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AIBU?

For thinking this surgeon was a bit out of order? OK, I know I'm overweight but...

156 replies

trickynicky · 26/09/2012 08:59

Not sure if I'm being oversensitive here but I was in hospital over the weekend passing a gallbladder - terrible pain. On the ward round on the following morning, Mr Bigshot, the Consultant Surgeon came round with his minions (4/5 student doctors). He examined my stomach, prodded and poked and then stated I needed to have the gallbladder removed. He then looked at my table upon which was half a piece of toast I'd eaten for breakfast and an open mini packet of butter half opened. He then ceremoniously picked up the butter and said "well, you don't want to be eating that if you have gallbladder issues - it's fat" and then he pinched a piec of my stomach and said "you've got enough here"!! I was somewhat taken aback and just mumbled "I know".... he then obviousy thought better of what he said and said "I didn't mean to insult you"........smiled, and then wondered off.....

On reflection, I am mortified. Actually, he's totally right. I am quite a bit overweight - I do KNOW that.... but wasn't this just a little bit insensitive, unprofessional etc etc or am I being over dramatic?

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aldiwhore · 26/09/2012 10:16

Medically he was correct on all counts. He could have been more helpful, suggested getting you an appointment with a dietician for example, he could have been kinder and saved your feelings.

I'm overweight (but losing steadily) and truth HURTS, but truth is truth... especially when its a medical issue. He's fixing you, and from his PoV it must be infuriating that you're passing a gallstone AND eating butter.

YANBU to feel hurt. He was rude. Do not complain. Do some research on what you can eat. With that knowledge, hospital food will cater for you, they have low fat spread for example, and do try to meet dietary requirements.

I hope you feel better soon. Its tough to lose weight (especially if you feel shit and feel deprived) you don't have to do it alone though, I would highly recommend finding a group like Rosemary Connelly (didn't work for me), Weight Watchers (didn't work for me) or Slimming World (complete epiphany and works brilliantly for me). The support of a group is the key for me.

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WiseKneeHair · 26/09/2012 10:22

I am a bit Shock at the number of people defending him! And I say this as a surgeon myself.
If you are fat, then fair enough to explain this is a risk factor and to tell you the benefits of a low fat diet. However, to pinch your abdomen is just not on.
I wouldn't complain as such, but you can raise a "concern" with PALS and that may stop him treating someone else like this in the future.
BTW, I am usually nice to my patients, although will tell them when they need to lose weight AND I'm a bloody good surgeon. The two aren't mutually exclusive. Grin

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trickynicky · 26/09/2012 10:39

Thank you for your responses. There was no choice on the breakfast - toast or toast. I do realise fat is not good for gallbladders now but this was my first introduction to passing a gallstone and I hadn't actually had an ultrasound to examine my gallbladder and confirm the diagnosis at that point. I am not stupid - I realise I need to lose weight and I need to eat better now but at that point, I'd been up all night in excruciating pain - full doses of morphine and a whole cannister of gas & air with the rapid response team had not even dampened the pain - I was tired, emotional and a bit scared. Not in a good place. I'm not saying he's not right, but surely it's unprofessional to humiliate your patients who are in a vulnerable state.

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OhChristFENTON · 26/09/2012 10:46

{{hug}} for you tricky, - hope you are feeling better soon.

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purplehouse · 26/09/2012 10:47

Pinching stomach = appalling behaviour and totally out of order. There is no defence for this. Shame he is teaching his juniors that it is OK to be nasty to patients.

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diddl · 26/09/2012 10:51

Well I think if you have been told not to eat fat then he had a point.

If not, then he could have told you to avoid from now on.

Pinching fat??!!!=(imo) twatty showing off to students.

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squoosh · 26/09/2012 10:56

Humiliation is a well known tool for motivating overweight people to lose weight Hmm

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javotte · 26/09/2012 10:57

YANBU. What he said was not even correct. I developped gallstones after losing weight and fatty food does not trigger my attacks.

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trickynicky · 26/09/2012 11:09

Well, I can tell you that I didn't need a surgeon to humiliate me. I'd done a fine job of that already by a) screaming like a banchee in pain whilst being wheeled into resusc b) putting the hospital gown on back to front when transferred to the ward in a morphine induced haze resulting in a full on exposure of aforementioned fat stomach to very kind staff nurse who "helped" me get dressed and c) falling into a deep sleep in a packed ward of similarly drugged up women only to wake myself up, along with several others, by mistakenly releasing a very large fart.
If it didn't hurt my aching gallbladder, I would try to laugh but actually, I think the surgeon's ritual humiliation feels like the last straw...
Grin

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TroublesomeEx · 26/09/2012 11:14

Oh sorry to hear all of that tricky. I just think that being in hospital is a bit dehumanizing all round isn't it?

