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Doctors, nurses, and staying healthy

We Hope They Weigh Their Options Better Next Time

, , , , , , | Healthy | August 7, 2022

I am a full-time wheelchair user due to cerebral palsy. I am able to stand and walk with assistance, but I’m unable to balance on my stiff and wobbly legs alone. I have a… complicated… relationship with gravity.

At my most recent physical, they need to weigh me. Fine. They have a wheelchair-accessible scale, so I can just roll right on, but I don’t know the weight of my chair for them to subtract. Instead of doing the reasonable thing — put me in an office chair and weigh my wheelchair, then put me back in the wheelchair, weigh me and the chair, and do the d*** math — they decide to have me stand on the scale.

There are grab bars, so I get upright and positioned for the weigh-in, holding on for dear life while putting all my weight on my feet.

The scale shows an error. Joy.

Nurse: “Let go of the bar.”

We try again, and I try desperately to stay upright under my own power. I grab the bar again to keep from falling, and the scale throws another error.

For the third try, I just drop down into a four-point crouch.

Me: “Let’s try it this way.”

The scale (finally!) got a reading. I climbed back into my wheelchair and spent the next several minutes just sucking air because all that activity triggered an asthma attack.

Would You Rather Not Be Warned?

, , , , , , | Healthy | August 5, 2022

I have a relatively common issue with my blood pressure. There are a lot of routine things that make a person’s blood pressure spike, pain being a common one. The problem for me is that my blood pressure is especially reactive and doesn’t come back to equilibrium easily; it doesn’t take much to make it spike, and then when it tries to regulate itself, it overcompensates and nosedives, instead. This isn’t dangerous, for the most part, just irritating, because it means that I faint extremely easily from relatively little stimulus — for example, getting blood drawn. I’m used to skepticism about this, but this was by far the worst example of condescension I’ve come across in a while.

Also worth mentioning is that, because I faint so frequently, it holds no dread for me. It’s not fun, but it happens. I lay there for a bit, I get up, and I get on with my day. So, even knowing that I am facing a trigger doesn’t give me any anxiety. This is just what we’re doing today.

A visit to my general doctor ends with him wanting to check my thyroid levels (because I’m blessed with both this issue and an autoimmune disease that can only be monitored through a blood draw), so a somewhat impromptu visit to the lab ensues. When I get called back, I immediately inform the phlebotomist. It’s just polite.

Me: “Oh, just so you’re aware, I have a fainting reaction, so if I could lie down for this—”

She just rolls her eyes and points me to a different room than the original one she was leading me to, presumably because there wasn’t a table in the first one. It’s not a promising start, but oh, well. I stretch out on the table and she comes back with her supplies.

Phlebotomist: “Name?”

Me: “[My Name].”

Phlebotomist: “Date of birth?”

Me: “[Date], 1989.”

Phlebotomist: “Well, about time to grow out of this, then, isn’t it?”

I just stare at her for a second. I’ve never had someone be quite this aggressive about it.

Me: “I… can’t. It’s not a psych issue; it’s physiological. I literally can’t help it.”

She gives another eye roll and sits down next to me.

Me: “Seriously, if I faint, I will probably be less bothered about it than you will.”

Phlebotomist: “Sure. Did you drink any water today? Your veins are being difficult.”

Me: “No. It’s 9:00 am and I didn’t think I was doing bloodwork today.”

Phlebotomist: “Ugh. Well, you should have. It would make this easier for both of us.”

At this point, I’m almost hoping I will faint. My eyes don’t close and it freaks people out something awful. Ironically, when she finally gets to the stick, she does so well that I don’t feel it, which means no blood pressure reaction. As soon as she pulls the needle out and has a bandage on me, I pop up from the table.

Phlebotomist: “Oh… you’re okay?”

Me: “Yeah. It’s the pinch that does it. But you did a good job and I didn’t feel anything, so I’ll be fine.”

Phlebotomist: *Looking slightly baffled* “Oh…”

Me: “Yeah, whatever. Thanks.”

I get that it’s probably frustrating to deal with people who have phobias or are just extremely pain-averse — not that you shouldn’t treat those people with compassion, too, as being snippy with them is only going to make the anxiety worse — but I don’t think I could possibly have looked and sounded more nonchalant for the entire exchange. She still acted like I was throwing a toddler tantrum. I’m sorry my blood pressure is a drama queen, but skip the attitude, maybe?

At Least You Have A Nurse Who Cares

, , , , , | Healthy | August 3, 2022

Surgeon: “You need a colonoscopy. It will be on Friday. Arrange transport home, because you won’t be able to drive. Are you on medication?”

Me: “Yes, [Strong Stimulant For ADHD]. Why, will I be knocked out?”

Surgeon: “Anaethetised? Not quite, only sedated. Either way, it takes a while to wear off.”

Me: “Can I cycle there and get a train back?”

Surgeon: *Pauses* “Yes, but you have to walk back to the train station. The nurse will ask you about sixty questions. She has to be sure who you are, so be patient.”

