Erection & Scrotal Problems –
Doctor R’s letter to HDC regarding myself.
I have been reading what Dr R wrote to the Health Disabilities Commission in regard
to my complaint. I’ve decided I want you all to know what Doctor R is capable of.
In all appointments with Dr R, despite what occurred, I was never anything other
than polite & courteous.
After Doctor R’s examination of my scrotum, where he asked no questions and
said following his examination “it looks like it should now”.
The next day when my testicle looked ‘skinned’.
So between the 17th April and the 3rd May 2013, that is 17 days, just 17 days was
all the time that had transpired between the 1st and last of the appointments
with Dr R.
THIS IS WHAT DR R WROTE TO THE HDC IN REGARD TO MY COMPLAINT :
I am in receipt of your letter dated the 10th May 2013 regarding a complaint by
Mr X. I strongly refute his accusations.
Mr X presented on 17/4/13 to myself ... because of concerns with his left testis.
he told me that during a massage ..... he agreed to have the massage ‘finished
properly’. He reported that he was then subject to a forceful scrotal
wrenching .... (WOW !)
The history (some history that I told him a week later) he relayed to myself
suggested some trauma to his testes, especially the left testis (the history
was the right testis) and it was important to perform an examination to
ascertain any pathology. I asked Mr X if i could examine his testes and scrotum.
He agreed. ...Bla bla...
At no time did Mr X refuse or indicate that he did not want to be examined.
A careful and clinical assessment was performed and I could find no evidence of
any serious pathology. Due to the concerns Mr X had regard the tearing of the
perineum and left testis, I felt it prudent to refer him for a urological opinion. At no
time did I attempt to manipulate his testis and his allegations pertaining to this are
erroneous and misinterpretation of a clinically justified and careful examination.
I never said “it looks like it should now”, although I did reassure him that his testes
In fact appeared to be normal in position and shape with out any evidence of any
testicular or epididymal problems.
At this stage I was unaware that Mr X had previously complained to the Medical
Council about a Urologist who performed an examination on him 27 years
previously. It appears the previous complaint has a very similar narrative to the
current complaint before the HDC
The following day Mr X presented again complaining that since the examination
he had developed a loss of tension in the perineum, the scrotum felt loose and he
had a sensation of tearing and ripping in the testis (what ! The ripping & tearing
sensations were 29 years ago. The loss of sensations in my right scrotum & right
perineum was part of my complaint to the The Medical Council in 1990).
He believed that tissue fibres were missing in the perineum and that his left
testis had dropped . I explained that it is the norm to have one testis lower than
the other and that it is usually the left testis is lower. I reassured him that nothing
I did could possibly have caused or contributed to these symptoms, (where was
I when this conversation took place) but I was concerned about his bizarre claims
and preoccupation with his irrational beliefs.
(Now it gets really good )
A consultation 5 days later on 23/4/13 was undertaken and I became increasingly
alarmed by his progressively more bizarre beliefs and associated with this he
appeared to have depressive thoughts. I suggested referral for a psychiatric review
which he refused. I then suggested antidepressants but he refused these also.
On 3/5/14 he again returned after being seen by a Urologist. He reported a very
wide range of symptoms and signs for which I could find no logical reason except
that he was obsessed by his irrational beliefs and that he was suffering from a
psychiatric disorder. I suggested another opinion, which he was reluctant to
accept as he told me it would be a waste of time , as the urologist would just
tell him “everything was just normal”. I also suggested a psychiatric review
again, which he refused. Although I was very concerned about his mental state
I did not believe that there were grounds to arrange for a compulsory
assessment of his mental health under the provisions of the Mental health Act.
I did not perform any clinical examination after my initial examination on 17/4/13
as I felt “unsafe” and vulnerable in view of his implausible claims, which seemed
to escalate at every appointment. I did however, and still do, have concerns about
his mental health.
I trust this is helpful to the HDC in the assessment of Mr X’s allegation.
WOW.... speechless ...all this in 17 days & even after my complaint
to the HDC on the 30th April, 2013.
Shame on you Dr R... how I wish I had tapes of our appointments.
These are his words to the HDC.
Note:
I have a copy of his referral for outpatient appointment. In very small print
it says -
Referral reason and provisional diaognosis :
“L testicle now has dropped and feels shrunken following examination recently”
Regardless of the exact meaning of this comment, the words ‘left testicle
has dropped & feels shrunken as a result of examination is an accurate
reflection ‘ of what occurred.
