Has BC made me into a crazy woman?

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Sorry guys, but here I am venting yet again.

 I've already posted ad nauseaum about how angry and frustrated it makes me that physicians and their staff obstinately refuse to use my title. I worked long and hard years to earn that blasted European doctoral degree (6 years post-grad studies, a 380-page dissertation in two volumes, a 4 1/2 hour public defense, and two years as an intern). It's mine, dammit. But no, they'd all rather eat live worms than address anyone other than a physician as "Doctor." So I remain Miss or worse -- how about "Miss Annie"!

 Now I have yet another beef: the fact that physicians and their staff schedule out-of-town appointments for me with total disregard for all instructions I've given regarding what days I am ABLE to leave my work to travel to another city. Even though I told my BS's assistant very forcefully that I teach graduate seminars M-T-W-TR, and can therefore only go out of town for consultations on Fridays, I just now got an email from the doc himself announcing that I have an appointment for this coming Tuesday in a city 300 miles away.

How in blue blazes do they think I come up with their co-pays? Do they believe I have a wealthy husband who simply hands me blank checks? Does it ever occur to them that I have to earn a living, and that maybe they should think about planning their blasted appointments around the schedule that pays their salaries?!

So I have to try to reschedule. Why in blue blazes didn't they simply let me schedule this appointment myself? I offered to do so, but they insisted it needed to be done through their office. Maybe because I'm not smart enough to figure it out on my own? After all, I'm not a physician, right?

Dammit, I did not agree to give up my dignity, my position, my achievements when I got breast cancer!  I'm still the person I was before -- or has that changed too? Goddamit I hate this effing disease and everything it has taken away from me and from my life! Boy, am I furious.

In disgust,

Annie

Comments

  • Mawm
    Mawm Member Posts: 1
    edited September 2008

    Dear Doc Annie,

    Sorry for the crap you are going through following the rules of the 'system'. This annoyance will teach you how to treat your own patients regardless of their position in life, as long as you remember to treat them as humans and not be degraded as you were like the majority of us have been.

    This is how patients are treated and perhaps you can be a pioneer in changing it for the rest of us.

  • HeatherBLocklear
    HeatherBLocklear Member Posts: 1,370
    edited September 2008

    Dear Mawm,

    Unfortunately, I have "only" grad students, not patients. I'm glad to be able to affirm, however, that I treat my students with great respect and dignity under all circumstances. People are fragile; we should have regard for one another.

    Thanks for your response, Mawm!

    Annie Camel Damn

  • lvtwoqlt
    lvtwoqlt Member Posts: 6,162
    edited September 2008

    Dr. Annie Camel tail/breath, you are not crazy. If I had spent that much time getting a degree I too would want that recognition. Have you tried addressing your doctors as Mr. so & so?

    I too would get frustrated when they would schedule appointments for me without checking the schedule that I had given them. I got a card that it was time for my eye exam and the appointment was already made. I checked and the appointment was not a full 365 days after my appointment last year and my insurance would not cover it until it a full year had passed. It was also time for my hubby and he is a long haul trucker, he is only home certain days of the week so I had to call and reschedule both appointments.

    Sheila

  • pinoideae
    pinoideae Member Posts: 1,271
    edited September 2008

    Remember you have a medical advantage.  You actually understand what the medical profession is telling you.  It must be tough to be a patient when you are the doctor (I heard the analogy doctors make the worst patients).  But c'mon, scheduling an appt 300 miles away.  Are the staff trying to make sure you see the best doctors, after all, the medical community has this inside information.  The rest of us learn as we go.  Doctors offices have to follow rules to get paid, and that could include rescheduling appointments.  Just ask your medical secretaries. Take a breath Annie, take it easy.  You will get through this.  Remember to try to be proactive instead of reactive, and things should fall into place more easily for you.

  • OneBadBoob
    OneBadBoob Member Posts: 1,386
    edited September 2008

    Dr. Annie, have you ever stated "I would prefer that you address me as Dr. Camel Breath, please" directly to any of the staff?  Or, "David, nothing personal, but I would prefer that you address me as Dr. Camel Breath and I will address you as Dr. Jones.  We have both worked long and hard to earn our titles, and I think using them will improve our professional relationship."  One can do this quite nicely, with a smile, and it is effective. 

    And if someone forgets and you feel nice and nasty that day, when they address you as "Annie" state clearly "It's Dr. Camel Breath, to you."

