Wednesday, September 20, 2006

Biography of the Cyst in my left ovary

Or the Saga of the Gynaecologists from Hell (true story, different names)

I. The Wonder Years

Saint Teresa of the Nimble Checkup
I was really nervous about going to a gynaecologist for the first time in my life, so I asked my boyfriend to come with me.
'Who recommended me?' asked she.
'I found you on the Yellow Pages,' I answered.
'Do you smoke?'
'Socially.'
'Do you drink?'
'Socially.'
'When did you lose your virginity?'
'Um...'
'Two months ago,' interrupted he.
'What contraceptive method have you been using?'
'Rythm.'
'How often do you have sex?'
'Well, I only abstain from sex during my fertile days.'
'Fine. This is the pill you'll be on. Don't forget to read all the instructions. Good day.'
That was easy, I thought. Thak God she didn't put me on the stirrups. Later a neurologist told me that gynecologists don't know what they're doing when they prescribe the pill. They're supposed to do a blood analysis to see if your organism can take the pill. It can make migraines worse and it can even give you a stroke.

II. The Middle Ages
'Darling, it hurts when you're inside me.'
'What do you mean it hurts?'
'It hurts. I think it's my left ovary.'
'It's supposed to feel good, not hurt. Are you sure you're aroused enough?'
'I'm sure.'
'You'd better see a gynaecologist. Well, I'm off to Europe. Bye.'
We broke up prior to his departure, but I was still worried about that pain. It had been two years since I went to Saint Teresa of the Nimble Checkup, so I had to look for another gynaecologist all over again.

Chief Commander Fang Li Niu
In the waiting room to see Dr. Fang Li Niu, I was asked to fill out a form. It looked something like this:

Name: ________________ Age: ___ Address: _____________________________________

Religion: ___________ Name and occupation of your husband: ___________________

etc.

I should have judged the doctor for this completely anti-professional form, as well as for the amount of cheap, tacky souvenirs she had from Vegas, Disneyworld, South Padre Island, and other such touristy places. But I guess I was young, and I knew no better.

Then stormed in a large, rectangular woman with a Hitler haircut, yellow hair, horrible makeup and a deep, commanding voice. All I could think of was she was the Chief Commander Gynaecologist in the Army from Hell.

'Hello, I'm doctor Fang Li Niu. Who recommended me?' she asked.
'I found you on the Yellow Pages.'
'And where is your boyfriend?'
'Oh, he travels a lot.'
'OK. So, what's the reason of your visit?'
'Well, I'm here because it's been 2 years since I last went to a gynaecologist, and even then I didn't get a proper checkup.' Of course, I wasn't sure what a proper checkup involved, but it sure as hell wasn't complete with Teresa's questions about drinking and smoking.
'Uh huh. Isn't there anything in particular that's bothering you?'
'Well, I do get this pain when...'
'Right. Take off your clothes. Let's go to the stirrups.'
She gave me a cotton robe to wear and proceeded to stare into my vagina.
'This looks really bad. For starters, how come you're not completely shaved? Did you know hair is very, very unhygenic?'
'Umm... Well, I thought that was a matter of personal preference. I mean, hair is only natural, isn't it?'
'Not at all. Shaving is part of being modern. This is no longer the Middle Ages, you know.
Secondly, you have a very, very bad bleeding ulcer in your cervix.'
'I do?!' asked I, terribly worried.
'Yup. Let me show you.' She then inserted a pair of tweezers holding a wad of cotton, and took it out with a little stain of blood.
'See, this is from your ulcer. I'll have to freeze it with a special machine and this procedure will cost you 2 thousand pesos. Do you want it done or not?'
I thought it rather weird she should jump into talking about the price while I was still on the stirrups and wearing no pants, but I tried not to freak out, and simply stated I would certainly get a second opinion before getting the procedure done.
'Okay, you can put your clothes back on now. That'll be 400 pesos for the consulta. Let me know if you decide to get that bleeding ulcer treated, because remember, if left untreated, that ulcer can lead to cancer and death. Good day.'

