I now have health insurance for the first time in years and years. I am lucky that I have been able to go without: I don't have any chronic health problems, I rarely get sick, and I hardly ever get hurt. I also have access to the kind of health care I do use--acupuncture, chiropractic, and naturopathy--for free or for trade, because my partners take good care of me. I trust them implicitly and I feel safe under their care. I also must say that I have not been sick this year, which is amazing, because I have had quite a few big transitions over the last year, and some of them were of the broken heart variety, which is usually a shoe-in for health issues. I feel my partners have given me excellent preventive care.
Except I have this mole. It lives right at the waist of every skirt and pair of pants I own. Over the last little while, it has become itchy. I did some research about melanoma and decided that this thing has to come off, so with my new health insurance I attempted to make an appointment with a dermatologist.
Uh, no.
I had to have a referral from my "primary care." And since I couldn't use my acupuncturist for that, I had to FIND a primary care doc. So I reckoned I'd just get one close to my house. I made an appointment to see a doctor at the Broadway Medical Clinic in my neighborhood. Here is the brief story of that visit:
1) My appointment is at 10:15 but I am asked to arrive at 9:45 for check in. Which I do.
2) At the reception area, there is a line longer than the one at the hostess desk at Cracker Barrel in Provo Utah on a Saturday night.
3) I wait in line.
4) They send me to a different desk, where I am given 64546484 papers to fill out.
5) I am asked to deliver my own chart to the doctor's chart thing, and to wait to be called in yet another waiting area.
6) I start looking around for the guys with the cattle prods. 10:15 comes and goes.
7)10:45 comes and goes. I wonder if there is a restroom or any water available. I'm thirsty.
8) 11:00-ish comes and someone calls my name. This person is a nurse who does not introduce herself but demands I get on a scale.
9) She leaves me in a room by myself.
10) After a long time, the doctor comes in. He does introduce himself. He asks me what I need today, and I explain to him that I have this mole with pearly opalescence and it itches and can I please have a referral to a dermatologist to have it removed?
Doc looks at the mole and agrees it should come off. He does not ask me any questions about my health. He does indicate that I should get a mammogram this year, as I am 35. (WTF?)
He sends me on my way with a referral.
11) It is noon. By the way I have had experiences with my dentist that have been more about my health than this "establishment of primary care." Also, my dentist is cute, but that is neither here nor there.
I should have never trusted this referral. I'll let the suspense build for Part Deux: The Derm to be posted later today. Oh. My. God.
2 comments:
hey missy, can't your naturopath be your primary care physician? just wonderin.
Mammogram at age 35????? The dude is smoking some major crack. Even at age 40 when they start doing them, they usually don't catch anything significant until a tumor is advanced. Now Breast Thermography is the ticket! Too bad the medical establishment has its head up its collective butt to make it mainstream.
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