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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To be upset at unsympathetic consultant

31 replies

frustratedwithconsultant · 25/02/2021 07:53

I have NC'd for this.

I lost my DH to cancer at the end of last year after months of gruelling treatment. During the last few months of his life, I became aware of aching pain in my legs, nothing too painful, just a dull ache, and some 'knotty' veins in my legs. But obviously it wasn't top of my list of priorities. However, about a month after DH died, I called my GP who asked me to come in and, after physical examination, diagnosed varicose veins and referred me to a vascular surgeon.

I know that the NHS has a huge amount to deal with at present, so I decided to pursue the matter though my medical insurance. I picked one of the consultants on the list which I was offered by my insurers and had an appointment a few weeks ago. The appointment was at a local hospital, where I found the consultant to be very brusque and dismissive of my symptoms. He carried out a cursory examination and then just said the condition was in no way serious, and that my pain patterns were not consistent. He suggested that I should buy some support stockings, and told me that all other treatments were dangerous.

I asked him what he thought the cause of the pain might be, if it were not the veins and enquired whether or not it might be stress related. He said he didn't know what the cause of the pain was and eventually asked why I thought it might be stress related. I am afraid that I then became very tearful and said that he hadn't much of a bedside manner and that I had found the appointment a very negative experience. I explained that it had been triggering for me to go into a hospital, because of losing DH, and filling in forms with my DD as next of kin etc. However, even allowing for all that, I said that I still thought that his manner had been unsympathetic and unhelpful.

At this stage, the consultant seemed to lose interest in my vein problem and suggested I should seek help from my GP. I said that I had not consulted my GP, that the surgery had enough demands on it at present, that I did not want to be prescribed ADs, but that I had arranged some bereavement counselling.

The consultant then said that the hospital weren't carrying out any vein procedures at present, in any event, because of Covid. I fully understand this and I know that I am not a priority in any way and am happy to wait as long as necessary, but I would like a solution, as varicose veins are progressive and will just get worse. However, I was upset that the consultant seemed to be suggesting that I was making it up in relation to the pain, which I really wasn't. I virtually never contact my GP except for routine check ups.

Anyway, I complained to the hospital a couple of days later, as I still felt very upset, and asked for a copy of any report sent to my GP. A short report had already been sent basically saying that I was depressed, that this was my main medical problem, and that the GP ought to be helping me with this. However, as an aside, the report also mentioned that the pain could be caused by statin use, but said the consultant didn't know how long I had been taking the statin (he didn't ask). I have now received a message to call my GP.

When I read the report, I wrote again to the person who was dealing with my complaint, saying that I was concerned that the consultant, although a vascular surgeon, not a psychiatrist, had made a diagnosis of my mental health, which he was not qualified to do, and had shared it with my GP without my consent.

The hospital were very sympathetic to my complaint and I have subsequently received a personal letter of apology from the consultant. It is very 'touchy feely' and says how sorry he is for how he made me feel etc. He also offers to continue acting as my consultant and to discuss treatments when they are available. Alternatively, he offers to recommend other vein experts (I had said I would need to seek a second opinion). However, he has not actually revisited his diagnosis, as such, and has offered no explanation or apology for writing to my GP in the terms he did.

I am sorry that this is a bit long and rambling and I know that it is all very trivial when people face much worse problems, are dying of Covid etc. As I say, I know it is not a priority, but I still feel upset at the situation and I am not sure how to respond. Ideally, I would like to be referred for some proper diagnostic testing, when it is safe to do so. Also, I don't want to be ungracious when the hospital and the consultant have apologised, and part of me thinks I should stay with the same one - maybe he was just having an off day. I am also concerned as to how my insurance will be affected if I go elsewhere. I am just not sure what to do.

OP posts:
ElizaLaLa · 25/02/2021 08:00

Ask to se1 s different consultant. You are paying for your insurance so this bollocks about no services doesn't wash. Tell them you want a rebate in that case too.

Sillysandy · 25/02/2021 08:00

I don't know how to vote as I don't think you were BU but think you WBU to not accept his apology now. I understand now wanting to continue with him. If he's offered to recommend you elsewhere can't you do that and still be covered by your insurance?

I'm so sorry about your husband. Covid is no excuse for awful bedside manner although I've encountered some outrageously insensitive consultants in my time. I was in hospital last year getting cancer treatment when my dad died. I was moving to a different type of treatment and had a new consultant. I burst into tears in his room when he asked me how I was and he was so utterly kind. It made such a difference.

Mummadeze · 25/02/2021 08:04

Definitely go for a second opinion with someone else. Good that he apologised and seems to regret his approach. Hopefully it will be a learning lesson for him.

