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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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Tiredmuchly43 · 05/11/2025 21:15

I am a medical records summariser. The system I work on has a summary page for each patient listing all major, minor and significant past problems. It would take 2 seconds to look at your file and see details of your transplant which definitely would be listed to be seen. Most systems used in surgeries I am sure would be similar. This Dr is an arse! You should make a complaint, maybe to CQC, but definitely to the practice manager. Well done for telling him off!!

mrssprout · 05/11/2025 20:48

Possibly a bit late to the party from over here on the other side of the world but thought I would add my two cents worth. I have been dealing with doctors my whole life. For the last 5 years my opening sentence is "I've had a heart & lung transplant" & then I tell them what's brought me to the appointment. I still get some of the most unbelievable things said & suggestions made. Unless a Dr works in transplant a lot of them just don't have a lot of current knowledge about them because they rarely have to use it. I understand your frustrations & have at times had to be quite forceful in advocating for myself with a new Dr.

Sunshineandoranges · 05/11/2025 20:45

TheLivelyRose · 04/11/2025 23:47

Pretty much.

As a solicitor I hate how clients sometimes beat around the bush. Some people do have a habit of waffle before they get to the point.

Get in there, say I have had a kidney transplant, and I m worried I have a uti.

You started by saying you had urgency around the toilet? And that could literally be anything from over active bladder to dehydration. Get to the point.

Neither of you came off very well to be honest.

I have clients who will tell me anything other than what I needed to know in the first sentence.

I agree. He was not very understanding but itwould have helped him to know you have a transplant,

RosesAndHellebores · 05/11/2025 20:25

It certainly isn't @Tigerbalmshark, for the very simple fact that the NHS is not free. It is free at the point of delivery and funded by the people.for the people.

I do, however, think that as no money changes hands, it does have an impact on service levels.

Tigerbalmshark · 05/11/2025 18:59

Magnificentkitteh · 05/11/2025 18:27

I think we broadly agree. I posted on a recent thread about my broadly positive recent experiences with the NHS. In particular it was refreshing that the nurses did not speak patronisingly to my mother the way a lot of people do these days.

But this particular guy was a rude arsehole and it's weird to see people defending that for any reason really, and i find it particularly depressing when people seem to be coming from the angle of "what do you expect in a free healthcare system?" as if that's only ever going to be piss poor. That's not my experience but still less is it my expectation.

Edited

I don’t think it’s because the NHS free - there are shit, patronising doctors in all healthcare systems! (Hopefully a minority)

I heard similar tales when I lived in Canada, and have heard many similar stories from Americans. There will be doctors with shit communication skills, or just having a bad day, everywhere.

Magnificentkitteh · 05/11/2025 18:27

Timeforabitofpeace · 05/11/2025 18:14

I find it very odd that SO very many people say they’re having a poor experience, and it’s not the experience of any in my family, wider family or friends. Yes, there are a few bad doctors , but there are also many people who want the private sector to move in and profit.

I worked for the NHS myself at one point, and every single government criticised the excess managers, etc etc. In a few cases it was true. Often it was political. Now it would be mad to lower the numbers, as much wouldn’t get done.

I think we broadly agree. I posted on a recent thread about my broadly positive recent experiences with the NHS. In particular it was refreshing that the nurses did not speak patronisingly to my mother the way a lot of people do these days.

But this particular guy was a rude arsehole and it's weird to see people defending that for any reason really, and i find it particularly depressing when people seem to be coming from the angle of "what do you expect in a free healthcare system?" as if that's only ever going to be piss poor. That's not my experience but still less is it my expectation.

Timeforabitofpeace · 05/11/2025 18:14

Magnificentkitteh · 05/11/2025 16:36

I hate this attitude that we should put up with absolutely shit and rude treatment and race to the bottom, and be subservient to doctors providing our care, for fear of worse to come. I absolutely support the NHS and state education and other public services. I want them to be gold standard and first class. I don't really see why they shouldn't be. No one is surprised when our universities top the global rankings or chooses a private university over the best our state higher education system has to offer (yes I'm aware it isn't so simple as that and there's a lot of private funding but still, in principle we expect our universities to be state funded AND first class). Why not aim high for our public healthcare?

