Dorothea gets annoyed at being asked why she took so long to go to a doctor for arm/wrist/hand pain.
"Could someone who’s a doctor kindly explain to me the point of this question? And how I’m supposed to answer it?
I mean, I can think of several answers. There’s the entire sociology of women and self-neglect, but that would take far, far longer than a half-hour appointment to explain. There’s my personal history of doctors blowing off my symptoms, but somehow I don’t think doctors like to hear about their patients’ bad experiences with them.
There’s “BECAUSE IT EFFING HURTS, DAMMIT, AND I WOULD LIKE THE PAIN TO STOP NOW PLEASE.” I dunno, though. Is that too obvious?
It just seems to me that the question is phrased to express maximum disbelief and disapprobation. You’ve been hurting for years, why bother me about it now? Life hurts. Suck it up and deal. Or Coulda helped you years ago, you moron. What kept you? And the tiny little sniff that invariably greets whatever answer I actually give (I said, “Because I’ve tried all the self-care options I can think of, and nothing is working.”) does not improve doctor-patient rapport. At least, not when I’m the patient."
I'm with her there.
The system is not designed for people to come in with problems EARLY, before they go bad, really. Usually it takes several weeks to get a short amount of time for an appointment, which you have to take off from work to go to. And for something like pain, you're likely to get blown off or told to take some aspirin or something. It's enough of a cost to the patient (possible money loss + time drain + likelihood of something being fixed correctly being low = "well, this isn't THAT annoying as yet, I can wait.").
For example: one time, many years ago, I had a lot of papers due within a week's span of time. After which my arms somewhat hurt for a few weeks afterwards. I told my mom when I went home for Christmas break, at which point she freaked and dragged me to the doctor. He uh, examined me for maybe a minute tops, then told me to take an absolute shitload of Advil several times a day for six weeks. I don't like to take Advil much in the FIRST place, so this freaked me out. And in the end, everything wore off even after I'd given up on choking down the Advil. Suffice it to say that if I feel any kind of twinge, I wait awhile to see if it's worth the time investment to go.
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