GUEST COLUMN by Sarah Vine: and so say all of us!

Tuesday, Nov 8th 2022 

SARAH VINE: Being a doctor is supposed to be about helping sick people get better, not guilt-tripping them for taking up your time... So why are doctors STILL using Covid as an excuse not to see patients?

By Sarah Vine for the Daily Mail

A couple of weeks ago, I came down with a nasty chest infection. At first I just ignored it. But it got worse: my lungs were on fire.

The bug then took up residence in my ears, rendering me deaf and in considerable discomfort.

I’ll be fine, I said to myself. ‘Don’t be ridiculous,’ insisted my daughter, home from university. ‘Quite apart from the fact you sound . . . well, gross, you’re insufferable when you’re ill. Go to the doctor.’

Ah, foolish youth. Go to the doctor? If only it were that simple.

There was a time when seeing the doctor was a straightforward affair. You rang, you made an appointment, you went. These days, you might as well be seeking an audience with the Pope.

My first mistake was to call on a Monday morning. Whichever bacterium was rampaging in my bronchioles had clearly not got the memo about Monday mornings.

After 47 attempts to get past the ‘engaged’ tone (my phone logged them), I finally got through to a recorded message about how busy they were, and I was placed in a queue. I actually felt grateful.

I waited a further 40 minutes before the receptionist finally answered, only to be told — you guessed it — that no appointments were available.

On Tuesday, the infection was much worse. I tried again. This time it took 45 minutes to get through. Again, no appointments were available. The receptionist suggested emailing.

Ah, emailing. That involved going through a hideously clunky NHS website called ‘SystmOnline’. As portals go, it might as well have been the gateway to Hell for all the ease of access it afforded: although not even the Devil himself could have devised such a frustrating piece of technology.

I’m quite computer-literate. It’s beyond me how anyone is expected to cope who isn’t proficient with tech, who can’t remember their password or who simply doesn’t have online access.

Eventually, I managed to navigate my way through it, and logged my request. The next morning my phone rang. ‘Are you the person who emailed?’ I was. ‘The doctor will call you.’

I then spent the rest of the day watching my phone like a hawk, only to miss the call when I popped to the loo. When I rang back, the line was engaged. Obviously.

Now I know I’m not the only person who’s been ill these past few weeks, but I’m also not the only person struggling to see their GP.

My daughter, for example, needed a non-urgent appointment for an ongoing issue.

The earliest they could fit her in? Christmas Eve.

A friend came down with a kidney infection. It took her three days of passing blood before her GP would agree to see her.

The truth is, GPs seem to have unilaterally decided they don’t want to see patients any more.

Being a doctor is supposed to be about helping sick people get better, not making them sit for ages on hold, or guilt-tripping them for taking up your time

Their excuse? Covid, of course. But why? Everywhere else has opened up. If the rest of us are expected to go back to work as normal, why can’t they?

To my mind, the answer is simple: it suits them not to have to see patients. Thanks to Covid — that great catch-all excuse for incompetence in public service — they’ve realised it’s easier to keep us at arm’s length, and hide behind ‘precautionary measures’.

But that’s not what being a doctor is about, is it? It’s supposed to be about helping sick people get better, not making them sit for ages on hold; or guilt-tripping them for taking up your time; or making them wait in agony for three days before you prescribe them the antibiotics they need. Or at least . . . it used to be.

Visit Margaret's Amazon Author Page! 

I hate doctors, and I don't want to go (take two)

The title sums it all up. I hate doctors. When have they done anything good for me? Every time I go, it turns out to be "nothing".

So should I conclude that it will always be "nothing"? The "it hasn't happened up to now, so it won't happen in the future" philosophy sucks rocks because it's illogical. It simply isn't true.

I am at the age - God, I hate that word - where I maybe need to worry. This is the time people are told to have screening tests like colonoscopies (which I always call colostomies by mistake - I freaked out a friend once by telling her I was supposed to have one) which scare me half to death because I've been told they can be agonizingly painful. One health forum had a comment from someone who said she would take her chances with serious disease rather than go through that again.

My husband collapsed on the floor about a year ago, and paramedics and police rushed over. Made me wonder why everyone ignores me when I have a medical problem, but then, he's male and considerably older than me. It might be heart disease, after all (because we all know women don't have heart attacks!). In the hospital they put him through a meat grinder, doing every possible diagnostic test on him. The follow-up was even more rigorous, cardiac, neurological, urological, bowel and guts and everything else they could ream out.

The result was exactly nothing.

So I don't want to go to the doctor. I don't want to go to the doctor because I've had some symptoms lately that are probably nothing, but at the same time scare the hell out of me.

It's funny, because Bill and I have talked about how we can't afford to live as long as our parents did (all four them were well over 90). In fact, we may have trouble affording our 70s. We've joked that if we make it to 80, we'll kill each other, kind of like a duel where we both shoot at once. But what if he misses, and I don't? Will I be charged with murder, or merely self-defense?

It doesn't sound good.

I think about cancer, everyone does, or do they? I don't know, I don't interview everyone in the world, or on the street. The thing is, people with cancer are usually seen as heroes, brave souls who keep smiling no matter how much it hurts. In contrast, don't ever get a psychiatric problem, for no one will visit you in the hospital with flowers and balloons. They will not. Talk about being left alone, but that is what happens. At a time when you are at your most vulnerable and in need of comfort, people shrink back in dread. They don't even talk about it except in whispers. This is not an idle statement, but based on some 50 years' experience. But I am doubted there, too. How can I even think that people could be so callous?