CouldItBeCake · 25/02/2021 08:05

OP, I am sorry to read this as it sounds like an upsetting experience on top of your recent bereavement. I think it makes a difference whether the consultant specifically said (to you and in the report to your GP) that you did not have a problem with your veins and that it was purely psychological / psychosomatic, or whether he said that the problem with your veins was uncertain / mild / not worth treating and that he was concerned about your mental state. If the latter, then of course that is upsetting to hear, it may be overreach, and it was not helped by his general manner, but it was borne out of concern for your overall state of health and he was possibly responding more to your breaking down in the appointment rather than accusing you of coming in with a phantom pain. I don’t think this means you shouldn’t have complained about his manner, but I think it means you should forgive and move on if possible.

Endofthelinefinally · 25/02/2021 08:11

Speak to your insurance company and they will advise you.
I am so sorry for your loss. It is very early days for you.
I lost my son just over 4 years ago and my health just went downhill.
Varicose veins are painful, but lots of exercise, support tights and always putting your feet up when sitting really helps, while you investigate further treatment.
Flowers

custardbear · 25/02/2021 08:15

So sorry you've had this experience.I work with all sorts of doctors, surgeons a d psychiatrists I've found to be the worst by far.
Talk to your GP about better surgeons and referral options, and contact CRUSE I think they're called for bereavement counselling,

Grief doesn't necessarily need AD it needs time to try snd make peace and fine space to move forwards hopefully. AD may cloud this or may help but your GP is best placed to support

Good luck

LadyPoison · 25/02/2021 08:59

This seems odd. Varicose veins have to be very severe (far worse than yours sound) to be dealt with on the NHS, Covid or no Covid. You have to go private, either via insurance or pay yourself

I paid to have mine done by a top consultant a few years ago, He was charm personified as I was paying him.

Ask for another referral

HikeForward · 25/02/2021 09:13

I’m confused over which part upset you?

Any doctor (even a vascular surgeon) can identify symptoms of depression. Especially as you told him you’d arranged bereavement counselling, cried, criticised his bedside manner etc during the appointment. He did nothing wrong by letting your GP know he thinks you’re depressed, that’s his clinical opinion. Your GP can treat depression or refer you to a psychiatrist if needed.

He told you no vein procedures were taking place at present due to covid. Suggested you tried support stockings. Agreed the pain could be stress-related when you mentioned it. Saying the pain was ‘inconsistent’ isn’t saying you’re not in pain, just that it’s not consistent with pain caused by varicose veins. He thinks the pain isn’t vascular by the sound of it?

It would be great if all consultants were caring, concerned and soothing (or pretended to be) but they’re human too. Maybe he’s very skilled medically but not so good at communicating? Or he was tired/stressed/behind with his clinic?

Ladesiderata · 25/02/2021 09:36

Yeah I agree with Hikeforward about the surgeon.

Sounds like you are in great personal pain, after a very difficult time. You are fresh in grief which is so difficult, and takes time to process.
You are hurt that he wasn't kind about your grief but that wasn't his job. His job was to be factual about your veins.

Much love for you at this difficult time, I used Cruse too when I lost my dad, all the best.

Puzzledandpissedoff · 25/02/2021 09:45

I'm only amazed you got a proper apology; that's pretty unusual and might suggest this isn't the first time something like it has happened

Personally I'd swap to someone else since the relationship's already damaged - if you have private insurance there seems little point carrying on with someone who you're never quite sure "where they're coming from" in their dealings with you

partyatthepalace · 25/02/2021 09:45

Go for a second opinion, and put this behind you.

I can see it's an upsetting experience, but he's apologised, and you can put that apology on your medical records (I assume) if you are concerned about it.

Googlebrained · 25/02/2021 09:56

Definitely see another surgeon. I don't think it's right for him to focus on your mental health when you went in with a medical problem. How many doctors think that females' medical problems are in their heads? He only saw you for one session, and I think it's inappropriate to diagnose you with a mental health issue when he's not an expert in that and notify your GP with that, without your consent.

Besides which there is a difference between grief and depression. I think it's normal to be triggered by your experience when you return to the hospital, and it sounds like he was unsympathetic to that.

Sorry for your loss OP and I hope you have a better experience next time.

Satwatchinganotherswimlesson · 25/02/2021 10:19

I’m so sorry you have had a bad experience. Definitely seek a second opinion. Just to say have you had your vitamin D levels checked? That’s a common cause of leg pain. My mil had similar symptoms and requested her vitamin d levels were checked and that was the underlying cause. They weren’t going to routinely do her bloods.

