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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Feeling frustrated with treatment from Dr at A&E

30 replies

WeeTashie · 02/02/2022 11:35

Hi everyone, I'm almost 6 weeks pregnant, found out last week. Very unexpected and still in shock and a tad overwhelmed. However on Sunday I started to experience significant pain in my side , it started in my lower abdomen a crampy stitch feeling that went Right through to my back, then began to radiate up my back and settle around my ribs too.
I suffered through it on Sunday and on Monday it was there but bearable, along with it I was Experiencing chills, pressure like I needed to poo alot and just general discomfort.
I had a GP apt booked for Tues afo, woke on Monday with awful stomach pain, diarrhea and generally unwell so took a day off work and stayed in bed until my GP apt. Id been doing plenty of research and so was concerned about Ectopic pregnancy. My GP was fab, did a pelvic exam and altho she felt nothing she immediately referred me to A&E with a letter to get a scan. So after a tearful exchange at my mums, telling her I'm pregnant also suspected ectopic all in the space of 10mins, dropping our dogs off to them, off hubby and I trotted for a long sit at A&E where the nonsense began.
In triage, the nurse didn't read doctors referral correctly and though I'd just been referred for pain in shoulder, they took bloodwork and she asked the other nurse to put a pregnancy test in too, cue lots of joking about,,,"maybe you ll get a surprise"... bewildered I told them I am indeed pregnant and the referral is to rule out Ectopic. The nurse then quickly adjusted the notes in the system and I was moved to the minor Emergency Dept waiting area, not even allowed to open the door and tell my husband he wasnt allowed to come with me.
I waited 2 hours (not bad for a&e, but long enough for them to lose my urine sample and ask for another one) to then be called in by a male doctor who basically asked me the exact same questions my GP had asked, did the same pelvic exam and then proceeded to dismiss my pain as gut/bowel pain, he was also surprised that the GP had referred me as he seemed to think you needed to "experience pain for 7days before it could be ectopic". He then advised that I wouldn't get scanned tonight as it would be the EPU that would do it, he would organise a referral as soon as my bloodwork came back. So I returned to the waiting room. 45mins later I as called back in, my apt for scan is Friday morn at 9am, again he proceeded to put the pain down to being my bowels, at this stage I was p*ssed off at the waste of my evening, at how I was being 'managed' as if I was a silly woman and I just wanted to leave. To add insult to injury he commented on my lack of excitement at being pregnant... and encouraged me to take some laxatives (I'm not constipated), I asked about my bloodwork and he said "from what I can see your levels are normal for your time frame, they're sitting at 10,000, I think...although there's a decimal point there for some reason"
I was then sent on my way.

I walked out to my husband absolutely famished, drained and no closer to knowing if everything is OK or not.
My GP wanted me to let reception know today how things went (No doubt expecting a scan result) and yet I've to wait for Friday )

Please know that I've every respect for doctors and nurses, I know thr NHS Is under great pressure, and I appreciate the work they do, but this was such a mess, the whole thing from start to finish was unnecessary and the way he spoke to me was shocking, I'm not even a week into knowing I'm pregnant and I'm still in shock, to then have the worry of losing the baby thrown into the mix, how can he expect me to be bouncing with joy.

Im still unsure of how things will be and can only hope there will be more empathy from the Early pregnany Unit on Friday, I guess this is more a rant that anything else but it helps to get my concerns out there and see if anyone else has experienced similar

OP posts:
madisonbridges · 02/02/2022 11:50

Your gp examined you but could find nothing wrong but to be cautious sent you to a&e.
The a&e doctor examined you and could find nothing wrong either.
I don't know why you think he'd be psychic and know you're shocked at finding yourself pregnant.
I understand you don't want to get your hopes up as that would make any possible loss harder, but I'd think you would be a little bit relieved. I don't see that the doctor has done anything wrong. There is always a demand for the scanner and you only have to wait a couple of days. They thought my sister had cancer and she had to wait a lot longer than that.
You don't say how he was rude but he should have been courteous.
Congratulations and I hope everything works out well.

CorrBlimeyGG · 02/02/2022 11:59

There is always a demand for the scanner and you only have to wait a couple of days. They thought my sister had cancer and she had to wait a lot longer than that.

A ruptured ectopic pregnancy can kill someone far quicker than cancer will. It is a medical emergency. What an absolutely stupid comment.

Wee, you should have been referred straight to the EPU, not to A&E. If you are still experiencing pain, or if the pain returns, please contact the EPU.

mummyh2016 · 02/02/2022 12:00

Your GP should have made the referral to the EPU rather than sending you to A+E, A+E don't have any way to do a pregnancy scan. I completely get your frustration but you're blaming the wrong person here, A+E haven't done anything wrong.

20week · 02/02/2022 12:03

I think the GP did wrong by sending you to A&E rather than contacting EPU and referring you herself. I'v had to go to A&E further along in a pregnancy for something unrelated and they did manage to get a midwife down to listen to the heartbeat. Realistically though it would be very rare to get a scan in A&E especially early pregnancy.