Paquita Hernandez's good friend
So I freaked out and told all my friends I was going to die from an ulcer in my cervix. One of my friends told me I should talk to her mom, a 55 year-old retired gynaecologist that used to work for the Social Security system in Monterrey. I called her and she said an ulcer is a terrible condition and it's main cause is too much sex. She said I could go and see her very good friend gynaecologist, for a second opinion. 'Be sure to say I recommended her,' said my friend's mom. 'My name is Paquita Hernandez.'

'Who recommended me?' asked this overweight, rather unhealthy looking lady.
'Auntie Paquita Hernandez, she's my best friend's mom and has known me since I was five. She said you were a very good friend of hers and would take excellent care of me.'
'Oh, of course!' she said, in the nicest voice possible. 'Tell me, dear, what can I do for you today?'
'I recently went to Dr. Fang Li Niu for a checkup and because I had this strange pain in what I thought was my left ovary. Well, Dr. Fang said I had a very bad ulcer in my cervix.'
'An ulcer? Jesus, I keep telling that Fang to stop doing that. You know, I keep getting very worried patients who have been told they have a bleeding ulcer and need to get a procedure done. Of course, this is a very rare condition and most of them have perfectly healthy cervixes. Besides, getting this procedure when you don't need it will most probably lead to infertility. The thing is, Dr. Fang bought this very expensive machine to freeze ulcers and she needs to recover her investment. I'm telling you, if I find that your cervix is healthy I'm going to call that Fang up and tell her what she's doing is quite unethical.'
So she got me up on the stirrups.
'Yours is the healthiest cervix I've ever seen. Good day.'
'But she showed me a wad of cotton with blood on it!' I insisted.
'Oh, she probably just scraped your cervix to make it bleed. Good day.'
I was so baffled about this outrageous case of medical malpractice and the amount of things I should do to publicly denounce Dr. Fang, that I forgot to ask about the pain in my ovary.

Two weeks later I was with my boyfriend again, in Europe.
'It still hurts,' I said.
'Didn't you go to a gynaecologist to check that?'
'Yes, I went to two, but they didn't find anything conclusive.'
We forgot about the whole thing until one night, at about 4 am, I got the pang really badly. He dragged me to an emergency room, where they said they didn't have a gynaecologist for emergencies, so all they could do was a urine test. Turned out I had a bladder infection. I got some antibiotics and was told to come back later, during office hours, for a gynaecologist. When I went back, I was told I had to go to a private doctor otherwise the insurance wouldn't cover it. But I had no idea where to find a doctor if it wasn't the Yellow Pages, and I had had enough of that. So I decided to wait until I was back home in Monterrey, to see that nice friend of Paquita Hernandez. Meanwhile, my boyfriend would terrorize me:
'I'm sure you fucked the whole town and that pain you have is an STD.'
'I didn't fuck them, I swear it's not an STD!' I would plead, with teary eyes.

Back at home, I went straight to Paquita Hernandez's good friend, since I thought I had finally found a gynaecologist I could trust. She was even more overweight than before and had lost my medical record. Since I said this wasn't my first time to come and see her, she tried to pretend she remembered me, so she didn't ask who recommended her this time. Sadly, this only went to prove she would only provide semi-adequate care for people who were recommended by 'important' people. Her answers to my questions were brief and hurried. 'Thanks, that'll be 600 pesos, good day. Clarissa, send the next patient in, please.'
When I looked at the watch I realised this checkup had lasted less than 15 minutes.

