Hey everyone, just a rant here. I know this is more for the Break Room, but I just started back working and can't quite pay for a premium membership yet. It's not really a rant, more a pathetic whine
Today I finally get my rear in for a physical. With 4 kids, sometimes I forget to take care of myself. So, I'm feeling good about going in to get myself checked out. First thing when the NP comes in, she looks at my kids and says, "Couldn't you get anyone to babysit for you?" Well, if I could, I would have done that, instead of dragging a 5 year old, a 2 year old and a 5 month old in here. So, she asks her nurse to play with them while I get checked out. Because, you know, that is what we nurses do.....babysit.
So, I get on the scale. I'm pretty happy to see that I'm back to my pre-preganancy weight. Now, granted, I can stand to lose a few pounds (okay, I'll be honest, maybe 15 or 20), but I just have to watch my eating habits....nothing major. My NP sits down and we start talking. She says to me, "So, what do you want to talk about, besides the fact that you're overweight." Well, thank you for that. But what I really want to talk about is me quitting smoking. I ask about trying Wellbutrin but I get shot down because I'm breastfeeding (okay, get that) and that I should "just do a program because you have to really want to quit, you shouldn't need any meds or patches." If I didn't feel I needed that, I wouldn't ask for it. I also asked about medication for my migraine. Since I was pregnant and now breastfeeding, I haven't been on my regiment of Neurontin/Relpax. The answer I got was just to try other things instead of meds. Once again, if they worked, I WOULD DO IT! While filling out my lab slip for blood work, she says to me, "they just have an obese dx code here, I wish they'd have one for overweight" OKAY, I GET IT ALREADY!!!
In the end, I walked in hoping that I'd get relief from my headaches and on my way to quitting smoking, and walked out of there feeling like a fat, nicotine addicted loser, no better off than when I came in, except now I feel like my image of myself has been horribly distorted all this time and I should be really concerned about getting this weight off. I never thought of myself as really overweight, and I fit in the same size I have for years. But, I guess the truth hurts, and that's what's really bothering me.
Anyway, like the eternal optimist I am, I walk out of there, get myself some Nicorette gum, and go on the Weight watchers website to check out what they have to offer. And then, after hearing my DH won't be home until late, struggling with my kids who are just fighting all day long, getting them all out to Vacation Bible school and volunteering there while trying the nurse my 5 month old, I go out and get myself a BLT hoagie and a pack of smokes.
Hey everyone, just a rant here. I know this is more for the Break Room, but I just started back working and can't quite pay for a premium membership yet. It's not really a rant, more a pathetic whine
Today I finally get my rear in for a physical. With 4 kids, sometimes I forget to take care of myself. So, I'm feeling good about going in to get myself checked out. First thing when the NP comes in, she looks at my kids and says, "Couldn't you get anyone to babysit for you?" Well, if I could, I would have done that, instead of dragging a 5 year old, a 2 year old and a 5 month old in here. So, she asks her nurse to play with them while I get checked out. Because, you know, that is what we nurses do.....babysit.
So, I get on the scale. I'm pretty happy to see that I'm back to my pre-preganancy weight. Now, granted, I can stand to lose a few pounds (okay, I'll be honest, maybe 15 or 20), but I just have to watch my eating habits....nothing major. My NP sits down and we start talking. She says to me, "So, what do you want to talk about, besides the fact that you're overweight." Well, thank you for that. But what I really want to talk about is me quitting smoking. I ask about trying Wellbutrin but I get shot down because I'm breastfeeding (okay, get that) and that I should "just do a program because you have to really want to quit, you shouldn't need any meds or patches." If I didn't feel I needed that, I wouldn't ask for it. I also asked about medication for my migraine. Since I was pregnant and now breastfeeding, I haven't been on my regiment of Neurontin/Relpax. The answer I got was just to try other things instead of meds. Once again, if they worked, I WOULD DO IT! While filling out my lab slip for blood work, she says to me, "they just have an obese dx code here, I wish they'd have one for overweight" OKAY, I GET IT ALREADY!!!
In the end, I walked in hoping that I'd get relief from my headaches and on my way to quitting smoking, and walked out of there feeling like a fat, nicotine addicted loser, no better off than when I came in, except now I feel like my image of myself has been horribly distorted all this time and I should be really concerned about getting this weight off. I never thought of myself as really overweight, and I fit in the same size I have for years. But, I guess the truth hurts, and that's what's really bothering me.
