Nice.... is that the best they can come up with?

[listsandbudgets]

A consultant referred me on and started the letter with

"I'd like you to see this nice young lady"

Surely they can come up with something better than "nice"? Nice sort of implies Im a bit of a non entity aIbeit a nice one.

I like the young bit though, I'm 44!!

( I had a teacher when I was 11 who forbade the use of the word nice for the whole year I was in her class so perhaps I'm unnecessarily at odds with the word )

@Throckmorton

Oh this is cool, I have to know more! What are the codes for patients who ARE dicks?!

I'm glad you asked this one.

It's the first thing I wanted to know!

Ds consultant wrote in a report after a consult once "miniweirds mum is very sensible and so I've ....."

Can't even remember what I was so sensible about

I worked for the NHS before the notes were open to patients. There were some awful letters, "This obese hochondriac attended clinic today". It's much more subtle now, nice, pleasant etc are code for sensible and genuine.

What does 'this 40 old lady mean then?'

No description just age, does it mean miserable and knackered or something unpleasant?

@YgritteSnow

I was described as "slightly obese" once. I was 10 stone 10 at 5 ft 5 inches. I've never forgotten it.

I was that weight at 5"7 once (was ill hence dr).

I was described as being underweight.

Perhaps if you grew and inch and I shrink one we'd have been described as perfect weight

@AnnaSW1, what does FLK stand for?

I need to know the full code

About 8 years ago, so not quite the dark ages.

Feck, thought I'd quoted you, @MsVestibule

Sorry it's a DM link:

www.dailymail.co.uk/health/article-5216135/The-secret-codes-doctors-use-INSULT-patients.html

DS is always a "delightful young man" in the letters from the paediatrician. I was once "his lovely mum" but am usually just "his mother".

[quote BikeRunSki]@AnnaSW1, what does FLK stand for?[/quote]
Funny Looking Kid I believe.

It is code. I don’t say disparaging things about any patient in a referral letter, but I might point out someone is nice/pleasant as code to indicate that I like them, they are straight-forward to deal with etc...I guess I’m effectively recommending them as a patient.

The inference is that they aren’t demanding/ complaining/ difficult/ stressful...as it can feel so many are. I say feel because really we are talking about a small number of people who consume so much time, it can seem like many more people must be like this.

I recently had a copy of a letter which described me as "pleasant, 43 year old right handed teacher."
The right handed bit was relevant to me insofar as I had a shoulder problem but it looked funny written in the middle of the sentence, as though it was one of my defining characteristics.

I'd love to know what the other codes are.

I think "complains of" and "reports xxx symptoms" may mean they don't have much patience with you or could be cynical. I've had that from ones who didn't seem to have time for what I was saying.
On the other hand, I think "presents with xxx symptoms" or when they just write it like your symptoms are a fact means they are taking you seriously.

I was described as a 'delightful lady' by a consultant I have yet to meet in person or over the phone even! I'll be disappointed if I'm not described as 'eXXXceptionally delightful' after the actual appointment.

Yes sorry, it's funny looking kid.

I did once have 'mum reports that ds has ...... and does ...... mum reported that.....' but x tests showed nothing untoward. then says he asked if I could possibly video.

Next report said ''mum showed a video today of mini weird having an episode. He presents with ......' then describes it with all the neurological terms and says 'requesting a referral to tertiary services .......'

I often wondered if the first one was a case of well I can't find a reason and it's just what mum says!

I have forgiven them though because eventually it was discovered ds has a condition thought to be be prevalent in just 1:77,000 people. Not easy to suss what's going on in cases like that!

Delightful / nice / pleasant = non time waster

'Gave me a comprehensive history' = wouldn't stop talking

'Knowledgable' = friends with dr Google

'Unfortunate' = it's baaaaad

'Feels there is x / believes there is x' = its in their head

There's more, I just can't think of them!

@itsgettingweird

I did once have 'mum reports that ds has ...... and does ...... mum reported that.....' but x tests showed nothing untoward. then says he asked if I could possibly video.

Next report said ''mum showed a video today of mini weird having an episode. He presents with ......' then describes it with all the neurological terms and says 'requesting a referral to tertiary services .......'

I often wondered if the first one was a case of well I can't find a reason and it's just what mum says!

I have forgiven them though because eventually it was discovered ds has a condition thought to be be prevalent in just 1:77,000 people. Not easy to suss what's going on in cases like that!

The 'x reported' is pretty standard unless you've seen it yourself - it's just arse covering. I have to write it ALL the time because the case history is so long but I rarely get to see most of what I'm asking about!

[quote BikeRunSki]@AnnaSW1, what does FLK stand for?[/quote]
Funny Looking Kid?

DH was once described as "a charming gentleman who is mobile without a stick." He was 65 at the time. We still laugh our heads off about it. He's 74 now and I'm pleased to report he is still charming and mobile without a stck!,

My mum was described as 'fun and refreshing' once. I think the consultant had had a bad day. He was fab though (I was in with her) and so lovely with her. Don't think I've laughed so much in a cardiac appointment.

I usually get 'pleasant' but once hot 'intelligent' which made me go hmmm?

Did you post about this before!? Someone with an identical problem Posted about a doctor referring her and calling her nice...

I wonder in the 5 minutes I spend with my GP (a different one every time) whether that is really enough to form an impression of the sincerity or otherwise of the patient.
And surely even unpleasant people get sick and need treatment...

Ah thanks windy that does make sense.
And ds really was presenting all sorts of odd things we couldn't suss.

Turns out he has hereditary spastic paraplegia- not that common I understand and so different in people it's not easy to pinpoint.

It was first though he was having myoclonic seizures. Then his arms contracted and the best one - if you test the reflex on his right knee his left thigh lifts 🤣

He's been every medical students example weird case! His neurologist is always asking if they can come and test him etc - it's a teaching hospital!

I usually get, “This pleasant Gentleman accompanied by his wife”.
I’m not sure if that means she’s very supportive, (she is), or she’s an interfering busy body, (she’s not).