Meet the Other Phone. Flexible and made to last.

Meet the Other Phone.
Flexible and made to last.

Buy now

Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think giving doctors a quota of ultrasound scans is ridiculous?

29 replies

unlucky83 · 26/06/2014 23:43

Don't want to get into NHS cuts/costs etc - it is the mentality behind this that is annoying me...who thought this was a workable/sensible/good idea?
So I have dodgy bloody - had a couple of DVTs years ago now have to err on the side of caution. Have a slightly swollen sore leg but did sleep funny on it...
Left it all day yesterday to see if it got better it didn't...ended up phoning 111 and going to OOH GP - phoned at 9.15 got an appointment with OOH GP at 1am. Hmm Agreed looks dodgy - a DVT - gave me fragmin injections and an appointment at the acute medical unit a the local hospital this afternoon.
(Now actually think I should have just gone straight to A&E -but that's another IABU)
Turn up this afternoon staff fantastic - my story is complicated - possible misdiagnosis of a blood disorder etc (my notes were in a mess and incomplete - spread over 4 hospitals - discovered today a fantastic haemotologist I saw once a few years ago has finally (after over 20yrs) managed to get all my notes together and write a synopsis - I love him!).
My blood test for DVT came back negative - but that's not 100% reliable -Doctor really thought I needed a scan...but she can only ask for two scans a day. She has already gone over her allowance so she is really sorry but her next available slot is on Mon. She has booked me in and given me enough fragmin to self inject till Mon...
I feel bad about taking the slot - someone might need it more (I actually asked if I could pay or something to not take it out of her allowance but I can't) ...that she had to apologise ...and also with the fragmin dissolving the 'clot' by Monday the result might be inconclusive (this has happened to me once before - kept on a ward for 5 days because it was the Easter weekend - by the time I got a scan it was inconclusive) - and actually for my record I would like it to be confirmed or not - inconclusive adds to the confusion. Or worse if it is one I might get a PE ... would be ambulance etc - a lot more of time and expense...(if I didn't die - and sure that would be a hassle too) .
Basically the NHS has paid for me to see 2 doctors and a nurse - blood test, fragmin I may not need (and luckily I did the injections when pregnant or they would have either had to fit me in with a nurse to do it for me - or teach me how to do it then ...and it is a hard thing to do at first). And I will be back on Mon taking up more of the doctors time...and it might not even by the same one -so might have to go through everything again...
Alternative a scan that will take tops 10 mins.. if clear - I'm ticked off out of the system ... without another unconfirmed DVT clouding my notes...
AIBU to think it is a stupid system?

OP posts:
DinoSnores · 02/07/2014 12:28

I am surprised that they even bothered checking a D-dimer in you given your past medical history.

As stone hopefully knows, a negative D-dimer is only reassuring in the context of a low pre-test probability of a DVT, which you certainly didn't have.

My guess is that the doctor has two slots a day that she can book ad hoc DVT scans into. After that, it depends how busy the department is, if they can fit in another scan, and if not it has to be rolled on to the next working day.

StoneTheFlamingCrows · 02/07/2014 12:43

No I am aware that a negative d-dimer is not reliable given the history, but I was just speculating as to whether the negative d dimer was clouding the issue and this dr/ the hospital was seeing your case as less urgent because of this?

I can understand delaying a low risk scan, but in a high risk case you would have thought it could be rushed through, but then I am used to working in hospitals with inpatients. Never seen a "quota" system in place in my trust though, or in GP locally. I have seen GPs call hospital directly and highly suspicious cases have always been scanned same day.

StoneTheFlamingCrows · 02/07/2014 12:54

Ah / have just re-read op and seen she was treating as for a DVT with frag min anyway which is good.

Not sure what outcome if scan was, but hope you are ok op!Smile

StoneTheFlamingCrows · 02/07/2014 12:56

Sorry I really need to rtft! Was working late last night in my defence! Gonna go back to sleep i think...

New posts on this thread. Refresh page