Anyway, like the eternal optimist I am, I walk out of there, get myself some Nicorette gum, and go on the Weight watchers website to check out what they have to offer. And then, after hearing my DH won't be home until late, struggling with my kids who are just fighting all day long, getting them all out to Vacation Bible school and volunteering there while trying the nurse my 5 month old, I go out and get myself a BLT hoagie and a pack of smokes.
Oh well, tomorrow is another day.....
Look at the american STATS for obesity. All of america is in trouble pretty much..from overweight, to obese, to morbidly obese. See my doctor is wonderful with the weight issue. I have lost 38 pounds doing low fat and she congratulated me on it and said when I stall i should do low carb.
But that was it. No one made me feel bad about my weight....I look around me and see that just about everyone is in need....so I think..'so what?"
As for coming home to the stress of kids after a discouraging day, Sorry to hear about that....I can completely relate.....Cheer up and look around you...know that everyone has imperfections....
Specializes in Med/Surg, ER, L&D, ICU, OR, Educator.
I know that the clinic in our area is currently working on some "quality improvement" projects to address a general decline in some very basic health related issues. If you are a smoker, an orange sheet is placed on the front of your chart to remind the provider to address smoking cessation, and there must be a blurb about your conversation in the notes. Also, if your BMI is above a certain number, weight must be addressed. While these may be helpful reminders for providers, it probably can seem pretty mechanical if they lack the creativity to perform as a truely holistic practitioner. I think that your NP either lack real interest in her patients, or isn't creative enough to work the scripting in without it being noticable.
Just started my yearly "well woman exam" process, which takes about 2 weeks to complete.
1. Try and get an appointment. I ADORE the recorded message, "If this is a medical emergency, please hang up and dial 911". NO! Really? 15 minutes of listening to Barry Manilows greatest hit and I'm coming down with a medical emergency, I tell ya. OK, how is 1:27 AM Sunday morning for you Miss? SURE!!!! I'm usually thinking of getting up in the old stirrups right about that time of the morning.....NOT.
2. Day of the appointment, after 3 or 4 reminder phone calls like some telemarketer on speed, you shower, shave allllll the way to the bikini line, check for grey pubic hairs, butt nuggets and varicose veins while contorting over your hand held magnifying mirror (which really does make your butt look 10 pounds bigger) and then smooth on your favorite moisturizing lotion, you want to look your best in that fashionable paper gown, right girls?
3. Drive to the office, circle the parking lot waiting for the "spot fairy" to bestow kindness and hope you don't have to walk to far. You end up 3 blocks away, that's ok, gives you a chance to show off those brand new La Perla undies that you splurged on for this "event". Is this a first date or a gynecological exam you begin to wonder as you squirt the listerine into your freshly glossed lips, hitting yourself directly in the eye instead.
4. Eyes dripping, you can barely make out the floor number of the office you are 15 minutes late getting to, having knocked yourself unconscious while attempting to navigate that revolving glass door thingy because you are now completely blind and wheezing for breath from your 5 mile hike.
5. Elevator comes and you are dragged along by your purse strap which has somehow gotten caught on Granny's 4 point walker and she's MOVING FAST BABY! Standing room only and you can barely make out the grinning and drooling face which seems to be resting directly on your shoulder , yes it's Junior the human vomit machine who suddenly launches a full blown formula fest onto your favorite shirt.
6. Ahhh, your floor at last! No one is happier to see you stumble off the elevator (still attached to Granny's 4 point walker as she screeches "STOP THIEF!" )then the other occupants who are glancing about to find out who is wearing that distinctive "cologne".
7. Clutching the formula saturated kleenex in your sweaty palmed hand, you enter the office, hoping for a few moments to regain both your eye sight and your composure but OH NO! The receptionist would happily use a bullhorn to announce " Hi Mrs Smith, your here for your PAP today?" A collective gasp can be heard in the standing room only waiting room, Mother's reach out to cover their precious childrens ears. You take a deep breath, try and look her in the eye and say proudly "No, it's more likely just a consultation" and smile smugly, thinking, "Well I certainly put her in her place!"
8. "Please fill these out and return them when your done". Well, I have seen applications for NASA that weren't as detailed as this thesis! Not to mention having to complete it while on all 4's over the carpet, did I mention it was standing room only?
9. 3 or 4 hours later, you can't be sure since you accidently dozed off, you are startled by a booming "Mrs Smith? Mrs Smith ?" " Not guilty Your Honor " you automatically respond, forgetting for a moment where you are. Since your eye sight has returned, you can clearly make your way to the "back office " for the humiliation to begin. "Please step up on the scale !" you are commanded.
