GP was a Complete Waste of Time!
GP was a Complete Waste of Time!
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NobleGuy

Original Poster:

7,133 posts

244 months

Tuesday 21st January 2020
quotequote all
Cor...we were treated to a fun appointment this morning.

My OH went to see hers for a mole that changed last month - red ring on the skin around the base, blackened tip and now moves around when you touch it. It's probably fine, but they say to get them checked if they change so she did.

The GP checked it (without gloves on) and said it was a "skin tag". I've got a skin tag and it looks nothing like that...it's a mole.
Then she sat down and said that it's unlikely they would be able to remove it because it's not urgent and she'd have to apply for funding from a panel who would almost certainly deny any funding.

She then said "but we could remove it if you go private". When we said "no, we want it treated" (don't we pay tax for this kind of thing...?) the atmosphere went all frosty and she huffed a bit and claimed it wasn't worth applying for.

She didn't explain this "panel" process (is it just her and the other GPs), she checked my OH's BMI (why...?...she's clearly not obese) and seemed to pretend to type on her keyboard for a couple of seconds - while doing so said without looking up "Have a nice day", which was basically "F*** off...".
No explanations about the "panel", when we might hear anything, nothing.

So...what avenues are there to get a second opinion? Other than run the gauntlet of not getting an emergency appointment and having to wait weeks for another one...? Is there anyone we can complain to and be heard? We not interested in pulling this lady through the ringer even though she was truly, bloody awful and we don't trust a word she said. The OH is worrying about it and you can tell by her mood.

I could never imagine why people would go to A&E with a cold, but I kinda can now...

Edited by NobleGuy on Tuesday 21st January 10:47

OtherBusiness

887 posts

171 months

Tuesday 21st January 2020
quotequote all

NobleGuy

Original Poster:

7,133 posts

244 months

Tuesday 21st January 2020
quotequote all
OtherBusiness said:
"Book an Appointment" button - 404 - Website Page Cannot Be Found.

Although..Boots does do a similar service.
Sticks in my craw a little bit that we spend billions on these people and places like Boots have to have a service to do this kind of thing.

That GP simply didn't care, apart from when she was talking about going private of course!

EDIT: Boots won't do it in intimate areas, plus the reviews of this type of service aren't that great.

Edited by NobleGuy on Tuesday 21st January 10:48

scotlandtim

462 posts

157 months

Tuesday 21st January 2020
quotequote all
NobleGuy said:
Cor...I haven't had to use the GP system for a while but we were treated to a fun appointment this morning.

My OH went to see hers for a mole that changed last month - red ring on the skin around the base, blackened tip and now moves around when you touch it. It's probably fine, but they say to get them checked if they change so she did.

The GP checked it (without gloves on) and said it was a "skin tag". I've got a skin tag and it looks nothing like that...it's a mole.
Then she sat down and said that it's unlikely they would be able to remove it because it's not urgent and she'd have to apply for funding from a panel who would almost certainly deny any funding.

She then said "but we could remove it if you go private". When we said "no, we want it treated" (don't we pay tax for this kind of thing...?) the atmosphere went all frosty and she huffed a bit and claimed it wasn't worth applying for.

She didn't explain this "panel" process (is it just her and the other GPs), she checked my OH's BMI (why...?...she's clearly not obese) and seemed to pretend to type on her keyboard for a couple of seconds - while doing so said without looking up "Have a nice day", which was basically "F*** off...".
No explanations about the "panel", when we might hear anything, nothing.

So...what avenues are there to get a second opinion? Other than run the gauntlet of not getting an emergency appointment and having to wait weeks for another one...? Is there anyone we can complain to and be heard? We not interested in pulling this lady through the ringer even though she was truly, bloody awful and we don't trust a word she said. The OH is worrying about it and you can tell by her mood.

I could never imagine why people would go to A&E with a cold, but I kinda can now...
Look at it from the other side. I'm not defending the GP's manner, it sounds awful.

But her practice is correct

There is no reason to wear gloves to check a mole, no body fluid contact, no issue there
I can't comment on whether its a skin tag or a mole having not seen it.
The NHS does not fund removal of skin tags / moles etc for cosmetic reasons alone. There is not an infinite budget, and yes, you've paid your taxes, but that doesn't entitle you to anything and everything you wish. The Gp could have referred you for removal, but it would have been rejected. To qualify for removal under NHS it has to fulfill certain criteria - thus being a significant impact on quality of life, function of joints, pain or distressing mental health consequences. If not then you can go to a panel with your local board, but it's unlikely to be successful so you're prob wasting your time.