I find it very odd that SO very many people say they’re having a poor experience, and it’s not the experience of any in my family, wider family or friends. Yes, there are a few bad doctors , but there are also many people who want the private sector to move in and profit.

I worked for the NHS myself at one point, and every single government criticised the excess managers, etc etc. In a few cases it was true. Often it was political. Now it would be mad to lower the numbers, as much wouldn’t get done.

cornbunting · 05/11/2025 17:06

Magnificentkitteh · 05/11/2025 16:36

I hate this attitude that we should put up with absolutely shit and rude treatment and race to the bottom, and be subservient to doctors providing our care, for fear of worse to come. I absolutely support the NHS and state education and other public services. I want them to be gold standard and first class. I don't really see why they shouldn't be. No one is surprised when our universities top the global rankings or chooses a private university over the best our state higher education system has to offer (yes I'm aware it isn't so simple as that and there's a lot of private funding but still, in principle we expect our universities to be state funded AND first class). Why not aim high for our public healthcare?

This exactly.

People are fed up with dickheads, not doctors. Some people are, sadly, both.

Catsinaflat · 05/11/2025 16:40

Good for you! I work in a medical centre and I have seen similar things happening.

Magnificentkitteh · 05/11/2025 16:36

Timeforabitofpeace · 05/11/2025 15:29

Just as well you’re all so sick of doctors, given that most of them are being replaced by nurses and assistants. You probably won’t get to see one soon, from one year to the next.

I hate this attitude that we should put up with absolutely shit and rude treatment and race to the bottom, and be subservient to doctors providing our care, for fear of worse to come. I absolutely support the NHS and state education and other public services. I want them to be gold standard and first class. I don't really see why they shouldn't be. No one is surprised when our universities top the global rankings or chooses a private university over the best our state higher education system has to offer (yes I'm aware it isn't so simple as that and there's a lot of private funding but still, in principle we expect our universities to be state funded AND first class). Why not aim high for our public healthcare?

longtompot · 05/11/2025 16:20

Yanbu. You spoke to him exactly how he spoke to you. I hope you feel better soon 💐

thing47 · 05/11/2025 15:50

Surely any major health concerns are flagged at the top of a patient's records so they are immediately obvious? A doctor can glance at them in the time it takes for the patient to walk from the waiting area to the doctor's room!

DH has also had a kidney transplant, has had Type I diabetes for 30+ years and has had a number of heart procedures including a triple off-pump bypass. I would expect any GP to be aware of all this in headline terms, then if more details are required on any/all of it, they can ask. And also ask whether the reason for the current appointment is connected to any of these as, of.course, it may not be...

Timeforabitofpeace · 05/11/2025 15:29

Just as well you’re all so sick of doctors, given that most of them are being replaced by nurses and assistants. You probably won’t get to see one soon, from one year to the next.

Wishmyhousewasbigger · 05/11/2025 13:31

I have an autoimmune condition, abd when I went to my GP, and asked for a referral to a different hospital as my local one was useless, and explained why she said that I obviously knew more than her! I got my referral.

Thequeenandthesoldier · 05/11/2025 13:30

Just a quick note to say

WELL DONE, GO YOU!!

Patronising, misogynisticc twat.

ErrolTheDragon · 05/11/2025 13:25

HelenaWaiting · 05/11/2025 10:38

Er ... no. Re-read my post. Or just carry on telling yourselves that Google is the oracle, keep using antibiotics willy-nilly and see what happens. I'm just the poor sap running sequences on the most deadly diseases known to man. What the fuck would I know?

