To think this should have been mentioned at A&E?

[Jasfc]

My GP sent me to A&E on Friday as they thought I might have blood clots. I had all the tests for clots and an ECG done. The doctor at A&E said everything was normal and I could go home. I made a new GP appointment today. The GP is now telling me that they have a letter from A&E stating I had an angina, which I find hard to believe as I don't have a lot of trust in this particular GP (he speaks over me and won't give his name, he starts his calls with "this is the doctor". I have felt like responding with "oh, I didn't know Doctor Who passed their medical exam.") I'm currently waiting for a different GP from the practice to speak to me.
AIBU to think that, if it's the case that I'd had an angina, the doctor at A&E should have informed me?

Why do you think they'd be making it up though?

A and E treat the symptoms and immediate problem, it is up to your gp to refer you for further investigation? I would not have thought they would diagnose angina based on one incident though. Have you seen a copy of the letter?

@Fishandhips My worry is that there's been a mix-up and it's another patient that was diagnosed with an angina. This is because nothing was said about it to me in A&E.

Did you go to a&e because you had chest pain? Angina is chest pain that comes and goes, would need a referral onwards but nothing immediate by A&E.

I'd definitely expect to be told if your tests showed angina

@LIZS Surely, A&E can't tell a patient that everything is clear when it isn't? If something had shown up in the ECG or blood results, they should at the very least say to follow up with your GP on Monday not "All your tests are fine, there's nothing wrong with you, you can go home"?

Op you can ask for a copy of your discharge letter from A&E ( although you will need to request them through your practice) so you can have full view of what had been handed over to your GP. It’s unlikely to be the wrong patient as it will have identifiable info like your nhs number, address etc.
Hope you get sorted soon

The doctors you saw at A&E were addressing the immediate problem, and if they found an underlying condition then it's standard they'd refer that to the GP to inform you. The idea being that they can go over the condition, and prescribe any medication needed, whereas in A&E they're too busy to talk it over with you and can't prescribe long term medication.

There is also the chance that the test that showed your angina didn't come back until after you left. If they were clearing you for blood clots then that was their priority, and they'd have sent you home once you were cleared. Anything non life threatening would then be passed to your GP.

But there is a difference between "patient presented with chest pain which resolved but should be referred for tests to eliminate potential angina" and "patient presented with chest pain which resolved and ecg indicated angina" .

@AluckyEllie It was something that I can only describe as the feeling when you have a sore throat and it's uncomfortable to breathe, except it wasn't quite that. It also wasn't in the chest, but because my heart rate was up when I arrived at A&E (my anxiety had kicked in due to it being busy), they decided to do an ECG, which I was told was clear.
@PurpleMonkeyDishwasher86 I had to wait for all my blood tests to come back before they let me go. The ECG was the first test back, the D Dimer (clotting test) was the one that took the longest. The only other blood tests were FBC, U&E and CRP and they generally don't take more than 30 minutes on an urgent basis. D Dimer takes longer

You can ask to see a copy of the hospital letter, if they think you had angina it should say on there.

The doctor I spoke with originally said he would post the letter to me so that I could see the proof and then he would discuss it with me. I have no idea if that's happening, and I doubt that I'd get any say in a "discussion" with him as he just talks over me and refuses to let me ask questions. When I asked during the call if I could ask a question, he said I was being rude and hung up.
I'm still waiting to speak with a different doctor. I have a feeling that won't happen before tomorrow.

Spoke with a different GP earlier. She confirmed that A&E had diagnosed me with angina. However, she disagreed with the diagnosis and felt that the feeling in my throat was probably more likely to be another symptom of my anxiety.

What was the new appointment for today if you weren't advised to make a follow-up appointment? I'm trying to word this so it doesn't sound rude or spiteful but could it be that you make a lot of appointments for anxiety-related issues?

So are you going to be referred or just wait and see?

