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Does your doctor pay attention ?

(57 Posts)
NanaandGrampy Sun 29-Jan-17 14:39:13

I know my doctor is busy and under pressure from all sides but I sometimes wonder if he has ever really looked at me or listened.

At a recent visit we were talked about doing more exercise.

My mobility is compromised, I walk with a stick and standing for more than a minute or so causes me great pain. I have a mobility scooter for getting around and a hoist in my car for taking it where ever I go.

I swim twice a week, managing around the 40 lengths in 40 mins most times and swim with my little grandsons on two other days ( which involves rather more walking than swimming but apparent,y I'm an excellent Optimus Prime !).

My GP suggested an excellent choice of exercise would be to go up ad down the stairs for 15 mins everyday.

I sat for a moment digesting his suggestion ( bearing in mind I currently do the stairs twice a day, once coming down in the morning and once going up at night and we are looking to move into a bungalow).

I didn't really know how to reply...... he might as well have suggested running up Everest or a few laps round Hyde Park!

Am I mad to think he might have suggested more swimming ? Or Aquacise? Or even maybe an exercise bike ? Or was this this the latest health advice and he was applying a one size fits all reply?

flaxwoven Tue 31-Jan-17 16:41:26

I think your GP meant you to do more weight bearing exercises but walking up and down stairs for 15 mins is ridiculous. Who would do that? There are many other ways to exercise!

Marydoll Tue 31-Jan-17 16:20:30

I cannot fault my GP. He often apologises for running late when I see him. I tell him he doesn't have to apologise, as often I have previously been the the cause of him running late, discussing my complex conditions He knows that I manage my conditions well and if I have come for an appointment, I must be needing help. He takes time to ask me what intervention I think will help. I consider myself very lucky to have him.

Yorkshiregel Tue 31-Jan-17 15:42:37

Just to quickly add that my GP is a she, and she is brilliant. She is one of those who treat the whole person not just the complaint. Never seems in a rush to get you out of the surgery and very friendly. Actually most of them in that practice are too. So yes, she listens and she acts if necessary, which is good for me.

Yorkshiregel Tue 31-Jan-17 15:38:55

Guess what I had on my Christmas List this year....yes me too, I hate lists but I was nagged in to doing it.

Anyway I asked for a peddle exerciser which I can use while reading or watching tv. It had great reviews from people who have benefitted from using one. So I got one and now I am using it for legs and arms. I cannot walk far at the moment due to a wonkey knee, which I hope to get sorted soon. So as the doctor advises weight loss before the operation watching my diet as well as doing this exercise should help. Very easy to use and not expensive. No it doesn't move around on the floor when in use either.

Teddy123 Tue 31-Jan-17 14:04:37

I think your question was "does your Gp listen to you". I think I'm very lucky to have an understanding and patient Gp who seems to listen most of the time within the constraints of a 10 minute time slot.

A few months ago when I wanted to get to the root of a problem without being rushed, I specifically booked a double appointment.

All was going well till I became aware he was rushing to finish & I was reluctantly picking up my handbag as there were still a couple of points I was unsure about.

So I said hang on, I've booked a double appointment blah blah. He actually blushed and apologised saying he hadn't realised I had a double appointment. The consultation continued ...... And my medical problem was sorted out once and for all and I haven't had to see him since.

Lewlew Tue 31-Jan-17 12:49:40

I know what you mean about not listening. Two years before I was diagnosed with a herniated disc, I didn't yet have the horrid back-stabbing pains and pains in my bum (sciatica) at first, I had numbness in my hip, radiating down thigh, to the side of my knee, etc. It worried me and made me stiff and unable to walk for long even on the level.

In hindsight, the numbness was a classic early symptom of nerve compression in my spine. I got sent hither and yon for tests, and to a rheumatologist, who back a few years ago, wanted to know were I wanted the steroid injection she was offering then and there to relieve arthritis symptoms (they don't do that now).

A lot of aggro could have been saved if someone had diagnosed me properly, including £8,000 for spinal surgery as waiting time was 10 months and I was flat on my back by then and was desparate to get back to work as I am self-employed.

