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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU - or was this GP uneccessarily short with m?

66 replies

VeganCanBeFabulous · 24/12/2015 09:07

I suspect I am being unreasonable and yes I know GPs are overworked and it's the run up to Christmas etc etc but this appointment has left a sour taste in my mouth and I'm not sure why.

I took my daughter to the GP yesterday because I suspect she has a mild urine infection. She is 2.5 and still wears nappies and her wet nappies have been quite smelly for the last few days. I have been extra meticulous and making sure she is properly clean and she has a bath every other night and an "important areas" wash on the off nights so it seemed likely the smell was actually urine rather than something external. Then yesterday morning she said "Mummy done a wee" and had a pained expression on her face so I said "is your wee hurting you?" And she said yes. So I made an appointment with the GP and then spent the whole bloody morning trying to get her to sit on the potty to get a sample and sent DH to get a pot from the doctor's.

When we got there he was very abrupt and said "here again are we?" I just smiled and said yes and he rolled his eyes a bit. I said I thought DD had a UTI and he said "well UTIs are actually very rare in children this age and they are something we take very seriously. Then he asked why I thought she had one and I gave him the above info. He sighed and said well I can't just treat blindly! We'll need a sample (in a manner than suggested I was an idiot or just desperate for antibiotics). I then gave him the sample I had brought and he sighed again and said well this will have to go off to the lab, it will take a few days. His manner was as though I was a massive time-waster. I said that she had had a UTI before and DH had brought her and they had just dipped her wee there and then, but he said they'd have to send it off for proper tests.

So as not to drip feed, my daughter has been to the GP a fair bit but no more than other toddlers I know! She had thrush under her arm recently which had to be treated with canesten but was initially misdiagnosed so it took a while to get the right treatment. She has had the odd bug - she had croup as a young baby and has had a chest infection since then. She broke her leg a year ago (she sat on DH's lap on a slide and her leg got caught underneath him) which was awful and we felt terrible about it but it was clearly an accident.

I was just surprised by his suggestion that we were there all the time and that I was time wasting. I am a nurse so only take my kids when there is something I can't deal with myself and I don't feel like my children are ill more than other children their age. Also I'm not sure what he meant by taking the UTI very seriously in children her age. I can't explain why but it really felt like an admonishment. She is always clean, drinks plenty and only water or milk, eats a good healthy diet, gets plenty of sleep. I'm not sure what more I should be doing to avoid illness! So am I being unreasonable or over sensitive or was this guy a bit off? Congrats if you made it this far - sorry for the novel!

OP posts:
AnotherStitchInTime · 24/12/2015 12:53

It doesn't matter if the GP is overworked, yes it is Christmas, but he is still paid to do his job. I am a healthcare worker and will be working Christmas Day night for much less than that GP. I will still do my job thoroughly because my patients will suffer otherwise. The GP should be held to the same standards.

Hellochicken · 24/12/2015 12:55

Did he say "You are a massive time waster?" I know it is possible for someone to convey this without words but I would say what he actually said was fine. Is it possible you are reading too much into it/ defensive. It could be that he meant "nice to see you again, I remember seeing you recently" I could have said what he said but instead pleased I remembered you - I spend time worrying as I see people who have told me something (to them) massively important and a few days later they look familiar but I can't remember who they are or what the problem was until I look at the notes.

Utis are taken seriously in children. More than one is usually investigated as it can suggest a structural kidney problem that may need monitored.

With those symptoms a sample should definitely be sent. The result does take a couple of days. Your dd shouldn't be treated blindly unless unwell/fever. In meantime advice is to continue doing what you are doing - monitor, keep hydrated. Dipping the urine is not as good a test as culturing it. If she was feverish/weak/ill then if the urine dip was suggestive of uni he may have given the antibiotics blindly - but that wasn't the case.

Wagglebees · 24/12/2015 13:02

To a pp, thrush doesn't smell.

Most doctors would just dip test two days before Christmas for a very young child who may be left uncomfortable for days. I had uti's when little, no major issues in that department as an adult. He was a dick.

Hellochicken · 24/12/2015 13:04

Sometime I am thinking things like - the lab won't process this sample as quick as it is the holidays - or - I wonder what this nurse specialises in - am I telling her things she already knows - all kinds of things! I try my best but reading all your comments makes me feel like I could never get it right.

I hope your dd doesn't have a uti and happy Christmas.

Wagglebees · 24/12/2015 13:04

^or I might just be grumpy as I'm ill. Blush The gp's reply above mine is much more reasonable.

