Doctor lying on report..

[Anon662120622]

So I've sent a very blunt email with threats to report to the ombudsman and GMC after appointment with specialist.. Long story short - Shoulder trauma injury, felt shoulder pop out and tear. Still no improvement after 21 weeks, unable to lift arm out any further than 30 degrees. Extreme impact on quality of life

I've been to multiple appointments and four physio sessions (referred by doctor.) Last one was extremely dismissive and actually lied in the report. Physio wrote a letter suggesting he thought I had a paralysed muscle, muscle wastage and nerve damage. Doctor completely wrote that of as he "doesn't trust that physio" because he doesn't specialise in my kind of injury... Why send me there and waste two whole months then?! He told me I was holding my arm down.. it's completely deformed, as mentioned above, I felt it like pop out and it was instantly lower.

He lied on the report saying
*I could touch my thumb to my lower lumbar spine which was an outright lie. I can't get my arm to rotate backwards at all.
*He noted there was no muscle wastage - my shoulder is pretty much skin and bones, there has definitely been a massive amount of wastage.

• noted no weakness of rotator cuff. I'd say not being able to lift my arm out any further than 30 degrees indicates a significant amount of weakness?

I've written a complaint email to the pals team noting that I'm going to complain to the ombudsman and GMC and will even go down the legal route if a delayed diagnosis leads to further problems/permanent paralysis.

I asked for a second opinion and they've just booked me back in to see the same doctor.. fastest response and appointment offer I've ever recieved I might add.

Am I being unreasonable to ask again for a second opinion from a different doctor?
I'm still going to attend the one with the same doctor and have said I'm requesting to be able to audio record this next appointment so any discrepancies can be properly noted with no denial. I'm also requesting for the report to be changed.

I believe the reason he said all of the lies as mentioned would be to downplay my injury to avoid having to take the reasonable steps to treat me properly? He referred me to a rehab saying they'd give me a diagnosis on my first appointment and he'd trust everything they say. They phoned to book my appointment and told me that the doctors massively lie and act like they're some kind of miracle workers. They said they're essentially just another physio and they wouldn't be able to give me a diagnosis.)

I've honestly just had enough, I'm going to have to pay to go private.. maybe our NI and Tax should be a thing of the past, or massively dropped as we obviously aren't recieving what it's all advertised to be. 🙄

@adifferentkindofmum I'm so upset about how untruthful the report it, he has stated that I can do things that I cannot do.. I really can't get my head around it

@strawberryjamisbest I posted a picture above. They fully acknowledge that it's deformed.

Ooof and ouch, that is pretty fucking obvious that there is something wrong with the shoulder there!

Hello, you have done the right thing, complained @ are now seeing an alternate doctor. I suggest conserving your energy to rest, recover and prepare for your treatment. Don’t bother with strangers on the internet. Good luck - and I’m glad you are getting an alternative opinion.

Not being able to give a full diagnosis is not surprising, with these sort of muscular/nerve/bone injuries it's not always easy to give an absolute diagnosis as one thing causes the others and the treatment is pretty generalised anyway, often a combination of rest, suitable exercise and pain relief, unless something has to be surgically repaired.

You need to go private, it’s shit but that’s where we are.

Can you afford £250 for a private consultation ? Money well spent IME.

Sounds like a rotator cuff tear/rupture.
Extremely painful.
An MRI will confirm this.
Steroid injections can help, but surgery can be necessary if it is a rupture.
Have you done the rotator cuff tests yourself to establish is it a tear or rupture?
I was in physio with a great person who probably made it worse, but she told me to go back to my gp for an mri, as she didn't think it was muscular because of my pain ldvel.
Shd was correct.
Prescription NSAID's....have helped so much with my pain. They are slow release.

That photo is shocking.
My physiotherapy made mine worse.
Resting would have been better.
It really was absolute agony.
Aleve nsaid's over the counter from the US were excellent as an anti inflammatory.
Vimova is the prescription one that I am on which now allows me to sleep whilst I wait for surgery.