But cancer, now! There's a great opportunity for bravery, for heroism, for stoicism in the face of pain, and lots and lots of warm get-well wishes. Flowers, candy, visitors to perk you up, tons of Facebook encouragement, and So Much More.

Do I sound just a little bit cynical? I have my reasons.

I don't think I have cancer. So why go? I have this niggling worry. Shouldn't I just ignore it? I have had alarming symptoms for EIGHT years, with no relief because I've been told "we can't find anything" and "there's nothing we can do". Do I want to be called a hypochondriac? But how can you be a hypochondriac if you hate doctors and stay away for years at a time?

There is something cold and frightening about the medical assembly line, the way you come out the other end feeling like dressed meat ready for the oven. There is a "NEXT!" feeling that only seems to get worse over the years. They literally call it "processing patients", and see nothing untoward about it. Too many patients, not enough time, because the equipment is absurdly expensive, the tests take forever and suck up resources, and it's usually for nothing. 

But we are stuck with it. In the past, if you had cancer, you just died. Probably horribly, because there wasn't even a good way to manage pain. Unlike today, when it's the banner illness that has spawned a million fundraising walks in every color of the rainbow, it was heavily stigmatized: people didn't even say the name. Probably this was fear, a dread that "something" had taken you over, colonized your body and was eating away at you beyond your control. This "something" would suck out the marrow from your bones, cause you to waste away to a skeleton, and probably drive away all but the most loyal family members who probably prayed that it would all be over soon.

All kinds of stuff has been written about illness, its social and emotional significance, etc. Usually the sufferer is blamed for not having it all together emotionally, for having "unresolved issues" (as if everyone doesn't have those). I wonder now if it isn't just bloody bad luck. Have you noticed how unevenly luck and blessings are distributed in life? Ain't it a bitch, and don't you wish it was different? People still get sick and die, in spite of all that fancy equipment. I've had five friends die in the last few years, and three of them were only in their mid-50s. One who was exactly my age at the time pulled his truck over, opened the door, and fell to the ground dead. Perhaps his fate was better than the woman who battled breast cancer for years, or Glen, one of the most beautiful men I have ever known, who escaped from a psych ward, swallowed a bottle of pills, and was found frozen to death beside the railroad tracks.

Oh, and that's another thing: the war imagery we use, especially for cancer. She "battled" breast cancer, she "waged a valiant struggle", and sometimes she "triumphed" or scored a "victory" over it. I wonder why we do this. No one questions it, and when no one questions something I just get furious because we are PEOPLE, not cattle! My feeling has always been that you should question everything, especially loony social trends. The war imagery not only renders the sufferer especially valuable for being a "good soldier" (and we still think the military is special, no matter what anyone says), it places the whole thing at a safe, fictionalized distance, as if we're watching a World War II movie on TV or going to the Cenotaph for 45 minutes to watch old men stand in the rain.

Ah, the stoicism, the smiling in the face of doom. I wonder why people feel they have to do this, why it has become such a cultural imperative. If I had cancer, I think I'd raise bloody hell and be so hard to get along with, NO ONE would come visit me (a situation I should be used to by now). Then again, maybe I'd be terrified. I know I would not be stoical. I'd be shit-scared and probably miserable from all the clinical attention, the being fed through machines with no one talking to you.

I've heard it said that quite often, when you get your diagnosis, the doctor comes in the room, says to the patient "you have cancer", then turns and leaves you sitting there alone. If I don't go, I won't hear that, will I? These guys are sons-of-bitches, aren't they? Are there any good ones? Well, OK, my brother-in-law, he's a Gunning man and as far as I'm concerned they're all great, but he lives all the way across the country.

If I don't go, I don't need to hear any of that shit. But if I don't go, this little scritchy-scrabbly feeling in my gut may not stop for a long time. If ever.

It must have been owls

This was an odd day, an odd week, and sometimes considerably worse than odd. You see, after my last routine mammogram, I got the dreaded "call back". They wanted to take a more detailed mammogram, along with an ultrasound. Fine, I thought, except these retakes generally meant that they "found something", and that couldn't be good. So I went through it all again, they squeezed and kneaded and poked and pressed, I got all covered with KY Jelly or whatever-it-is they use to lubricate your skin while they look underneath it.

They concentrated on my left breast, where they seemed to think the "problem" was. By the time they got done, I knew how a waffle must feel while it is being baked. Or at least, my left breast did. I could practically see the grid-marks.

A few days went by. I was prepared to let it go, assuming everything was fine, when I got another call back. I was supposed to see my doc so she could "go over" the results of the second mammogram.

Go over.

Go over? What was this about? I was expecting either nothing (the usual response to a normal test), or a call saying "your test is negative," or something like that. But this.

So I tried to keep my head out of it all week, and I was more-or-less fine until last night, when for the first time in a while I couldn't sleep. It was as if an icicle were slowly turning in the centre of my abdomen. All night.