Really hope it's good news for you on Friday.

Change123today · 02/02/2022 12:13

I’m surprised the GP didn’t send you to the EPU? Can you request GP to now refer you.

A&E are a bit rubbish when it concerns pregnancy type things - due to complications I was referred to EPU (they are brilliant and arranged for scan) When I then had a heavy heavy bleed at the weekend I had to go to A&E & basically no one really knew what to do with me until the Monday when they could send me back to EPU Hmm
Due to my previous medical history I then took up at hospital bed for - couple of days as well until the Monday when I then could have a scan!

Hopefully the GP can refer you to EPU!

My daughter recently had it with a cyst referred to A&E but wasn’t classed as in enough pain (basically said as she wasn’t on the floor doubled up in pain - she was sat in a chair in a lot of pain instead) so no one would do a scan (the a&e doctor where amazing but hands tied) they basically said if she gets worse then bring her back! Thankfully she had a scan 2 weeks later and it’s getting sorted but quite scary!

EmmaH2022 · 02/02/2022 12:16

Really rubbish treatment all round

Were they reading notes on a computer system? It sounds like they thought you were a different patient.

Doctors and nurses are often trying hard within a system that's astonishingly inefficient. I'm sorry this happened to you.

I have no idea what they do on the admin side but what I have seen with my elderly parents in the last 10 years has been dangerous. When you see anyone, please say why you're there and what your name is and make sure it matches up.

Suprima · 02/02/2022 12:17

PALS complaint. Immediately. Follow up with a phone call.

An ectopic is life threatening.

I was kept in overnight with my suspected and scanned first thing in the morning.

madisonbridges · 02/02/2022 12:17

A ruptured ectopic pregnancy can kill someone far quicker than cancer will. It is a medical emergency. What an absolutely stupid comment.

But it's not a medical emergency. She's been examined by two doctors who can find nothing wrong so two days is not long to wait. She's talking about the,strain on her mental health having to wait while worrying about something being wrong. I used the example of someone worrying about cancer and having to wait much longer.

Suprima · 02/02/2022 12:18

@madisonbridges

A ruptured ectopic pregnancy can kill someone far quicker than cancer will. It is a medical emergency. What an absolutely stupid comment.

But it's not a medical emergency. She's been examined by two doctors who can find nothing wrong so two days is not long to wait. She's talking about the,strain on her mental health having to wait while worrying about something being wrong. I used the example of someone worrying about cancer and having to wait much longer.

No doctor can ‘examine’ for an ectopic. If OP has severe pain in one side of her lower abdomen- she needs to be scanned.

The doctors wouldn’t have felt for a microscopic egg in her tubes.

EmmaH2022 · 02/02/2022 12:19

@madisonbridges

A ruptured ectopic pregnancy can kill someone far quicker than cancer will. It is a medical emergency. What an absolutely stupid comment.

But it's not a medical emergency. She's been examined by two doctors who can find nothing wrong so two days is not long to wait. She's talking about the,strain on her mental health having to wait while worrying about something being wrong. I used the example of someone worrying about cancer and having to wait much longer.

Jesus, I cannot believe you made that comment once and now you've repeated it. 🤦🏽‍♀️
CorrBlimeyGG · 02/02/2022 12:19

But it's not a medical emergency

An ectopic cannot be reliably identified by a pelvic exam. You have no idea what you are talking about.

DappledOliveGroves · 02/02/2022 12:20

@madisonbridges an ectopic IS a medical emergency. If it ruptures you can bleed to death pretty quickly.

OP - is there any chance you can phone your EPU direct, or alternatively book a private scan, so that you can get a scan today?

ThinkingOfPineapples · 02/02/2022 14:09

@madisonbridges

Your gp examined you but could find nothing wrong but to be cautious sent you to a&e. The a&e doctor examined you and could find nothing wrong either. I don't know why you think he'd be psychic and know you're shocked at finding yourself pregnant. I understand you don't want to get your hopes up as that would make any possible loss harder, but I'd think you would be a little bit relieved. I don't see that the doctor has done anything wrong. There is always a demand for the scanner and you only have to wait a couple of days. They thought my sister had cancer and she had to wait a lot longer than that. You don't say how he was rude but he should have been courteous. Congratulations and I hope everything works out well.
Wow, what a comment. And then to repeat it! First off OP, ignore this person they clearly have zero useful medical information to pass on to you. Everyone else here is right, a suspected ectopic can be life threatening and you don't need to go through your GP to be referred. You should be able to call your EPU explain the situation and the pain you're in and they will see you sooner then Friday, even if it's just booking you in for repeat blood tests (a lot of times they can diagnose ectopics from rising then falling then rising HCG levels but they need levels over 48 hour intervals). From the sounds of your situation the GP failed you by not referring to the correct place and the A&E department failed again by not taking the situation seriously and referring you to the EPU sooner or to maternity triage to be scanned if it was out of hours. I'm really sorry this is happening to you, the situation sucks but hopefully it has a happy outcome x
mummyh2016 · 02/02/2022 14:25

@ThinkingOfPineapples at my local trust maternity triage will only see women who are over 16 weeks pregnant, they won't deal with ectopics. A+E won't have any say in when EPU offer appointments for, it will be EPU who have decided she can wait until Friday to be seen. A+E have done all they can, I wouldn't say the OP had been failed by them at all.

chinateapot · 02/02/2022 14:32

Locally we can’t refer to EPAU outside of 9-5 - if you see your GP outside of those times and there’s a suspected ectopic then A+E is appropriate.

