Do you realize that in my lifetime (that's 34 years for those keeping score at home) I have been to 20 doctors? I counted them up -- the ones I could remember anyway. Just off the top of my head I can think of 4 dentists, 2 pediatricians, 2 periodontists, 2 dermatologists, an oncologist, 2 urologists, a neurologist, an orthapedist, an endodontist and 5 general practitioners. Do 2 anasthesiologists count? Oh wait, I've also had 3 visits to the emergency room.
The funny thing is that I don't really like doctors. I mean I've gotten along with most of them just find, all except for my current dentist, and even with him my disdain isn't because of a lack of skill or professionalism on his part so much as it is his nebbish quality and the fact that he looks like that British actor who plays Mr. Bean but anyway I digress. It's just that I distrust doctors and have come to wonder whether they really have my best interest at heart or if the Hippocratic oath has been ammended to read
thou shalt do no harm . . . to a doctor's profit margin.Are you feeling me here?
Take for example my most recent visits to the dermatologist. Yes, that's visits with an S at the end. I originally went in to have a keloid on my arm looked at and hopefully removed. My general practictioner (one of them anyway) had already tried freezing it with liquid nitrogen but all that did was make it bigger. When I got tired of looking at the blasted thing and went to see a dermatologist about it, she sliced it down so that it was even with my skin. Just as my oncologist had warned me, this resulted in little more than the thing growing back only now slightly bigger than it originally was.
By the way, if you're wondering what a keloid is and are considering doing an image search on Google, let me give you a word to the wise.
Don't. Doing so will assault your eyes with some of the most disgustingly freakish looking human anomalies known to walk the earth. Unless of course you've ever grappled with whether or not to circumcize your bouncing baby boy, in which case you might first be interested in clicking
here (that one comes from the second page of the aforementioned Google search.) Now for all you good little blog readers who are still with me, and even the bad little ones who have returned after viewing some of the most disgusting medical nightmares known to cyberspace, my keloid was fairly small and not particularly obstrusive. A keloid is basically just excessive scar tissue that forms for whatever reason and I'd say mine ranks just slightly above a mole on the unsightlyness scale.
A subsequent visit to said dermatologist ended with a few injections of a steroid and a pricy prescription for an ointment that was supposed to help shrink it. Before having the prescription filled I searched on the internet to see what it is (By the way, as I have stated before, I strongly suggest you get all pertinent medical information from the inner-web.) I discovered that it's primary use is to treat genital warts. So as not to give the wrong impression to my friendly Kroger pharmacist, I handed him the script and then promptly lifted up my shirt sleeve to explain what it was for. If memory serves me correctly I asked something vague like
Do you think that stuff will help with this? His answer was really of little concern to me; I just didn't want him to think I had a veneral disease.
All it did was bleed my wallet and make the keloid red and itchy.
On my next visit to the dermatologist I was prescribed more of the stuff. I asked if there was a generic equivalent that might be cheaper. There was not. I asked about having her cut it out and it was suggested that we try this first because outright removing it would result in an unsightly scar.
For the second dose of medicine I went to a different Kroger pharmacy, again explaining what it was for and showing my butchered keloid. The pharmacist looked at the prescription and said, "Oh, I normally have this in stock, but right now I'm out of it." The first pharmacist told pharmacies generally don't keep this in stock and that he would have to order it which he did. When I told pharmacist number two I was surprised she normally has it on the shelf, she said to me, "I have a patient who 's currently on it." Immediately I think this woman has weekly contact with someone who has genital warts. Note to self: Don't shake pharmacist's hand.
Further use of the ointment (it's called Aldara by the way) only made the keloid more irritated to the point that it was uncomfortable to roll over on it in my sleep and even a shirt sleeve brushing up against it bothered it. I decided something had to be done. I was going to put my foot down.
On my fourth visit to the dermatologist I told her I just wanted it cut out. To hell with the unsightly scar. I am old, fat and married now and body image doesn't have quite the same allure to me as it once did. She drew a circle around it with a ballpoint pen showing me where she'd cut and told me I'd have to come back another day the following week to get it done.
Can you believe the woman at the front desk had the nerve to ask me for my $25 co-pay? I politely expressed that I wasn't happy with paying $25 so someone could just draw on me and send me home. The matter was discussed with the dermatologist and it was decided I would not have to pay for her crude artwork after all. Good.
Five doctor visits, four $25 co-pays and two $25 prescriptions later I have another circle drawn on my arm and am sent to the surgery room for excision. The whole process took maybe 30 minutes and that includes the numbing, the cutting, the cauterizing and the stitching. I was given a photocopy of a sheet telling me how to care for it and an invitation to come back in a week to have stitches removed.
Tell me something. Why couldn't this have been done the first time I walked in there? Could it be that the North Atlanta Dermatology Center puts its own profit margin before my health and wellbeing? If you think about it, I only paid them $100 before this thing was all over. Just think about what they must have brought in from my insurance company. I'd bet you four $25 copayments that if I had walked in there on Day One and said I didn't have any insurance, they would have quoted me a total and gladly removed the keloid right then. For all I know, the amount would have been less than the $150 I paid to them in copayments.
Sure as shootin' someone who knows me is reading this right now and thinking
Kevin, if you were never to have gone to a doctor, you'd be dead right now which is true. A few years back I was diagnosed with and essentially cured of a cancer only twenty years ago most sufferers died from. It was a doctor who diagnosed it and another doctor who cured it. I grant you that. But there is a game going on here and we are the pawns.
I'm not religious but I'm gaining an appreciation for those that forego medical treatments. Who are those people? Christian Scientists, isn't that it? I have a good mind to join their church.
I just need to get the all clear from my oncologist.