Sometimes I think I want to lay it down, just give up, because, after all, I have achieved very few of my dreams, in spite of what often seems like mammoth (futile) effort. Then when something like this comes up, when I feel the hot breath of mortality blasting down my neck, I hear some voice in my head, some idiot but triumphant, desperate, ridiculously valiant and probably absurd voice shouting out loud:

"I want to live!"

It was like a pendulum, see, between the nice, logical "Ah, nothing's the matter, it never is, statistics are all in your favour, callbacks are common," etc. etc. (no family history, everyone lives to be over 90, etc.) and a violent swing in the other direction, a silent totting up of all the victims, people I had known, loved, or even just heard about, who had either survived breast cancer after a long and horrendous ordeal, or hadn't survived at all. I began to wonder if the "thing" that rides around with me, beside me I mean, always clamped to my peripheral vision, would suddenly rear up in front of me and make it impossible to take another step.

In the doctor's little room today, you know, the little room they tell you about on Seinfeld, while waiting for the doctor, I had to do deep breathing, deep slow breathing to try to relax the knot of primal terror in my belly. The doctor comes in. How are you? Fine. Oh God. The doctor sits down at the computer. So what are we doing today? MY GOD SHE DOESN'T KNOW?? No, she has been away from the office for a week and has no idea why I have come in today. This means that no one sitting in this room has any idea what it says on my report.

So she blinks and flips and scrolls and "hmmmmms", like she always does, and asks me the usual incredulous questions. So what happened when they examined you? What did they say? It says here they saw a bruise. Did they see a bruise? Yes, I had some sort of little bruise - I don't know where it came from - Oh, I see. It must have been in the spot, see here - look - where they thought you might have a cyst. Well, yes, it was. They put a sticker on it. A what? A sticker, so the ultrasound person could - Oh.

You had a bruise, Margaret, a small one that mimicked some little probably-harmless cyst, though in six months you will have to go through all the testing again in case. In case what?

It's late at night, and I sit here tired, having dodged a certain bullet, or gotten out of Dodge, or whatever it is. Strangely, a few minutes ago I heard a ghostly trilling, as if boys were hooting at each other over long distances, but after a while I realized it must have been owls. They were as resonant and loud as if they were right outside my window, and with all that thick bush out there, just a stone's throw away, perhaps they were. They might have been right in my own back yard.

Post-script. Yes, it was owls! The Cornell Laboratory of Ornithology site has helped me identify many a species through sound alone. In this case, the calls of  various common owls allowed me to compare, and quickly make a match. Looks like these were barred owls, and they were very close to the house, maybe even in the back yard. We have huge rich cedars out there, so it makes sense. One row of houses in back of us, and we're in dense bush. But if these were birds, I could not believe the volume! These things fairly boomed. The sound moved around in a bizarre way, too. I kept thinking, that has to be kids making ape noises, but the sounds simply weren't human. These birds make a hell of a racket! They have a lot of different calls too, some of them sort of trilling (chilling). Since their territory is the Pacific Northwest, I think we're close enough (though they resemble the rare spotted owl in plumage - but not in voice). I couldn't see anything out there, but I'll be vigilant from now on, that is, until colder weather necessitates keeping my office window shut. This page has a rich variety of sample calls. Listen to these guys, you'll be totally spooked out!

http://www.allaboutbirds.org/guide/Barred_Owl/sounds

https://www.youtube.com/watch?v=Id2A8yC_JJY

DON'T listen to your body!

As is so often the case, this post is something I adapted from my personal journal, which I will admit often amounts to a load of complaining. But keeping a journal is one of the sure symptoms of writerhood. I have had many a person sit down with me over the years saying "I want to be a writer", meaning they want to make effortless money and be an instant best-seller (it can't be that hard, can it?). One of the first things I ask them is, "Do you keep a journal?" Normally I get a blank look, a why-would-I-want-to-do-that expression, as if a journal must be written on pink Hello Kitty stationery with scented lavender ink.

Mostly people merely take stabs at writing, brief ones. Then they sort of run in terror, realizing that they will actually have to put their work "out there". As a friend recently told me about her own former ambition to write, it just got buried under the mundane tasks we all must undertake in the course of a day.

All this leads to something else. (Which is what I seem to do in this blog, though I can't tell you why. Steinbeck leads to Travels with Charley leads to why people treat dogs like babies.) So this is about my never-ending, awful sort-of-relationship with doctors, who have been poking and prodding my sagging old body for a year now trying to figure out why I am having this persistent, nagging, sometimes severely disabling pain.

It's getting in the way of jumping in to preparing my novel The Glass Character for publication (which I wish I could enjoy more). This is what I wrote this morning:

"I want to get the medical stuff over with, which it should be next week when I get told there’s nothing wrong with me again. I have a theory it’s a low-grade infection, but I doubt if he will give me anything for it, will likely say “it’ll go away on its own” when I have been in pain for nearly a year now. They said the same thing about the infuriating ear symptoms which I’ve now had for 13 months. Things do NOT “go away on their own” in many cases, but doctors now let things fester for so long they become ingrained and chronic and really WON’T go away. We then have a "nuisance patient", a hypochondriac completely obsessed with imaginary illness. But someone has commanded doctors from “on high” not to prescribe antibiotics. They’ve swung from one ridiculous extreme to the other, and in both cases it’s to get you out of the office FAST."

