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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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GETTINGLIKEMYMOTHER · 05/11/2025 09:44

Some of them do like to assume that you’re pretty stupid and Need Educating.

A dd was referred for having her tonsils out, and the consultant immediately began telling me that nowadays it’s really not recommended….
I stopped him with ‘Can I just point out that I have not asked for this, it’s my GP who thinks it’s necessary.’
To be fair, he took one look at DD’s tonsils and said, ‘Well, I have to agree.’

Re the God thing, though, a lot of older people certainly used to look on the Dr as God. My long-gone DM certainly did, mind you she died at 97 so I dare say most of that mindset-cohort will be gone now.

YenneferOfVengerburg · 05/11/2025 09:42

Mosaic123 · 04/11/2025 23:40

I think you were right with what you did.

However for the future I think you should walk in and say you have a transplanted kidney as you sit down.

I suppose it's hard to read notes in a short appointment.

When I went in to see the doctor I explained I had received a kidney transplant 10 years ago, and started to explain that I’d had some urgency around the toilet.

I totally agree, make sure there is no chance of the vital information being missed.

ForeverDelayedEpiphany · 05/11/2025 09:42

I have to sympathise with you, OP.

I gave up after seeing the doctors after I had seen the first three neurologists about my medication induced neurological involuntary movement disorder called tardive dyskinesia.

They all gaslighted me and I was fed up with their condescending attitudes.

I diagnosed my movement disorder myself but only the fifth neurologist agreed with me. It's extremely frustrating and I do empathise. Doctors aren't the fountain of knowledge.

AusMumhere · 05/11/2025 09:42

what did the GP even mean by ' ‘bubububub'?

clinellwipe · 05/11/2025 09:41

I’m a doctor and you are absolutely not being unreasonable. He was a twat

Worralorra · 05/11/2025 09:41

UANBU, OP! When I was last ill, I was misdiagnosed three times after COVID and prescribed the wrong medication

I’ve taken to writing a list of my symptoms on my phone and plonking it on the desk for the Doctor now, every time I visit, to save them time though, as it seems to me that if they spend any time on the PC, the information isn’t easy to find.

If I were on any medication, I would also add this to the list, but at the moment I’m not taking anything long-term…

Rosecoffeecup · 05/11/2025 09:40

Sorry you're unwell and I hope you are feeling better soon, but you seem to be implying its the GPs fault you are now in A&E? How could he have prevented that - you said he gave you the prescription you needed?!

HelpMeUnpickThis · 05/11/2025 09:40

MeTooOverHere · 05/11/2025 08:27

Never seen or heard of an online triage form.

It is the only way to get an appointment at my practice.

Just because you have never seen or heard of something doesn’t mean it doesn’t exist.

TryingToBeHelpful267 · 05/11/2025 09:39

You are not being unreasonable in the slightest. They can be nightmares, they deal with so many people who don’t know their arse from their elbow they think all patients are the same.

Well done for telling him, he sounds like an arse.

Ratafia · 05/11/2025 09:39

Neemie · 05/11/2025 05:18

I’m not quite sure when they would have time to read patient notes at my GP because the appointments are back to back. The same for hospital doctors as well. There are quite a lot of notes to plough through. My daughter’s would take several hours to read as she has a medical condition. I always lead with that info if it is for something relevant.

But it was all in the online form OP completed before the appointment. The GP didn't have to read all the notes, he just had to spend a few seconds looking at the form, which would have save him several minutes during the appointment itself. What is the point in making people fill in the form if the doctor is going to ignore it?

pastaandpesto · 05/11/2025 09:37

I get that GPs won't have time to read a patient's full medical history before every appointment, but if they're not even scanning the information provided on the online form that is specific to that appointment then I think that really needs to be made clear. It is hardly an unreasonable expectation that this would be happening.

HelpMeUnpickThis · 05/11/2025 09:33

HungerGamess · 05/11/2025 08:25

Sure, but another GP has already responded to
you to explain how little time they have between patients and you seem to have disregarded that. A little understanding on both sides doesn’t hurt, you don’t need to be defensive at any perceived slight

@HungerGamess

Except that @LiveTellyPhrase is now the one at A&E sleeping in a chair ….

A triage form was completed with the necessary info - that is how the appointment was allocated.

Are you suggesting that the GP does not even need to look at that before the patient comes in?

I am not quite sure what you are trying to defend, or why?

Interrupting is rude on any social norm level. Interrupting a patient trying to explain their symptoms is next level rude before we even get to the “bupbupbupbup” and “dear”.

What are you actually defending here?

Unicornsandprincesses · 05/11/2025 09:31

Mosaic123 · 04/11/2025 23:40

I think you were right with what you did.

However for the future I think you should walk in and say you have a transplanted kidney as you sit down.

I suppose it's hard to read notes in a short appointment.

Agree, you shouldn’t have to, but for ease I’d lead with this.

” hello I have a kidney transplant and I am concerned that I have a UTI as it’s very much in line with the ones I’ve had before…”

Seawolves · 05/11/2025 09:31

DH went to the GP with bilateral calf pain and tenderness. The GP listened and did what they were supposed to do, bloods were sent and showed high D-dimer so he was packed off to hospital where they did the complete opposite of listen and packed him off without so much as a scan. He was an oncology patient so that should've raised alarm bells but it didn't. A few days later he had a massive stroke.

I am sorry that you encountered this GP and would encourage you to make that complaint. I wish you well.

cornbunting · 05/11/2025 09:28

NotbloodyGivingupYet · 05/11/2025 09:12

Hope you're getting sorted now OP.
There are some batshit responses on here. Haven't read what you've written, but doesn't stop them jumping to conclusions.
Hmm, what does that remind me of?