CovoidOfAllHumanity · 25/02/2021 10:41

As a vascular surgeon I think it's likely that his opinion on your veins is valid ie that he does not think they require an operation. For mild cases often support stockings are recommended instead of surgery.

Whether he should have then put forward an opinion on your mental health is perhaps more questionable but you do seem to have started that conversation yourself by raising stress as a possible cause. I expect he would not see himself as making a diagnosis of depression just raising it as a possibility for the GP to consider.

I am a psychiatrist and if one of my patients have a physical health condition then I might mention it in my letter to the Gp. Not to dictate what the GP does but to bring it to their attention. As all U.K. Drs have a lot of generic training before specialising we are not 'unqualified' to express an opinion on areas outside our specialty but must make sure we don't exceed our competence.

I think I'd talk to your GP about leaving off the statin and see if that helps, have the counselling and then if you still feel the veins are a problem in a few months time get a 2nd opinion. It is true that you'd be unlikely to get an op at present anyway (I am waiting for minor surgery myself, have no date and don't expect to have one until maybe autumn) so you wouldn't be missing out.

Peoniesandjasmine · 25/02/2021 10:43

So sorry to hear about your loss and you are incredibly brave op for holding it together and also for standing up for yourself. Flowers

I think you should go for a second opinion. Unsympathetic attitude makes a patient who is already vulnerable feel even worse. I was once given an emergency appointment with my gp, who in turn yelled at me and made me feel worse. I understand the pressure but this is no excuse to treat anyone shabbily .

PlanDeRaccordement · 25/02/2021 10:45

YANBU to have filed a complaint, but now that you have a formal letter of apology from the consultant, YABU to want to “do” anything further about the consultants lack of sympathy.

JoeBidenIsGreat · 25/02/2021 10:47

I suspect the vascular surgeon has a duty of care to suggest an alternative condition that may be part of your current health state. It's not a diagnosis, but rather part of the usual dialogue between health professionals both trying to figure out how to best meet your needs.

Sorry OP, I don't know what bedside manners are supposed to happen, but I think the surgeon was right to sense and state that you need things that are outside his skillset to provide.

minniemango · 25/02/2021 10:51

Consultant sounds like a dick but he was clearly told off and has offered a genuine apology, so I would accept it and move on.

I don't think I'd want to see him again though, so I'd go with another consultant.

l2b2 · 25/02/2021 10:53

I'm very sorry about your husband OP💐
The statin thing in your OP I found interesting. My mother had a lot of pain in her legs, which was alleviated when she stopped taking her statin medication.

CovoidOfAllHumanity · 25/02/2021 10:54

Surgeons are not known for their bedside manner. They are primarily technically skilled people who like doing operations more than talking to people. He was probably taken aback by you breaking down and didn't know what to do.
I don't necessarily think it invalidates his opinion on your veins but you can of course seek another opinion.
The fulsome apology letter will be because it was a private consultation.

ittakes2 · 25/02/2021 10:58

If you have insurance then ring them as they usually allow a second opinion. Also you can tell them why you want one. No way should you go back there - why would you want to return to someone who treated you badly?

TheYearOfSmallThings · 25/02/2021 11:02

I would see a different consultant to be assured that the advice given is the same. I would draw a line under the previous consultation - you have received an apology, and there is no reason to think the advice given was incorrect.

He does not need to be a consultant to recognise that you are naturally struggling with your emotions after the death of your DH, and it was appropriate for him to make your GP aware of this. It was probably also true that the risks of surgery (including Covid) would not be justified at this time.

I don't think he sounds like a dick tbh, although he maybe could have handled your appointment better.

TurquoiseDress · 25/02/2021 11:12

I would definitely seek a second opinion, do not continue with this consultant unless you are completely happy to do so, although it sounds as if the professional relationship has broken down somewhat.

You are going private, paying for it so I would exercise your right to choose which clinician you consult with.

If it was on the NHS, you might be able to request a specific consultant but it's not means a given that you get any choice in which one sees you

TurquoiseDress · 25/02/2021 11:14

If it's any consolation, my cousin is a GP and she says that from all her experiences in training, surgeons in general could be awful although for some reason vascular surgeons were the very worst!

Condolences for the loss of your DH Flowers

Belladonna12 · 25/02/2021 11:16

You are obviously going through a very difficult time and it doesn't sound like the surgeon had a good bedside manner. You say that he "basically" diagnosed depression but it sounds like you told him you are depressed so it doesn't seem inappropriate for him to suggest you are investigated for this as it could be making the pain worse.