So how many specialists or procedures HAVE I been exposed to? Let me count the ways. Gastroenterologist (God, these things are hard to spell). Gynecologist. Ultrasound. Colonoscopy. Ultrasound again, because they couldn't find anything the first time, and now urologist/cystoscopy (can’t ever remember how to spell that one). I have also been to a nephrologists and an otolaryng-whatever-it-is. All uselessly. Each person takes a part of the body, and they are never co-ordinated or put together in any way. They’re not supposed to be. Each body part must get sick in its own way, and if it gets sick outside of certain strict boundaries, then you’re not sick, or at least that part of you isn’t. If you have a condition such as a bladder infection and only have three symptoms out of five, then you don’t have a bladder infection and will not be given antibiotics.

Oh, antibiotics! Like Valium in the '70s, doctors handed them out like candy until relatively recently. Patients wanted something to relieve their fear and distress about being sick. They wanted to come away with something. Doctors wanted them the fuck out of their office so they could go on to the next patient. So they went home with a prescription.

Then all of a sudden, we are being told WE were wrong to accept all those prescriptions for all these years. WE were wrong to seek a fast and easy way out of disabling symptoms. We should have just put up or shut up, because there was probably nothing wrong with us anyway.

Suddenly, in spite of everything our doctors had been telling us for decades, antibiotics were just wrong.

It still comes at us from every side, ads on TV with cute but shaming slogans like, "Not all bugs need drugs." It's a kind of finger-shaking admonishment to the public, because for God's sake didn't we create this situation to begin with? The public, being weak and self-indulgent, demanded antibiotics so vociferously that they created a race of Superbugs which are now resistant to medication.

We have rendered antibiotics almost completely ineffective. How does that make us feel?

Doctors had to stop acting like free vending machines for this seductive candy because "someone" ordered them to, some medical association or other. "It will go away on its own" became the new mantra. This got patients out of the office nearly as fast as "Here, take this prescription for amoxycillin".

Now, you can have pus running out of you and feverish red inflammation and strep throat (and my granddaughter, then three years old and running a fever of 104, might have died from it: my daughter, a dragon when she needs to be, INSISTED she be prescribed antibiotics, which cleared it up completely in two days), and the doctor will not prescribe antibiotics. Once again, the crushing weight of shame is applied to us as she tells us something we have already been told 100 times. "Patients ruined antibiotics by taking them too often. It will go away on its own."

There are two things my doctor never prescribes: antibiotics and pain relievers. When I told her I'd had significant and even severe pain for a year, pain that sometimes prevented me from functioning well, she said, "Advil is the drug of choice."

"But I've been taking Advil for a year now and it has no effect at all."

"Try Tylenol."

"I've tried them all. None of them work."

"Advil," she said, a little testily.

"Can't I have anything stronger?"

Oh, it's the facial expressions, the bodily shifting, the "I know I'm dealing with an addict cadging drugs" manner that gives it all away.

"Advil is the drug of choice." (Meaning: if Advil doesn't work, I am having the wrong kind of pain and need to set it straight. Or else I'm lying.)

Another time she asked me the doseage I was taking and I said something like 800 milligrams. "That's too much," she said. "But the lower dose doesn't do anything." "Always take the correct doseage or you'll damage your kidneys." But the "correct doseage" wasn't doing any more than the so-called overdose anyway.

I have enjoyed good health for most of my life and have stayed away from doctors whenever possible, so I can hardly be called a hypochondriac unless such a damning stereotype can develop in a  few months. I hate taking pills, and it does not occur to me to abuse prescriptions. I have dreaded developing some sort of vague but persistent, painful medical condition that no one can get to the root of. And now it's here. My own theory - and who gives a shit what I think anyway, it's only my body - is that this is a low-grade bladder infection which has been flying under the radar for a year. But doctors refuse to see it that way. "Your urine test is normal," my doctor said, furrowing her brow and sitting back in that "get out of here and go directly to the psych ward" way. If my urine test is normal, I cannot have a bladder infection and have to go home and behave myself.

Over and over again I hear/read the same advice from people: Listen to your body! If anything feels amiss, go see your doctor immediately! I am here to tell you that you won't be in her office for long. Your symptoms will have to escalate until you are in severe enough pain to wait months to see a specialist, who will tell you there's nothing wrong anyway. The cancer diagnosis won't come until it is far too late to treat it. Then you will be asked, "For God's sake, why didn't you DO something about it?"

Is there nothing you can do? Why are you stupid enough to ask? Take Advil, which should get rid of all your symptoms. It's the drug of choice.

http://margaretgunnng.blogspot.ca/2013/04/the-glass-character-synopsis.html

http://members.shaw.ca/margaret_gunning/betterthanlife.htm

Signifying. . . nothing?

Medical stuff is a poor topic, I know, but lately I’ve become  preoccupied with it. And this in spite of the fact that I hate seeing doctors and very rarely feel that I am being listened to or taken seriously.

I’m in that grinder of tests that everyone is fed into when there are any sort of symptoms at all.  So far I’ve been safely spat out the other side, given the all-clear. I WANT this to be over with and I WANT to feel entirely OK.

And I don’t.

