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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To feel my Dr dismissed my symptoms as I'm overweight

103 replies

Womby · 31/01/2015 08:03

I am a 50+ woman who is 4 stone overweight.

I have been suffering for painful legs when walking for about a year - pain in calf muscles, acute stiffness after sitting or sleeping (think 90 year old woman), grinding knee joints (which others can hear when I'm walking) etc. I have been tested for PAD (peripheral arterial disease) and that has been ruled out so I have been thinking it could be Osteoarthritis in my knees as all the symptoms check out and this runs in my family.

I went to a long awaited GPs appointment yesterday (I had waited a month) and had written out a list of my symptoms to save time - he glanced at them and said 'it won't be your knees - it's your weight'. I told him I knew I was overweight and I am addressing that (2 stone so far on Slimming World) but that I am in pain all the day when I'm walking and it is really hampering my life and I'm taking Ibuprofen like sweets as they are the only thing that helps.

He still dismissed what I was saying and refused to examine me. I was very polite but asked if I was supposed to suffer in pain and that I had even been in pain walking from the car park to to the surgery (very close) to emphasise the point. Expecting him to at least suggest strong prescription pain killers or cortisone injections or something but he just said 'take Paracetamol' . I told him that Paracetamol had no affect whatsoever and Ibuprofen were the only thing that takes the edge off but I was worried about stomach bleeding etc which can happen with high use of those.

He just looked at me and smiled and said, 'we've ruled out PAD which can be a dangerous condition so I'm afraid this is down to your weight and I know it's hard but you need to lose weight' - I told him I was doing S.W. but progress is now very slow as I can't walk! He still kept his stance and refused to examine my legs/knees.

At this point I just said, well I'd better leave and made for the door. He walked after me and said 'you haven't got varicose veins have you?' - I said no I hadn't but he then lifted my skirt up at the back to check the back of my knees (my hand was on the door handle ready to leave at the time). I thought to myself if you'd checked my legs properly on the couch you could have checked for that.

I got outside the surgery and managed to drive home but then just burst into tears and I keep welling up and crying again when I think about it.

I feel totally dismissed because I have a weight issue and like I wasn't worth examining as whatever I'm suffering must be my fault anyway. I am under no illusion that weight has an obvious impact on joints and I'm trying my best to address that but I could also have other underlying issues and he's refused to look into that.

I think I will now have to change Drs as I have no faith in this Dr and he has upset me so badly I cannot face seeing him again. In the mean time I am no further forward and changing GPs will take time and I'm still in pain and can barely walk and it makes doing anything particularly my job (where I have to walk around a large site between buildings) difficult, slow and embarrassing.

Am I wrong to feel like this? Is this treatment fair?

OP posts:
maddening · 31/01/2015 11:16

Here is the NHs advice re osteoarthritis

www.nhs.uk/Conditions/Osteoarthritis/Pages/treatment.aspx

IMO he should refer you to be diagnosed formally for osteo - and while losing weight is part of the advice for dealing with osteo he is diagnosing your weight not osteo for the reason you have pain - imo he is a gp and should have referred you- given your family history - to a person with the right specialism.

His attitude and behaviour were not in keeping with his profession imo

fanjoforthemammaries7850 · 31/01/2015 11:17

Even if losing weight will help, noone can lose 4 stone overnight so you should be given a) help and advice to do that and b) painkillers and exercises in meantime

FuckOffGroundhog · 31/01/2015 11:20

At this point I just said, well I'd better leave and made for the door. He walked after me and said 'you haven't got varicose veins have you?' - I said no I hadn't but he then lifted my skirt up at the back to check the back of my knees (my hand was on the door handle ready to leave at the time). I thought to myself if you'd checked my legs properly on the couch you could have checked for that.

You should complain about that at least. He shouldn't touch patients with out express permission. Especially not lift their dress.