A colonoscopy. Lovely. On Friday, I am escorted to the private room. I am told to take off everything — underwear, jewellery, the bunch — and wear only the theatre gown. I lie under the duvet and read a book, waiting for the nurse.

In walks the stereotypical matron — a short, plump woman aged about sixty. She speaks in a plain, English accent, and she’s very terse with no sense of humour. I’m a young man.

Nurse: “I am here to ask you some questions. I need to go through them all in order, and I need an exact answer — nothing more, nothing less. Do you understand?”

She’s right. Patients have died because the wrong patient was operated on, etc.

Me: “Yes.”

Nurse: “What is your full name?”

Me: “[My Full Name].”

Nurse: “What is your date of birth?”

Me: “[Date, month, year].”

Nurse: “What procedure are you having?”

Me: “A colonoscopy.”

Nurse: “Have you taken off all your clothes?”

Me: “Yes.”

Nurse: “Are you currently wearing corrective spectacles?”

I pause for a minute and consider saying something silly, but I don’t trouble her. She is still looking down at her clipboard.

Me: “No.”

Nurse: “Are you currently wearing contact lenses?”

Me: “No.”

Nurse: “Do you normally need vision corrected?”

Me: “Yes.”

Nurse: “What transport home have you arranged?”

Me: “I will take the train.”

Now she’s looking agitated and confused. Somehow, these questions aren’t going as she expected. She looks at the floor, at my cycle helmet, lycra shorts and top, and cycling shoes — lots of hi-viz. Finally, she looks up.

Nurse: “How did you get here today?”

Me: “I cycled.”

Nurse: “How far?”

Me: “Twenty km.”

Nurse: “Where are your spectacles?”

Me: “Home.”

She puts down the clipboard.

Nurse: “How did you see to get here?”

Me: “Contact lenses.”

Nurse: “Where are they now?”

Me: “In the bin.”

Nurse: “How will you see to get to the train?”

She looks again at all of my cycling stuff.

Nurse: “Does the surgeon know about this?”

Me: “Yes. Check with him.”

She leaves. Enter the surgeon.

Surgeon: “Hey, [My Name]! Ready to get a camera shoved up your a**e?”

Me: “Mister [Doctor]! Depends if I can get past Judge Judy there. She seems to have a problem with my eyesight… or trains. What’s going on?”

Surgeon: “Yeah, she’s a bit procedural, but she has to do it exactly as it’s written. Patients have tried to drive home, crashed, and then sued hospitals. She has a list of allowable forms of transport, which doesn’t include trains. Even if it did, you have so much lycra with you that she doesn’t know whether to believe you.”

Me: “You approved it. What do you want me to tell her?”

Surgeon: *Pauses* “Just change your answer to taxi. Look, the sedative affects everyone differently. You of all people know whether you would be safe getting home because you have been managing your own concentration levels with [Stimulant] for years. I’m happy with anything other than driving. Just tell her taxi.”

Me: “Okay. What about the glasses thing?”

Surgeon: “Yeah, she can’t figure out how you’re going to see anything because you threw out your contact lenses.”

Me: “She could have asked. I brought spares.”

Surgeon: “She could have asked. [Nurse], come in, please. He’s brought spare contact lenses to see on his way home. Ask [My Name] how he is getting home again.”

Nurse: “What transport have you arranged home?”

Me: “A taxi.”

Nurse: *Smiling brightly* “Excellent. Off to theatre, then.”

The colonoscopy happens. I don’t remember much thanks to the sedative. I get dressed, take some [Stimulant] (per my prescription), and go to the cafe. I feel wide awake. It’s just like a normal day… so I cycle home.

The follow-up appointment comes the next week.

Surgeon: “How did you get home?”

Me: “I had some [Stimulant], that knocked the sedative out of me in an hour, and I cycled all the way home to [Town].”

Surgeon: *Laughing* “The nurse was right not to believe you! How did you feel the drug was working? Did you feel at all sleepy?”

Me: “Not at all. I was wide awake.”

The surgeon just laughed again, wrote the final report, and discharged me.

Living Up To The Stereotypes

, , , , | Healthy | August 1, 2022

I’m a nurse in a hospital ward. I’m standing in the nurse’s station, trying to decipher how a medication is supposed to be given.

The medical teams are doing their ward rounds, so there’s a whole gaggle of doctors present discussing things amongst themselves, so I figure I’ll outsource this problem.

Me: “Hey, can someone translate some doctor’s handwriting for me?”

There’s a small laugh from the group.

Doctor #1: “Yeah, sure.” *Looks at my paper* “Oh, that’s my writing!”

There was a much larger giggle from the assembled medical team.

Hey, at least it meant he knew immediately what it said!

Perhaps We Should Appoint Someone Else To Deal With This

, , , , , , | Healthy | July 30, 2022

I work at the front desk of a clinic. The mother of one of our clients calls.

Caller: “Why hasn’t my son had an appointment with his case manager?”

Me: “Did you call to schedule one?”

Caller: “No. I didn’t know I needed to. Why wasn’t one made for him?”

Me: “Like many clinics, we don’t schedule appointments for people unless they ask for them.”

Caller: “How was I supposed to know that?!”

Me: “…”