I won’t recount what the “symptoms” are (and how I hate that word, as it implies “this person must really be sick”, when the “issue” is finding out if I am even sick at all.). They’re boring, “signifying nothing”, as Hamlet used to say on one of his bad days. But whatever they are, or aren’t, they won’t go away, not yet anyway, though I know they will be gone tomorrow morning and never be back.

I can’t go in. That’s what I told my husband today. I just can’t. The thought of “going in” stirred up an ice-storm of panic that sucked me up into some sort of whirling white vortex, and all I wanted to do was get OUT. I haven’t called and I haven’t made an appointment because I know there is nothing wrong with me, so there is no point.

Then how to ignore the swirling forces of “whatever” that I can’t seem to get away from? It’s probably nothing. I’m not bleeding to death, hey! I can walk. Sometimes I find it hard to walk fast however and don’t want to, or have to sit down.

I never get sick, and if I do they throw me out anyway. I am never listened to. This is one of these dysphoric, self-annihilating realizations that jams my face down in the mud of mortality. Have I had a good life? Have I felt wanted? And just what have I contributed, anyway?

It could have been worse, I suppose, could have ended me in my mid-30s, though I jumped clear just in time before the locomotive ran me over. But in the midst of the high of turning 50, at the very peak of my happiness and productivity, it happened again. This one was truly wicked and seemed to indicate demonic forces that I could barely grapple with. At the same time, I completely lost my faith.

I understand self-destruction, too well, but I refuse to do it. I’ve been pared down pretty far in the past few years, though you’d never know it to look at me (for I’ve gained at least blblblblt lbs.) I cling to the tattered remnants of my ambition, realizing that the playwright Clifford Odets was so so right when he said, “Success is the jinni (genie: playwrights can't spell) that kills.”

Another playwright from the same era, George S. Kaufman (whose wife Beatrice was BFF with Oscar Levant) said, “What makes you, unmakes you.” If you understand this at all, then you are already unmade.

But aren’t we ALL unmade in the end, like some great tumbled tangled psychic bed? Trees fall and rot, and so do we, though the medical profession tries very hard to beat back the flames (sorry for the mixed metaphor). I wonder why we scramble so hard to stay alive for as long as we possibly can.  Don’t we all end up in pretty much the same place?

I know that sounds bleak, and I would gladly give an arm and a leg and both kidneys to anyone in my very small, very close, very dear circle of family. I wouldn’t even have to think about it. But I just can’t see it in general. As Charlie Brown once said (speaking of great playwrights of the 1920s), “I love mankind. It’s people I can’t stand.”

I’ve missed the comrades who’ve fallen, and there have been too many of them: wise Gerry the benevolent patriarch, quickly consumed by cancer; beloved Peter, the best friend I ever made in two seconds, who seemed to be gone in another two; Glen the journalist/poet who fled from the psych ward and committed suicide; Ken the devoted cynic and constant presence in my church choir, who literally dropped dead in his tracks. Then – weirdly – Kathleen, who never should have died at all, who cannot be dead because it just isn’t possible.

There’s another one or two in there, and I can’t remember who they were. Now this is weird. I thought there were six, at least. How could I forget a whole person?

I just recently started nosing around in the work of Dylan Thomas again, remembering that he sometimes wrote “shape poems” (concrete poems that took the actual shape of objects or whatever-the-hell. Childish, really.) All I could find in his poetic imagery was mortality, and more mortality, rot and death, mixed in with some pretty ghastly sexual images. The guy ended at 39, self-ended I mean, awash in alcohol: the innocent baby-bird look of his youth had grown puffy, slur-eyed, deathward, with a large bulb for a nose. A tragic or pathetic or even disgusting clown. Poets seem to off themselves early, one way or another, hating life, seeing through it, or hating themselves. Robert Frost was one of the few who escaped that fate, though I remember reading somewhere that his son committed suicide.

So what does all this have to do with not wanting to call the fucking doctor?

I know I will call eventually, or maybe I will not, because nothing’s wrong anyway. I’m just all caught up in this stuff and have to get away from it. I am now in my 60^th year, for fuck’s sake, and though I don’t feel old, time has whipped by in such a blur that it shocks me sometimes. I was sitting in a restaurant across from my son at my birthday dinner last night, and thought to myself: he looks almost middle-aged. His hair is thinning and he has lines around his eyes and mouth. He looks great, is very buff, bulky with muscle as he never was in his boyhood when he generally got sand kicked in his face. He’s a superb athlete who has a good chance of reaching 90 because his habits are so much better than mine. But still. A receding hairline? I remember the night I gave birth to him.

And here are these two Nordic-looking blonde grandgirls who surely must have inherited their startlingly blue eyes and cornsilk hair from my side of the family, though several generations removed: I just helped push the blonde genes along. I noticed Erica’s hands as she did a magic trick with crayons, and I was shocked to note that they look like her father’s, which look like mine.

Well, you can’t bail on THAT, can you? My time with them is timeless, a complete absorption in giggly fun and a wash of unconditional love. Do I need to stay around to be the conduit for such love (for surely I am not the “source” but only the conveyor)? Or, like everyone else, will I stay because of the same primal urge to survive that has overpopulated the earth to the point of near-catastrophe?

Post-blog: Actually, I think it was Macbeth, that "signifying nothing" bit I mean.  I've always liked the Scottish play, and the "life's but a walking shadow" speech is just about the only Shakespeare I can recite by heart. I'm the life of the party, can't you tell?

