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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To have been patronising to the Doctor?

360 replies

LiveTellyPhrase · 04/11/2025 23:32

Sorry, I’ve just read this and it’s long but was very cathartic to write out!!

I have a kidney transplant. I’ve had it for nearly 10 years and was diagnosed with kidney failure after contracting an auto immune disease.

Ive therefore had a LOT of contact with various HCPs over this timeframe and am often taken aback by inappropriate/uneducated comments about it (one RENAL nurse once asked me if my kidneys failed because I ‘ate too much salty foods’ 🙄 .

I was given an emergency appointment this afternoon as I have a painful UTI. I don’t wait to see how these progress but always see GP at first sign as they have travelled to my transplanted kidney before.

Before The appointment I filled in all the online admin about why I was there, what I needed, if I had any conditions etc.

When I went in to see the doctor I started to explain that I’d had some urgency around the toilet. Before I could go any further he interrupted with a ‘let me stop you there…’ and asked me if I was dehydrated, did I do pelvic floor post birth, asked why I had jumped to conclusions that it was a UTI…

I started talking again and explained that I had many before, the feeling was the same … I noticed he wasn’t listening at this point and was looking at his phone. He interrupted again and said he was reluctant to prescribe anything and UTIs can build tolerances…I started to then interrupt him but he put up his hand and went ‘bubububub’ to stop me talking.

He said did I have any pain? I said yes, I was concerned as the pain had travelled up to my kidney and pointed to my pelvis.

He immediately looked very smug and said ‘dear, your kidneys are around your back… i think if the pain is there it may just be your period, or perhaps you pulled a muscle’? He started to stand up and talked about coming back in a week if it hadn’t improved.

At this point I interrupted again and said, in an equally patronising tone ‘dear, you’re right, my non working native kidneys ARE on my back, but my transplanted kidney is at the front and I’m pretty sure I’m at very high risk of hospitalisation if it travels there, which it very much can do as my unrinary tract is shortened’

He spluttered at this point and very abruptly pulled me up for not having mentioned my transplant. I said ‘if you’d have let me finish any one of my sentences or reviewed my notes, you would know this’.

He did end up writing a prescription but tried to have the last word by saying as I walked out ‘next time please do make it very clear you have a transplant’. To which I told him next time to please read the patients notes.

Honestly I’m so sick of being talked over, told what problems might be or even someone trying to tell me (again, GP!!) that I now only had one kidney as I’d had a transplant!!

I despair for anyone who isn’t very well versed in their own conditions and has to navigate these situations and take the word of doctors as gospel!

So AIBU to have replied patronisingly (I NEVER do this and am not quite as quick to quip back as I was today) and should I complain to the practise manager? I don’t know if it’s just the straw that’s broken the camels back!!

and to add, I have some wonderful nurses and doctors on my teams who are amazing which I do recognise!

OP posts:
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ScaryM0nster · 07/11/2025 11:22

To focus your complaint efforts into something more useful to you - it might be better to go down the

‘the fact I’ve had a transplant and need different approach to normal protocols seems to be being missed’ rather than GO didn’t read notes. Might be more constructive in the long run.

The GP will have almost certainly done the skim read, which probably said urgent appointment for UTI at patients request. Or words to that effect.

At which point they approach it as a standard UTI interaction (which numbers wise on what they are coming through the door) will be an unnecessary use of an appointment, by someone seeking antibiotics prematurely.

What you need from them is a solution that both flags that this isn’t the case for you, and is realistic for them on appointment time provision and notes reading.

If it’s gone to an in person appointment the person seeing you potentially won’t have read the full online request info. That’s used by the people who process those requests. It then goes into the appointment schedule with the one line header.

thing47 · 07/11/2025 11:09

Elesbe · 07/11/2025 09:47

My father, attending an annual review and having been a diabetic on insulin for over 20 years was once asked by a doctor “what makes you think you have diabetes?” You really couldn’t make it up!

