Strange appointment with GP - should I have said I'm pregnant (again)?

[Blankel]

I had a GP appointment today for a UTI, I'm 36 weeks pregnant (so I'm very pregnant). I was asked to provide a urine sample on arrival. I said to the GP that I'm 36 weeks pregnant and I also said that my midwife had tested my urine and said there are nitrates and protein in there and that she had sent me to them for antibiotics. Then the GP asked for my symptoms and I told her. She then asked me to get on the scales, which I did and it said I'm 70.2kg, which she calculated as a BMI of 28 and told me my BMI is overweight. She then asked to measure my waist, which I said ok to, and it was 99cm. She told me my height to waist ratio was very high (my waist is just under 2/3 of my height) and that I should "work on that", recommending that I try to go for a daily walk and work on my diet to improve it - and that it might ease my symptoms. She then said to wait for the urine sample results and I'd get a phone call if I need antibiotics.

I feel a bit confused. I'm very clearly heavily pregnant so surely the whole issue of having a skewed height to waist ratio isn't a problem? Or am I missing something? Should I have reiterated that I'm pregnant? I didn't want to sound like an idiot...it was really obvious that I'm pregnant - she literally was measuring my waist so can't have missed my bump! Should I be trying to lose weight?

Personally I'd ignore this if they're midwives.

My midwife advised me that the infection in my c section would heal if I aired it.

I suspected she was talking shit and went to my GP prescribed me ABs, swabbed it, monitored the results and then changed the ABs based on the swab results and said it had no chance of healing on its own. Now I appreciate you've had bad GP advice, but that doesn't rule out that you've just been given bad midwife advice.

Wow! This is frankly bizarre and scary. I would complain. I can understand feeling too taken aback to challenge it in the moment but it’s seriously concerning and potentially dangerous for a GP to be this negligent.

Please please get yourself some antibiotics. Call the out if hours gp

OP is there a reason you are not wanting to go to the hospital? You seem very reluctant to go down this route for some reason despite it really being your best option at this time. As others have said, call 111 and explain the situation and they will refer you.

What a wonderful waste of MASH's time. I've been to a GP and done what they said (to wait for the test results) and then, on the advice here, spoken to the hospital who said the same (take paracetamol and wait for the test results). I've even filled out the NHS111 online form but it said to get a GP appointment. What exactly do you want me to do? Break into a pharmacy and steal the antibiotics?

Have you called the out of hours gp? Please get antibiotics ASAP.

The NHS111 form said to get a GP appointment and I phoned the hospital and they said to take paracetamol and wait.

@BattenburgDonkey

I was calling her husband stupid and the whole situation she has gotten into with her husband rowing with her about it stupid.

I don't have an out of hours GP to phone - it's through NHS 111, and they've said to book a GP appointment tomorrow.

Don’t be ridiculous. She was 70kg at nearly full term. Her 36 week bump was measured to arrive at a waist to height ratio? What are you making exercises for the idiot GP for?

I'm referring to the part where you deferred to your DH and pandered to him and his wanting to stick his head in the sand and prioritised that over your child.

Massive red flag territory.

Hospital now.

It's unbelievable isn't it?!

I’m sure getting assertive with the surgery tomorrow will work. Sorry you’ve had such a run around.

Every gp should have an out of hours provision. Have you phoned 111, instead of the online form

Your first midwife told you to go to hospital or get a GP appointment immediately.
You decided to see your GP, but couldn't get an appointment quickly so just... waited? After your midwife told you to get to hospital as the first option.

And now you're just doing nothing.

AB are prescribed before the results come b

FGS, can we not all get barky with OP? I’m sure she can judge how she feels.

OP's bump is the 'baby on board' sign, surely!? I've never heard of anything like this. I mean, it's nuts.

OP I really would encourage you to go to the hospital, better safe than sorry. You've already waited, and (rightly) assumed that you would be seen by a sane GP. As for your GP's mental state right now, I cannot comment. I have no words.

I didn't "pander to him" or "prioritise that over my child" though. You just had a go at me for arguing with him and not agreeing with him...

*before the results come back with pregnant women.

I'm not sure you're really that good at making yourself understood in person.

Your GP not understanding as a standalone incident is one thing but the midwife at the hospital also didn't seem to understand.

Are you sure you are explaining yourself properly and telling them what your first midwife told you to do? Or are you just saying that you're unwell?

Ease off. The baby isn’t even here yet. Most of us didn’t have much dealings with health services until we had children. OP is feeling her way & has asked for advice and instead she’s got you telling her she’s a shit mum who should have social services involvement. She’s brand new at the parenting thing remember?

Im a nurse and my husband was a GP.....that is not a normal consultation. I would ring up the practice, ask to speak to the practice manager and explain you had a consultation with Dr X....who clearly did not understand you are pregnant despite the fact you are in your final trimestre.....you need to see another GP urgently and wish to make a complaint. There is something not right with that GP.

Doctor here. Forgot 111 online and call 111 now and ask to speak to an OOHGP who can sort this for you. Good luck

I haven't told her she's a shit Mum.

But a father who stands in the way of her seeking medical help to the point that he causes an argument about it is a huge red flag. And a woman who is so cowed that she tries to 'figure it out' when her partner also minimises her ill health is also a red flag.

I have all the best wishes in the world for the op and her baby. I repeat that if I came across this dynamic in my professional role it would raise red flags and require reporting.

So, we're not supposed to disagree and we're not supposed to figure it out either. And I'm not supposed to follow medical advice from multiple medical professionals? And I'm somehow supposed to get restricted drugs without a doctor prescribing them? As I've previously asked, is there anything I could've done that you wouldn't consider worthy of a report?

Come on now, surely you have to accept how ridiculous your comment was.