Doctors are human

Some are incompetent
some are lazy and can’t be bothered
some just lie

You’ve clearly met with one of those

You have the right to a second opinion and so you should go back to the surgery and emphasise your original request
backdated to when you made it.

Anger seems a totally normal response to me as a reaction to a purportedly professional person writing untrue statements in a report that will potentially have a significant impact on the person’s health and well being.

I sometimes think that there are posters on here who would even find an excuse for premeditated murder if the perpetrator was a medical professional in the NHS!

Do complain. If we don’t, things will never improve.

The shoulder looks dropped which is similar to how mine looks at the moment but I had compressed a nerve from my neck and its caused arm and hand weakness so can lift my arm so far before it gets weak and heavy and cant get it behind my back. My issues stem from my neck due to bone spurs but pain is worse in my shoulder even though it's coming from my neck.

Shoulders are incredibly complex joints OP. Very often the initial problem, e.g subluxation which presents with its own series of signs or symptoms can lead to a tendonitis or secondary problem due the the joint compensation from pain and hence a second assessment may reveal pain in a different area or different examination results.

20 weeks is not long in terms of shoulder pain recovery. If physio has not worked, I think you now need imaging (MRI) to ascertain the damage and have a management plan going forwards. You may wait 3 months on NHS or privately in a week. It’s not right that you have to pay but that’s the choice we have. Get well soon

I sometimes think that there are posters on here who would even find an excuse for premeditated murder if the perpetrator was a medical professional in the NHS

And teaching! 😆

Why do you need to storm in anywhere?

Why can't you just raise the notes discrepancy with him?

As I understand it you've complained to PALS with a threat to make a complaint to the GMC but you haven't said that you've actually addressed your concerns with the Dr in question, and given him an opportunity to explain what he's done and why.

Have you raised it with him beause that's what I'd want to do before making a formal complaint

A lot of them are menz goaders here to goad women.

No but that's not the point.

I was responding to soemone saying the physio can corroborate that the Dr was "lying".

My point is that unless the physio was present during the Dr's examination of the OP (unlike her husband) they cannot corroborate anything about the Dr's notes.

Having had 3 normal natural births, my shoulder pain was worse for comparison.
I can well understand and sympathise with the OPs fury.
Yes, their are some lazy shite doctors out there.
Life can be tough if you have one.
Thankfully I don't.

Perhaps - I’d rather think that - but I’m afraid some of them are in fact the significant minority of medical professionals who give the excellent majority a bad name!

You shouldn’t have too but as pp said, sometimes if you can afford it going out of the system to a private dr can be wonderful as they’re having to look at what’s in front of them instead of previous notes. This is what progressed me forward when I was stuck in a situation with a dr keep saying I was anxious and not actually looking or dealing with the problem

@Anon662120622 It sounds like your complaint has at least now been looked at and am I right that you now have another appointment with a different orthopaedic specialist?

I'm assuming you had an x-ray around the time of the trauma you suffered and you've had an MRI?

Hopefully you will get some more answers at your new appointment.
Another poster above has also suggested this - but have any of your Dr's or the physio's considered Frozen Shoulder? You can get this as a result of a trauma - and also can cause somewhat of the deformity you shared a photo of. Also this is an incredibly painful condition - and is not easy to treat.

I'm not a medic though and it could be many things that's causing you so much pain and loss of movement.
Try to be realistic with any NHS physio/rehab. They generally can do little - certainly very limited hands on therapy so now you have a new appointment it might be better to save any money for private physio.

It’s not clear if you are unhappy with the outcome of the complaint you made. The ombudsman will not review your case until you have been through the complaints process.

You sound hard work.

Usually best to avoid a cliched phrase that’s only ever used to be a dick to someone.

Am I being unreasonable to ask again for a second opinion from a different doctor

NO!

Absolutely get a 2nd opinion! Don't go to the same doctor.

If you want to see them jump, make sure you contact their health board about this.