I've found doctors tend to ignore even very unrelated issues if you are over weight and then blame the weight, so I'm not super surprised at the way you have been treated. So definitely seek another opinion. Also 4 stone is a lot but I'd be surprised if it was affecting your legs as badly as yours are hurting.

carabos · 31/01/2015 11:21

I'm 51, size 8, gym bunny. My knees creak and groan and are very painful a lot of the time, as is my right shoulder. Arthritis having been ruled out, and physio having had no effect, the specialist's advice was two-fold: lose weight; get more exercise. When I said that in order to get more exercise I would have to give up my job, he said "only you can make the right decisions for your health". Hmm

Needless to say, I'm still working and my knees still hurt. Some doctors ARE in fact idiots and we give far too much credence to their nonsense.

livefastlove · 31/01/2015 11:23

Hi OP have you tried flexiseq gel flixiseq you can buy it at Lloyds chemists. Its quite expensive, but drug free and has a lot of positive reviews.
You are quite right that being in pain doesn't help you loose weight as you can't exercise and may feel tempted to comfort eat. You could come over to bigchocfrenzy exercise thread on the 5:2 diet board, not just for 5:2ers (but she will tell you it's the best diet!) and you will get some great advice on exercising with reduced mobility.

AuntieStella · 31/01/2015 11:30

I'd be making a formal complaint about the skirt lifting.

And then starting again with a different GP.

But, even with the kindest GP in the world, you may well be told that the weight is the issue. Well done on your weight loss so far - you can and will lose more.

MissDuke · 31/01/2015 11:32

Op, can you use this unpleasant experience to channel more energy into weight loss? As previous posters have said, research suggests that exercise has little impact on actually losing weight, but is more important in long term maintenance of weight loss. Diet is the most most important aspect of weightloss. For most people, it is much easier to cut 500 calories from your diet everyday than to burn 500 calories in the gym.

To be honest, I suspect that as others have said, no matter what the cause it, weight loss will be the best treatment. Then if pain persists, they can look at other treatments. But surely avoiding drugs/injections/surgery would be your primary aim? I have problems with my knees too, which completely rectified after I lost 9 stone 6 years ago. It is starting to creep back now, and I wonder if its because my weight has crept back up by almost a stone after having another baby. I am currently losing weight and hope it will help.

I wholeheartedly agree that this doctor was inappropriate though, and I wouldn't be returning to him!

onthematleavecountdown · 31/01/2015 12:07

Doctor does sound like an arse who let his pre-conceived ideas rule him

But.... He is likely right. 4 stone is a massive amount of excess weight to carry around. You say walking is hard so obviously other types of exercise will be impossible. Have you tried swimming, it takes the weight of your joints.

Well done on the weigth loss so far, hopefully you will be able to feel the difference in your legs soon enough as you carry on.

I was 2 stone overweight and suffered with terrible hip pain when walking. I lost the weight and it disappeared. Hopefully this will be the same case for you and it is nothing more seriously.

bloodygorgeous · 31/01/2015 12:11

Doctors are notoriously plain speaking and pushed for time. Mine never minces her words!

I think he is right, even though it has hurt you and I'm sorry for that.

The reason he dismissed you is probably he has seen it all before a million times and knows that losing weight will more than likely solve your problems.

Keep up the great work with your weight loss, see how you feel for losing a couple more stone - I think you'll be surprised.

Hamiltoes · 31/01/2015 12:54

What is with all the posts saying the doctor was not sympathetic. Even one saying the doctor was predjudiced.

WTF Confused Why would anyone expect sympathy from a doctor? How about you get sympathy from your friends/ family and let the doctor get on with his actual job Hmm???

You went with a problem, the doctor told you what it was an how to treat it. The doctor used his education and experience to establish he did not need to examine you. Are you accusing him of medical negligence? If not then YABU.

