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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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MeTooOverHere · 05/11/2025 08:27

ErrolTheDragon · 05/11/2025 08:10

Yes, I’m afraid the people saying the doctors don’t have time to read notes didn’t bother to read your posts either. It was obvious from your op you’d have mentioned your ‘conditions’ in the triage form. And absolutely the dr should have read them- could have done so in the time it took you to cross the room and sit down I’d have thought.

Flowers hope you’re getting the treatment you need now

Never seen or heard of an online triage form.

Oopsadaisydoodah · 05/11/2025 08:27

LiveTellyPhrase · 05/11/2025 08:23

Please read the full thread. The information was not ‘buried’

Edited

Are you sure he could see your triage notes?
You would hope so but it’s quite possible that they are on different systems. Where I work it’s practically unreadable, and I ask people why they are here. Sometimes they don’t even know themselves. I wouldn’t be a GP it is thankless. That may not be the case and not for you to sort out, but it’s so pants atm as NHS is on its knees.

MrsDoubtfire1 · 05/11/2025 08:26

This may sound odd but Co Pilot put together a very good shortened version of events with my conditions. I simply read that out to the doctor while they listen.

HungerGamess · 05/11/2025 08:25

LiveTellyPhrase · 05/11/2025 08:23

Please read the full thread. The information was not ‘buried’

Edited

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

LiveTellyPhrase · 05/11/2025 08:24

Still in A&E waiting for a bed to become available

And getting increasingly frustrated with all the posts saying ‘yes..,BUT…..’. None of the ‘Buts’ are relevant to my situation or consultation. None of them.

OP posts:
LiveTellyPhrase · 05/11/2025 08:23

HungerGamess · 05/11/2025 08:21

To be honest I see both sides of this. I totally see how you felt patronised but I also can see how he didn’t have the pertinent info. I think communication could have been improved on both sides.

Yes, I agree with you that he should have read your notes and not been rude. But my totally logical/pragmatic side would have led me to lead with the most serious information ie as soon as I booked the appointment or sat down, say “I have had a kidney transplant and have been advised to seek urgent help if I have signs of a UTI”. Then let them lead the next steps. I don’t think his comments were great if you didn’t have a kidney transplant either, I’m not excusing that - but I am aware that NHS GPs are overwhelmed, likely don’t have a lot of time between patients to thoroughly evaluate notes (especially if the relevant notes are far down your file) etc.

Generally speaking I’ve always been able to get GPs to do what I want and I achieve that by speaking their language so to speak, understanding their limitations and adjusting my communication to that. I’ve never had an issue getting the prescriptions or referrals I want as a result and I have regularly been on the receiving end of patronising GPs - hence this learned approach

Edited

Please read the full thread. The information was not ‘buried’

OP posts:
Luna6 · 05/11/2025 08:22

I would have lost it at the ‘bubububub’. What an absolute prick.

HungerGamess · 05/11/2025 08:21

To be honest I see both sides of this. I totally see how you felt patronised but I also can see how he didn’t have the pertinent info. I think communication could have been improved on both sides.

Yes, I agree with you that he should have read your notes and not been rude. But my totally logical/pragmatic side would have led me to lead with the most serious information ie as soon as I booked the appointment or sat down, say “I have had a kidney transplant and have been advised to seek urgent help if I have signs of a UTI”. Then let them lead the next steps. I don’t think his comments were great if you didn’t have a kidney transplant either, I’m not excusing that - but I am aware that NHS GPs are overwhelmed, likely don’t have a lot of time between patients to thoroughly evaluate notes (especially if the relevant notes are far down your file) etc.

Generally speaking I’ve always been able to get GPs to do what I want and I achieve that by speaking their language so to speak, understanding their limitations and adjusting my communication to that. I’ve never had an issue getting the prescriptions or referrals I want as a result and I have regularly been on the receiving end of patronising GPs - hence this learned approach

Happyjoe · 05/11/2025 08:20

Well done, what a patronising GP and so glad you stood up for yourself, a lot of people don't because they presume GP is always right.

And.. a good GP allows the patient to speak. Hope feeling better?

PS- I have two serious illnesses misdiagnosed/swept under the carpet by GPs. Don't trust them, I always question now.