Ha, yes. DH (in his fifties) was recently told by a doctor that he wouldn't have Type I diabetes at his age, it would be Type 2. DH calmly pointed out that he hadn't just been diagnosed with it, he'd had it for 35 years.

mo25 · 07/11/2025 10:03

Why wasn’t your opening line I have a kidney transplant. He was rude but you sound like desperately hard work and were very rude in return to someone just doing their job. How long do you think gp’s have for appointments- there is no time to waffle.

theDudesmummy · 07/11/2025 09:47

I am a consultant and I think you were exactly right. We should always listen properly to patients, and a great many people with chronic conditions will know far more about their own condition than a GP. Even a specialist like myself will know far less about that particular patient's own experiences and history than the patient (unless, maybe, they are someone you know very well and have been treating for a long time, in which case you will be collaborating on the care plan). The days of "the doctor is king" and patients must shut up and listen to their superiors are long gone, or should be, and it is sad that some doctors haven't got the memo.

And if he really called you "dear" I would have hit the roof if it was me! (That attitude also tells me that he would not have dismissed a male patient in that way).

Elesbe · 07/11/2025 09:47

My father, attending an annual review and having been a diabetic on insulin for over 20 years was once asked by a doctor “what makes you think you have diabetes?” You really couldn’t make it up!

Bringchocolate · 07/11/2025 09:08

Also, everyone should be aware of the new Jess’ Law, especially people who often get dismissed.

To have been patronising to the Doctor?
Bringchocolate · 07/11/2025 08:59

YANBU with bells on OP! What’s the point of the online triage form if the doctor doesn’t have time to read them? This gives the patient the false impression that the GP knows the information. So they should do away with the online form so the patient is clear that the GP will need to be told the salient details. Also, the GP should not be interrupting and saying “Bububub”; how patronising!

Sadworld23 · 07/11/2025 06:55

GP was rude and ineffective but always lead with the important stuff.
'I have a transplanted kidney and I'm concerned I have a UTI. '

In my case I start with, I'm quite deaf so please look at me when speaking, followed by I have Chronic kidney disease and /or eustachian tube disfunction depending on why I'm there.

Might seem direct but gets you to where you need to be faster.

Hotfeetcoldfeet · 06/11/2025 23:09

You are fantastic!!! You said the kind of thing that I wished I would have said in that situation but instead I would become meek and mild. Good on ya. Don’t doubt yourself!!

Petitchat · 06/11/2025 22:24

Stressedoutmum79 · 06/11/2025 20:25

Last time I had one, I get them regularly due to perimenopause the male Dr suggested it could be an sti & had I had any new partners 🤬 I said I've been with my husband over 25 years I don't think so!

What a cheek! Bloody insult!

Petitchat · 06/11/2025 22:20

HankyP · 06/11/2025 21:48

Maybe they are a doctor, ergo not RTFT 😂

👍

fetchacloth · 06/11/2025 21:48

YANBU that's so not acceptable from the GP. I would have been furious.

HankyP · 06/11/2025 21:48

LiveTellyPhrase · 06/11/2025 20:39

And in Mumsnet speak, you have not RTFT

It was not several minutes of discussion, it was maybe 5 words before I was interrupted

Maybe they are a doctor, ergo not RTFT 😂

Petitchat · 06/11/2025 21:28

Ponderingwindow · 06/11/2025 20:38

I walk into every appointment with a 1 page sheet that lists my major, very complicated, medical history in short bullet points and my medications. It takes no more than 1 minute to scan. I keep it up to date at all times and print out a fresh copy for every visit. It still doesn’t help with doctors like this because they won’t take it.

What a good idea. I'm going to try that next time.
Thanks...

SauvignonBlanche · 06/11/2025 21:01

It’s hard work sometimes isn’t it?

DH has had his kidney Tx for 40+ years and spent a lot of time in hospital this year, he was quite poorly at one point and being shifted round various medical wards.

I had to get quite stroppy (I do mean assertive) at one point in A&E when they weren’t picking up on his obvious sepsis.

LiveTellyPhrase · 06/11/2025 20:48

Soontobe60 · 06/11/2025 18:47

My sister has a kidney transplant. She has a direct number to the transplant centre to call if she suspects she may have an UTI, or indeed any sign of infection.
I’m amazed you have to go via your GP.

As I said, I’m very lucky to have my consultants number in my mobile so I always text him, he liaises with microbiology and instructs the GP what to prescribe. My GP is 10 mins up the road vs 40 mins to the hospital, the only catch is I need an appt before they’ll prescribe which is a pain but I’ve never had an appt like this before!