The panel isn't her and the other GP's. Its usually a few GP's from the area, some execs and local managers and finance teams. Not a decision within your own GP's hands - effectively nothing to do with her once she's submitted the referral.

If you want it taken off, but it's not qualifying for NHS treatment then go private.

I think your GP was right, however it sounds like her manner was abysmal and she should have taken the extra 5 minutes to explain her rationale for you


Hope that helps.

irocfan

48,995 posts

219 months

Tuesday 21st January 2020
quotequote all
I feel your pain OP. I went to the doctor with an ongoing back problem (I have been taking ibroprufen to try and help but does nothing) his answer was to feed me pills. I commented that I'd rather not have pills since that would just mask the problem at which point the response was "well what do you expect me to do", maybe I'm unreasonable but I would have wanted the cause of my pain looked at not just "take these pills".

It strike me that some doctors really aren't interested in fixing people and seem to be glorified pill pushers frown

NobleGuy

Original Poster:

7,133 posts

244 months

Tuesday 21st January 2020
quotequote all
scotlandtim said:
NobleGuy said:
Cor...I haven't had to use the GP system for a while but we were treated to a fun appointment this morning.

My OH went to see hers for a mole that changed last month - red ring on the skin around the base, blackened tip and now moves around when you touch it. It's probably fine, but they say to get them checked if they change so she did.

The GP checked it (without gloves on) and said it was a "skin tag". I've got a skin tag and it looks nothing like that...it's a mole.
Then she sat down and said that it's unlikely they would be able to remove it because it's not urgent and she'd have to apply for funding from a panel who would almost certainly deny any funding.

She then said "but we could remove it if you go private". When we said "no, we want it treated" (don't we pay tax for this kind of thing...?) the atmosphere went all frosty and she huffed a bit and claimed it wasn't worth applying for.

She didn't explain this "panel" process (is it just her and the other GPs), she checked my OH's BMI (why...?...she's clearly not obese) and seemed to pretend to type on her keyboard for a couple of seconds - while doing so said without looking up "Have a nice day", which was basically "F*** off...".
No explanations about the "panel", when we might hear anything, nothing.

So...what avenues are there to get a second opinion? Other than run the gauntlet of not getting an emergency appointment and having to wait weeks for another one...? Is there anyone we can complain to and be heard? We not interested in pulling this lady through the ringer even though she was truly, bloody awful and we don't trust a word she said. The OH is worrying about it and you can tell by her mood.

I could never imagine why people would go to A&E with a cold, but I kinda can now...
Look at it from the other side. I'm not defending the GP's manner, it sounds awful.

But her practice is correct

There is no reason to wear gloves to check a mole, no body fluid contact, no issue there
I can't comment on whether its a skin tag or a mole having not seen it.
The NHS does not fund removal of skin tags / moles etc for cosmetic reasons alone. There is not an infinite budget, and yes, you've paid your taxes, but that doesn't entitle you to anything and everything you wish. The Gp could have referred you for removal, but it would have been rejected. To qualify for removal under NHS it has to fulfill certain criteria - thus being a significant impact on quality of life, function of joints, pain or distressing mental health consequences. If not then you can go to a panel with your local board, but it's unlikely to be successful so you're prob wasting your time.

The panel isn't her and the other GP's. Its usually a few GP's from the area, some execs and local managers and finance teams. Not a decision within your own GP's hands - effectively nothing to do with her once she's submitted the referral.

If you want it taken off, but it's not qualifying for NHS treatment then go private.

I think your GP was right, however it sounds like her manner was abysmal and she should have taken the extra 5 minutes to explain her rationale for you

Hope that helps.
Are we at least entitled to a 2nd opinion? She called it a skin-tag and we're a bit dubious.

Otherwise we're just going to keep going back and annoying them into submission, which does no-one any favours.
The GP listed some symptoms that would make it worthy of treatment, so I guess we can get another appointment and lie about it later.
Every other f***r seems to get what they want by shouting and stamping their feet wink

But...I'd rather be a pain in the arse than be told in 6 months time "That's not a skin-tag, that's a mole. If you'd got it checked 6 months ago we could've done something, but it's too late...".

NobleGuy

Original Poster:

7,133 posts

244 months

Tuesday 21st January 2020
quotequote all
irocfan said:
I feel your pain OP. I went to the doctor with an ongoing back problem (I have been taking ibroprufen to try and help but does nothing) his answer was to feed me pills. I commented that I'd rather not have pills since that would just mask the problem at which point the response was "well what do you expect me to do", maybe I'm unreasonable but I would have wanted the cause of my pain looked at not just "take these pills".

