I think you get good and bad everywhere, just because you're a specialist nurse, or a consultant for example doesn't mean you're competent.
I had a specialist nurse talk over me, for me, make assumptions, and dismiss my side effects of a new drug I was taking. They were common side effects of anxiety and agitation, even listed in the leaflet, and by the consultants yet she apparently knew better, and they NEVER HAPPEN. Apparently these were not side effects, it was a separate issue I was to see the GP about, despite the effects coinciding exactly with the drug. The GP would have just passed me back to neurology.
I was told to go and pump myself up with hormones by getting a coil/injection, I had explained at my age that this wasn't right for me, my husband has had a vasectomy, they don't agree with me. I got abruptly told I need to record my cycle, and they "alway" try this first before issuing a nother tablet. There was no acceptance of my right to choose what is 'right ' for me, or acknowledgement that I'm not doing this, when I don't even know my hormone levels to start with. Then I was referred to women's health, with a progesterone injection again barked at me. Would men be treated this way? I think not!
When I finally got a word in, I told her I already knew and had recorded my like clockwork cycle, as my uncontrolled epilepsy had been going on years. The other drug I had been on for a long time, was more likely to cause bad mental health than the new one, but then in the next breath "it is a mood stabiliser." She disagreed with everything to try to be "right." I came away from the appointment really upset, at a time I felt unwell.
It is frustrating when they just don't listen to you, ask questions and just assume. She messed the letter up, said I had agreed to things I hadn't (because she agreed with these and that was 'her' plan. She got the names of the meds mixed up, and tried to lower the dose of a powerful drug in one, I had to ring up and query it then got told it was wrong by ovely receptionist, and she would need to adjust the letter. Had I followed through it would have put me at risk of seizures.
This is people's lives, yet you're made to feel like you're making things up, and given incorrect advice.