@Beseigedbykillersquirrels The appointment yesterday was supposed to be a follow up to discuss a recurring hip problem. I put the throat issue as a secondary concern. Today's was requested yesterday as the hip problem hadn't been discussed yesterday as that GP was more interested in talking over me and discussing my "angina".
@LIZS It's going to be a wait and see. As there's currently nothing in my medical history to ring alarm bells, the GP I spoke to today isn't overly worried.

[quote Jasfc]@Beseigedbykillersquirrels The appointment yesterday was supposed to be a follow up to discuss a recurring hip problem. I put the throat issue as a secondary concern. Today's was requested yesterday as the hip problem hadn't been discussed yesterday as that GP was more interested in talking over me and discussing my "angina".
@LIZS It's going to be a wait and see. As there's currently nothing in my medical history to ring alarm bells, the GP I spoke to today isn't overly worried.[/quote]
Sorry, I wasn't expecting or demanding to know your personal medical information, but thank you for answering.. I was just wondering if the rude doctor saw you as someone who made numerous appointments for anxiety and was exasperated with you or if they just generally have exceptionally poor people skills.

I'd gonaling with the possibility that you have angina and act accordingly.

Look on the hospital trust website for a page about patient/subject access to information. They should be able to send you your A&E records, which is free unless you also want copies of scans.

So a different GP now feels she has the right to disagree with A and E's diagnosis of angina and fob you off with anxiety?? Unbelievable! On what basis?
If I were you I would assume the angina diagnosis is correct and seek treatment accordingly. Do NOT let a GP assume it's anxiety

@Beseigedbykillersquirrels Until last Friday, I had never spoken with that doctor. Every other GP at the practice gives their name, this one doesn't. At first I thought it was a new policy, until I spoke with a different GP today who gave her name.
@RedHelenB If my the GP I spoke to today is happy it I don't have an angina (and as it wasn't chest pain and had no other corresponding factors with angina, there was no reason to suspect it is), then I'm happy to follow her advice.
@phodopus There's still a chance that the rude GP I spoke to yesterday has sent me a copy of the A&E discharge letter, I'll have to see if it turns up or not. It will be pretty much what A&E would send for free.

@InSpaceNooneCanHearYouScream Given that none of my symptoms match up with angina, I'd say the A&E diagnosis was more unbelievable. Especially as A&E didn't believe in it enough to tell me last Friday. Not even an "We think you may have an angina, we'd advise you to contact your GP on Monday to discuss this."
My GP came to the conclusion it was likely a further symptom of my anxiety following discussion with me this morning. Since I'm not in the mood for giving my full medical history to a stranger on the internet, you'll have to be satisfied with that.

I'd suspect your GP is correct tbh. A&E are there to treat an immediate and pressing issue and leave everything else to your GP. I've had multiple occasions that were similar - like I had a bowel prolapse that was noted in hospital and they told my GP and never told me, I was severely anaemic in blood tests at the hospital but they told me my bloods were normal because that's not what they were looking for - so they just passed on the anaemia to my GP. It's frustrating because my GP didn't pass on that they'd been told any of this and it wasn't until a year later when I'd moved house and went to a new GP that the new GP brought up the hospital letters about the anaemia and prolapse that I found out. But, it is the way that it is. If you don't trust your GP for other reasons then that's fine, you should switch to a different one, but this doesn't sound like it's an unusual incident.

I have had angina for a while. I mainly get it when stressed and the symptom is discomfort in my jaw or throat. Mine is easily controlled by a spray. I hope you soon get your concerns dealt with.

To be honest when I worked in A&E as a junior doctor we had to put a ‘provisional diagnosis’ in and there were only so many codes so might put something like ‘suspected angina’ if someone came in with chest pain that resolved quickly and no abnormalities on bloods or ecg- especially if person was over 50, smoker, family history etc. Then we’d put a note on for GP to follow up who have full records once satisfied that nothing sinister.

It’s not ‘an angina’ in the sense that it’s not like a heart attack and wouldn’t normally be ‘diagnosed’ as such based on ECG although it may be suspected. Lots of people in the community have stable angina which is treated with medication.