It strike me that some doctors really aren't interested in fixing people and seem to be glorified pill pushers frown
Ha! Almost exactly the same about 3 years ago. Neck issue (my own fault, jumped under a door frame about 25 years ago).
"You'll have to grow up and stop being so silly" was her word-for-word response to the fact my neck is starting to grind every time I turn my head now.

Wouldn't it have been nice if they'd suggested an X-Ray (even if they'd said there's little point as it won't reveal anything, at least you'd know it's not worth it), or physio or...I don't know...sleeping position...something?!

They either have no clue, don't want to spend any money or they simply don't care.
I wouldn't mind so much, but these people get paid a f*ing fortune...

Edited by NobleGuy on Tuesday 21st January 10:52

foreright

1,091 posts

271 months

Tuesday 21st January 2020
quotequote all
Our 18 month old twins came down with chickenpox two weeks ago and their temperatures were ridiculously high and not coming down. One had a febrile seizure whilst I was on the phone to 111 as his temperature was 40 and rising. The paramedics / A&E told us to look out for further signs of infection. My wife took one of them to the GP the next day with what looked like a big bruise that had come up suddenly on his backside / leg and was getting visibly darker every hour to be told it was "yes it's a bit of an infection, have some antibiotics". The GP didn't touch / examine it aside from to look for about 10 seconds.

We ended up back in A&E 4 hours later with high temperatures that wouldn't come down. They took one look at the "bruise" (which was hard and clearly full of liquid) and the other twin had the beginnings of the same and admitted both of them to hospital. One ended up at the John Radcliffe for surgery on a 3x3 CM abscess and the other stayed in the Royal Berks with a pretty bad infection also and antibiotics via IV for a week.

We don't rate our GP much albeit there are (I think) 8 at our surgery... we'll be avoiding that guy in the future anyway!

NobleGuy

Original Poster:

7,133 posts

244 months

Tuesday 21st January 2020
quotequote all
foreright said:
Our 18 month old twins came down with chickenpox two weeks ago and their temperatures were ridiculously high and not coming down. One had a febrile seizure whilst I was on the phone to 111 as his temperature was 40 and rising. The paramedics / A&E told us to look out for further signs of infection. My wife took one of them to the GP the next day with what looked like a big bruise that had come up suddenly on his backside / leg and was getting visibly darker every hour to be told it was "yes it's a bit of an infection, have some antibiotics". The GP didn't touch / examine it aside from to look for about 10 seconds.

We ended up back in A&E 4 hours later with high temperatures that wouldn't come down. They took one look at the "bruise" (which was hard and clearly full of liquid) and the other twin had the beginnings of the same and admitted both of them to hospital. One ended up at the John Radcliffe for surgery on a 3x3 CM abscess and the other stayed in the Royal Berks with a pretty bad infection also and antibiotics via IV for a week.

We don't rate our GP much albeit there are (I think) 8 at our surgery... we'll be avoiding that guy in the future anyway!
My big problem is that they seem to be experts in absolutely nothing.
It's general practice so I think we can all forgive that a little bit, but it does make you wonder what their real purpose is sometimes other than to keep you at arms length from the services you actually need...which has got to be money-related.

Hope your little ones are doing OK btw. Not nice at all for you.

CrgT16

2,524 posts

137 months

Tuesday 21st January 2020
quotequote all
The manners could be much better but I think it’s a symptom of the problems of primary care.

For the work they do, a lot of GPs are not paid enough.

Most contractors or company directors here would charge 2-3 times more for the same workload, the sense of entitlement and “chose from a menu because I pay taxes” is ridiculous but rife... I know, my wife is a full time GP partner and I know how hard and long days she works... gets verbal, physical abuse and on top of the 40-50 consults, 10 telephone consults, odd domiciliary visit, trainer to trainee GPS still has a lot of paperwork to do and meeting to attend. She doesn’t moan but it’s not a easy job.
I do it wouldn’t for the money she gets.

But agree manners, good communication etc are important regardless of the above.

Oakey

27,981 posts

245 months

Tuesday 21st January 2020
quotequote all
scotlandtim said:
Look at it from the other side. I'm not defending the GP's manner, it sounds awful.