I didn’t google. I assume the NHS website info and also what the pharmacist told me was correct.
FWIW I completely agree re the overuse of ABs; pharmacists afaik can only prescribe in limited conditions such as UTIs with evidence of bacterial infection. They can’t and don’t dole them out willy-nilly, it would obviously be a bad thing if they did.

plumclafoutis · 05/11/2025 13:12

cornbunting · 05/11/2025 12:49

If the doctor had:
(a) not told her to shut up halfway through the first sentence,
(b) read the appointment triage notes (a couple of lines, not much),
(c) read the patient notes

then he would have had that information. But he didn't have enough respect for her to do any of those things. It's difficult to tell a doctor about your medical history when they won't let you speak. He should have known it before she even entered the room.

I read all that. All I was saying was the first thing I would have said is about the transplant, then the UTI. From my own experience it helps enormously to state upfront what your condition is. I do agree he should have read the triage notes and shouldn’t have interrupted her and said he should have listened to her in my post.

Gettingbysomehow · 05/11/2025 13:10

TheLivelyRose · 05/11/2025 08:44

You've never been on the professional side of itthough, have you.
I ve said I was a solicitor up thread. I've had clients go round the houses ten times before they answer what I need to know.

No, I don't really need to know all of this background information.First, just tell me the issue I want to know.

She knows she had a kidney transplant.She knows how bad it gets. In a short appointment, sometimes there isn't time to read the records.Just tell him. I have a transplant, would be the first words out of my mouth.If I d had one.

Not I ve had some urinary urgency.

Sorry somebody didn't sit back and allow her to monologue until she got to the point, sometimes there isn't time for that.

What utter tripe. Im a medical professional and am expected to know exactly what is wrong with my patients. If my consultant pops in and I don't know there is hell to pay. It takes one minute to skim down their medical history and medication, check HbA1c and kidney function.
Its highly dangerous trying to treat patients without knowing what's wrong with them as has been proven here. You could kill them.
Its all computerised now and is sitting in front of you in easy to read sections.
There is no excuse for not picking up that someone has had a kidney transplant.
Also if someone is vague, elderly, confused, has learning difficulties and can't give you a medical history it is your responsibility to look.

Friendlyfart · 05/11/2025 13:08

you did the right thing. I’m sick of clueless patronising doctors.

Viviennemary · 05/11/2025 13:07

The doctor was rude. However, the first thing you should have said was the transplant. Because that changes everything.

TroysMammy · 05/11/2025 13:02

My partner doesn't have a medical degree.

EvelynBeatrice · 05/11/2025 13:01

I suspect there are as many or more bad patients as there are GPs, poor souls

TroysMammy · 05/11/2025 13:01

HelenaWaiting · 05/11/2025 01:33

I had a lovely exchange in A & E:
"I have appendicitis"
"I really don't think so"
"Nausea, vomiting, loss of appetite, low grade fever, pain in lower right abdomen."
"Oh, did you Google that?"
"No. I listened when I did my medical degree."

I did indeed have appendicitis, and if that berk had peed about any longer, it would have burst.

My partner one morning told me he thought he had appendicitis. I asked him if he'd been Googling, he had. It was so not like him to be in pain so when he rang his surgery with symptoms and even though he said he thinks he had appendicitis he was seen in half an hour. We had packed a hospital bag just in case. The GP sent him to hospital and he had his appendix out that night.

There are some medics who do listen to the patient.

EvelynBeatrice · 05/11/2025 13:00

And of course the doctors may be able to deselect abusive patients ….

EvelynBeatrice · 05/11/2025 12:58

CustardySergeant · 05/11/2025 12:21

They seem to have such an abysmal opinion of patients, holding them in absolute contempt.

And yet - strangely - the private GPs I have seen over the years have all been uniformly professional, helpful and pleasant. Strange, no?
One good thing that may arise from a change in the NHS set up or the funding of GPs is that many patients will vote with their feet and select doctors who do the job professionally and with courtesy …

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