It has been a very long time since I was here. I'm happy to see a few of you "old timers" still about.
I need to vent, a little angry right now. Probably serves me right for trying to take the easy way out.
I've had a pretty uneventful couple of years regarding my GYN health. I saw a new (male) doc last year for my pap after deciding I was done having babies and didn't want to make the trek to see my homebirth midwives and fight with the insurance carrier to cover the visit, etc. I knew I had the confidence to wrangle the doctor anyway if he was pushing anything, because (having been here so much over the years and having read so much about women's health) I know a lot, and I know what I want and don't want when it comes to my own health. Everything went great that summer (2011). The doc tried to push genetic breast cancer testing on me because of my family history. He strongly suggested that I do it and I strongly declined. That was the end of everything. I didn't mind dealing with him, but I decided in the future I would try to see someone else in the practice.
I went back yesterday for my yearly pap, and to discuss a couple of concerns, and ended up seeing the women's health nurse practitioner. She was very professional, a bit clinical, perhaps, and listened to my concerns. She took my history and asked if I had been offered the breast cancer genetic testing and I told her about the previous year when the doctor had strongly suggested that I do it, but I had thought about it and decided I really didn't want to do that. We went on to talk about mammograms and she asked if I had any objections to that, rather flatly. I knew then that she had pegged me already as "one of those" kind of patients. Whatever. So she did my exam, took some cultures and a wet prep because of some irritations I'd been having, did the pap and the pelvic and then left the room for me to get dressed, telling me to leave the door open when I was finished. It took a while, but I heard her walking back and forth and entering things into the computer. Then she approached one of the doctors in the hallway and I heard her explain to him that she had seen Dr. So and So's patient, and her cervix just looks junky, kind of scraped up and just not normal.... yada yada yada. This was all within my earshot and that of any number of patients and staff. When she finally did come in, she told me about her findings (BV and a little yeast and quite a few white blood cells...really common stuff), but wanted to put me on doxycycline "for the white blood cells". I objected to the systemic antibiotics for a local infection, and so she went on to explain that they use it all the time. Well, "I don't use it all the time. I try to avoid systemic antibiotics," and explained why. She went on to imply that she thought I might have another type of STI because of the number of white blood cells, not usually seen in BV only. Now she's never examined me before (and she admitted that), she knows that every pap I've ever had has been normal, but she doesn't know me from Adam enough to know that my husband and I were virgins at marriage and have been totally monogamous ever since. She did agree to have me try metrogel and diflucan for the infections and wanted me to come in and see the doc for a colposcopy to check out my "junky" cervix (she did not say that to my face, thankfully, or I would have had words with her). She again offered the genetic testing, sent me home with scripts for an ultrasound, a colposcopy, a mammogram, bloodwork, medicine, and put me in for cultures for STI's and herpes.
Holy cow, these people are overkill. I am frankly, quite upset. I appreciate thoroughness, but now I've experienced exactly why it is so crutial to have an established relationship with your caregiver. I have learned something from this.
Thanksf or letting me vent.
Wife of one fabulous guy (34)
Mommy of 3 awesome boys, ages 11, 8, and 4, and a precious 2 year old daughter.