But her practice is correct

There is no reason to wear gloves to check a mole, no body fluid contact, no issue there
I can't comment on whether its a skin tag or a mole having not seen it.
The NHS does not fund removal of skin tags / moles etc for cosmetic reasons alone. There is not an infinite budget, and yes, you've paid your taxes, but that doesn't entitle you to anything and everything you wish. The Gp could have referred you for removal, but it would have been rejected. To qualify for removal under NHS it has to fulfill certain criteria - thus being a significant impact on quality of life, function of joints, pain or distressing mental health consequences. If not then you can go to a panel with your local board, but it's unlikely to be successful so you're prob wasting your time.

The panel isn't her and the other GP's. Its usually a few GP's from the area, some execs and local managers and finance teams. Not a decision within your own GP's hands - effectively nothing to do with her once she's submitted the referral.

If you want it taken off, but it's not qualifying for NHS treatment then go private.

I think your GP was right, however it sounds like her manner was abysmal and she should have taken the extra 5 minutes to explain her rationale for you


Hope that helps.
Is this a recent thing? I had a mole removed 10 years ago. It was just an afterthought at an appointment with my GP, prior to leaving I said "Can I have this removed?" and they just said "sure" and arranged to book me in. Then when I turned up for the removal I decided I wanted the one on my back removed instead of the one I originally asked to be removed and they were happy to oblige.

irocfan said:
I feel your pain OP. I went to the doctor with an ongoing back problem (I have been taking ibroprufen to try and help but does nothing) his answer was to feed me pills. I commented that I'd rather not have pills since that would just mask the problem at which point the response was "well what do you expect me to do", maybe I'm unreasonable but I would have wanted the cause of my pain looked at not just "take these pills".

It strike me that some doctors really aren't interested in fixing people and seem to be glorified pill pushers frown
I can relate to this too. I went to my GP in 2018 with back pain, they didn't give me any pills but referred me to a few courses of physio after which I was told to go to the gym. I try and do 60-90 mins of exercise every day at home but I still have the back trouble.


Edited by Oakey on Tuesday 21st January 11:16

NobleGuy

Original Poster:

7,133 posts

244 months

Tuesday 21st January 2020
quotequote all
CrgT16 said:
The manners could be much better but I think it’s a symptom of the problems of primary care.

For the work they do, a lot of GPs are not paid enough.

Most contractors or company directors here would charge 2-3 times more for the same workload, the sense of entitlement and “chose from a menu because I pay taxes” is ridiculous but rife... I know, my wife is a full time GP partner and I know how hard and long days she works... gets verbal, physical abuse and on top of the 40-50 consults, 10 telephone consults, odd domiciliary visit, trainer to trainee GPS still has a lot of paperwork to do and meeting to attend. She doesn’t moan but it’s not a easy job.
I do it wouldn’t for the money she gets.

But agree manners, good communication etc are important regardless of the above.
Just to stick my colours to the mast too, I wouldn't do it either.
Same as teaching. Don't know how some people do it smile

NobleGuy

Original Poster:

7,133 posts

244 months

Tuesday 21st January 2020
quotequote all
Oakey said:
scotlandtim said:
Look at it from the other side. I'm not defending the GP's manner, it sounds awful.

But her practice is correct

There is no reason to wear gloves to check a mole, no body fluid contact, no issue there
I can't comment on whether its a skin tag or a mole having not seen it.
The NHS does not fund removal of skin tags / moles etc for cosmetic reasons alone. There is not an infinite budget, and yes, you've paid your taxes, but that doesn't entitle you to anything and everything you wish. The Gp could have referred you for removal, but it would have been rejected. To qualify for removal under NHS it has to fulfill certain criteria - thus being a significant impact on quality of life, function of joints, pain or distressing mental health consequences. If not then you can go to a panel with your local board, but it's unlikely to be successful so you're prob wasting your time.

The panel isn't her and the other GP's. Its usually a few GP's from the area, some execs and local managers and finance teams. Not a decision within your own GP's hands - effectively nothing to do with her once she's submitted the referral.

If you want it taken off, but it's not qualifying for NHS treatment then go private.

