Am I overreacting about the attitude of this doctor?

I had an ultrasound on a lump today at the breast clinic. The lump I have is just under the bra line, so not technically on the breast, but due to breast pain my GP thought it was best to cover all bases so I was referred to both the Breast Clinic and the sarcoma service.

The first thing the doctor said to me was "I don't see why you're here with that, it's not a breast issue." So I explained about the pain and the other referral and she just grunted as a response.  When she (very roughly!) scanned the lump she said "I thought this was going to be a lipoma, nice and easy, but apparently not... this is going to take some time" and sounded annoyed by it and sighed heavily.  She then informed me I would need a biopsy, which I'd half expected, and asked the nurse to get the form for me.  As the nurse handed me the form, she reassured me that the anaesthetic was going to block any pain and the doctor cut her off mid sentence, and said "Stop it, it's not your job to talk to the patient, your job is to do what I ask."  At this point I stopped wondering if I was imagining her rude behaviour as it seemed pretty obvious she was this abrasive to everyone, I couldn't believe she'd spoken to the nurse that way!  She had only been trying to be comforting (something I can comfortably say the doctor had not been!!) and didn't deserve to be spoken to like that!  The nurse left the room to get something for the biopsy and the doctor goes "I'm not being rude. Patients think I am rude and complain but I am trying to make sure you don't get the wrong idea or wrong information, she doesn't have the clinical knowledge to talk to patients about procedures. It's not rudeness I am trying to get them to do their job properly." I just nodded and said okay because I was really uncomfortable, but it seemed to me that she was saying all that trying to ensure I wouldn't make a complaint, maybe? I don't know.

Anyway, the nurse returns and it comes to the biopsy and they give me the local anaesthetic, which was fine and I didn't feel the scalpel cut me, but when she put the biopsy gun in she was wiggling it quite forcefully around and down (which I'm sure is a normal thing), but when it got right down into the lump the anaesthetic didn't seem to stop me from feeling it, so I winced and made a noise. The doctor stepped back and said "What, it hurts?" and I said "A bit." She said "Well if it hurts that much I can always not do it and stop now, you want me to stop? No? Good."

At this point I started to cry silently because... well, I was terrified already, having just been told my lump was not the benign lump I was hoping for; I was half naked on a table with a knife in me and just being honest in response to a question I was asked that yes, I was in pain... and it felt to me like I was being mocked or belittled for feeling pain.  I felt like I couldn't speak up after that and even though it continued to hurt I didn't say anything and just clenched my fists and gritted my teeth and let the tears fall silently.  The doctor ignored my tears and at the end just instructed the nurse to dress my wound tightly and told me to read the leaflet on aftercare before turning her back on me.

The nurse didn't say anything about the doctor but took me to a private room where she asked another nurse to make me a cup of tea and they went and got my friend to come and be with me. All the staff were super nice to me after that and I got the impression this wasn't the first time a patient had been reduced to tears by this particular doctor. The nurses exchanged knowing looks and ones I hadn't even seen before came in to ask me if I was okay.

Reflecting on it now I find I'm actually in tears again, I feel so silly, but I just wanted to gauge others reactions to this to see if I am overreacting... I am quite sensitive generally, I'm autistic which doesn't really affect me in my daily life, but today was completely overwhelming for me and all I needed was some compassion today.  She made me feel like my lump, my pain, my presence was a burden, an inconvenience - nobody should feel that way in a breast clinic, because nobody is there for a positive reason and everyone deserves care and respect.

Sorry, I just had to unload. It was a traumatic experience for me and one I hope to never repeat. I am thinking about making an official complaint but seeing as she already has patients complain about her, I doubt it will make much of a difference!!  I sincerely hope everyone else who said they were going to the breast clinic today had better results and more compassionate doctors!

  • Oh LauraRose. what a horrible experience you have been through today. That behaviour by the doctor was unacceptable. I think I would be tempted to say something via PALS but that is your call. The nurses obviously know about this doctors reputation and thankfully gave you some comfort. You are not overreacting at all and this place right here is the safe place to let out all those feelings that she induced. some of us have probably had similar experiences but I really hope not because anyone dealing with a patient who might have cancer should be full of compassion and support.

    I am sending you the biggest hug and lots of love

    Sarah xxx

  • That's not an over-reaction! The doctor should not be in practice if this is the way they treat patients (and their colleagues). You did well to carry on, I think I would have walked out.

  • Thank you for validating my reaction. Funnily enough when speaking to my mum, she said "hang on..." and gave me a perfect description of the doctor and said she'd had her for an ultrasound three years earlier and she'd been just as abrasive (that was the word she chose!)... so feeling more and more like a complaint would fall on deaf ears if she's been behaving this way towards patients for that long period of time.

    On the plus side, they've rushed my MRI which is now booked for Sunday. Trying not to ponder on why they felt it necessary to rush it and just be grateful that it's a quiet day to contend with the M25.

    Thanks again for all the support. It's a terrifying time and being treated like an inconvenience and spoken to like a naughty child isn't something anybody should have to endure when in such a vulnerable place.

  • Hi,

    As a former NHS employee, I am embarrassed to read that doctors like this are still in work.

    Not only are you not over-reacting, in your position I would feel obliged to make a formal complaint to safegusrd more vulnerable patients from this uncaring, uncompassionate and unprofessional doctor. 
     

    The only thing she said that I would agree with is stopping the nurse giving reassurance. We get too many people on here who were given well meant but false reassurance by nurses only for harsh reality to take them by surprise.

     

    best wishes

    Dave

  • You should most  definitely complain.

    I had a similar experience during a bone biopsy.

    I don't think the person doing it was using enough anaesthetic. I tried numerous times to say something but it seemed to fall on deaf ears amd he kept on digging away.

    Like you I resorted to silently crying.

    Luckily a nurse who,  was watching on a monitor in another room  came rushing in and said "Stop! Can't you see she's in pain?

    At which point he gave he gave me some more anaesthetic. She stayed by my side and dabbed away the tears 

    I wonder what makes some of these people so cold?  The nurses on the other hand were so kind, compassionate and caring. Especially the one who came in and stopped the procedure until he'd given me more anaesthetic.   I Hope she didn't get into trouble for it.

     

  • [@davek]‍ dont worry, the majority of my experiences of the NHS care have been exemplary and I've felt very looked after. I will consider making a formal complaint, but perhaps once I'm sure I've been discharged from her care!!

    [@Pinkcandoone]‍ so so sorry you went through a similar experience - like you I always thought we were meant to tell practitioners if anaesthetic wasn't working, being scolded for doing so made me feel awful, like I didn't matter. I'd like to see how she would like it if it were done to her! Uncaring doctors shouldn't be permitted to work directly with patients in this manner.

    Hoping all is well with both of you and thank you for taking the time to reply. I'm still shaken up, trying not to let the experience put me off seeking treatment and help moving forward.