I might have avoided injuring my back to the point of needing surgery if I thought my back was the source of my problem and not an arth-rickety hip!

Read the bios online for the doctors in your surgery. Maybe you need to see a different GP. I did, and thankfully he got me sorted. The other GP was 'nice' but 'nice' doesn't help when you are in pain. flowers

cc Tue 31-Jan-17 12:34:59

I agree with Nellymaggs and her rhematologist. My mother, who lived to nearly 90, always said that moving to a bungalow wasn't a good thing for the elderly. She felt that the stairs gave her valuable exercise - but she did not have painful joints and she did have poor bone density.

If your bone density is fine then I would suggest that load-bearing exercise is less important for you. The swimming sounds great, ideal if standing gives you pain.

Clearly your GP doesn't have a clue - or he was not paying attention to you or your notes.

PetitFilou99 Tue 31-Jan-17 12:32:56

Considering the risks of a fall associated with going up & down the stairs for 15 minutes every day, I would have thought you'd be much better carrying on with all your swimming and not take any notice of what your GP has suggested to you. Not all GPs know what is best for their patients, that's for sure...!!

pollyperkins Tue 31-Jan-17 12:10:57

If you see a trainer at th gym he/she might be able to suggest suitable exercises. Tou. Ours are vey good, working wih people of all ages and weights and various disabilities as well as the young and fit! This is a local leisure centre, not expensive.
I must admit I am lucky as my GP, though very busy, always takes the time to listen and explain properly.

Legs55 Tue 31-Jan-17 12:09:43

I think it's down to good luck with GPs, I had a wonderful one for over 22 years, he would listen & understood all my problems as he knew me well.

Exercise is a difficult area, I now live in a Park Home with a few steps, I find Winter months are more difficult as I get out less & suffer with my knees (cartilage). Summer I am much better, gardening & short walks help. Physios are good help & often contradict what a GP has told youconfused

Nelliemaggs Tue 31-Jan-17 12:08:35

My mother moved to a bungalow when my father died when he was 62 and she 60. She had asthma but little physically wrong with her. In a matter of years she was having to haul herself up the few steps from the garden and went everywhere by car. She didn't believe in exercise, proud of not following the physio's instructions after she broke her leg and telling me that my global aggressive osteoarthritis by the age of 40 was my fault because I did aerobics classes. In no time at all she was moving throughout the bungalow holding on to her trolley and by my age was more or less stuck in her armchair.
The advice to me from my wonderful rheumatologist was don't move to a bungalow and consider each step of the stairs to be of benefit to my aching knees and dodgy ticker. We have a tall house with a lot of stairs and it definitely pushes my heart rate up, as do my four swimming/hydro exercise sessions every week.
15 minutes on the stairs does sound silly in your case, but as others have said walking against the water is an excellent exercise. I can make movements in the water that I wouldn't dare to try on dry land. I also was told to avoid breast stroke and learned the hard way to follow that instruction.
As for does the GP listen, I envy anyone who has a GP who does.
.

Izabella Mon 30-Jan-17 19:40:16

*n&g. This is a difficult one. I have a relative moved to a bungalow due to bad knees and things became worse as she never "did steps". It may be such a scenario at the back of your GP's mind. Have you had a full assessment with a physio?

Synonymous Mon 30-Jan-17 00:14:55

Rarely does the GP listen I am sorry to say and there seems to be a set agenda. I do wonder if it is a coping mechanism because they are so over burdened. There certainly seems no empathy or even knowledge of the patient as the notes are rarely referred to on my visits.

The last GP I went to see at the beginning of this year used so much jargon that I really had no idea what he was talking about. I know that I am reasonably intelligent as is DH so I turned to him and asked if he understood what the doctor was talking about and was totally unsurprised when he replied succinctly, "Not a clue, all ggobbledygook".The more the doctor tried to explain the more inexplicable it all became. I have to admit that I got the giggles and actually laughed because the whole thing just seemed so funny and farcical! I had such a headache by the time I returned home and I was certainly none the wiser and was still without the help for which I had gone to him.

