WTF or One of the Many Reasons Why I Hate Physicians
Today I went to Starbuck's, as I often do mid-day to purchase a tall mocha light frappaccino. What, you might be thinking, no macchiato? Well, the macchiato is my morning drink and, in the summer, I often treat myself to a frappaccino during the work day. It gets me out of my office and it is tasty. Today, I even opted for a tiny shot of whipped cream. Living it up I am.
I walked in the door and my eyes immediately met those of a man seated in a chair directly across from the entrance. "Who is that. . ." I thought and immediately I knew. It was the incompentent and disgusting, Dr. Violin (not his real name). The momentary lapse in recognition was a result of the fact that I have only met him once and, at that meeting, he was wearing his scruffy white coat and we were in his offensively scummy office.
My oncologist and I have a running source of contention -- she wants me to have a colonoscopy and a mammogram. I would prefer to never have another medical procedure again as long as I live. That's one of the reasons I'm walking around with a chipped tooth (but, that's another story). The statistical probability of me being struck by colon cancer is higher because of the uterine cancer -- there's some sort of genetic connection between the two. I think the only thing worse than what I have already been through with cancer would be to find that I have colon cancer. Thus, no colonoscopy. What you don't know can't hurt you -- that's what I always say.
At my last cancer check-up, in order to further her subtle plan of forcing the colonoscopy issue, she offered to find me a primary care physician. The man who was my PCP when I was diagnosed is now a cancer patient himself and not practicing medicine. Funny how the world works. Anyway, I made an agreement with my oncologist, a compromise at the time, that I would have a colonoscopy when I turned 40. Unfortunately, that date is fast approaching. So that, combined with the fact that she wants my PCP to monitor my blood for god-knows-what, caused her to offer to find a PCP for me. She then passed the task off to her appointment manager, Jen. Jen is very nice and tried very hard to find me a PCP. Finally, she just had to resort to setting me up with a Brigham-affiliated physician that she did not know -- Dr. Violin.
When I arrived at Dr. Violin's office, I knew that I was in trouble. Although it is located in Brookline, it is the scankiest office I have ever had the displeasure to enter. I knew when I walked through the door that I should turn back around. In the waiting room were seated several people who may or may not have been breathing. Plopped in the center of the floor amonst the seated patients was a huge, dirty ladder with a man poised at the top attempting to change a light bulb in the 1950s-era fluorescent lights. Dust and other non-identifiable debris was crumbling down around him as he struggled to replace the bulb. I do not believe that the bulb replacement could possibly do much for the dingy, dank environment in which I suddenly found myself. The next thing that overwhelmed me was the awful moldy, musty smell that filled the air. The receptionist was behind a glass window and I had to sign in on a sheet of paper -- so that she would not be forced to interact with me, I assume. I should have ran away. I wanted to get it over with, however, so I carefully stepped around the ladder after I signed the sheet and sat down in a dirty chair. The smell was overwhelming. The magazine selection included two issues of Good Housekeeping from the 1970s and one Sports Illustrated that was slightly more recent. A man was already reading the Sports Illustrated, so I tried to find something interesting in one of the Good Housekeeping magazine. No good. I sat and tried not to look up because I was afraid that the falling debris might end up in my eye.
Soon, a short, round clammy-faced man came out and called the name, "Rachel." Okay, not uncommon. Most people cannot find a way to distinguish between "Rachelle" and "Rachel." I corrected him and cringed when he shook my hand with his limp wrist and clammy palm.
"Right this way," he muttered.
He lead me into an office that was, surprisingly, even more skanky than the waiting room. There was a sliding glass door leading outside from his rather large office. I found that odd. He had a desk and a computer and beside his desk, close to the glass door were two high-back purple arm chairs facing each other.
"Please," he said as he gestured toward the chair closest to the door. He sat down and I looked for a moment at the disgusting, smelly chair and decided it might be rude to go back out into the lobby to get the Good Housekeeping magazine to sit on so that I would not make contact with the dingy chair.
"What brings you in?" he asked.
"Well, I need a new PCP so I am shopping around," I replied. I wanted to subtly make him aware of the fact that I will not be coming back to his office again as long as I live.
"Okay," he slowly warbled. "So, how has your health been in the last couples of years?"
Are you fucking kidding me??? I almost fell off the disgusting chair, but did not because I would have landed on the even more disgusting shag carpet. How has my health been. Holy shit. Can you read? Do you bother to check my record before meeting me for the first time?
"Uhhh, did you read my file? Don't you have access to my records?" I asked, looking over at his computer. He's a Brigham affiliated physician -- his computer links directly to their database of patient records. He has access.
"Well, I glanced at it, but I didn't have time to study them carefully," he replied. He lied. I know he was lying. He did not bother to look.
Yeah, I thought. You've been too busy not seeing the two patients who have been sitting in your waiting room since yesterday. "Here's the deal, dipshit, read my records. I had cancer, you asshole." I said. Okay, I didn't exactly say that, but I did not mask my agitation. I did told him that I thought it would be appropriate to look at my records before seeing me. "Do I really have to recount my entire story for you when you can gain an understanding by simply taking the time to read?"
Then he began asking me the most bizarre questions as if he was reading off of a script. He did have a clipboard in his hands and it probably was holding a script. "Do you enjoy an alcoholic beverage with a meal?" he asked. That's a real, direct quote. And he delivered it completely deadpan. I know I should have ran out at that point. But, no, I did not. I thought, well, I can at least get the blood work out of the way and then find a new doctor.
Instead, I laughed. "I don't really drink too often."
He lead me into the exam room and handed me a jonny, "please put this on."
"Why?" I asked, incredulous.
"So that I can do an exam," he said in the most patronizing way imaginable.
"What sort of exam?" I asked. "I just saw my oncologist and she did a thorough exam." You're not even going to be my doctor, butthead, so I'm certainly not putting on a jonny. Besides I've had enough jonny-wearing to last a lifetime. Jonnys are bad and unnecessary in most cases.
"Well, now," he said, dripping with condescention, "I need you to put this on so I can do an exam. Look, it's a nice, comfortable jonny." He waved it around with his limp wrist. "It ties in the back. You can leave your panties and bra on. It's fine," he claimed.
Fine. right. Gee, thanks. I'm so happy that you will allow me to leave my "panties and bra" on. "No. What could you possibly need to do that requires me to wear a jonny?"
"I need to listen to your heart."
By all means, I should get naked, then. "I don't need to wear a jonny for that."
"Well, it's easier for me if you do."
Easier for him?? "Easier for you?" I asked. "What about what's easier for me? I am not wearing the jonny."
"Well, I will go read your file and think about it."
Think about what? Are you going to call your nurse in to hold me down while you strip me and put me in the jonny? "There's not much to think about since I'm not putting it on."
He then left the room and a woman with a needle came in to draw my blood. I am quite certain that she was not a phlebotomist or licensed in any capacity. My evidence for this statement is the fact that, in order to draw my blood, she pointed at my arm and grunted. When I raised the arm, she made a fist with her hand, released the fist and pointed again at my arm.
Being a pro, I asked, "you want me to make a fist?" She nodded.
I made a fist and she swung her arm back, grasping the needle in her hand and quickly plunged it into my arm. At least I got the blood work out of the way. Dr. Violin returned and made some listening-to-your-heart gestures, told me to call his assistant if I needed a referral and then stuck out his clammy hand and said, "I'm happy to be your primary care doctor."
"Ha ha ha ha ha. You are sooo not going to be my physician nor will I ever set foot in this office again," I said in my head as practically sprinted out of his office.
What the F*ck was he doing in MY Starbuck's?