Hellochicken · 24/12/2015 13:06

As in all pp comments not op's comments

WhatamessIgotinto · 24/12/2015 13:07

My old GP told me I was 'neurotic' and 'wasting his time' when I refused to leave his surgery until he did a glucose test on the urine sample is brought in from DD. He said she 'probably had a virus'. He reluctantly did the dip test and we were on the children's ward within half an hour. DD diagnosed with Type 1 diabetes.

Goingtobeawesome · 24/12/2015 13:16

Try making fruit smoothies or lollies to get fruit in her. Maybe a daily bath while she is suffering.

Is her temperature okay?

I have seen a nurse as appropriate and then she's done the prescription and had a GP sign it so, of course they can prescribe.

DreamingOfAFullNightsSleep · 24/12/2015 13:17

I do think it's a tough time of year. My dh finds it very hard and everybody wants everything 'sorted' for Christmas. I hope the GP was more along the lines of the GP posting above and not how you interpreted it. My dh has also come home sometimes and confessed he's been a bit short with someone (usually a receptionist to be fair) because of the work level,demands and stressed and he's snapped. He always regrets it afterwards- fairly obvious as he feels the need to tell me.

And as others have said they take it seriously from a kidney point of view and whether the child needs other investigations to check those.

anotherbusymum14 · 24/12/2015 13:23

Ask for a different doctor. Some are really not great with kids (and their parents). No offense to them but just ask for someone else next time and skip him.
My dd had similar thing today and yes we had the urine dip on the spot and have been put on antibiotics already so they could do this. Saying that my dd is older. Younger kids yes they take this very seriously. Apparently one of the causes for a urine infection in younger kids is sexual abuse so they take it very seriously. (This is something we learned when one of ours were younger and our other dd had the symptoms but was fine, this what the doctor told us).

So your GP is taking it seriously which is great, but he doesn't need to be rude. Sorry.

Brioche201 · 24/12/2015 13:26

My GPs always prescribe antiBs straight away whilst the results are being waited for.
Was he, by any chance the one who misdiagnosed the thrush? I wonder if he was criticised for this and (unreasonably) feels cross with you!

DingbatsFur · 24/12/2015 13:30

I had a UTI recently and basically the nurse dip tests and they send it to the lab to culture to check to make sure it isn't resistant to the major type of antibiotics they prescribe.
I went through this at my new practice without seeing the gp, it was handled by the nurse/receptionist.
If she does have a UTI and she is taking antibiotics then I was told sugar/fruit based stuff is the worst because the bacteria use the fruit sugars to breed.
Lots of water, no sweets and comforting baths.
The GP was probably just having a bad day and may have been irritated that you'd already diagnosed what you thought was wrong with your d d by the time you saw him. No one like being told how to do their job.

neighbourhoodwitch · 24/12/2015 13:39

Sounds like a twat. Complain.

HarveySchlumpfenburger · 24/12/2015 13:39

I think that's understandable Dreaming. Everyone has off days and it wouldn't bother me too much if a GP was a bit short as a one off.

But I've also had experience of a GP in a bad mood missing something they really ought to have picked up but couldn't be bothered to test for. It would have saved a lot of time and appointments if it had been diagnosed at the first one.

antimatter · 25/12/2015 00:43

My dd used to get constipated and with pains in the lower tummy.
Our first reaction (so was GP's) that she had mild UTI.
This lasted from about 2.5 until 5.5 when we realised she was constipated and that caused her discomfort

We had lots of tests and visits to GP and even several Consultant visits.

All changed when we made sure she had lots of fiber in her diet. If your dd is constipated, let her have some gentle laxative
www.nhs.uk/Conditions/Constipation/Pages/Treatment.aspx
then make sure she doesn't eat white bread or pasta any more. We switched to 50/50 bread and wholewheat spaghetti, also added bananas (she wasn't keen on them when she was younger)

changes in diet made all the difference and she wasn't in pain any more

we also had a routine that dd would go on the toilet for 15 min in the morning before school
in time she trained herself to always have poo then

good luck and hope your dd will get better soon

Baconyum · 25/12/2015 02:33

Unfortunately there's good and bad in all professions. I'm normally defensive as an ex HCP and it is a tough job, but there's a limit. A urine dip as a pp said would not only possibly have indicated an infection but also protein, sugar etc.

I'd recommend seeing someone else next time.

On another note as this is a 2nd uti plus thrush in a somewhat unusual area has anyone suggested diabetes as a possibility? Teething can explain both but generally the thrush would be oral then.

Hope she feels better soon.

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