It's my colon, and I'll write if I want to

I wasn’t going to write about this, I swear I wasn’t. NOTHING is more boring or more elderly than someone writing about an operation or a medical procedure.

But it’s Friday and I'm a little short of ideas, so. . . 

There wasn’t a lot of evidence I had anything wrong with my colon, except vague symptoms. I don’t even want to call them symptoms, because that word implies there is some sort of evidence of disease, and how do we know we have the disease if we haven't had the tests yet?

It’s something proven backwards, like menopause. “When did you go through menopause?” a (younger) friend of mine recently asked me.

“Uh. . . “

I had no idea what to say. What exactly does it mean to “go through menopause”, since “menopause” is so vaguely defined?

You can only conclude that your menses have permanently ceased if you have had no menstrual periods for one year. Does that mean you are “going through menopause” during that year? Or has menopause already ceased  (since, whether you know it nor not, you're done with periods forever)?  

How do you know, anyway? They could start again at any moment. Or not. 

And what about the five to ten years of turbulence before that permanent cessation that marks the “end” of menopause, or at least of your fertile years? (And by the way, a woman my age is always described as “menopausal”, no matter how many years have elapsed since that elusive "last" period). What about the hot flashes, the mood surges, the rollercoaster of missed and erratic periods, the the the -

I'm a little off-topic here. I am now well past all that, but now new “symptoms” (or thingamabobs, things that bother me at least a little bit) are emerging. Things that seem to be happening in my belly, or should I say lower down, in my gut.

Isn’t that kind of where we all live? I’ve heard there is more serotonin in your gut than in your brain. I have also heard the theory that there is a second brain in the gut, a sensor or reactive network of nerve endings that is so responsive, it practically has the capacity to think.

Does it also make decisions? Such as: "OK, your time is up"?

I’ve also heard all the theories about unresolved this and unrequited that. I suppose it’s got credence. My life, at least professionally,  has pretty much been an exercise in frustration. Though I know I have talent as a writer, I have had barely any recognition, and no money. This is not supposed to matter, by the way, because I am an “artist” who doesn’t need such things. And wanting it is crass and egotistical.

Meantime, every other talented person I know in every other field is accomplishing rings around me, and making good money, and I’m not supposed to mind!

I suppose this might cause some turmoil somewhere, in my brain at least, but in my gut? Maybe.

Some call this “the revenge of the unlived life”. I have never been able to place my work with anyone/anywhere where it can fulfill its potential, or what I think is its potential.  I doubt if I have enough time left to do so. It’s not a question of “gee, I want to be a writer” or writing one chapter of something and ditching it, or getting one rejection (boohoo into my pillow, get drunk, and quit). I'm not a chipper, folks. I'm serious, and I have been for my whole life.

What this has to do with getting a camera shoved up my bunghole is mysterious, but it might relate somehow. Or not. It fascinated and repelled me, the idea of this sewer snake, this Roto Rooter exploring all those twists and turns inside me. But I had become frightened by possibilities that I did not want to think about, and I was surprisingly willing to have the "procedure" done, if only to allay my anxiety.

A close friend of mine shed some light on all this. “Cancer is so out there now,” she said. “It used to be in the closet, and nobody ever mentioned it. Now it has jumped out like a jack-in-the-box and is in our faces every minute." Not only that. . . since there’s money in it, it’s being exploited – no, people’s fears are being exploited right, left and centre. Cancer has become an industry. 

Just this morning, my husband’s favourite magazine, Consumer Reports, arrived in the mail, with a cover story called “8 Cancer Tests You Don’t Need”. It was quite a revelation and reflected the fact that the medical community performs diagnostic tests on patients, not because they need to or the patients need them, but just because they can.

They have all this expensive equipment, for God’s sake, so how can they let it gather dust in the corner? So people are terrified into thinking they have cancer just because the technician (never a doctor) performs a test on them which is meant to screen for cancer.

Like “going through menopause”, it’s a backwards sort of thing. You’re having a “cancer test”; therefore you either have cancer, or MIGHT have cancer and should be worried, if not terrified, that you do.

Anyway, the hardest part of the procedure was the prep, which I’ve already written about in another post.  Fasting has never been my thing, and I don’t remember ever feeling that hollow. I won't write about the dreaded Pico Salax, which I kept calling Pico Iyer in my mind, though they don't look much alike, do they?

The day of the procedure was sort of dreamlike. I found, to my surprise, that I wasn't nervous, or not particularly. Like a dog at the vet's, I had relaxed into the inevitable. The hospital had been torn to pieces for some unknown reason, the inevitable turmoil that afflicts airports and other such public facilities so that you can never get anywhere on time. Then there was the massive water leak that had flooded the emergency ward a few days before, and was threatening to start up again.

For all that, I got there early (husband in tow: I was not allowed to leave the place without an escort to carry me in case I fainted from an anaesthetic hangover), and they let me go in right away. “In” meaning another snaking tunnel of corridors and “little rooms” with big machines in them. People came and went, either nurses or technicians, but none of them doctors. Doctors don’t belong in a hospital any more.

