Tuesday, April 02, 2019

A doctor’s appointment can sure mess up the day




After my many encounters with the medical profession over the last couple of years, a medical appointment makes me nervous. Today I had a 1:15 appointment for a follow-up with the nephrologist. I knew ahead of time that the blood work looked good, and I expected her to dismiss me—quickly.

Still, I never settled down to any serious work all morning. I did odds and ends and spent too much time on Facebook; I indulged in a luxurious reading of the newest issue of Southern Living and found several recipes I want to try—sautéed radishes with bacon and cilantro, for Christian who  loves radishes; I deconstructed some boxes—I do wish Amazon would be more environmentally conscious with their packaging. I ignored the unfinished food blog I drafted yesterday and the last remaining bit of research material on the Alamo that called for one more search. I was a dilletante.

Christian went with me to the doctor’s office, and we arrived on time. I was seen quickly by the nurse who took my blood pressure and weight and all that and assured me the doctor would be right in, closed the door and left me in a sterile exam room. No wifi, so I couldn’t even read emails or call up a book on my Kindle account. I sat, alone with my thoughts, which grew grimmer by the minute. Out of desperation, I scrolled through the pictures on my phone and did a bunch of housecleaning—which later made Christian laugh.

Finally after an hour, I ventured out to inquire and was told they were waiting for lab results. A mix-up I was sure I had straightened out the day before and had left a message to check on this morning—all, apparently, to no avail. I decided to sit in the waiting room with Christian rather than alone in that blank room. After a few minutes I volunteered that I had the lab results on my computer at home—how about if I went home and called them in? I mean, this was getting ridiculous!

Finally, the doctor got the results, talked with me, apologized profusely, said everything looked fine—better even than the last visit, and she’d see me in six months. I was aghast. “You mean I have to do this again?” She was a bit stiff when she said, “You don’t have to. It’s up to you. You can follow up with your primary care physician if you want.”

I’m not sure what I want. But I do know that I came home, tried to nap and was too upset to sleep, and have now wasted the rest of the day. Writing this blog is the only constructive thing I’ve done all day.

I grew up in a medical family and have been on the edge of the medical community all my life. My father and my ex-husband were osteopathic physicians; my brother, nephew, his wife, and a niece are physicians today. At fourteen I want to work in the administrative offices of a hospital; between college and grad school, I was a pathology secretary. It’s not that foreign a world to me, nor one that intimidates me. I know that incidents like today shouldn’t happen, that medical practices can be run more efficiently. I’m not casting blame here on either the primary care office, where the blood work was done, or the specialist’s office. But I am saying doctors need to pay more attention to the public relations side of their practices.

I am becoming a patient advocate, and first of all I’m advocating for me. Today reinforced my refusal to be caught up in the medical machine. We definitely need an overhaul of our patient care system—insurance yes, but patient care almost more importantly.

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