N&G Your visit seems to have been on a par with mine! 'Horses for courses' springs to mind when it comes to exercise. confused

cornergran Sun 29-Jan-17 23:14:36

One GP I worked with maintained that patients know their own bodies best when it comes to exercise. His pattern was to ask what they enjoyed and then build on that. He would grumble away at his colleagues when they complained a patient was non compliant with the specific exercise tegime they had recommended. He was also one of the least chatty doctors, often curt but he did listen to his patients no matter the issue and they appreciated it, he had a very loyal following and excellent results. If we take that approach n&g you know your body best, you are already very active, you now know which aspect of your physical fitness your doctor would like you to improve. You can achieve it with the right advice and without impossible stair climbing. Is there another doctor you can see in future?

Elrel Sun 29-Jan-17 22:37:03

Before knee op I was told to walk in water or swim but NOT breaststroke which, apparently, would be a very bad idea.
Then they closed and demolished the local swimming bath ?

thatbags Sun 29-Jan-17 22:25:41

I found that swimming made knee problems worse. Stairs don't. Climbing or descending stairs, or hills, can make my knees hurt but I think the exercise is also good for them. It's a different kind of pain from the one that swimming caused. I think your doctor might know what he's talking about, n&g, but I guess you know your own physical limitations. Hope you can find what helps your knees, if anything flowers

I've had to stop swimming and other aerobic exercise that I used to do a lot (cycling and Scottish dancing in particular) because they left me 'wrecked' for inordinate lengths of time when I developed ME.

Grannyben Sun 29-Jan-17 21:08:37

I had a really serious spinal injury and, after extensive surgery, my neurosurgeon told me the best exercise I could do is swimming or cycling. I have a terrible fear of water so it's cycling for me but, if you have problems with your knees I think swimming sounds perfect

NanaandGrampy Sun 29-Jan-17 20:03:55

But Izabella climbing stairs is bad for my knees smile luckily there's nothing wrong with my hips .

Even if I could do it, I climb one stair at a time holding onto the bannister . Coming down I come down the same way but more slowly in case my knee gives way .

I think I shall just do some pool walking and ignore the GP wink

Izabella Sun 29-Jan-17 19:58:35

Weight bearing exercise is best and swimming can be very bad for hips. Climbing stairs will keep the knee joint working and the hips engaged, it will also increase cardiac load.

M0nica Sun 29-Jan-17 19:33:48

I would have asked him how he thought you could do it, given your disabilities?

When doctors, do not think and say stupid things they should be challenged. It wasn't just that he wasn't listening, he wasn't looking either.

Jalima Sun 29-Jan-17 18:59:32

or ankles. (although I didn't break mine falling downstairs.)

Really must start exercising again and trying to walk more.

durhamjen Sun 29-Jan-17 18:57:47

Tell him you know too many people who broke their wrists falling down stairs!

NanaandGrampy Sun 29-Jan-17 18:13:43

He meant in one go Jalima to raise my heart rate ( or kill me!)

My bone density is fine as far as I know.

Anya I think pool walking is the way to go for me , I'm a good swimmer so walking is tougher I think. I might pop up to see the personal trainer to see if the exercise bike or treadmill is an option.

I def won't be killing myself on the stairs smile

Greyduster Sun 29-Jan-17 18:03:15

You're right mawbroon - what I meant to say is that it takes the weight off your joints! Anya it is called aquajogging and is quite relaxing when you get used to doing it. We do it as part of our aquarobics sessions - you can increase or decrease the speed as you wish.

Anya Sun 29-Jan-17 17:38:19

In answer to your question, no, I don't think you GP was listening to you. What did he say when you told him he was talking through his hat?

I have just started swimming again purely for the cardio work out. I do lots of walking but really needed to push the heart beat up more and swimming does that. I do notice several people walking up and down the pool. It makes for an interesting game of dodgems with the swimmers ? So I asked one woman why and she explained she was recovering from a knee operation and this was recommended.

Would you be able to walk like that?