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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To complain about this consultant?

8 replies

SanityChick · 11/05/2018 07:15

Apologies -- this is going to be long and possibly hard to follow.

Background is that DD (7) has a chronic breathing condition which for a long time was suspected to be asthma hospital consultant she is seeing now thinks it is probably not asthma and is running a series of tests to establish what it is. She has now had to have two bronchoscopies cancelled in the past six months. On the first occasion this was due to illness if a child has severe cough/wheeze its difficult to operate on their lungs. Because this had happened recently, when DD got ill a second time within a week of her scheduled operation I proactively got some oral steroids from the GP in order to get her over the worst of it in time to be well enough to go in. It turns out this was a mistake and the op has had to be cancelled again.

I'm sure I've made mistakes here: I knew she had to come off inhaled steroids ahead of the op but was unclear what the position was with oral ones. I also knew she could not have the op if her lungs were in distress through an inflammation caused by a cold. My calculation was that it was better for her lungs to be clear ahead of the op, and that it was better to take the oral steroid, hence the prescription. I panicked a bit, in part because I find it very stressful when DD is ill. I am a single parent and don't have any family support with it when she's ill -- it tends to lead to a lot of sleepless nights for me and it has a knock-on effect on my work so its possible I don't behave all that calmly when its happening.

My problem is that this consultant is, in my view, harsh and very judgemental of me (and incredibly rude). I discovered he had written a letter to my DD's GP after the first op was cancelled, telling the GP I had "ignored medical advice" because I didn't remove her from the inhaled steroid in the run-up to the first op. The reason for this is that I was given just over one week's notice for the op (having been told it would be later in the summer) and DD at the time had a very heavy cold so I didn't want to stop the inhaled steroid cold turkey as I was worried it would prompt a trip to A&E (as has happened).

When I emailed him recently (via his admin) to ask if it was OK to proceed with the second op even though she had taken an oral steroid he replied "I wouldn't normally bother replying, but there is no point doing this op now".

I can see it is extremely frustrating for doctors, not to mention costly for the NHS when operations are needlessly cancelled. The cancellation is due to a combination of bad timing (illness), my making the wrong call and the hospital's failure to give me proper preparation time for this op or enough information about what kind of medication my DD should be taking. On the one hand I was told she could not be on an inhaled steroid, on the other that she would need to have come off this two months before the op. But I was also told the op could not be done if she had a chest infection. It's difficult to make a call on which of these is the most important risk factor. Its hard to get hold of hospital consultants and the GPs and 111 don't provide this sort of information.

I'm really upset about the way he speaks to me. I think its incredible that he has told my GP in a letter that I "ignored medical advice" without bothering to check with me first as to what happened. And that he should feel able to be so rude to me over email when I'm obviously anxious and stressed and I've told him I'm managing the situation on my own.

I know I have made mistakes here and I don't want to alienate him. But I also feel I should not have to be treated like this by someone just because he's a hot shot consultant and I'm a mere thick single mother. I appreciate that doctors like this are unbelievably busy and stressed but I don't think that gives him the right to treat me like this at a stressful point in my life. I am tempted to pick this up with the hospital, but another part of me thinks this is a battle I can't win and the only person who will suffer will be my DD.

Has anyone ever challenged a doctor on behaviour like this? Is it worth it?

OP posts:
Sirzy · 11/05/2018 07:19

To be honest I would just write it off as one of those things, realistically it does sound like in hindsight you messed but but these things happen! If inhaled steroids aren’t allowed then I would have assumed the same about oral tbh, but if she was ill they wouldn’t have done it anyway!

Thankfully when ds has had broncospies we haven’t had to stop the inhaled steroids because there is no way we could.

redexpat · 11/05/2018 07:22

Sounds like poor communication to me. Chalk it up to experience and move on.

Sleephead1 · 11/05/2018 07:29

I understand it must be a very worrying time for you and it does sound harsh but I often find in written communications it's hard to get tone across how have you found him In person? do you have his secretary's number I would ring them with any concerns as they can then get a answer from him and come back to you.

Allthewaves · 11/05/2018 07:40

Sorry but i think yabu. First op couldn't be helped as she was sick but you should have checked with consultant before asking dd to be put on more meds. He's brisk, his time is short to answer email and some consultants just have bloody awful patient manner tbh.

Take it with a pinch of salt. I would ask for an explanation why she has to come off steroids if she struggling

Heighwayqueen · 11/05/2018 07:46

No good can come of dwelling on this. It’s pointless. He sounds like he doesn’t have a great bedside manner but you also sound like you have no confidence in yourself or your decisions. Move on and ficus on your daughter

blueskyinmarch · 11/05/2018 07:47

He has possibly been abrupt but consultants are so pushed for time and to meet operation deadlines he was possibly just ( a bit justifiably by the sounds of it) cross with you. He wrote to your GP i imagine so if you asked for steroids again they could discuss with you if this would be the correct path leading up to an op so you don't make the same mistake again.

I sounds like either way she couldn't have had the op as she was either ill or on steroids. I think instead of complaining about him you should message him and ask how to manage this better in future as you are keen for the operation to go ahead.

MrsOprah · 11/05/2018 08:35

contact PALS part of being a doctor us communicating effectively in a way that makes the patient and carer understand and comfortable. he's not done this well. which is part of the issue. being better at this part of his job would lead to better outcomes.

AnaisB · 11/05/2018 08:46

I’d contact PALS too I think. I wouldn’t be happy for it to say I’d ignored medical advice on my child’s medical record. I also think the drs manner needs addressing more generally and maybe there is a communication issue that could be addressed - eg through more informative written info.

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