    Take affirmative action my dear to take back what this beast has taken from you for the moment, and I think nicely insisting you be referred to as Dr. Camel Breath is a great first step. 

    As for this appointment scheduling 300 miles away, I am speechless. 

    Geesh--you might start by having a friend (or one of your assistants) call and say "This is Dr. Camel Breath's secretary and she is unable to make the appointment you have scheduled for such and such date due to professional engagements.   She will be available for an appointment at that destination on any Friday between such and such when given three days notice."

    Annie, I feel that a year ago I was so shell shocked by all this I allowed a lot of people to treat me in a manner that I will no longer tolerate.  I guess that is part of getting our "gusto" back that bc tried to take away.  It will happen to you also.   

  • HeatherBLocklear
    HeatherBLocklear Member Posts: 1,370
    edited September 2008

    BadBoob -- BLESS YOU! I've actually been terrified of getting in anyone's face because of the possibility of inferior treatment as payback (I've experienced that in the past).

    However, I am going to do as you advise -- what can happen now, other than that they get offended? Maybe I should start believing it's better for them to be offended than for me to have a stroke out of fury and frustration?

    Thanks, Bad, you're a real sister.

    Annie Camel Wrath

  • OneBadBoob
    OneBadBoob Member Posts: 1,386
    edited September 2008

    Indeed Annie, it is better for them to be terrified and watch their p's and q's and know you are someone to be reckoned with, period.  You can get into anyone's face very appropriately, as long as you smile and are polite, you can still terrify them.  And always come accross as two steps up from them socially and intellectually, which you know you are.  And if feels so good!!!!!

    he he he--I always get it in there that my hubby and two sons are lawyers and want to read anything before I sign it.  I would highly recommend you sneak something like that in--son, nephew, etc.--believe me, they take mental note of it.

    I have had some real shit treatment through this all--the latest being a mistake on my pathology report I just found out about--I called the pathologist this morning and was told she does not speak to patieints.  When I told the woman who answered the phone about the mistake, I told her I expected a call from the pathologist this morning and it was not negotiable.  Lo and behold, the pathologist called me this morning and thanked me for picking up the mistake and said that she would issue an amended report.  I said don't thank me, Fed Ex all my slides to Dr. so and so at NYUMC and she will re-read them and issue her own report.   She said she wanted to re cut the slides and redo the pathology again herself, then issue a new report, and then would send them off to NYUMC.  I think she is a little afraid of me.  Good,

    Now, they are all dealing with me on a whole different level than the frightened, trusting breast cancer patient I was a little over a year ago at my diagnosis. 

    And I picked up all my files and films from my old breast surgeon, and cancelled my appointmnet with her.  Speaking with our daughter (who is an M.D.) I said should I tell her why I am giving her the boot?  She said no, just go get your stuff and let her worry for two and a half years (statute of limitations) about whether you are going to sue her or not. (sorry for the hijack!)

    You go girl, not a crazy person, but Annie with the strength of a Camel to be respected and reckoned with.

  • otter
    otter Member Posts: 6,099
    edited September 2008

    Dear Annie Camel Wrath,

    When did you first discover that you had become a crazy woman?  :)

    I want to comment on two things:

    I absolutely agree with you about the scheduling issue.  All my BC-related appts (exams, treatments) are at a medical center that's a 2-hour drive from home...and that's not counting an extra allowance for heavy traffic during rush hour.  Like you, I would much rather be allowed to schedule my own appts., but certain medical offices will not allow that. 

    The receptionist at the DEXA bone density/osteoporosis clinic, for example, said only my onco's office could make that first DEXA appt for me.  But she said as soon as I found out when the appt. was, I could call and change it if it wasn't convenient.  That worked out OK.

    The nurse at my onco's office told me she would schedule my next re-check appt and next mammogram.  I wanted to wait for the dates and times; but she said, no, we'll set up the appts. and send you appt. cards.  Sure enough, when the postcards arrived, I saw that the mammo was scheduled for 8:30 in the morning--which would require me to get up at 4:30 a.m. to get there on time.  NO WAY! 

    OK, now about that other issue:  the title, "Doctor."  Annie, I understand how you feel about that.  (You know why I understand.  A former colleague of mine used to call me "Doctor Doctor", just for fun.)

