Double Axel, Pelvic Exam
My new gynecologist is a former professional figure skater. I googled this immediately following my appointment and based on some listings on a figure skating dvd, he appears to be telling the truth. I can understand how a gynecologist might want to start making stuff up - I've done pelvic exams many times before and there's always that lull in the conversation where you're fully aware that you're looking at someone's lady business like right there in front of your face, but you still feel the need to be polite and make conversation. And unlike the dentist, your patients can actually respond. Which was fairly interesting for me when I worked in rapid care, because there were some really messed up patients (for specific examples, please see below). Personally, I prefer conversation when I'm on the patient side of the pelvic exam because it makes me less aware that at any time someone could walk into the room and my vagina would be right there. Like RIGHT THERE. You ever think about that? I also tend to think about it when I'm going to the bathroom, particularly when I'm in one of those one room-one toilet bathrooms. They're nice for the privacy, but there's no stall door buffer for you. So I tend to wind up moving the garbage can in front of the door, just in case. And then I start wondering if that would even help if someone were to open the door - Would they stop when they felt the resistance, or would they continue opening the door only to find me half-naked and a knocked over garbage can with its contents spilled all over the floor?
So anyway, I can see how a gynecologist would start making random things up in order to fill the awkward naked air. Especially if they're just seeing you for a yearly Pap smear. He could figure, hey, I'm probably not going to see this person for another year, so I might as well make shit up because even if she finds out the truth, she'll probably forget to call me on it a year later when we're back on the awkward Pap smear conversation train and I tell her that if you look really closely, you can see me performing the part of zombie #3 in the Thriller video (I'm the one who looks like his face is dripping off...no, the one to the left of that guy) and next year I'll come up with something even better. She'll never remember!
Which is precisely why I googled him, and he appears to check out. If someone tests your cervix for cancer, you want them to not make shit up about figure skating. And then he proceeded to switch me from my current birth control pill to a progesterone-only pill because apparently my history of classic migraine paired with a pill containing estrogen puts me at increased risk for stroke. Yes, we managed to cover this when we weren't discussing triple toe loops. So switching my hormones around should be a pretty fun time. Anchors away.
As promised, tales from messed up pelvic exam recipients:
Tale #1: Woman in her forties comes into rapid care with what she describes as abnormal vaginal bleeding.
Me: "When was your last period?"
Abnormal bleeder: "A few weeks ago, I don't really remember"
Me: "Are your cycles usually pretty regular?"
AB: "No, they come and go at weird times, I've always been irregular."
Me: "What was it that concerned you about this bleeding? Have you been feeling any pain with it?"
AB: "I don't have any pain, but I noticed that a clot came out, so I took a toothbrush to it and it kind of broke off into blood and a clear part"
This is the part where you just resign yourself to doing the pelvic exam (which by the way, this woman was huge and didn't move well and was convinced she was dying from having her period, so it was even less fun than usual) because someone decides that they need to go to the emergency room because they haven't figured out that they're having their period and they clearly need to stop at the store on their way home and buy a new toothbrush.
Tale #2: Eighteen year old girl who is six weeks pregnant presents for an STD check.
Me: "What brings you in today?"
Baby Mama: "My baby daddy says he has an STD and that I should get checked."
Me: "Do you know which STD he has?"
BM: "No, they just checked him when he went to prison and they made him take pills for awhile."
Me: "Have you had any other sexual partners?"
BM: "No"Me: "Did you think he had any other sexual partners?"
BM: "No. Man, I'm gonna have to break up with my baby daddy"
Me: "Okay. We're going to do the exam which will test you for STDs. It takes a couple of days for the results to come back, so what we usually do is give you three antibiotics that will go ahead and treat you in the meantime."
BM: "Will it make my baby retarded?"
Me: "An untreated STD can have bad side effects on the baby, which is why we'd like to treat you now"
BM: "Will the pills make my baby retarded?"
Me: "No, the antibiotics should help you from having any problems from the STD"
BM: "So my baby won't be retarded then?"
Me: "Well, there's no way of knowing that. But the antibiotics should not have any harm on your baby."
BM: "So what you're saying is, if my baby's going to be retarded, it's already retarded then?"
At this point, I just say yes
Me: "It's important that before you have sex again you get retested to make sure the infection has cleared, and that you make sure your partner has done the same"
BM: "Well, my baby daddy won't be out of jail for another month...."
Something tells me that she didn't break up with her baby daddy.