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.

Ohnobackagain · 05/11/2025 09:28

@LiveTellyPhrase go in wearing this?

https://amzn.eu/d/2l7H5Hf

or make your own badge:
https://amzn.eu/d/28YJ3yp

The ‘dear’ bit would have tipped me over the edge!

Amazon.co.uk

Amazon.co.uk

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MsRumpole · 05/11/2025 09:26

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.

The client doesn't always know what you need to know, sure, but I can't imagine that you would interrupt a client five words into their first sentence in a meeting, surely?

HelpMeUnpickThis · 05/11/2025 09:23

Mmmm19 · 05/11/2025 07:45

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

She did!!!

🤷🏽‍♀️🫤😵‍💫

latetothefisting · 05/11/2025 09:20

TheLivelyRose · 05/11/2025 00:15

You say you got five words out before he interrupted you.

I have a kidney transplant - that is five words.

Those should have been the five words you spoke first, and the conversation would have gone very differently.

Jeez, you're as patronising as the doctor.

Do you start all your conversations without any greeting?

Presumably if OP had used even the shortest and more basic courtesy to say "hello" first, by your logic she'd only have had four words left, so "hello, I have a kidney" wouldn't have been of much help?

OP - I agree that, even though he should absolutely have read your online consultation, it might be easier for you to just bring it up ASAP, but I completely agree you should complain to the practice manager - and I worked in medical complaints for years. I would include a sentence referring to the good service you've had over the years, ideally naming one or two particular drs/nurses and then say "which was why I was so disappointed with Dr x".

As you say there are many people not able to stand up for themselves who could have left with a completely incorrect prescription/nothing at all, which potentially fatal consequences.

MiloMann · 05/11/2025 09:20

I am prone to infections for urinary problems, they usually respond to one of two antibiotics. The Practice let's me keep a supply of one of them with me. This is very useful as often it has happened out of hours.
If I get an infection I start taking the tablets and then take a sample into Surgery ASAP. If after test they decide I need an other antibiotic they email the local pharmacy and phone me.
@LiveTellyPhrase Do you usually need the same drug?

NotbloodyGivingupYet · 05/11/2025 09:12

Hope you're getting sorted now OP.
There are some batshit responses on here. Haven't read what you've written, but doesn't stop them jumping to conclusions.
Hmm, what does that remind me of?

LiveTellyPhrase · 05/11/2025 09:08

OhDearMuriel · 05/11/2025 08:57

Time to stop being bitter. Put your energy into getting better. I hope you are being polite to staff that are trying to help you.

Be thankful in your position that we have such a wonderful NHS.

Why on earth would you imply I’m not being polite to staff? Why on earth do you think I’m bitter?

I am, rightfully, frustrated at a very poor experience with a very rude doctor. If I hadn’t pushed, I may have believed his assertion that it was probably period pain and not taken myself to A&E to discover that I now do in fact have a kidney infection.

99% of NHS staff are amazing but to suggest that the institution is anything other than in crisis and on its knees would be fantasyland

OP posts:
ErrolTheDragon · 05/11/2025 09:07

HelenaWaiting · 05/11/2025 08:53

Nitrofurantoin is a broad-spectrum antibiotic. There is no such thing as an antibiotic that "concentrates in the bladder". The reason nitrofurantoin is given for UTIs is because it is known to be effective against the bacteria that typically cause UTIs. It is not the "gentler" or more focused alternative you seem to believe it is.

Ok…the info in the NHs link is pretty misleading then.Confused

FirstCuppa · 05/11/2025 09:07

I would complain, imagine a teen girl seeing him and being fobbed off!

I had a 10 min chat about blood results yesterday with a patronising GP who kept telling me I don't have anemia because my haemoglobin is high despite all others being on the floor. Like you, he barely let me talk. Finally got a word in and explained that I do have anemia because I already get B12 injections, so this result is quite odd and suggests there might be other deficiencies causing anemia. He still was trying to put me on antidepressants! I'm going in today because I told him that I would rather see someone in person, but you shouldn't have to fight to be heard when they haven't even read your notes.
Edit to add the reason for the bloods was bone tiredness, napping in the day, breathlessness after stairs - typical anemia.

MILLYmo0se · 05/11/2025 09:05

HipHipWhoRay · 04/11/2025 23:45

This is terrible, but as an aside (missing the point of the gobshite). the way IT medical notes systems are set up, seems primarily for coding and billing, and much less user friendly then you think. Endless realms of data capture but major content can get buried. He should have let you speak!

Agree, there should be a space on the screen as soon as you open a file to note kidney transplant /allergic to XYZ/had cancer etc. Doesn't need anymore detail than that but the v important stuff is there for either the patient to elaborate on or the doctor to then trawl through to find. A Gp doesn't have time to be reading through every patients file in the very unorganised way they seem to be set out on many systems.
Much more minor than this a Gp had noted on DDs file that she had high pain threshold and not to use her demenour as an main indicator after bubbly 2 Yr old DD chatted away at her while I explained that she d had a high temp for 48 hours earlier that week and now I thought her voice sounded odd and wanted her throat checked as we were travelling and maybe I'd need a prescription as a precaution. I'd didn't blame her for thinking I was a over cautious mammy, but when she looked at DDs throat she was shocked, putrid was the word she used to describe her tonsils. I had to be v firm and direct doctors on a couple of occasions afterwards to go find that note when attempting to brush me off.

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