Couldn't help but laugh at what you wrote, but only because it reminded me of my own medical related indignities Grin

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DelhiCalling · 26/09/2012 11:15

You want the nhs to pay for your surgery needed because you are fat, but you are offended to be told your fat? Hmm

Then you want to waste precious nhs resources complaining about a highly qualified doctor who told you a fact about your health, meaning a potential investigation on him?
Pay private then.

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FelicitywasSarca · 26/09/2012 11:16

Tricky, as someone who has had gallstones I know your pain,

I can guess your physique (being that way myself once).

Gallstones made me loose 5 (yes 5!) stones!

I can assure you it was definitely the not being able to eat anything but plain chicken, dry toast and bran flakes for 6 months that did it- NOT a rude, arrogant, surgeon.

In fact I began loosing weight before the gallstone incident (weight Loss can also trigger it sadly) as a result of a kindly and accurate (but polite) word from a GP.

Rudeness is rudeness and don't let it make you feel bad OP.

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70isaLimitNotaTarget · 26/09/2012 11:19

studant doctors are not minions .
They are studant doctors.

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geegee888 · 26/09/2012 11:25

I'm sure you will get over it OP. Surely your health problems are far more important than obsessing over this minor thing?

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trickynicky · 26/09/2012 11:32

Delhicalling - wow, aren't you something. Actually, I will be going private so thank you for pointing that out. Not because I'm rich and fat but because my husband's job covers the insurance. I had no choice but to call an ambulance on the NHS - having paid my taxes for donkey's years, I think I'm entitled to use the service don't you? How exactly am I wasting precious nhs resources by "complaining" to Mumsnet about how I feel?? I haven't put in an official complaint to anyone but I think that just because someone is overweight, they should not be treated with disrespect.

Clearly because I've said I'm "overweight" everyone thinks I'm enormous. Well, I'm not slim, which I have always admitted but I'm a size 16 and I'm 5ft 8" and I weigh 12 stone. So does that put me in the category of being large enough to be humiliated or if I lose a stone, will I be in the category of being treated with respect and able to use the nhs without wasting resources? Perhaps you could clarify what weight or BMI warrants appropriate use of the "precious nhs resources" that I'm clearly wasting.

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redwineformethanks · 26/09/2012 11:32

He was rude. No excuse for pinching your stomach. He could have been polite but firm. No need to humiliate you.

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GalaxyDefender · 26/09/2012 11:37

tricky, I'd ignore that post by dehlicalling if I were you. Some people seem to think it's fine to bash or be snarky if you happen to be even slightly overweight.

The doctor was highly innapropriate, and could have made the same point without making his patient feel ashamed and uncomfortable. He could simply have said that the butter was a bad idea and left it at that, but he did not, and you would be right to complain about his conduct.

I bet if you changed the story so that it was a doctor making a joke at the expense of, for example, an elderly person, the responses would be 100% outraged Hmm

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geegee888 · 26/09/2012 11:37

But if he was simply speaking the truth out of concerns for your health, I cannot see the problem? As your health is more important than your being mildly offended. I think I would rather have a medical professional who tells the truth, even though I don't like to hear it, than someone who says nothing. And I'm sorry, but I find the pinching of the fat useful - its pointing out, without any doubt, where the problem lies.

I had something similar happen to me. I did a 5k at the weekend, and got placed. A coach came over to me afterwards, praised my running and then said I could be better if I lost 5kg. Just like that. I was a little hurt, but now I'm using it as motivation. I'm not thinking of being all aghast at the cheek of it and complaining about him, because he actually spoke the truth and its up to me if I want to make improvements. btw, he actually pointed to my thighs, and said "from there".

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squoosh · 26/09/2012 11:39

DelhiCalling is an example of the type of person who thinks consultants can do no wrong, ever.

He was unnecessarily rude. His position does not give him the right to discard any attempt at common courtesy.

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saintlyjimjams · 26/09/2012 11:44

Butter comment okay (and he should be complaining to the catering dept not you), but stomach comments absolutely not okay.

I expect his students thought he was an arse as well

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squoosh · 26/09/2012 11:44

geegee888 there's 'speaking the truth' and then there's playing to the gallery. I'm a fan of medical professionals who tell the truth, I mean who isn't? But I'm not a fan of people being needlessly rude.

An yeah the pinching of fat was very useful, Hmm, she probably hadn't noticed it before.

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LizLemon007 · 26/09/2012 11:45

but geegee888, the coach didn't get you at your lowest, lying in a hospital better before a procedure. He came up to you and said what he did without an audience.

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geegee888 · 26/09/2012 11:46

The point being, that sometimes you need a shock to make you take action. OK, the tactic might not be particularly sensitive, but if the end result is good, I'd rather have that.

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geegee888 · 26/09/2012 11:48

Oh no, he said it with an audience, at the finish line of the race, with my friends and fellow runners around me. When I had just run my heart out and my legs off to get that place and prize money!

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kilmuir · 26/09/2012 11:48

Female, fat and nearly 40, prime gallbladder problem type.
truth hurts sometimes

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