Wednesday, August 10, 2016

Follow-Up

79


With a few visits to Jude under my belt about how to more effectively communicate my health issues to doctors so they might take them serious, the day had come: It was time for my next big bottle of fat enzymes. This was when I needed to request a prescription from my Community Health Clinic doctor, Betsy, so I could take it to Denver and have it discarded by the Premier Medical Center doctor as he replaced it with his own so I could pick the bottle up at their pharmacy.
Entering the examination room to wait for the doctor I sat down at the chair next to the wall-mounted desk. But this time, rather than sit either straight ahead facing forward or leaning forward at the edge with my arms collected in my lap or crossed, I made sure to sit so I would be interpreted as 'seeming relaxed'. I sat slightly angled to the left so I would be more facing the door than away from it when the doctor entered; had I been slightly turned away the doctor might see my left shoulder first and taken offense that I was giving her 'the cold shoulder'. Seating angle in place, it was time to position my arms. Both along the chair arms might be interpreted as too formal, confrontational, both in my lap might be seen as too pensive, untrusting. Both at angles might also seem to unlikely, as if I were putting on a pose, which I was but I didn't need to telegraph it. So I put the right arm straight along the arm rest with the left forearm balanced on the arm rest, hand facing toward the lap, elbow resting on the adjoining desk. Head held up straight, despite how fatigued I might feel, so I would look bright and engaged when the doctor came in. I placed a mild smile on my face as too much of a smile might be deemed suspicious and none at all, despite how my health might be making me feel, could be interpreted as 'not being open & welcoming' of the doctor as she came in.
I thus would now sit as I waited for the doctor.
At least one major hurtle had disappeared from my life, my stuttering. Apparently with the year's decline in my mental prowess, my mind no longer remembered that I was a stutter when I spoke, and therefore I didn't stutter. This was good as people would too often misinterpret the mid-word changes in pitch and moments of stammering & hesitations as signs of being deceitful rather than understand it for what it was. But now, without that monkey in my mouth, when I spoke to the doctor it would be with a 'normal', more intentionally composed, voice so my words would be taken as 'candor'.
Has anyone else noticed that to be deemed natural & honest I was to be posed & controlled...? I had noted this contradiction to Jude as he had recommended these steps to me, but he explained that to be deemed as being 'yourself' in society, you had to seem like 'just everyone else'.
And so the doctor came in and it was time for the next steps.
She would ask how I was doing, I was to say 'fine' regardless of how I was doing as saying anything else when first seeing the doctor could be interpreted as being 'a complainer' and get one tuned-out for the rest of the visit. It was only after affirming that one was fine, that one could then talk of problems without it being seen as only talking about one's problems. Now I was to lean forward as the doctor sat down into the chair next to me at the desk. While such a position would be deemed nervous & pensive as the doctor entered, now with her sitting, it would be seen as being close & trusting. Whereas if I remained sitting back as I had been positioned as she first came in, my continued position could be deemed as distant & aloof from her. In this way, I hoped to appear to the doctor as her equal, and thus trustworthy.
If my doctor, Betsy, was to make statements about my health, or steps to take, I was to repeat them back to her as if memorizing them for myself. In this way I would show that I cared about what she said and make her feel validated and more open to things I might have to say, afterward. If she was to arrive to the room frazzled and tired, I was to show empathy by noting 'it had been a long day, already, hadn't it?' Or if she expressed frustration that I was back, I was to reflect, 'it must seem like a waste of your time to see me again' without adding the judgmental phrase 'given how little progress we've made on my health issues' at the end.
I had been warned against defensiveness. A person who had been falsely accused of things would be defensive as a natural reaction, but that quick leap to one's own defense could be misconstrued as a guilty person trying to 'sell their story', not 'clarify the truth'. So if the doctor said anything about me 'making up' my health problems, or bringing up any of the other negative, bogus rumors that had been spread about me through the doctor grapevine, I was to simply ignore those comments and not break eye contact because even that brief turning away of the eyes could be interpreted as turning away from the truth of it. 'Yet facing the truth of it didn't confirm it?' I would ask Jude before hand and he'd say 'No, by not breaking eye contact, you are staring down the lie.'
Should I feel the need to respond to a judging statement made to me, the trick was not to tell the other person the truth of the matter, but to have them conclude it by making a rhetorical question of it. ''Why would I keep coming back to this clinic repeatedly? Do I have other options without income or private health insurance?'' ''Why would I come here 'because I was lonely' when I have friends I visit with and talk to on a daily basis?'' ''Why would I keep coming here, to the clinic, and bring up my health issues?''
And with all these thoroughly considered & prepared responses, the hope was I would be deemed spontaneous & casual and make this and future meetings with doctors successful!
But if it was successful this time, that wasn't clear to me as she just ended-up giving me my prescription to take to Denver. Nothing more.
Maybe her professional smile had been a touch more friendly by the end...?



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