Jack Hot Shot
So I asked one of my few non-virgin friends if she knew a good gynaecologist and she gave me the number of a private doctor in a fancy hospital, that charged expensive rates but was very professional and plus, he was very handsome. After 1 hour in the waiting room, I was finally called in. He wasn't that handsome, and used far too much cologne.
'Who recommended me?' he asked.
'Sally Pear' upon his puzzled look I added 'one of your patients?'
'Oh, sure. So tell me, what brings you here?'
'You see, I get this pain when I have sex.'
Stirrups it was. And vaginal ultrasound, too.
'Yes, you have several little cysts. This is usually normal and shouldn't cause any trouble. Come back when you get your period, I need you when you're bleeding most heavily, to see if the cysts dissolved of if they're still there.'
When I came back, it was another hour in the waiting room. The doctor will be a little late because he got held up in a surgery, said the receptionist. The doctor called me in and then he started this sort of baby talk.
'OK, darling, we're going to take off our little clothes and we're going to wear this little robe, okay? I'll be right with you.'
This right with me took another hour, of course, the nurse told me to get up on the stirrups so I would be ready when the doctor came back. I realised he had another room to be able to see two patients at the same time, taking advantage of 'down time' when one of them was in the bathroom taking off her clothes. The other patient must have had lots of things wrong with her, because he was ages in there. Fortunately I had a book with me. Unfortunately, I was up there on the strirrups bleeding heavily, and the air conditioning was on high.
'Baby dear, you're not angry at the doctor for being a teensy little-wittle bit late, are you? Of course you're not, now let's take a look at those naughty little cysts.' (note: this probably isn't believable in English, but in Spanish it might even sound normal even though it's humiliating)
I was ready to get the hell out of there. 'Looks like they're much smaller so no need to worry now, those ugly little cysts aren't going to get us.'
'Thank you doctor. Good day!' Said I, and stormed into the bathroom, not without drenching my sock in the puddle of blood I had produced on the floor, and leaving blood stains all over the bathroom.
'Don't forget that'll be 1200 pesos, miss!' he called after me.


III. The flourishing era
Mary Dead Eyes
After these terrifying experiences, I was not very motivated to go back to a gynaecologist again, even for routine pap smears and things like that, which I had now learned were the things I needed to get done each year. The ovary pain, I discovered, only occured with certain shapes of penises, so it was easy to avoid.

And so life went on normally.

Until, of course, it started hurting like hell all day, every day. This was two years after seeing Jack Hot Shot. I called up a clinic contracted by the private medical insurance my family bought, and asked for a gynaecologist. Surely, I thought, they don't work by recommendations there, and they have to give a good service to everyone. She was professional and nice, although avoided eye-contact. She told me I should get an ultrasound, and surely enough, there was a cyst the size of a plum in my left ovary.

She then told me I should go on the pill and come back in three months to see if it was any smaller.
'But what about the pain?' I insisted.
'Oh, you can take any pain killer you have at home.'
'For three months?!'
'Sure. Any other questions? No? Good day.'




[TO BE CONTINUED]

6 comments:

  1. wow, yo pense q mi experiencia con el ginecologo era mala, tal vez para todas lo es en su momento.. ya quiero saber q sigue, espero todo bien...

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  2. argh. y tienes toda la razon, creo que las pastillas anticonceptivas son terribles por regla (ja) general. las mias hacian que me desmayara y me sentia de la fregada todo el tiempo. en cuanto a lo demas: wow. espero que la segunda parte de tu relato tenga un final feliz

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  3. Creo que si esto sólo fuera experiencia mía no sería tan malo. Pero al parecer no es un caso aislado. Si estas cosas nos ocurren a nosotras, que somos de clase "culta" y tenemos acceso a información y a doctores caros, ¿cuánto peor les irá a las mujeres sin recursos?

    Si yo tuviera más espíritu de protesta social, definitivamente comenzaría por tratar de mejorar el sistema de atención médica en México.

    Por cierto que en una factura del hospital, me cobraron 15% de impuestos. Fueron $600 más, sobre una factura de $4000.

    Ya sé que el IVA sobre medicamentos y atención médica causó muchos disgustos cuando se aprobó. Pero como nunca lo había vivido en carne propia, no había prestado mucha atención. ¿Qué pedo que encima de que hay que pagar grandes cantidades de dinero para recibir atención médica, hay que pagarle al gobierno impuestos sobre eso?

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  4. Espero que todo esté bien. Soy Ernesto. Yo te recuerdo. Quizá tú no mucho. Me dejaste en suspenso. Pero, repito, deseo que todo esté bien.
    ¡Besos!

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  5. Me es muy familiar esa experiencia de la que hablas, creo que algo se de eso, hace pocos días por una hemorragia incontrolable de mi periodo, me han puesto varios litros de sangre por la vena, me llenan de astillas anticonceptivas, inyecciones de hierro y hormonas que me tienen de un estado anímico indeseable para mi…

    Un saludo para vos!!

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