OP posts:
Papyrophile · 06/11/2025 20:46

In an ideal world, the doctor should have enough time to glance over your medical history and notes, but if my DH was seeing a new GP for the first time, the GP would probably need 40 minutes preparation. It's a 20 year history of cardiac interventions, and the paper version is 12 inches thick. The NHS has triumphed and saved his life on several occasions, and DH has repaid what he has cost because his business went from strength to strength after he was resuscitated. Once he hits 70, which is about 10 weeks away, I fear that the brilliant care we have had will stop quite suddenly.

AQuickWord · 06/11/2025 20:43

Hope you feel better soon. X

LiveTellyPhrase · 06/11/2025 20:43

Stressedoutmum79 · 06/11/2025 20:25

Last time I had one, I get them regularly due to perimenopause the male Dr suggested it could be an sti & had I had any new partners 🤬 I said I've been with my husband over 25 years I don't think so!

This is terrible. Sorry you experienced this.

OP posts:
LiveTellyPhrase · 06/11/2025 20:42

Wooky073 · 06/11/2025 20:32

GP's have 5 mins per patient for the urgent appointments. They also see a lot of timewasters (I am not referring to you btw). Its a pressured and stressful job with a lot of responsibility. Help the doctor our by leading with key information - you should have led with 'I have a transplanted kidney and now I am experiencing these symptoms ....'. a GP appointment is like doing an elevator pitch - you have 1 minute to get across the key information they need so lead with the really important facts to help them and you out. We are lucky in this country to have free access to GP's so lets help them out. That said the GP was out of order for not letting you speak and patronising you. He should have listened to the issues and your perspective (expert patient etc) so you had a chance to get across the important facts. He dismissed your concerns to being womens issues (period pain) which is poor practice. You gave him a piece of your mind so good on you ! I hope you are feeling better soon .

Thank you. Yes, I’m aware they have limited time, that’s why they ask patients to complete a short form online with key information, which you’ll see I have shared. I would expect a 10 second glance at that but perhaps I expect too much!

But in future I will also lead with the tx first as I speak to anyone medical

Luckily I don’t need to in the renal ward!

OP posts:
LiveTellyPhrase · 06/11/2025 20:39

Fizzlepopper · 06/11/2025 19:15

Going against the grain here, but in Mumsnet-speak you were "drip feeding" - leaving the most crucial and deciding bits of information until the last.
So I voted YABU - your first sentence to that probably overworked doctor should have been "I am a kidney transplant patient and I am concerned that I appear to have a UTI".
Why must you make his job harder for him and waste his time with what sounds like several minutes of discussion before you reveal the most important fact?

And in Mumsnet speak, you have not RTFT

It was not several minutes of discussion, it was maybe 5 words before I was interrupted

OP posts:
Ponderingwindow · 06/11/2025 20:38

I walk into every appointment with a 1 page sheet that lists my major, very complicated, medical history in short bullet points and my medications. It takes no more than 1 minute to scan. I keep it up to date at all times and print out a fresh copy for every visit. It still doesn’t help with doctors like this because they won’t take it.

Wooky073 · 06/11/2025 20:32

GP's have 5 mins per patient for the urgent appointments. They also see a lot of timewasters (I am not referring to you btw). Its a pressured and stressful job with a lot of responsibility. Help the doctor our by leading with key information - you should have led with 'I have a transplanted kidney and now I am experiencing these symptoms ....'. a GP appointment is like doing an elevator pitch - you have 1 minute to get across the key information they need so lead with the really important facts to help them and you out. We are lucky in this country to have free access to GP's so lets help them out. That said the GP was out of order for not letting you speak and patronising you. He should have listened to the issues and your perspective (expert patient etc) so you had a chance to get across the important facts. He dismissed your concerns to being womens issues (period pain) which is poor practice. You gave him a piece of your mind so good on you ! I hope you are feeling better soon .

Stressedoutmum79 · 06/11/2025 20:25

Last time I had one, I get them regularly due to perimenopause the male Dr suggested it could be an sti & had I had any new partners 🤬 I said I've been with my husband over 25 years I don't think so!

August1980 · 06/11/2025 20:03

Op, it’s not my style to be rude to people particularly ones who work with the public, but WELL DONE you!!
my child has been unwell too and I saw 5 different nurse practitioners who told me to get on with things as it’s just a virus. I pointed out the last virus saw the world go into lockdown!! Last nurse shushed me when trying to explain… took my child back today 48 hours after I was shushed… bronchitis!! I wish I had the nerve at the time to speak up my little one would be in a better position!!!

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