I was asked to take everything off except my shoes and socks, which seemed very odd, and put two gowns on, fore and aft. This was much better than the old idea of one gown which was open all down the back, a ludicrous and completely avoidable policy that was in place for 50. . . oh, skip it.

I was expecting a long wait, the “hospital wait” that seems to put you into another sort of time zone, but pleasantly enough, it didn’t happen: very soon, people started bustling around me and doing things. I sat next to a friendly elderly woman with a European accent (we were in a sort of waiting area for some reason, perhaps because the “little room” was flooded) and chatted about this and that while the nurse (technician?) draped a warm blanket over my arm. Pleasant, though I had no idea why it was there. Then she came back and said, “I’m putting the IV in now."

IV?! Oh God. Sqeam, went my guts, squeam. I remembered all the times that technicians couldn’t get blood out of me and sometimes became almost hysterical, blaming me for having “difficult veins”. So what would happen with something this intrusive, this horse needle? 

“Do you faint when you have blood taken?” 

“No.” I lied; it had happened once when I was pregnant a million years ago and they couldn’t find a vein.

She began to work on the back of my hand, which worried me even more. I didn't watch, as I never do: I don't see why I should. Strangely, after the usual one-second jab, there was no pain at all. Another nurse (technician?), who seemed to be just sitting around with a clipboard, said something like, “Good one!”, so I felt better. I also felt something running down my hand. “Oops, better wipe this up in case a patient sees it.”

Ye gods.

While all this happened, the lady with the European accent told me that she had a very low threshold for pain. I had the impression she had been ill for a long time. Her husband, who was French, sat across from her, looking much more nervous than she was and biting his nails.

Then it was time to go clomping into the room with the weird machine in it.

I lay back on a bed which seemed to be constructed of chrome bars. There followed a surreal few minutes in which I felt like Whitley Streiber in that Alien novel: several people were swarming busily around me, putting an oxygen thingie in my nose, sticky things for a heart monitor (heart monitor? For a colonoscopy??) on my chest, putting a blood pressure cuff on my arm and connecting my hand to the tube-thingammy for the anaesthetic. I felt a weird, cold, creeping sensation on the back of my hand.

Speaking of Whitley Streiber, they wasted no time on the “probe” which quickly went to its mark. The first few minutes were not pleasant at all, and the hard, almost violent pokes made me jump and even yelp a bit. “Breathe”, the technician (nurse?) said.

I breathed. After a while I sort of lost track, went into a dreamy state. This is not total anaesthesia, but a sort of twilight state in which you can still answer questions (“Is God real?”), but can’t just jump up off the table and leave. It seemed that only about five minutes had elapsed before I heard a “There,” and was “unplugged” swiftly in all five places with no pain at all.

Those aliens really know their stuff.

Then I was wheeled out of that little room into a sort of curtained-off place (which is what hospitals are now reduced to: not long ago the media discovered that Vancouver General Hospital was placing beds full of emergency patients in a doughnut shop adjacent to the hallway). It was nice, nice. I was just lying there, thinking, it’s over, then someone put Bill in a little curtain-y place beside me (he had stayed out in Reception, thinking he wasn’t wanted, which he wasn’t until I needed to go home). He said hi, then went back to where he was supposed to go.

I just lay there thinking, it’s nice.

Then I guessed I had to walk, and it was strange because all that up-and-downstairs, across parking lots, more up-and-downstairs, muddy roads, etc. etc. which I had dreaded on the way back didn’t bother me one bit because I was two  feet off the ground trailing vapor like the Ghost of Christmas Past.

So that was it, pretty much straightforward, assembly-line medicine, and I was very glad to be told (before I left!) that they hadn’t found a thing that was out of the ordinary. All clear. My guts were clean as a whistle.

But there is another part to this story that I sort of remembered retroactively. While I recovered in the little curtain-y place, I heard moans and cries. Then I realized the elderly lady with the European accent was having her colonoscopy in the same room that I had just come out of.  I now understood why her husband had been chewing his nails. The cries went on and on. At one point a nurse (?) went in there, and I heard her say, “Instead of screaming, breathe.” And that was the last I heard of her.

The waiting list for the waiting list (or: I have a drug for that)

I don’t remember where I heard this – maybe in Moscow on the Hudson, one of Robin Williams’ earlier films, where he had not yet calcified into the parody of himself he is now. But it was a reference to being “in the lineup to wait for the lineup”. Do we think this only applies to the fucked-up Soviet system of inefficient callousness?

Substitute “medical” for “Soviet”, and you’re almost there.

I’ve been waiting to hear back from my doctor. I went in three weeks ago to address some alarming symptoms, the kind of thing that medical articles and TV doctors say you should follow up on immediately. I need a certain nasty-sounding test. It’s an up-the-ass sort of test that I don’t look forward to, a Roto-Rooter boring into my colon. I bailed on one of these tests a year or so ago, just couldn’t make it. This time there’s a serious reason for taking it, and I’m hearing nothing.

Maybe three weeks on the waiting list for the waiting list isn’t long, who knows. I have phoned twice to check up on it, and both times was hand-pattingly gotten rid of. In the nicest, we-know-who-you-are-you-hypochondriacal-old-bat way.

I didn’t think I had quite reached old-battitude yet, but I guess it’s a matter of degree. I don’t think of myself as a hypochondriac, but I once was told I was a “psycho-chondriac” because I dared to complain about clinical depression. Nowadays, they’d get down my neck if I didn’t complain. Don’t you know that’s a serious condition? Don’t you care about your health?

