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I am a "very pleasant lady"

443 replies

HauntedBungalow · 07/11/2024 23:05

... according to the consultant who wrote to my GP following an appointment. It says so on the first line of the letter.

I was feeling quite chuffed about this but when I told my cynical piss taking 21 yo son he said it probably meant I was a bit dozy. Surely not!

Does anyone know if "very pleasant lady" means fragrant and nice, or if it means thick?

I've obviously disinherited the son, regardless. (Not so dozy now am I? Twat.)

OP posts:
Orangesandlemons77 · 08/11/2024 07:34

TroysMammy · 08/11/2024 07:13

It's when you have "Thank you for sending this patient to me" in the beginning of the letter you know the Consultant thinks you're a pain in the arse. I'd like to clarify that it is not a letter I have received about myself but one I've seen about a patient.

I have had some letters like this but I used to get pleasant and even delightful!

I haven't changed any so I wonder if the real me is showing through os some of them are just not doing the other stuff anymore?

Another thing I am seeing more is "You" as in the letter is written to you, states things like 'you had a severe episode of X" for example.

I'm hoping I have not just become a nightmare but wonder about changes to style, I think some of the newer ones were younger doctors / consultants

honeylulu · 08/11/2024 07:34

Tiredbeany · 08/11/2024 07:08

As an NHS Consultant, I can tell you that can roughly translate the code as

"I reviewed this very pleasant patient" - we had a nice, productive chat, they listened and asked appropriate, reasonable questions and came to a collective plan
"I reviewed this pleasant patient" - All was fine
"I reviewed this patient" - ......

Hope that answers the above question.

Yes this is also my understanding. I'm a solicitor and in my younger days when I did personal injury defence work we would often receive reports from medical experts.

"This pleasant x year old man/lady" inferred the expert considered that the patient was giving an honest/accurate account of symptoms.

"This x year old man/lady" inferred that the expert was doubtful about the patients account of symptoms/possible exaggation etc.

honeylulu · 08/11/2024 07:34

Tiredbeany · 08/11/2024 07:08

As an NHS Consultant, I can tell you that can roughly translate the code as

"I reviewed this very pleasant patient" - we had a nice, productive chat, they listened and asked appropriate, reasonable questions and came to a collective plan
"I reviewed this pleasant patient" - All was fine
"I reviewed this patient" - ......

Hope that answers the above question.

Yes this is also my understanding. I'm a solicitor and in my younger days when I did personal injury defence work we would often receive reports from medical experts.

"This pleasant x year old man/lady" inferred the expert considered that the patient was giving an honest/accurate account of symptoms.

"This x year old man/lady" inferred that the expert was doubtful about the patients account of symptoms/possible exaggation etc.

Interested in this thread?

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BruceAndNosh · 08/11/2024 07:36

I've had "delightful former nurse" which is code for "she's OK but her medical knowledge is 15 years out of date"
I did like the "wankers who Google" translation upthread

NonPlayerCharacter · 08/11/2024 07:36

GotToLeave · 08/11/2024 07:01

It’s not a compliment. It means you are agreeable. That may or may not be a good thing. It’s a judgement of you in terms of their own agenda.

Their own agenda in making you better?

Orangesandlemons77 · 08/11/2024 07:36

Oh, something else I have had is "I know her quite well now and she is very sensible about her problems" This was when I mentioned to the consultant I sometimes felt a bit dismissed by my GP. I think they were kind of sticking up for me!

I used this letter in a PIP claim and it was granted at appeal on the papers, so maybe it helped there. Who knows

GotToLeave · 08/11/2024 07:36

worriedhidinginplainsight · 08/11/2024 07:32

That's very nice. I was recently described as "......is a single woman in her 40s who lives alone with her cat". 🤷‍♀️

And that is relevant to your health status how?

if it’s about after care - ‘Mrs X lives alone and therefore post operation care will need considering’

If it’s about alerting others to the existence of a pet that will need looking after in an emergency then say that!!

Its so condescending and there is a judgement implied.

Scirocco · 08/11/2024 07:39

"Pleasant" = civil and coherent, and didn't attend armed with a knife.

SharpOpalNewt · 08/11/2024 07:41

It surprised me to read "This lovely man" reading some of my dad's correspondence (I did a blue badge application for him). He was lovely basically but often had a grumpy demeanour.

TorroFerney · 08/11/2024 07:41

Soldiergirl99 · 08/11/2024 06:51

Not at all. I'm 5 ft 1 so 8 stone was fine, not underweight. It was just a surprise as nobody in my life had ever called me an average size. People always called me small or tiny. It made me question my perception of myself and wonder if I had been wrong all along, that I wasn't actually small at all but an average weight.

I completely get this and would have been the same. Although conversely and shows how contrary I am a nurse weighed me years ago and told me I was underweight. At 5 ft 3 and 120 pounds I obviously was not.

GotToLeave · 08/11/2024 07:41

NonPlayerCharacter · 08/11/2024 07:36

Their own agenda in making you better?

Their own agenda of not being questioned. I’m a healthcare provider. I don’t want the people I work with to be compliant and agreeable if they have concerns or questions. That can lead to worse outcomes. I am not so arrogant that I think I always know what’s best. I want open and honest dialogue. I have my expertise and will use that but they know themselves and are experts in their own experience.