AQuickWord · 05/11/2025 08:20

LiveTellyPhrase · 05/11/2025 08:17

I don’t think that. I understand that when I go to St Helier vs St George’s, despite being only a few miles from each other, the systems don’t talk and my doctors can’t see info from the other hospital

i DO expect them to read my fucking triage notes from their own Practise though

Agreed.

LiveTellyPhrase · 05/11/2025 08:17

AQuickWord · 05/11/2025 08:14

I think many patients think we have a centralised NHS notes system that allows us access to whatever input they have had from wherever in the country. Whereas where I work we only have access to notes from our Trust. I don’t blame patients for not knowing that.

I don’t think that. I understand that when I go to St Helier vs St George’s, despite being only a few miles from each other, the systems don’t talk and my doctors can’t see info from the other hospital

i DO expect them to read my fucking triage notes from their own Practise though

OP posts:
ThreePointOneFourOneFiveNine · 05/11/2025 08:15

Another doctor apparently incapable of listening. Never mind having to announce your transplant as the very first words out of your mouth, he needs to give you a chance to explain your situation before trying to brush you off. What a knob!

frockandcrocs · 05/11/2025 08:14

YANBU, and yes, you should complain.

My Dad was told his pain was shoulder tendonitis. He thanked the Doctor and told him he was relieved, because his last scans showed bone cancer there, but tendonitis was much less concerning. He then left and asked for a different doctor.

It BAFFLES me that GPs don’t read the notes before taking in their Px. I couldn’t imagine not doing that in my job, I want as much info as possible before I call the Px through!!

LiveTellyPhrase · 05/11/2025 08:14

Violetmouse · 05/11/2025 08:07

I'm a GP

You weren't unreasonable in this scenario at all, you should have been listened to and sounds like his communication skills left a lot to be desired! He should have read the notes relating to the appointment ahead of time.

However. Having appointments lasting 10 minutes per patient - including reading notes beforehand, recording the consultation after etc is a nightmare and does make it impossible to fully read notes. I hate it. But that's the way it is - see 18 patients in 3 hours, 10 minutes break to allow for a quick wee and then onto home visits. Awful but not always the GP's fault.

Also on most GP systems you can put alerts onto the computer system so it flags important information. When you complain maybe ask if they can look at how the transplant info is recorded.

Hope you feel better soon.

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

OP posts:
AQuickWord · 05/11/2025 08:14

Shakeyourwammyfannyfunkysong · 05/11/2025 08:05

But I clearly said I do read my patient's notes and that it was poor that the doctor hadn't picked up on this. However I've lost count of the amount of times I bring a patient in and actually ask what I can do for them and give them time to talk and they reply 'well you should know already from my notes' or 'I explained all this to the A and E doctor 3 years ago I'm not going to repeat myself' I think there has to be a degree of realism. GP notes sometimes contain 20 years worth of consultations and letters....

Edited

I think many patients think we have a centralised NHS notes system that allows us access to whatever input they have had from wherever in the country. Whereas where I work we only have access to notes from our Trust. I don’t blame patients for not knowing that.

cannyvalley · 05/11/2025 08:10

Just reading this made me feel furious. What a patronising fool!!!!

well done for giving him short shrift. Hopefully he will reflect on his attitude ….

ErrolTheDragon · 05/11/2025 08:10

LiveTellyPhrase · 05/11/2025 08:02

I am a little frustrated at all the comments saying the GP wouldn’t have time to read through all my notes and how crap the IT system is.

I agree, having seen how difficult the NHS app is to navigate

BUT there is a triage online system in place where you request the appointment and it has 2 key fields: what is the problem? And what is your expectation? I have blacked out any personal details but here is a copy of mine for my appt yesterday .

Surely…SURELY the GP has 20 seconds to at least glance at this, no?

Yes, I’m afraid the people saying the doctors don’t have time to read notes didn’t bother to read your posts either. It was obvious from your op you’d have mentioned your ‘conditions’ in the triage form. And absolutely the dr should have read them- could have done so in the time it took you to cross the room and sit down I’d have thought.

