What does it mean when a DR or nurse says this??

[Upsidedownsouffle]

I saw a consultant 2 weeks ago at the hospital and could see my notes on the screen and saw the referral letter said ‘Upsidedownsouffle is a pleasant (age)year old lady’

just to clarify I’ve got a great GP and have never had any bother whatsoever. Thankfully I’ve rarely had to go, but anytime I have gone they’ve been really helpful and solved the problem or helped in any way eg referring me. I always say thank you and sorry thousands of times in a single conversation (I’m one of those people!) and I probably come across as really annoying but I have a phobia of coming across as rude or obnoxious to people.

im just purely curious as I’ve never actually seen a referral letter- when it says pleasant, does that mean the GP genuinely thought you were a nice person? Or is it just an automatic thing and it doesn’t mean anything?

when I read it I was like awww that’s nice maybe I’m not the rude horrible person I’m so scared of being, then I realised it’s probably just an automatic thing and doesn’t mean anything 😂

I get this rarely. I don't really care! Unfortunately in most of my shoulder / diabetic / menopause treatment I've been treated so badly that by the time I see the consultant I'm so angry and frustrated. I'm very polite when I tell them that though. But I do tell them I've had a say "nightmare journey over the last 3 years in trying to get to see you".

That I can understand, because converting from DOB to age in your head can be error prone.

My hospital notes said that I was polite and always said Please and Thank You!

I met my current consultant during pregnancy, in which he laughed at me saying I knew I classified as a geriatric mother. He said he had some expectant mothers in their early 50s. For some years he always described me as "this delightful young mother of an X month old". My GP focuses in every letter on telling them I'm intelligent and noting my profession. He does not find me delightful, nor even pleasant. The other GP has found me pleasant, as have some consultants.

I have unremarkable organs, but I also have remarkably good kidney function and my lungs show no evidence of scarring. I presume the lungs comment is because of pneumonia in the past, but the kidney one confused me. The GP said they are just really good kidneys(!?). Part of the scan was checking liver, I vaguely wondered if it's some sort of code for "not an alcoholic", or if good kidney function is unusual?

I'm a GP and sometimes say this in my referrals. As far as I'm aware there's no secret code 🤣 It just means as states that you're a nice patient and I don't see anything unreasonable about the referral. FTR I genuinely don't have a code for patients who are dicks though haha and I don't always put it for patients I really like. It's random and doesn't mean much basically x

I got “extremely pleasant” once. Score.

Yes normal referral speak. Rather pleasant actually.

I don't think it means anything and I write letters as a HCP. We use all sorts of jargon and lingo you can't write he was a right bastard can you the juicy stuff is on our clinical notes system and it says conceal from client.
There's no code and you know the patient is going to read it.

I once had "I saw FuzzyPuffling on the day before her ( age) birthday...". I was expecting cake and a present after that!

I ince had "interesting" .. I strongly suspect this was not a compliment !

I've also had pleasant and once "inquisitive"

It's a standard thing though I've never used it as I think it's really patronising. But I've seen others use it all the time.

I get pleasant nurse. ie nice but, will question you and won’t be fobbed off with waffle as knows what you’re talking about when using medical/surgical terms.

Sounds like teacher code

She is a pleasure to teach,
James is always keen to show he knows the answer
Sally is a highly confident individual.

It means what it says.
Interactions with patients give me joy ( mostly😉). I want to pass on that feeling to the person I am referring my patient too. I want the specialist to feel positively towards my patient.

Interesting that you’ve mentioned this today as I’ve just had a few weeks of being referred for extras tests or monitoring every time I’ve had a midwife appointment and every person that’s phoned though to book the next bit has said “I’ve got one of my lovely ladies here” and I wondered if it was a little code or just a nice midwife using positive language to try to put you at ease.

The most upsetting thing for me was when I was sent the letter with my then newborn child's diagnosis of Down's Syndrome.
The paediatrician had written "X has facial features in keeping with trisomy 21".
Bearing in mind I was just coming to terms with it/ still in the denial stage at that point. I don't know how else they could have phrased it to be fair, but I just didn't want to see it at that moment.

Of course now (fast forward 12 years) I wouldn't care how they phrased it as I just see and love my child for who they are, but at the time it broke my heart.

This.

and now patients can request copies of all their medical history, including letters and handwritten notes (hospital and GP) there could be a few older doctors worrying some old letters and notes may now surface!

For all Cabin Pressure fans

"I saw this brilliant lady today. She was brilliant"

Arthur, how would you describe your Dad?

"uuu, uuu, he's alright"

"Not brilliant. He must be awful!

Feeling very proud I was described as 'very pleasant' once!!! 😂

I think it means your a nice person and not a difficult patient or trouble maker!

I'm a nurse it's a standard letter nothing to over think

It means absolutely nothing at all. Just an opening line used on millions of other patients daily.

I used to right letters for consultants and this is a standard opening to a letter.

I once got ‘thank you for referring this delightful [job title] with lumpy breasts’.