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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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MushMonster · 05/11/2025 12:55

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.

Exactly, if you read the whole OP you can clearly get that this doctor did not allow her to speak.

cornbunting · 05/11/2025 12:49

plumclafoutis · 05/11/2025 12:07

You might joke about it but I am immunocompromised and it is the first thing I tell a doctor or nurse when I have an appointment. It completely changes how they relate to me, especially in regard to infections. I’m unclear as to why you didn’t raise your transplant before saying you thought you had a UTI as it is clinically relevant. However, the doctor was being patronising and should have heard you out.

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.

Richardscaryisscary · 05/11/2025 12:42

My son has a serious condition which he always mentions first at a GP's appointment, even if he's there about something else because his meds have to factored in to any further prescribing.
More than once he's been lectured about making his personality all about his condition. Most people don't even know about it as the only time he mentions it is at medical appointments.

I've had the finger wagging and lecture about only one symptom per appointment, even though I suspected the symptoms might be linked. It turns out I have advanced cancer, over a year of missed chances to at the very least refer me.

MushMonster · 05/11/2025 12:40

jnh22 · 05/11/2025 12:27

I always think this! How do they do it??

I think people who can easily get appointments are a combination of dramatic, pushy and/or emotional - with a thick skin.

No, it is not that. Uk has, sadly, become a post code lottery regarding healthcare and other services.
Many are not aware of what is going on and the poor service across UK just because they are lucky... for the time being....

jnh22 · 05/11/2025 12:27

Shakethedisease · 05/11/2025 12:01

I wish these people who 'book appointments at the drop of a hat' would come on here and tell us how they do it. The majority of us who struggle to get any appointment without days and weeks of repeated ringing could do with some tips.

I always think this! How do they do it??

I think people who can easily get appointments are a combination of dramatic, pushy and/or emotional - with a thick skin.

CustardySergeant · 05/11/2025 12:21

Ladybugheart · 05/11/2025 12:07

Good for you. I am sick to death of medical professionals just not listening.

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

MrsDoubtfire1 · 05/11/2025 12:21

Went to see my GP yesterday about acid reflux. She had me in and out in 2 minutes with a three month prescription and I was paying privately for that. Didn't have a chance to ask any questions etc. Appointment time should have been 15 minutes. No questions, nothing!

Ladybugheart · 05/11/2025 12:07

Good for you. I am sick to death of medical professionals just not listening.

plumclafoutis · 05/11/2025 12:07

LiveTellyPhrase · 04/11/2025 23:51

Thank you. I think you and other posters are right. My DH is now jokingly looking at getting a badge made for me for any medical appointments which says ‘I have a kidney transplant’.

i think I came at it wanting to state the issue first but the more important info (and the one to get taken seriously) is the tx!

You might joke about it but I am immunocompromised and it is the first thing I tell a doctor or nurse when I have an appointment. It completely changes how they relate to me, especially in regard to infections. I’m unclear as to why you didn’t raise your transplant before saying you thought you had a UTI as it is clinically relevant. However, the doctor was being patronising and should have heard you out.

Shakethedisease · 05/11/2025 12:01

BoudiccaRuled · 05/11/2025 10:48

Whilst of course the OP made a good point, the reality is that GPs dont have time to read reams of notes. I always immediately give a very short summary of my rare condition. GPs see many, many time wasters and people who book appointments at the drop of a hat, when lots of ailments clear themselves thanks to wonderful biology.
I agree that some doctors are infuriatingly patronising though.

I wish these people who 'book appointments at the drop of a hat' would come on here and tell us how they do it. The majority of us who struggle to get any appointment without days and weeks of repeated ringing could do with some tips.

Bikergran · 05/11/2025 12:00

My finest moment was after my waters had broken and a patronising male consultant said they hadn't, that I'd just peed myself. I sat up indignantly, and in a withering tone that I DID know the difference between my vagina and my urethra, thank you very much!!! He went purple, and his gaggle of medical students tried hard not to laugh.....luckily the rest of the labour and delivery went well and was totally led by lovely midwives.

Petitchat · 05/11/2025 11:59

LiveTellyPhrase · 05/11/2025 10:45

I’m finally on a ward and I’ve had an IV dose of antibiotics. Thanks for the well wishes, hoping to get some much needed sleep now

Sleep well and hope you have a speedy recovery, OP.

Petitchat · 05/11/2025 11:54

Onmytod24 · 05/11/2025 10:32

You had a transplanted kidney you should’ve got to the point at the beginning you wasted his time and your time

I think the rude doctor wasted his own time actually.

FirstCuppa · 05/11/2025 11:53

The problem is that when you have a serious health condition a lot of things tend to go wrong at once. In OP's case at the very top of her notes should be her transplant and it should be referred to within the notes, undoubtedly as causal or linked to other issues.