Flowers hope you’re getting the treatment you need now

MushMonster · 05/11/2025 08:09

Shakeyourwammyfannyfunkysong · 05/11/2025 08:05

But I clearly said I do read my patient's notes and that it was poor that the doctor hadn't picked up on this. However I've lost count of the amount of times I bring a patient in and actually ask what I can do for them and give them time to talk and they reply 'well you should know already from my notes' or 'I explained all this to the A and E doctor 3 years ago I'm not going to repeat myself' I think there has to be a degree of realism. GP notes sometimes contain 20 years worth of consultations and letters....

Edited

You are right on those circumstances, with not so cooperative patients, but this is a completely different situation to the OP. The OP case involves an arrogantvpatronising GP putting her life in danger if she had not spoken up for herself. He was arrogant, patronising and negligent. And, sadly, not the only case going around.

AnonymouseDad · 05/11/2025 08:09

Bunnycat101 · 05/11/2025 06:07

My mum has been in hospital for three months. It is astonishing how few clinicians have actually read her notes properly. It has been incredibly frustrating when people have given an update that is total bollocks. My sister has been much blunter that I have and has called them out on it a few times.

Often when you’re dealing with something chronic the patient will know a lot about a specific condition, how to manage flair ups, risks etc and you really do have to be pushy and advocate now.

In A and E you can ask where you are on the waiting list. And if they have not put you as a high priority you can argue and say considering you are at risk of kidney transplant failure you need to be seen quickly.

For GP's, we are very very lucky. Ours is amazing. Always thorough and we can always get a same day appointment without any fuss. Even calling at 3pm if its important they will see you. Had one doctor stay behind to make sure they saw my daughter once when we called late. If its a routine appointment needed they go through the calander to find a date and time that works best for you.

Violetmouse · 05/11/2025 08:07

I'm a GP

You weren't unreasonable in this scenario at all, you should have been listened to and sounds like his communication skills left a lot to be desired! He should have read the notes relating to the appointment ahead of time.

However. Having appointments lasting 10 minutes per patient - including reading notes beforehand, recording the consultation after etc is a nightmare and does make it impossible to fully read notes. I hate it. But that's the way it is - see 18 patients in 3 hours, 10 minutes break to allow for a quick wee and then onto home visits. Awful but not always the GP's fault.

Also on most GP systems you can put alerts onto the computer system so it flags important information. When you complain maybe ask if they can look at how the transplant info is recorded.

Hope you feel better soon.

BobbieTables · 05/11/2025 08:06

YANBU and you are a legend.

Rhubarbandgooseburycrumble · 05/11/2025 08:06

Tbf I also get patients that do this the other way round, don’t let me actually finish a sentence. Some people are just knobs and like the sound of their own voice. Get it everywhere not just in healthcare.

Shakeyourwammyfannyfunkysong · 05/11/2025 08:05

norwaynoway · 05/11/2025 07:59

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?

But I clearly said I do read my patient's notes and that it was poor that the doctor hadn't picked up on this. However I've lost count of the amount of times I bring a patient in and actually ask what I can do for them and give them time to talk and they reply 'well you should know already from my notes' or 'I explained all this to the A and E doctor 3 years ago I'm not going to repeat myself' I think there has to be a degree of realism. GP notes sometimes contain 20 years worth of consultations and letters....

Melonmango70 · 05/11/2025 08:04

Absolutely complain. Email the practice manager and head your email "Formal Complaint". I had trouble once with the surgery and did exactly this, they got back to me within the hour to try and rectify the situation (more of an admin thing in my case, but still I had been patronised and talked down to and the person I spoke to just wasn't listening to me.) Good luck!

MeTooOverHere · 05/11/2025 08:03

LiveTellyPhrase · 05/11/2025 08:02

I am a little frustrated at all the comments saying the GP wouldn’t have time to read through all my notes and how crap the IT system is.

I agree, having seen how difficult the NHS app is to navigate

BUT there is a triage online system in place where you request the appointment and it has 2 key fields: what is the problem? And what is your expectation? I have blacked out any personal details but here is a copy of mine for my appt yesterday .

Surely…SURELY the GP has 20 seconds to at least glance at this, no?

Yes he definitely should have looked at that and got the gist of it.

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