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Topic: Is it normal to not get examined when at the GP?  (Read 1677 times)

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Is it normal to not get examined when at the GP?
« on: November 01, 2011, 11:12:00 AM »
So, I just had a baby three months ago so have been to the GP several times for my postpartum check and questions/concerns about the healing process. Anyway, I was really, really surprised that at all of these visits, they didn't give me a check. When I first went in and they sat me down in an office and asked how I was feeling, I thought it was just a nurse or something and the doctor would be in later to give me a check. I was super surprised when she said "okay, thanks for coming!" and showed me to the door.

At the risk of sharing too much information, I had a pretty nasty tear during the birth and had to transfer to hospital to get it repaired. Because of this I really thought that they would check to make sure everything was healing okay. The last time I went, I straight out asked them if they could have a look and they said no it wouldn't be necessary!

They didn't even check my daughter out during her 8 week appointment, no weighing nothing. I come from a family of doctors, so this was really weird for me. My mom said if we were in the states my daughter would've been weighed, measured, eye examined, etc etc. I don't know, I guess my question is: is this normal or should I find another surgery?


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Re: Is it normal to not get examined when at the GP?
« Reply #1 on: November 01, 2011, 12:12:10 PM »
It's normal.  If you want them to check your tear you really need to insist. 


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Re: Is it normal to not get examined when at the GP?
« Reply #2 on: November 01, 2011, 12:13:29 PM »
I'd say it comes down to a difference in philosophy between the US and UK.  

In the US, they test for everything possible and in most cases insurance foots the bill.  Also, there's a much greater lawsuit culture in the US, so doctors are afraid of getting sued for the slightest mistakes.  

In the UK, they rely on the patient's description of the problem to determine what the most likely diagnosis is.  In a publicly-funded system, specialists and scans are expensive and most often just confirm what the doctor already knew.  The practice of medicine in the UK seems to be much more practical and problem-focused rather than the cautious-preventative model in the US.

In your case, they probably figured that if there were a problem with your wound you would have said so.

As for whether they should have examined you when you asked for it, it could just be a miscommunication depending on how you phrased the question.  If you said "will you look at my wound?" (an inquiry) then the answer is what you got: no, they're not planning on it.  If you said "please look at my wound" (a request) and they didn't, then if it were me I would have a problem with that.

I don't really know much about baby care, but judging by the whole philosophy of how the UK system operates, I'm not surprised that they would rely on you to report problems rather than have the GP go looking for them.  Everyone knows a mother's instinct is often the most reliable, anyway. :)

But of course, if you're concerned then by all means ask them about it.

NOTE  I am merely an educated layman.  My comments are not to be taken as professional advice.  I speak only for myself, and not my employer or any other organization.  Side-effects include headache, upset stomach, and the realization that advice found on the Internet should be taken with a grain of salt.


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Re: Is it normal to not get examined when at the GP?
« Reply #3 on: November 01, 2011, 12:58:31 PM »
Doesn't a Health Visitor see your baby?


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Re: Is it normal to not get examined when at the GP?
« Reply #4 on: November 01, 2011, 03:02:35 PM »
I think the HV visits would have stopped already.  My friend, who is here sometimes, just had a baby and the GPs office did not do well baby clinics.  She had to go to the local hospital which was a 45 minute trip.  Since she doesn't drive and there is no bus access they gave her extra HV appointments. 

There might be a well baby clinic in your area you can go to on a drop-in basis.


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Re: Is it normal to not get examined when at the GP?
« Reply #5 on: November 01, 2011, 03:25:02 PM »
I think it can vary by area, also.  With both of my kids, I had regular home visits from a midwife for the first two weeks post-partum. The only time I was physically looked over by a doctor was about a week or so after my son was born.  I had a C-section and the midwife (who was doing regular wound checks at my home) thought it might be getting infected so she called the GP and sent me over to get checked out more thoroughly.  With my daughter (vaginal birth) I think she only checked me once to make sure the stitches were okay. But she did ask regularly if I had any unusual pain or other concerns. After the two weeks, the midwife signed off over to the health visitor.  With our GP practice, the health visitor is primarily responsible for vaccinations, developmental checks, etc until the child is school age.  I don't think my kids have ever been weighed by the GP.

If you are concerned that you aren't getting adequate care...definitely try to talk to your doctor and/or health visitor. 
The Guide For Working Families review http://londonelegance.com/transpondia/twfg/


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