10. 20 minutes later you are putting your jewelry, earrings, watch, ankle bracelet, hair clips, contact lenses and hearing aids back in and on (hey every ounce counts right? ) and you are ceremoniously ushered to the "exam room", also refered to as meat locker number 7. Mystery woman has laid out a lovely ensemble for you to change into and leaves the room so you, super model that you are, can have some much needed privacy to work your magic on making a sheet of 4 ply sand paper and a saucy little capped sleeve kleenex look chic.
11. Finally Dr. Peekaboo enters and shakes your hand. You hold on a second or 2 longer than you normally would, it's the only thing warm in the room you are soon to discover. Brushing the frost off the exam table, she motions you to "saddle up partner". Laying there in this most intimimant position, you reflect on career choices you might have made, thinking "hey, if I can bend like this, I probably could have had a huge name for myself in Mediao!"
12. Dr Peekaboo continues to "tinker around" and you are beginning to wonder why it is that men get away with things so easily! A prostate exam ? BIG DEAL you ponder, at least during something like that they can fantasize!
13. CLINK! Exam is over. "everything looks good !" says Dr Peekaboo. Your tempted to reply, "Is that a personal or professional opinion?" and feel slighty miffed that he/she failed to remark on your creative bikini line enhancement or the pedicure. Well, you'll just have to do better next year.
14. You discover that KY jelly is in fact the worlds stickiest concoction, trying vainly to unwedge your thighs which have either frozen together or Dr Peekaboo substituted crazy glue just to spice up your experience, what a prankster!
15. As you are being attended to by the medical assistant (having sling shot yourself into the wall while putting on those La Perla panties) , you smile bravely and tell her, "I'm sure it's just fractured, I'll bbe fine!".
16. With mapquest and Thomas guide in your trembling hand, you navigate your way to the exit. After reviewing your last 4 years tax returns, providing the title to both your car and house and signing over your first born, your free to escape. "See you next year Mrs. Smith! the clerk shouts cheerfully.
17. "Don't you threaten me young lady !!" you reply with a haughty demeaner and a limp.
18. The sudden hail and thunder storm slowed you down a bit but you are relieved to see your car, just where you left it, keys dangling jauntily in the ignition, locked of course.
Later that evening....
911 Operator : What is your emergency?
Mr Smith : All I said was, how did it go at the gynecologist today honey? That must have been a walk in the park huh?
:rotfl: :rotfl: :rotfl:
Here's my exam horror/humor story. I went in for my pap, having put it off for two years because I am insanely hung up about people seeing my privates (don't even ask about my sex life -- or lack thereof). I get all set up on the table, Dr. has the speculum in, I'm shaking and sweating, Dr. reaches over to grab the swab, hits the end of it, it goes "boing" and flies right over the exam table and lands on the floor. OK. So she opens the drawer to get another swab and goes "Uh-oh" -- words you really don't want to hear in that situation. Well, there were no more swabs, so she had to go to another room to get them, so she said, "well, we have two choices here, I can take this out and go get them or I can leave it in." I said "go." And then just lay there staring at the ceiling getting more and more giggly about my predicament until by the time she came back I was beyond caring what happened to me. :chuckle
If I may suggest....I get frequent migraines and was told by my PCP to see a neurologist. I take Relpax and Topamax. I find that the neurologist understand more of what's going on and don't just chalk it up to stress and say try just relaxing and tylenol. I'm sorry it just doesn't work that way. I hope that at least helps with your migraines. I also think you should find a new PCP!!!! :icon_hug:
You've just reminded me of why I don't go to physicals unless I have to.
I had a female OB/GYN who saw scars on my body and was astonished. "What are these? They look like cigarette burns!" (They were old boo-boos that I picked until they scarred over.) That was my first and last visit to the gyno doc--8 years ago. I don't pay to be humiliated on the exam table.
I've also had another female doctor refer to me as the "Worm Lady", due to my childhood problem with pinworm infestations. Um, THANK YOU! :imbar
It's not like I ask the worms to come live in my...well, you know...
Thankfully, neither doc was as vicious or full of "attitude" as the NP that the OP had to live with. That woman would sent me home in tears!!
Your ob/gyn may have just been screening for a possible abusive home situation. Part of the job remember. :)
Don't let this incident deter you from getting the ever important PAP !!!!!!!