HoppingPavlova · 08/11/2024 07:41

Yes, I'm a fellow 'very pleasant lady', meaning I don't make a massive fuss and am generally quite reasonable

Thats exactly what it means.

listsandbudgets · 08/11/2024 07:43

I've seen "Interesting" a couple of times ( not about me I'm usually pleasant or delightful!)

I am guessing 'Interesting " is a code for something like we reckon she's lying or exaggerating but not sure..

Nettleteaser101 · 08/11/2024 07:43

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

I dont think you are a very pleasant lady if you think Kemi Bandenoch is anything like Myra Hindley. I would say you were a very UNPLEASANT person. Your Doctor is a very bad judge of character in my opinion.

TheLittleOldWomanWhoShrinks · 08/11/2024 07:43

GotToLeave · 08/11/2024 06:50

Yes. It’s very dated and condescending though. More recently trained doctors don’t do it. It’s not their job to decide on whether I’m pleasant or not. The really modern doctors write directly to the individual whose health they are describing and copy in the professionals.

Agree.

Not in UK and my letters don't do this. It's just 'I saw Ms Shrinks on xxx'.
There's something patronising at best, arrogant at worst, about a medic verbalising judgements on character like this, be it 'code' or not.

Penaltychance · 08/11/2024 07:44

GotToLeave · 08/11/2024 07:24

Totally appreciate that. I guess what I do is write to the person themselves.

Dear Mr X,

‘Thank you for coming to see me regarding XYZ difficulty. I am writing to summarise our meeting/consultation and to XYZ, but let me know if I have missed anything that you think is important.’

Then I’d describe the issue and what was decided highlighting what other professionals need to know. For example;

‘As you know, we agreed that a referral to XYZ might be helpful/is needed and I have sent them a copy of this letter. (It would also be in bullet points at the top so the service/professional can easily tell that’s it’s a referral or whatever).’

‘I am sorry that you found XYZ difficult. I understand that you are not happy about XYZ. I am really keen to support you with this and I could see how upsetting it was, (or I could see that you felt really cross/angry about this) but I do ask that you refrain from shouting at me in future meetings. This service has a zero tolerance policy on aggressive behaviour and I enclose the information about that. I do understand, however, why you were so upset and I would really like to do my best to support you with that.’

‘I do hope that XYZ improves/works/reduces symptom etc but please do come back if you find that XYZ happens/it doesn’t work etc’

So empathy and understanding, respect and a clear boundary and then empathy and compassion again. A boundary sandwich. Facts only. No personal judgement- just the behaviour that needs a boundary. It’s how I would want to be treated if I got overwhelmed and lost it or if a relative did.

Doesn’t work every time but you can’t please all of the people all of the time.

Yeah in my experience people's tolerance for being called cross or angry is very low

We do have zero tolerance letters but usually for extreme cases where we will end up refusing care if it continues

It's possibly more complicated because in mental health we have a trickier line to walk then say if you shouted at a dermatologist

ViciousCurrentBun · 08/11/2024 07:46

35 years ago in a day surgery unit for his own notes a member of staff had his own code FOB, fucking old bag.

Shimmyshimmycocobop · 08/11/2024 07:47

It's really quite old fashioned now and I suspect will die out eventually. In mental health where I work we do include how people are turned out, ie appropriately dressed for the weather etc as its part of the assessment.
Some of the really old letters in peoples notes would blow your mind. I once saw a GP letter from the early 80's where he described a patient as a "rather immature 16 year old, she attended with her mother who was very pretty."

MillyMichaelson · 08/11/2024 07:47

Your son's internal misogyny is actually the issue here: he has turned 'pleasant lady' into that standard thing of suddenly seeing middle aged woman as a bit dim and childlike.

He's seen it through his filter.

WinterFrog · 08/11/2024 07:47

CrikeyMajikey · 08/11/2024 06:03

DH had an MRI which was followed up with the comment “an unremarkable brain”. Obviously fantastic news but we do still laugh about it.

I too discovered I have an unremarkable brain! I am also a pleasant lady ( possibly even very pleasant)
DD was a delightful little girl a few years ago.
I think I'm most relieved about the unremarkable brain tbh but like your DH, I've had my leg pulled about it 😂

Itsamumslife2024 · 08/11/2024 07:48

SummerSnowstorm · 07/11/2024 23:10

Likely something along the lines of "I saw Mrs in clinic today, she was understandably distressed due to _"

@SummerSnowstorm how can this be differentiated from cases where the patient is understandably distressed due to the nature of the potential prognosis? Emotional is a far cry from aggression in my books

BruceAndNosh · 08/11/2024 07:51

listsandbudgets · 08/11/2024 07:43

I've seen "Interesting" a couple of times ( not about me I'm usually pleasant or delightful!)

I am guessing 'Interesting " is a code for something like we reckon she's lying or exaggerating but not sure..

My tactful DH uses "interesting" to describe very occasional culinary failures

ThePinkFrenchFancyPlease · 08/11/2024 07:53

I’m usually delightful or charming, but ALSO well-informed or articulate. My guess is that’s a good thing. I am indeed well-informed, but I’m not a dick about it when I ask lots of good questions.

buffyspikefaith · 08/11/2024 07:53

I had "strong willed"

Which was code for what he said in real life I guess that I was stubborn and likely to have a great recovery Grin

Elleherd · 08/11/2024 07:53

I'm a reliable, stoical, and pragmatic lady. 😁(the first three are correct)
I'm a research patient and experimental surgery patient, who's also good with allowing specialists trainees to practice procedures.