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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To be a put out by this GP referral

32 replies

AppleDumplings · 12/09/2024 09:32

I have just had a GP referral letter written for me to have a private MRI Scan on my neck. I have downloaded it, and for some reason have been a little upset about it. It reports that I have had "caudal epidural and lumbar facet blocks" done by a particular surgeon. I have actually had this procedure done multiple times by multiple surgeons after an epically failed spinal surgery. I think the fact it has been done multiple times is relevant to my current issue as it shows a possible degeneration which I was always aware was a possibility.
It also states "requesting Diazepam increased today as well as a new script for Co Codamol and Naproxen". I have had Diazepam, Naproxen and Dihydrocodeine prescribed for me for the past 15 years, as between these meds I am able to carefully manage my back injury with minimal GP input. For context I am an Advanced Nurse Practioner in an acute setting and an Independent Nurse Prescriber, so kind of know what I am doing with meds. Also, the locum GP a few months ago took me OFF Naproxen and reduced my Diazepam to 7 tablets every 4 months without my knowledge, as she was concerned about the medication I was on. I personally requested to come off the Dihydrocodeine for a "lesser" analgesia of Co Codamol, so seeing it written down that I have requested it, just seems a little unnecessary, as it is out of context.
For clarification, I do not take these drugs regularly and can often go weeks without requiring pain relief as my pain tolerance is quite high, but, through trial and error of many meds and therapies, when I do need to take them they are the only combination of meds that manage my pain. There was no mention that I was approved for a small trial surgery by a specialist neurological team, which would be relevant in my opinion due to the possible progression of the nerve damage ( I eventually declined due to the risk of paralysis), and then the letter says "has history of PTSD". This was very briefly, over 15 years ago which was successfully treated and which I had completely forgotten about. I feel the inclusion of this statement has no bearing whatsoever on neck and arm pain but everything combined seems to read to me like I'm some sort of drug addled crack ho!! Please tell me I am being over dramatic and should be grateful she has written a letter!! At the moment I'm feeling a bit cross about it!!

OP posts:
Arctangent · 12/09/2024 11:23

BeachRide · 12/09/2024 11:18

Did it say you were 'pleasant'?

My last one did!!

Is that code for didn't kick off?

To be a put out by this GP referral
Callaphone · 12/09/2024 11:27

It reads to me that your request for meds is evidence of increased pain, which would be reason to sanction the MRI.

MasterShardlake · 12/09/2024 11:33

I've ticked YANBU because I get annoyed reading copies of GP letters as well, the way they select some information to include and leave out other (what I think) important facts.
But realistically, after reading the replies here, I realise they have to be succinct and put what they deem is relevant.

Catza · 12/09/2024 12:30

PTSD is relevant because we are practicing under principles of trauma-informed care which means we have to be alert to how procedures might cause trauma and work towards preventing it. The fact that you, as a nurse, found it to be a loaded comment is worrying to me.
The rest of the letter is factual and nobody needs to know your full history for an MRI scan, just a reason for referral. When you have an appointment with a consultant, you can talk tot hem more about your health history.
Most referrals I see lack any detail whatsoever and just have a copy of the latest GP consultation. I then have 90 minutes with the patient to "excavate" the rest of the detail. I would consider myself lucky to receive this referral.

TorturedParentsDepartment · 12/09/2024 15:40

The one which winds me up and I'm on a personal one-woman crusade about is comments complaining an autistic individual hasn't made eye contact. That one drives me flipping nuts!

Mind you - I'm an obese autistic which is just diagnostic overshadowing central in terms of what they can fob off onto those preexisting diagnoses! Went to register with my current GP and had to fill in the forms which declared my ASD and the receptionist got all arsey and eye rolling with me - then asked me for ID and the only one I had handy (I'd rushed in on the way between work appointments) was my NHS ID - was quite satisfying watching her realise she'd been making a shittone of incorrect assumptions there (I intentionally sometimes dress very casually visiting clients as a lot of my guys really do not respond to uniforms or feeling like they're dealing with someone who doesn't relate to them)

TorturedParentsDepartment · 12/09/2024 15:42

Catza · 12/09/2024 12:30

PTSD is relevant because we are practicing under principles of trauma-informed care which means we have to be alert to how procedures might cause trauma and work towards preventing it. The fact that you, as a nurse, found it to be a loaded comment is worrying to me.
The rest of the letter is factual and nobody needs to know your full history for an MRI scan, just a reason for referral. When you have an appointment with a consultant, you can talk tot hem more about your health history.
Most referrals I see lack any detail whatsoever and just have a copy of the latest GP consultation. I then have 90 minutes with the patient to "excavate" the rest of the detail. I would consider myself lucky to receive this referral.

I get things like "want better communication"
"doesn't talk" (they're a non-verbal communicator)
or "needs SALT" (like dude, help me out and narrow it down a bit - are they dysphagia, communication or requiring an accompaniment to their fish and chips?)

Catza · 12/09/2024 18:08

TorturedParentsDepartment · 12/09/2024 15:42

I get things like "want better communication"
"doesn't talk" (they're a non-verbal communicator)
or "needs SALT" (like dude, help me out and narrow it down a bit - are they dysphagia, communication or requiring an accompaniment to their fish and chips?)

Totally😂
"OT please review" Review what???!!!

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