Also wouldn’t expect everyone with abdo pain in pregnancy to need admitting. OP has now had two examinations and has been observed for a few hours… may well be reasonable to discharge and await EPU appt. It is horrible waiting and it’s so hard if he didn’t seem understanding but I’m not sure there are any problems with how this has been managed. I also wouldn’t have expected husband to be allowed into A+E currrntly. Obviously if it’s worsening you need to go back immediately.

Hope all ok and that you feel a bit better today .

Donimo · 02/02/2022 14:42

An ectopic pregnancy is a medical emergency. I had one and arrived in A & E via ambulance (after nhs 111 arranged one for me following their screening questions.) I was then transfered straight to EPU and was in theatre within 2 hours of arriving at the hospital. If that's doesn't show how much of a medical emergency it was I don't know what does!

But to OP A & E are not the experts in this and EPU is the place you need to be. Also a little reassurance and to try not to worry you too much I was slightly later in my pregnancy than you (8-9 weeks). But you definitely need a scan as soon as possible.

YellowLemonz · 02/02/2022 14:47

Can you ring GP for a urgent referral to EPU?

YellowLemonz · 02/02/2022 14:48

@madisonbridges

A ruptured ectopic pregnancy can kill someone far quicker than cancer will. It is a medical emergency. What an absolutely stupid comment.

But it's not a medical emergency. She's been examined by two doctors who can find nothing wrong so two days is not long to wait. She's talking about the,strain on her mental health having to wait while worrying about something being wrong. I used the example of someone worrying about cancer and having to wait much longer.

It is a medical emergency.

It's life threatening

WeeTashie · 02/02/2022 14:51

Thanks all who commented, I didn't realise my post would have such an impact on folk negative or otherwise, I'm not going to respond to specific comments, everyone has their own reasons to comment on what they said, as I said I appreciate the NHS and feel fortunate that we have it, but have witnessed many cock ups for friends and family members that has impacted their health.

Just to clarify... As it maybe didn't come thru on my post... The hospital Dr was dismissive throughout the appointment, I'm not stupid or over imaging the pain I have been feeling. However as a first time mum I'm not familiar with protocol so didn't know that a+e wdnt be able to scan me there and then.
Regardless, I have spoken to my GP who was disappointed that I wasn't scanned, she has referred previously and Has had scans done via EPU as it was during the day that I had went.

Regardless I am going to attend on Friday, and hopefully all is ok

OP posts:
ThinkingOfPineapples · 02/02/2022 14:53

Very thankful from my personal experience to not be in your trust.
I think the variations in level of care being shown here are shocking, personally I was monitored, scanned, admitted, monitored and treated. I was in hospital for I think three days overall and it was initially out of hours for the EPU. Different trusts clearly different levels of care.
I would still highly, highly recommend calling your EPU today OP and explaining your symptoms yourself and see what they say and take it from there.

YellowLemonz · 02/02/2022 14:56

I've been pregnant and had to go to a&e for one reason or another and I experienced an awful nurse and doctor too.
I raised a complaint via PALs, it was followed up with a couple of phone calls and letters.
They took it very seriously, so if you want to complain I would do so and I do think it warrants a complaint.
No one should be made to feel shit through a scary time.
I would try ringing EPU yourself and explain what's happening, that you have an app for Friday but your scared and any chance they can see you ASAP.

Thanks
20week · 02/02/2022 15:56

Sorry if my comment upset you. It's understandable that you followed the gps advice to go to A&E I just think she could of saved you the stress.

I agree that it might be worth trying to get an appointment tomorrow by calling them directly and pals as you weren't happy with how you were treated.

wingingit33 · 02/02/2022 15:59

Can you book a private scan? About £80 but you could be seen today

TooManyPJs · 02/02/2022 16:05

The GP or A&E should have sent you straight to EPU for a scan. As PPs have says if this is ectopic you need to know.

Please complain to PALS both about the poor treatment and the doctors manner. We need to start taking a stand at this sort of thing. It goes on far too often.

I hope all is well with your pregnancy 💐💐💐

ginabe · 02/02/2022 16:08

@madisonbridges

A ruptured ectopic pregnancy can kill someone far quicker than cancer will. It is a medical emergency. What an absolutely stupid comment.

But it's not a medical emergency. She's been examined by two doctors who can find nothing wrong so two days is not long to wait. She's talking about the,strain on her mental health having to wait while worrying about something being wrong. I used the example of someone worrying about cancer and having to wait much longer.

You are mistaken, it certainly is a medical emergency.