FuckOffGroundhog · 31/01/2015 13:02

Because she was leaving and he put his hand up her dress? Last I checked that was assault hamiltoes.

grocklebox · 31/01/2015 13:08

He didn't put his hand up her dress, he lifted her skirt a little to look at the back of her knees. AFTER she had ASKED him to look at her knees. That is not assault, don't be so bloody daft. Hmm

heartisaspade · 31/01/2015 13:11

This reply has been deleted

Message withdrawn at poster's request.

livefastlove · 31/01/2015 13:15

Hamiltoes I do want a sympathetic Dr. I am forever grateful to the lovely Dr who treated my bad back, he had a kind manner and that alone made you feel like he wanted to give you the best treatment he could. Even though I am overweight he gave me painkillers and physio and I am now better. But his kind manner made me feel much better when I was really suffering and in pain and I still think of him as the best Dr I have had.

goodasitgets · 31/01/2015 13:21

I had knee pain, I'm overweight. I also exercise 5 days a week. The doctor probably would tell me to lose weight. Went privately with a physio and turned out I had torn my MCL. Ultrasound, acupuncture and physio and I'm back in the gym now with no pain

TheRealMaryMillington · 31/01/2015 13:26

It's not assault but it is not appropriate or professional

He sounds like a useless and completely unempathetic doctor. Is there not another GP at the practice you could see? TBH though there's a lot you can do to help yourself re diet and exercise (not just for weight loss per se) that can help you with osteo, ime (limited I admit) injections etc tends to be for severe rheumatoid etc.

FWIW I have arthritis in one knee and my neck, mildish but enough to me miserable, went to doctors got good sensible advice - mostly re movement, and proper pain relief when needed. Have also lost 1.5 stone and do a lot of exercise now, especially swimming a yoga for leg strengthening and now have pretty much no trouble or pain any more.

TheRealMaryMillington · 31/01/2015 13:28

I suppose what I am saying is you probably do have arthritis and the dr should take your concerns seriously, but the treatment plan would likely include the same recommendations. Nonetheless find a new doctor or go to the practice nurse.

hackmum · 31/01/2015 13:29

maddening: "IMO he should refer you to be diagnosed formally for osteo"

Yes, exactly. If - as so many here are saying - he really couldn't have made a diagnosis himself by examining the OP, he should have referred her. But obviously he had already decided what the problem was and wasn't going to listen to her. Appalling.

Hamiltoes · 31/01/2015 13:33

Groundhog please see grockles response.

Livefast I agree a lovely sympathetic doctor is the ideal. I was recently hospitalised, some doctors showed more sympathy than others but ultimately I was told what what needed to be done to get better, and I got better.

They all achieved the end goal no matter how much sympathy or empathy they choose to show me.

angeleyes72 · 31/01/2015 13:33

Well i weigh 5 stone above start of overweight categories and my bmi is below 40 so op is probably not morbidly obese. I also have no problems walking 10k or going to he gym so dismissing symptons due to bring overweight is not on.
It could be a contributory factor but eaually there could be an underlying condition.

Hamiltoes · 31/01/2015 13:39

How is it not professional or appropriate???

If I ask my doctor for a smear, he says I don't need one, I say ok thanks for nothing, he thinks oh wait actually I might aswell do one since you're here- how on earth is that assault

He probably only did it to put OPs mind at ease since she was clearly pushing for him to look at it even though he'd already said he didn't need to! The guy can't bloody win.

WorraLiberty · 31/01/2015 13:41

But until recently, the OP was 6 stone overweight so I think it's fair to assume that she was/is morbidly obese and that (particularly at age 50+) that's going to put immense strain on her joints.

However, a quick examination from the Dr might have put her mind at rest or at least made her feel as though he was taking her seriously.

WorraLiberty · 31/01/2015 13:42

My last post was in response to angeleyes72

BalloonSlayer · 31/01/2015 13:46

pishedorf sorry Flowers to offend you. However I must emphasize that DM didn't say anything, she just thought it, because it didn't matter what Stepfather went to the Dr for, he was always told it was because he was too fat. (IIRC Jo Brand has mentioned this in her routines.) As I implied, I think Mum and SF had split up by then - in any case their relationship had deteriorated to the extent that everything about him annoyed her (including his weight) - yet the GP's dismissal of everything as weight-related STILL rankled on his behalf.

Please let me assure you that no GPs were actually humiliated in the course of this light-hearted-trying-to-sympathise-with-the-OP internet post.

angeleyes72 · 31/01/2015 13:46

ok possibly was but not necessarilly now.