I had an embolism and a thyrotoxicosis in the same month at the start of the year. It has been unbelievably hard to get to the bottom of both what caused this, how we get me back to normality and what I need to be keeping an eye on. I have also discovered pernicious anemia in this time and started HRT in order to try to minimise extra things going on such as 5 day migraines. My notes are now extensive, all in the space of 12 months. Yet the Dr yesterday on the phone just wanted to put me on antidepressants. Today in person the Dr has sent me 20min drive away to get a d-dimer because she is worried I may have another PE (am confident I don't and this would be the 5th time I have spent a whole day waiting in A&E only to be sent home with nothing else done). What I would like is a full bloods panel as I think I have an iron deficiency anemia, or if they insist on saying it's my lungs, a CT as a D-dimer and Xray isn't going to give them any idea of the current condition of my lung - I've had 5 chest Xrays this year and none of them discovered my PE or showed that half of my lung wasn't fully functioning. The CT after they sent me home did. I must have inadvertently cost the NHS £££ because they keep doing d-dimers and Xrays. Surely if you have had more than 2 Xrays in the last 3 months after a PE you should be sent for a CT? Doesn't that make sense?

Having to repeat all of this to the doctors every time I go in is impossible, I have to guess what might be connected and hope they've read the notes.

Petitchat · 05/11/2025 11:48

cornbunting · 05/11/2025 09:28

Yes, the number of doctors on here saying they don't have time to read patient notes who also clearly don't read the patient posts on MN is quite funny, in a depressing way. If you don't have time to read the notes, listening to the patient is the only option. You can't ignore the notes AND the patient.

I feel for you, OP, I hope A&E have you treated and back to normal soon. Maybe hide this thread, as the sheer number of people not bothering to read your posts must be adding to the irritation.

I think they DO read the posts but they don't read them properly....Grrrr

Youhidaway · 05/11/2025 11:37

He sounds like he shouldn’t be a doctor! Awful! I think you did very well and he won’t be like that with you again.

LoveSandbanks · 05/11/2025 11:24

Ive had to be quite forceful with locum gps a couple of times. Once I had mastitis (3rd baby) and phoned to request antibiotics. The gp was dismissive and suggested it was a stomach bug. I very assertively told him that it wasn’t my first rodeo and that I was on my own overnight with 3 children and asked if he was prepared to write a script or not! He did.

Violetmouse · 05/11/2025 11:02

LiveTellyPhrase · 05/11/2025 08:14

I get the ‘however’ but have you read my latest update?? Would you consider this unreasonable to expect a GP ti have read this?

No, that's not unreasonable,.as I said in the first paragraph I think he should have read the notes relating to the appointment before you came and I don't think you were in any way unreasonable.

The "however" was in response to posters saying things like "they never read the.bloody notes", I think it can be helpful for people to understand what's going on on the other side too.

Really hope you get well soon.

SpaceRaccoon · 05/11/2025 11:01

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?

What is is that you disagree with though? It does largely concentrate in the bladder, hence not being a particularly suitable antibiotic beyond UTI treatments.

And I haven't taken an antibiotic for years. I think their overprescription, and overuse in agriculture, is a huge issue and a squandering of probably one of the most important medical advances humans have ever made.

Magnificentkitteh · 05/11/2025 11:00

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?

This is a bit rich. This is Mumsnet, the PPs can hardly be expected to treat your posts as the oracle either.

LiveTellyPhrase · 05/11/2025 10:56

I’m so pleased recent posters have joined to tell me how difficult it is for GPs to read through so many notes and years of history for a patient. It hadn’t come up til now. No irony at all in pointing out whilst simultaneously not reading any further OP posts…

Sorry, tiredness breeds sarcasm

OP posts:
Wednesdayonline · 05/11/2025 10:53

GP records have a summary of important past diagnoses at the top, so it's not unreasonable to expect a doctor to scan these before an appointment which would take about 15 seconds and would show the kidney transplant listed.

FullLondonEye · 05/11/2025 10:51

I am a medical interpreter, which means I see different patients and different doctors in different healthcare settings every day. In my experience by far the most significant factor in patient health outcomes is the attitude of the doctor. There are plenty of bored, arrogant ones who don't listen to the patient or assume they're an idiot. When you get a good, engaged doctor who treats the patient rather than the data on their computer, you know the future for your patient will be completely different. It's more influential than the waiting lists, equipment and drugs available or the specific circumstances of the patient's condition.

Theseventhmagpie · 05/11/2025 10:50

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.

So you don’t think, as a solicitor, that your new client might be nervous/anxious/ upset about seeing a solicitor for the first time??

BoudiccaRuled · 05/11/2025 10:48

Whilst of course the OP made a good point, the reality is that GPs dont have time to read reams of notes. I always immediately give a very short summary of my rare condition. GPs see many, many time wasters and people who book appointments at the drop of a hat, when lots of ailments clear themselves thanks to wonderful biology.
I agree that some doctors are infuriatingly patronising though.

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