To have been patronising to the Doctor?

I’ve had two surgeries for large ones, one of them didn’t feel anything. The other was solid but ruptured, felt like I was giving birth 😂

He was a massive twat though, he also used to say autism does not exist and is caused by lousy parenting. 😳

Last thing I heard was he was training to be an orthopaedics surgeon. Wouldn't trust the fucker with a scalpel. 😂

Sorry to hear that you ended up in A & E due to this awful GP . I have been on the receiving end of so much patronising, misogynistic crap from various health care professionals over the past year trying to advocate for my daughter and it’s so demoralising. For me there seemed to be a lot of point scoring ,dismissal of information I was providing which later turned out to be important and a general attitude of ‘ what could you possibly know about it ‘ , quite a lot as it turned out.!
Well done for speaking up, hope you get better soon and get that complaint winging in .💐

I am a hospital consultant and want you to complain. He was a patronising dick.

I always read through patients’ notes before. When they come, I always start, after introductions (so important) and pleasantries, with a variation of , ‘this is the info I have read in the notes. I will just summarise it, as I know it can be tedious to have to repeat to to every new doctor you meet. But please tell me if I have it wrong as mistakes can happen in notes’. I then always finish by asking if they have said all they need to, have I missed something important and have they got the outcome they hoped for. It leads to a much more satisfactory end result for both of us.

I despite arrogant doctors like the one in the OP.

She would have said during the consultation if she was allowed to talk. But he kept cutting her.
Let the patient talk and tell you what is wrong with them. He was extremely patronising to her from the very very start of the consultation.

This is what I was wondering. Surely there's a way the notes flag the most important history first?

I’m a dentist. There’s no way I would not have a read at a patient’s notes before they come into my surgery.
our system allows very important, pertinent medical information to be highlighted in an alert box as soon as you open the notes.
it’s highlighted in red “kidney transplant 2015” “pt on bisphosphonates” “allergy to latex”

I am
unfamiliar with the set up of medical notes but surely you have a similar facility to identify the alerts immediately without having to read through War and Peace to get to the important part?

Yes you can. It is not only an expectation, under the GMC's Good Medical Practice guidelines, doctors have to take all reasonable steps to understand their patient's medical history, which should include reading the notes as the obvious step. Even the the most conscientious patient may forget to mention important drugs they are taking or forget their names, some symptoms etc.

Excuse me?
I wasn't criticising her. I was explaining I too do the same thing.

I trained a long time ago when consultation skillls were focused on. I was taught “ the golden minute” This means you don’t interrupt the patient for 60 seconds and listen intently.

It has been shown that the majority of healthcare professionals interrupt at less than 20 seconds.

I can belive this all too well. Systems are rarely patient/learner/person centred but instaed designed around business need, or worst of all, what worked for the system designer. This is why UX (user expereince) is a profession, not used enough.

I'm a doctor and yes in OP's case I would have expected the doctor to read enough of my notes enough to know that I'd had a kidney transplant. However I despise being patronisingly told by a patient that I should read the notes. I have 10 minutes per appointment before the next patient is getting annoyed I'm running late. I might already be running late because somebody needed emergency admission organising, or I saw a complicated patient. Yes I will look at what I think is relevant before I start the consultation but I simply don't have time to look through years worth of notes and it honestly comes across as quite self important to expect me to. I get that it is annoying to have to repeat your medical history but if it's relevant and you're not sure the doctor is aware of it then it's probably safest and easier for all just to mention it.

I had my ovaries removed when I was very young and have an underlying condition that makes childbaring very unlikely even if I hadn't. I still get frequently asked if I might be pregnant. No big deal. It's a standard question coming from a busy nurse/doctor/other who has many more people to treat that day than me.

OP I'm not saying any if this to say that how your consultation went was right btw. I agree it sounds like it was poor. I'm just giving the other side's perspective.

She did do that I think. She mentioned about pre-existing conditions on the form anyway. It says in the OP.

I always start with “I have a weakened immune system due to being born with an extremely rare congenital heart condition. I am the only person to have had my surgery and survived this long. So can we please discuss X, in relation to my immune system”
unless I’m talking periods.

Thanks for doing so. It, hopefully, will encourage this arrogant idiot to LISTEN to his patients, instead of "let me stop you there...."
Also, to read the flipping patient's file!!!! How difficult can it be? And if you did not have the time, then ask: did you have this before? Any other conditions that may be related to this?

He was incredibly rude and should never act like that but GPs don’t have absolutely no time to read notes before each patient. It sounds like you submitted an e consult before - I would have definitely included that key information there

I had an enormous ovarian cyst and felt nothing lol 😂 … but he does sound like an arse!

Well done OP. I have MS and I could’ve been diagnosed and given treatment years earlier than I was if I hadn’t been fobbed off by so many doctors telling me I was overreacting. I really wish I’d pushed back more but I was taken aback by the way I was spoken to and almost laughed at. Now it’s a routine experience for me to turn up to an appointment and have to tell them I’ve got MS because nobody has ever read the notes. It really scares me thinking about the people who wouldn’t be able to speak up or advocate for themselves in a similar situation.

Just to share not every GP is like this. I went to see a new, to me, GP. I'd had the UTI from hell (lasted 4 weeks) followed by thrush, followed by being sore around my nether regions.

She has been at the surgery a while but it was the first time I saw her, while she was examining me she said something about my skin, I said I have psoriasis and she said, "yes I read that in your notes".

My notes are like war and peace in size so I was quite impressed.

When you have a few conditions it's not always easy to remember them. I had an abdominal and pelvic ultrasound last week, and as the sonographer started I remembered I've had an ovary removed, because I had been telling her the symptoms of the latest health problem I totally forgot about it.

Oh my sweet summer child 🤣 You think with the state the NHS is in any doctor feels like God?!

She didn't expect him to as she has pointed out.

It would've been the bububub that would have made me want to punch him in the face. You handled it beautifully. I work with a wonderful medical consultant who had to have very firm words with a GP after the way he spoke to one of my Nurse colleagues last week - needless to say he listened to the Consultant but not the Nurse.

Exactly. If you don't want to listen to the patient's 'waffle', read the notes. If you don't want to read the notes, listen to the patient. You can't have it both ways!!

I think you should start by mentioning the transplant. You can’t expect a doctor to read your notes very quickly.