You don’t dare listen to medical specialists, especially not on TV where the more ludicrous the claim the better, because it “makes good television”. Soon the theory will be completely discarded, and of course anyone who goes to their doctor to have it checked out (as the medical “expert” never fails to insist that you should do) is looked at with that blank, incredulous, “what-the-fuck-are-you-talking-about-anyway” look.

And doctors also say “whatever you do, DON’T go on the internet about this.” I can see why, I really can. Lots of internet sites about health verge on black magic. Wave a dead cat over your head at midnight, and you’ll never have a heart attack again. Eat certain things, ingest herbs, roots, whatever they have for sale at an outrageous price, and your cancer will vanish and never come back.

But why can’t we get some basic information in this information age? Are the doctors, overloaded and harried and eager to install a revolving door in the office so they can yell “NEXT” every five minutes or so, any more useful for our enlightenment? Especially since they all have different philosophies and insist that theirs is the One True Religion.

I’ve noticed something else. My husband collapsed on the floor about a year and a half ago, and no one knew why. It was alarming to see him surrounded by police and ambulance attendants and paramedics. I had to stand back, way back, while they worked on my grey-looking life partner. Then came the barrage of tests. I don’t know how many tests, but he had to see many specialists, each of whom took a different part of the body and studied it.

Reminds me of that old story about the blind men and the elephant. It's a big piece of leather. No, it’s a thing like a hunk of rope. No, it’s a big chunk of ivory. No, it’s a – look out! It’s about to charge!

. . . PHHHHHHHHHHHHHHT!!

I do have a point. None of these specialists ever talk to each other or even send reports to one another. It is as if Bill had a separate heart, nervous system, brain, bladder, prostate, etc., component parts that were assembled like Lego or an old Meccano set. They weren’t parts of a person because these specialists are not concerned with a “person”. They are concerned with a piece of tissue, a hunk of organ. Never is the circulatory system connected to the heart, that’s insane! Nor is brain function tied to the nervous system. How absurd. They’re separate systems.

Frightening, is what it is. There is no consultation between experts, just conclusions, usually that everything is just fine and the patient is full of shit and whining for nothing.

Sometimes I want to bring back the days of the family doctor, like the wheezing old guy who carried a black bag into our house when I had the measles or the whooping cough. For a while after my first grandchild was born, there were three generations of my family seeing one physician. I’d had my doctor for nearly 15 years and recommended her to my daughter, who took her on, then started taking her infant daughter in to see her. It was an interesting throwback to a different time that is now completely obsolete.

Then she retired, and that was over and done. A child nowadays would have to go to a “pediatric specialist”, and if she was acting up a bit and stamping her foot and not paying much attention to parental commands, she’d be diagnosed autistic. ADD is now old-fashioned and has been pretty much phased out, like personality disorders in adults. The autism “spectrum” is the thing now, you see.  And by the way: I have a drug for that.

Oh, don’t get me going on psychiatric stuff, the way fads and fashions seem to dictate everything. Depressed women used to be given Valium, a highly addictive tranquillizer, which was about as sensible as taking a crowbar to someone with a concussion. Gay men were sick. They couldn’t help it, they were “immature” and their mothers were too dominant and their fathers were too weak. If they tried really hard, they might pass for hetero. But for the most part homosexuality was seen as a permanent mental illness, a serious one that disrupted the chance for a “normal” life.

For every action, there is an equal and opposite reaction. Simple physics. So now gay people – especially gay men in drag – prance around in pride parades, flaunting their “outness”. And we all smile, some of us a bit tightly, not daring to say we find the whole thing a bit silly, if not extreme. “Why aren’t there any heterosexual pride parades?” one unfortunate local politician once muttered, only to have so many bricks thrown at her that she never spoke again.

I’m not for going back to the barbaric model of “diagnosing” sexual orientation. But I don’t see psychiatric patients prancing around in parades celebrating the fact that they’re “out”.  They’re afraid, that’s why. Their condition is still very much medicalized, marginalized and stigmatized. There is no flexibility here, no individual definition of “normal”. You’re either a fuckup or you’re not. And if you’re not readily diagnosable, if you don’t fit any of the known (or should I say current/trendy) psychiatric categories, there will be hell to pay. You may even be told you’re untreatable and your condition is hopeless.

Do I sound a bit cynical about medicine? I wouldn’t go back to the days when no one even spoke the word cancer, or people in psychiatric distress were “put away”, often for life. (By the way, are you wondering now why I even mention psychiatric illness, when it obviously has nothing to do with “real” illness, “physical” illness that takes place in the body? Psychiatric illness takes place three feet above your head in a little white cloud with a nasty little man in it who spits on you every so often.)  I wouldn’t go back, but I couldn’t anyway, could I? There is no going back.

So I wait. If I do have cancer, which is extremely unlikely, then it is bubbling and festering away inside me even as we speak. It may be half a year before they can even tell, because I am waiting to see how long I will be waiting.

I’d like to see a horse doctor, please. If a horse has colic, they shove a big rubber hose into its rectum and blow a stream of warm water in it until the obstruction pops out. Sounds like a good idea to me.

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