    I have worked with clients in a health profession setting, both as a student and as the person carrying the title, "Doctor".  Some of my clients signed in as "Doctor...", introduced themselves as "Doctor....", or otherwise made it clear that they wanted to be addressed as "Doctor ...".  Regardless of whether I thought that was appropriate, my institution's policy was to defer to the client's preferences.  If I knew the person was a "Doctor" (medical, dental, veterinary, professorial, whatever...), I would typically address the person as "Doctor" unless he/she corrected me.

    OTOH, I did not like to be called "Doctor" when I was the patient or the client.  Generally, if someone addressed me as "Doctor" in an exam room or clinic lobby where I was the patient, I quietly asked the person to skip the title, because my professional title wasn't relevant to the reason I was there.  I would much prefer the "Ms" that is used nearly all the time here in my area of the country.  Nevertheless, my GYN of many years enjoyed calling me "Doctor" each time he saw me.  He even gave me a "professional discount" on the fee for each office visit (which my insurance company gladly claimed as applicable to their share of the charges, of course). 

    I think if it's important to you for people to defer to your title, you should ask them to do so.  But, I don't think you ought to assume that they know how strongly you feel about this.  They might think you think like I think (heaven forbid!).

    Hugs, Doctor Annie Camel Wrath...

    otter

  • ICanDoThis
    ICanDoThis Member Posts: 1,473
    edited September 2008

    What they said.

    The bitch is back - stone cold sober, as a matter of fact. [Thank you, Elton John]

    I'm an adult, I had a brief period of time when I accepted being treated like a child, but that is so over.

    I switched oncologists, and she will do all my follow-up - no more patronizing, uncommunicative doctors.  My doctor does an exam, leaves, and then knocks before re-entering and we talk.

    And when I have a question, she answers me - she doesn't brush me off, and her staff takes my questions seriously.

    Feels better, and is an important step at making my "new normal" feel safe.

  • kerry_lamb
    kerry_lamb Member Posts: 778
    edited September 2008

    Hi ACW,

    I'm with you on this, and I have just been thinking it through all day, in fact.

    In my case, I think I just 'hit the ground running' and have been in such a spin since Jan 29th that I haven't actually had a minute to take my life back from cancer. I've allowed it to become all I think about, and I'm forever logging on here whereas once it was a HUGE variety of sites, like etsy and you-tube and art/craft & spirituality and plants and archaeology and..and...and...

    Today I was in town (beautiful sunny spring day) and I decided to buy a book about post-cancer eating. WTF!!!???  No! I went straight to a girly shop and bought some very expensive hand-made soap, and then bought a pair of shoes. I've decided to take my life back.

    The appointment thing pisses me off no end. In any other situation we are told what is available, and we choose to suit our LIVES. Why should this be different? What....? They regard it as a FAVOUR that they see us at all? And it's not just medical. I got mucked around by the shop I had ordered my prosthesis from..you know, the old, "Oh it should have been here by now..". They'd forgotten the order completely and I WAS NOT going to go back to work without it. I lost two days pay because of their mismanagement..and a whole lot of confidence.

    Annie, get someone to print you off a very cool t-shirt with 'Dr.Who?' on the front..or, better still, the back! And have made one of those very nice name bars with 'Dr....' on it. And while you're at it, have a chat with any one of them about his/her training and how long it took etc.

    Cancer has only borrowed our self-respect. Loan's due. 

  • otter
    otter Member Posts: 6,099
    edited September 2008

    Kerry, I love this statement:  "Cancer has only borrowed our self-respect. Loan's due."

    That is the key to all this, isn't it?   Not only does this dx shove us into the maelstrom* of high-end medical care, but all the poking, squeezing, cutting, bleeding, burning, and swelling, is in a part of our body that has strong personal and cultural significance.  Earlier this week, I was at a PT/LE therapy clinic for evaluation of an early case of LE.  At one point during the assessment, the therapist told me, "OK, now I need you to take your top off."  Without hesitation, I took off my shirt and bra, and sat there nekkid from the waist up.  Turns out, she meant my top--not my bra.  Oops.  Oh, well.

    We get so accustomed to baring our chests (and/or remaining breasts) to strangers--repeatedly--that the dignity and self-respect are long gone.

    I want mine back.  Annie wants hers, too.  And Kerry, and Sue, and Jane, and every other woman here--we want it back NOW.

    otter 

    *maelstrom:  OK, Annie, this one's for you. What's the derivation of that word?  Is it Dutch, or Nordic, or what?