I think your GP was right, however it sounds like her manner was abysmal and she should have taken the extra 5 minutes to explain her rationale for you


Hope that helps.
Is this a recent thing? I had a mole removed 10 years ago. It was just an afterthought at an appointment with my GP, prior to leaving I said "Can I have this removed?" and they just said "sure" and arranged to book me in. Then when I turned up for the removal I decided I wanted the one on my back removed instead of the one I originally asked to be removed and they were happy to oblige.
Yep, same for my OH. She has a scar where the GP removed one about 10 years ago.
Must have cost them sod-all to do it. A bit of anaesthetic and a scalpel, sent it off for testing and everyone knew it was benign so everyone could relax.

st, I could do it! A bottle of vodka (or a baseball bat) and a stanley knife biggrin

Edited by NobleGuy on Tuesday 21st January 11:22

Oakey

27,981 posts

245 months

Tuesday 21st January 2020
quotequote all
NobleGuy said:
Yep, same for my OH. She has a scar where the GP removed one about 10 years ago.
Must have cost them sod-all to do it. A bit of anaesthetic and scalpel.

st, I could do it! A bottle of vodka (or a baseball bat) and a stanley knife biggrin
That was pretty much it, I was in and out in about 5 minutes. Face down on the bed, a bit of local, a few seconds of weird, uncomfortable feeling and two stitches and away I went.



CrgT16

2,524 posts

137 months

Tuesday 21st January 2020
quotequote all
Maybe you can ask to see a different doctor for an opinion and say you are concerned and wanted it removed you may find a good result?

Nezquick

1,828 posts

155 months

Tuesday 21st January 2020
quotequote all
NobleGuy said:
irocfan said:
I feel your pain OP. I went to the doctor with an ongoing back problem (I have been taking ibroprufen to try and help but does nothing) his answer was to feed me pills. I commented that I'd rather not have pills since that would just mask the problem at which point the response was "well what do you expect me to do", maybe I'm unreasonable but I would have wanted the cause of my pain looked at not just "take these pills".

It strike me that some doctors really aren't interested in fixing people and seem to be glorified pill pushers frown
Ha! Almost exactly the same about 3 years ago. Neck issue (my own fault, jumped under a door frame about 25 years ago).
"You'll have to grow up and stop being so silly" was her word-for-word response to the fact my neck is starting to grind every time I turn my head now.

Wouldn't it have been nice if they'd suggested an X-Ray (even if they'd said there's little point as it won't reveal anything, at least you'd know it's not worth it), or physio or...I don't know...sleeping position...something?!

They either have no clue, don't want to spend any money or they simply don't care.
I wouldn't mind so much, but these people get paid a f*ing fortune...

Edited by NobleGuy on Tuesday 21st January 10:52
100% this.

I've been to my GP twice now with back pain, both times as I was pretty much unable to walk and had to be chaperoned there by my wife.

Both times they just gave me pain killers - no x-ray referral, no physio, nothing.

I just went home and booked the next appointment I could privately with an Osteopath and my back was sorted within a few appointments. It sticks in the throat having to pay for that kind of service but I suspect i'd have been in agony for months without doing so.

Bussolini

11,631 posts

114 months

Tuesday 21st January 2020
quotequote all
Poor manner aside, the problem is you don't trust your GP. You think you know better. Anecdotes of misdiagnosis aside, I would suggest your GP is better qualified to diagnose the mole/skin tag than you or any of us and, if their view is it is not a medical concern, then the NHS shouldn't pay for it to be lopped off for cosmetic reasons.

mr_fibuli

1,109 posts

224 months

Tuesday 21st January 2020
quotequote all
About 15 years ago my partner had a malignant melanoma that her GP had dismissed as it was atypical (red coloured). After that happened they would chop off any dubious moles as a precaution, often done in the GPs surgery. Nowadays though they won't do anything, even with her history. Had to go private to get the last one checked out and removed.

NobleGuy

Original Poster:

7,133 posts

244 months

Tuesday 21st January 2020
quotequote all
mr_fibuli said:
About 15 years ago my partner had a malignant melanoma that her GP had dismissed as it was atypical (red coloured). After that happened they would chop off any dubious moles as a precaution, often done in the GPs surgery. Nowadays though they won't do anything, even with her history. Had to go private to get the last one checked out and removed.
Madness. You'd have thought a few quid in prevention would be better than leaving it and potentially costing them thousands in subsequent treatment.
I guess the vast majority don't turn into anything serious, so statistically they're better off not doing anything and worrying about the rare cases later.
Which is nice if you're the 1 in 10,000...

anonymous-user

83 months

Tuesday 21st January 2020
quotequote all
I used to think GPs were rubbish till I took an elderly relative after an operation, with serious problems, where I saw just how complex prescribing can be when there are dozens of medications all interacting with each other.

GPs shouldn't be solely responsible for cancer screening. At least not under current system where you have to really push to get seen. UK is lagging in cancer stats as a result?