I hope you have at least seen someone in 8 years !
Here's my exam horror/humor story. I went in for my pap, having put it off for two years because I am insanely hung up about people seeing my privates (don't even ask about my sex life -- or lack thereof). I get all set up on the table, Dr. has the speculum in, I'm shaking and sweating, Dr. reaches over to grab the swab, hits the end of it, it goes "boing" and flies right over the exam table and lands on the floor. OK. So she opens the drawer to get another swab and goes "Uh-oh" -- words you really don't want to hear in that situation. Well, there were no more swabs, so she had to go to another room to get them, so she said, "well, we have two choices here, I can take this out and go get them or I can leave it in." I said "go." And then just lay there staring at the ceiling getting more and more giggly about my predicament until by the time she came back I was beyond caring what happened to me. :chuckle
Specializes in Gerontological Nursing, Acute Rehab.
After reading this, it got me thinking about how doctors can get away with saying crap that we would get canned for. Now, I know that the patient's are the doctors "employers", but still....
I started getting pretty annoyed again today....I mean, not to justify anything, but for crying out loud, I had a baby 5 months ago, and I'm breastfeeding....sometimes the weight just doesn't come off when you are nursing a baby. I think it was just the fact that she focused on my weight, and glossed over the real reason I was there (smoking) that really peeved me. It's sort of like if you see someone and you don't know if they are pregnant or just overweight....you don't go up and say "So, when are you due?" (unless, of course, you like getting a brick thrown at your head) It's the same thing when you see someone with a new baby....don't get on them about their weight! I've done the low carb thing before with success, but I don't feel comfortable doing it while nursing (and it's not recommended). I'm just not going to worry about it too much now, for now I'll just be more aware of what I take in.
As for my migraines, I have seen a neurologist about them, that's how I started with my Neurontin...another one of my PCP's (who I will go to from now on) added the Relpax on for breakthru pain.
By the way, yes, she does know that I'm a nurse, so that's why I was really annoyed when she went thru the "Do you brush your teeth twice a day?" (I'm 30 years old and never had a cavity, what do you think?) "Do you floss....see your dentist twice a year.....go to your eyecare provider every 2 years......wear seatbelts......you should really get a mammogram (yeah, while breastfeeding, I can't wait to short circuit the whole damn hospital when they put my booby in a vice and SQUEEEEEZE it into a pancake) In fact, she even asked me how I conceived my last child because we co-sleep with our 2 year old. Well, we just throw a blanket over her head and hope for the best. I mean, come on!!
Okay, enough ranting. On another note, this is my last week of smoking. I have to work this weekend and I plan on starting to use my gum then, since I don't smoke much at work. If, for some reason, this weekend doesn't work out then most certainly Monday. I'm gearing myself up for it!
I'll keep you updated, because I know I'll need some support!
Specializes in Telemetry, ICU, Resource Pool, Dialysis.
You know what, Jkaee? From your description, I think she is just STUPID. Completely unable to see the big picture. She actually asked you how your last child was conceived???????????????????? Maybe she doesn't realize that people DO have sex other places besides the bed? I'll bet she had something sage to say about co-sleeping, too. BTW, all my kids slept with me until they were 5 or 6, and turned out normal...for the most part!!
I hate that you had such a horrible experience, but I really want to put in a good word for Weight Watchers. As a student in nursing school, I put on 30 pounds last year. I am finally getting it off after trying EVERYTHING (even prescription appetite depressants that kept me awake all night and my heart racing) and the only thing that really worked was Weight Watchers.
was put on wellbutrin 150 bid for postpartum depression by pmd..worked wonders and i quit smoking...oh yeah..and breast fed all 4 of mine for 2 yrs each..find a diff doc...Gina
While filling out my lab slip for blood work, she says to me, "they just have an obese dx code here, I wish they'd have one for overweight" OKAY, I GET IT ALREADY!!!
Inkleberry
9 Posts
Look at the american STATS for obesity. All of america is in trouble pretty much..from overweight, to obese, to morbidly obese. See my doctor is wonderful with the weight issue. I have lost 38 pounds doing low fat and she congratulated me on it and said when I stall i should do low carb.
But that was it. No one made me feel bad about my weight....I look around me and see that just about everyone is in need....so I think..'so what?"
As for coming home to the stress of kids after a discouraging day, Sorry to hear about that....I can completely relate.....Cheer up and look around you...know that everyone has imperfections....