  • ICanDoThis
    ICanDoThis Member Posts: 1,473
    edited September 2008

    Oddly enough, I had dictionary.com open at the bottom of my screen:

    [Origin: 1550-60 for def. 3; < early Dmaelstroom, now sp. maalstroom, repr. mal(en) to grind + stroom stream.

  • HeatherBLocklear
    HeatherBLocklear Member Posts: 1,370
    edited September 2008

    OHMYGOSH, I'm sitting here with tears of laughter streaming down my face, leaving long black rivulets of mascara, and I have to be in class in half an hour! This is so hilarious. Otter -- you are now ready to spend Mardi Gras in NO with us next year. Are you on? I will add that I wish I could be as above-it-all as you. My life would be a lot easier if I could just put all this in perspective and realize (as DH remarks) that these people are not permanent members of my life, but only visiting it for a brief period of unpleasant time ...

    BadBoob -- you are one tough lady, and I'm going to take a page out of your book and stand up to these goons. DH ventured last night that maybe they simply don't know any better, but I don't agree. Every blasted time they call my office they get my "Doctor" voicemail. Every time I write them a check, they see "Dr. So-and-so" printed on it. I really do think it's part of the Reduce The Patient To The Weakest and Most Compliant State Possible strategy. We become easier to move about on the chessboard if we've lost our volition (or had it removed).

    Kerry, great statement! A gem. And I love your idea of the T-shirt!

    I Can, you are very lucky to have respectful people on your team. Maybe you inspire that respect in a way I haven't quite figured out yet?

    I talked to a colleague about this yesterday, a woman of about my age in Communication. She said she runs into the same thing every day, even though she's not even ill. She thinks it has primarily to do with gender and age. She deals with it by saying something on the order of, "Well, it doesn't really matter if you use the title I worked hard and long to earn, but I think there are so few female role models in this community that those of us who have a title should use it to reinforce the idea to the younger generation that women today can achieve as much as men."

    What do you all think? The alternative is simply to blast them with acidic camel breath and threaten to take their stethoscopes away. Maybe I can do both.

    Hugs to all,

    Annie Camel Power!

  • kerry_lamb
    kerry_lamb Member Posts: 778
    edited September 2008

    Annie, I'm still mad about your situation, and getting madder. (Must be getting over this week's taxotere).

    Do ANY of us, when introduced to Dr.So-and-so (male, female, any age etc etc) arrogantly PRESUME to ignore that title and call them something of our choosing ??

    No..this is really big, and I think it comes from the 'dark heart' where people actually resent those who are ill/need them. It's a kind of power thing..unconscious mostly, I'm sure, although......CHOOSING to not call someone by his/her title..that's pretty deliberate. 

    Ironically, here in Tasmania we quite happily call the medico's 'Fiona' and 'Paul', and the PHDs 'Dr!'  

  • ICanDoThis
    ICanDoThis Member Posts: 1,473
    edited September 2008

    Actually, Annie, I think my oncologist may just be a function of what Ann Arbor is like.

    I originally went to a large system in Detroit metro area - that's where I was originally diagnosed. I was really too afraid to look for the right practice for me, and proceeded with they suggested, but I was very unhappy. In the meantime, I asked my female support network (I'm a girl alcoholic, which means that I have an amazing support network of women of all ages within one or two degrees of separation). The same name kept showing up, and I went to my allergist, and it turned out that she used the same oncologist.

    This is how my onc runs her practice - it sounds just like one of those articles in Mamm, doesn't it?

    I am very much an Ann Arborite, and this is why.

  • lilith
    lilith Member Posts: 543
    edited September 2008

    There appear to be a generic assumption that the second one step in a doctor office, she looses all her brain. I noticed the same thing when I was expecting my daughter - the gyno was baby talking to me, as if I were an idiot. It took a few times sending her packing and making obvious that I have a pretty good university ed that allows me to understand very well complexities, impacts and implications.

    Same gyno eventually dx'ed me with cancer. While she was great, and gathered a fantastic team of doctors to surround me and provide immediate analysis and care - she was again tip-toeing and telling only what she thought I was ready to hear.

    Can't wait to NOT need doctors anymore and to NOT wait in their waiting rooms filled with stupid people magazines,

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