There is a fundamental disconnect between some health care workers, and my concept of my own personal space. I have a few simple rules when it comes to health care workers, and it has nothing to do with dislike of the person in particular. It has to do with my space, my comfort, and my expectations to be treated according to my human rights.
1. No person, medical professional or not, is allowed to touch me without my permission, unless I am about to do harm to someone. The clear exception written into this is that if I go bonkers and start beating on orderlies, I welcome a nice pin-down and a shot of Haldol.
2. If you are going to touch me, medical professional or not, you are responsible for what you do. IE, if you touch me and leave a bruise, it is your fault, and I will hold you accountable.
3. If at any point I say no, act in clear distress, or attempt to escape you, all forms of touch should immediately stop. If you feel it is imperitive that you continue touching me for my own well being, you may THEN explain to me why and attempt to get my consent.
Why, you ask, am I enumerating these rules? Well, you remember here, where I said that I had dental problems and was terribly afraid of dentists? Funny I should mention, because Saturday night I developed a throbbing, painful, crippling toothache. I was in so much pain that I was losing my grip. Though I don’t write this openly on my “friends blog”, I was seriously contemplating suicide, because I was in such excruciating pain and it seemed there was no way out. I had an infection in my tooth that could spread to my brain, and there was no way for me to pay for it. I have no dental insurance and dentists are fucking sharks who want payment right up front or they’ll cheerfully let you sit in pain. The only good thing that kept me sane through Sunday was that the dentist was willing to at least call me in a prescription for a medication I could take (I’m intolerant to narcotics), and I was cheerfully on cloud nine for Sunday night.
Just when it seemed I was totally screwed and on my own, a dear friend took me under their wing and slapped down their debit card, saying I could pay them back over time. So I took my Ativan, tried to calm myself as much as I could, and headed in to the dentist’s office. Now, I hate the dentist’s office. I hate it so very much. I hate the judgmental dental hygeinists, I hate the smell, and I hate being pinned on my back helpless while people shove their hands in my mouth. It reminds me of being eleven and pinned down while someone shoved their dick in my mouth.
Thing is, I don’t like the dentist I’ve seen there the last few times. Butterfly talked here about what it is to have a “sense” of people, and I responded to her post with understanding, because I’ve always had a good sense of people. I know when someone is just no fucking good, and this guy is no fucking good. It’s not like it’s hard to read that, either. I’ve never met anyone who did like the guy, because he’s abrupt, callous, cold, and ignores the patient, talking only to the assistant. So this really isn’t my great “people” sixth sense – he doesn’t even require it. All you need to know this guy is a dick is good old fashioned common sense.
So they start looking me over and shooting my face full of Novocaine. That’s fine. I’m used to that. But up until my last visit, I didn’t have Ativan to use to calm me down while I was in the chair. This time, I noticed that my hands were shaking. That was strange, because as doped as I was on anti-anxiety meds, I shouldn’t have had a nervous bone in my body. So I asked the hygienist, who for once did not piss me off, if there was something in the Novocaine that would make me jumpy. Did you know that there’s Epinephrine in Novocaine?
Let me just make the irony of this a little more clear. They’re pumping every person who sits in their chair full of adrenalin. Yet, I hear all the time about how dentists hate that everyone is freaking out in their chairs and how difficult it is to have such a stressful job where everyone hates you. Is the entire profession of dentistry totally fucking retarded? Gee, I think I’ll jack someone up on drugs that make them tense and nervous and then expect them to be calm! Yeah! That’s it!
Anyway, they start in on my molar, and as he’s pressing down on my lower jaw with the side of his hand to get at my tooth, my chin slides way down and to the right. I felt a popping feeling, and protested, but he said, “Sometimes your jaw just pops out, it’s okay.” Without stopping. Okay. Deep breaths. Deep breaths. I got through the whole procedure, though toward the end, I was holding up my bottom jaw with tears streaming out of my eyes trying to reduce some of the pain by supporting it.
He got all the way to the end of the procedure without really thinking about my dislocated jaw and then removed all the hardware when he was finished. Scared and trembling, I rushed to close my mouth, and found abruptly that I couldn’t. My jaw was totally dislocated, popped clearly open. Ever seen one of those horror movies where some dark haired woman has an unnaturally large mouth and locusts or something come flying out of it? Yeah, it looked like that.
Now, feel free to tell me if I’m overreacting or something, but generally when a part of my body is grotesquely deformed, I freak the fuck out. I started to hyperventilate a little and cry, half-telling them what was wrong, which they could see well enough once they looked at me and stopped putting instruments away.
If you were a dentist, which of the following would think was the right thing to do?
A. Use a soothing tone of voice and gently reassure the patient that this can be fixed and that they should lie back and try to calm down so their muscles relax a little.
B. Push down the foot petal on the chair dropping the patient’s head as low as it can go, and jam both thumbs into their mouth abruptly without a word.
I don’t have to tell you which one he did. You already know. You know because I started this entry telling you what a dick he is, and now you believe me. So there I am, lying there, upset because my jaw is grossly distended, and then he drops my head down and shoves both his thumbs into my mouth, which makes me gag and hurts like hell.
You know, I’m really trying to come up with a way that the asshole dentist could have been worse at handling me, but short of actually sexually assaulting me, I can’t see how. He totally abused my boundaries, treated me like an object, assumed authority over my well being without a word, and violated my physical space without even giving me a chance to acquiesce.
I am still trying to decide what to do. Part of me wants to have him censured, but to do so would drag all sorts of things to light, and given my shitty financial situation, it might make it look like I was after his money. Which I could give a shit less about. I’d just like him to take a mark on his record that says that he can’t be trusted to have good bedside manner, to warn parents not to take their kids to him.
Today I had to go back to have a last x-ray and get my bite looked at to make sure everything was all right. I specified that I would not see that dentist again, and then when I was leaving I specified that I’d like to see one of the other dentists in the future. The woman behind the desk was remarkably unsympathetic and basically told me I’d have to take what I could get. Well, in that case, I’ll take my business elsewhere, even if I have to drive to another city.
There is a chance, a slim chance, that one of the people reading this blog has a job in the health care field. I beg you, consider carefully how you treat the people you tend. You wield power. Don’t abuse it.