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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:
ktp100 · 25/02/2021 11:21

It would be best for you to let this go and chalk it up to catching a consultant on a bad day, unfortunately. It's good that they have other options. Use them.

I had a bad experience with a visiting consultant on a bi-annual check up for a degenerative disorder. Although I'd been going there for a few years and had been diagnosed years before & was being monitored he decided, purely from my notes & without laying a finger on me, that all previous consultants I'd seen were wrong and that I didn't need to go there again. It was all so odd, after years of treatment for one thing (which I clearly have and which can be life threatening if left untreated and not monitored) he decided I had other issues entirely (with no testing). He then sent a long letter to my GP explaining his opinion but made so many errors in it it could have been written about someone else (my age, my symptoms, my weight, the age of my child, that I was menstruating regularly when I hadn't for over 5 years etc) - honestly, it was all so weird! Consequently I was removed from a shared care scheme that monitors my disease and was forced to start the whole process again with my GP, who wasn't happy about it at all. All caused by a visiting 'expert' from a local university!

Sorry, that was long, but I feel your pain! It's so frustrating.

See another consultant and brush it off, the anger and frustration won't be doing you any good and you can guarantee the shit consultant has forgotten about it already!

I hope you get some decent medical help soon, OP.

Souther · 25/02/2021 11:23

Varicose veins have to be very very severe for surgery to be of any benefit.
Although you feel he didnt really examine your legs its usually obvious if surgery is needed or not.
Support stocking are one of the best preventative measure in reducing the chances of the veins getting worse.
Surgery unfortunately has a lot of risks and can frequently make the symptoms worse. So unless it is necessary the mainstay is actually the stocking.
I am sorry you felt his bedside manner was lacking, I agree get a second opinion if you want. But dont go pushing for surgery if they dont think its appropriate the risks are not worth it.

oneglassandpuzzled · 25/02/2021 11:27

@LadyPoison

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

I decided to pursue the matter though my medical insurance.
frustratedwithconsultant · 25/02/2021 12:58

Thank you very much for your advice everyone and, also, for your sympathy. I think I will probably seek a second opinion, as some of you have suggested.

OP posts:
LuaDipa · 25/02/2021 14:44

Second opinion, definitely. His recommended course of action may well be correct but he sounds like an insensitive twat and I wouldn’t want to see him again.

NotAnotherUserNumber · 25/02/2021 14:44

@Souther

Varicose veins have to be very very severe for surgery to be of any benefit. Although you feel he didnt really examine your legs its usually obvious if surgery is needed or not. Support stocking are one of the best preventative measure in reducing the chances of the veins getting worse. Surgery unfortunately has a lot of risks and can frequently make the symptoms worse. So unless it is necessary the mainstay is actually the stocking. I am sorry you felt his bedside manner was lacking, I agree get a second opinion if you want. But dont go pushing for surgery if they dont think its appropriate the risks are not worth it.
That’s interested as I have been told the opposite- that there are effective treatment options for less severe cases, but that in severe cases surgery is less likely to be of benefit. Maybe I need to get another opinion.
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