doctor who spends a fair amount of time going through scans with patient.

Scan reports are very long and almost every patient will have at least one incidental, but harmless finding.

I suppose we get so used to seeing reports with liver cysts for example, that we forget this could be worrying to the patient. It is not a case of intentionally withholding information. Why would we do that?

Thanks for the reminder to acknowledge these with the patient.