Sunday, September 7, 2014

Why I will never go back to Planned Parenthood

 This happened to me several years ago, but for some reason, (maybe it was the rude lady on the train yesterday who demanded to know why I had scars on my face and then told me I was rude when I said it was an innapropriate question) I want to post the story again.
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Undressed and wrapped in paper, I wait 20 minutes on the frigid exam table, examining my pale skin and striped socks under the fluorescent lights while I wait for the doctor to arrive. The assistant who took my vitals was cute. Japanese with a blue tongue piercing, she commented on my eyes. I couldn’t tell if we flirting. Needless to say, she was enjoying her job. Done taking my vitals, she pointed to the folded paper on the exam table. “Put the blue one on top, opening in the front and put the other over your lap.” And then she was gone.
I’m glad to have made it this far. It’s two hours past my scheduled appointment time. In the waiting room, I witnessed three women approach the receptionist window only to be denied a Pap smear for financial reasons. One had a $500 deductible on her health insurance that had not yet been met. Another woman had gotten a small raise at her job and no longer qualified for San Francisco’s Family Pact card, a city-sponsored card for free family planning and STI prevention services, but could not afford the astronomical PAP smear fee. The third time all I heard was rejection and looked up in time to see a cardiganed pair of shoulders slumping out the door. I’m tired of sitting in this hard plastic chair under institutional lights. The room is crowded, and everyone looks irritable.
Now I’m waiting again, although this time by myself, where it is colder and I am more naked. Finally, the doctor enters.
“Sorry about the wait. We’re really understaffed today. Two people called in sick.”
I placate her guilt, wanting to get on with the exam. “Everybody’s getting sick.” I say. “I have an immune system of steel. I work with kids.”
“You know what I love the most about kids?” She asks in a cheery voice. “Their curiosity.” She points to her own forehead and says, “What happened?”
“Oh, you need medical validation.” My tone is mildly condescending, and I hope she’ll get the hint that this line of questioning is inappropriate. I’m here for my breasts and vagina. Nothing else. I do not want to volunteer information about cosmetic differences in my appearance, and I know she is not asking for medical reasons . I wrote on my intake form that I was hospitalized for a brain injury in 1978. That’s all she needs to know. She’s looking at me in my paper gown, expecting an answer. “I had an accident. I was dragged by a horse.”
“Oh, how horrible!” The doctor has a sharp intake of breath, the way people do when they’re shocked be something truly awful, like the holocaust are starving Ethiopian babies. She begins my breast exam, her icy hands palpating my armpits and mammaries. “My mother is in remission from breast cancer with reconstructed breasts and my father died of glioma in 2007,” I report. Still, she has the gall to go on about how awful my head injury most have been, asking me for details and exclaiming at how lucky I am.
As she prods my breasts, I think to myself, “That my mom now has fake tits and my father is dead is not horrible, but that I survived a head injury and have done the physical, emotional and mental work to become passable as an able-bodied member of society is? What is wrong with this woman?”
Now I’m on my back, feet in the stirrups, ass hanging off the table, cervix exposed. Unaware that this might be a slightly awkward position for me, the doctor goes on. “You know, head injuries can really be quite serious. Oh, when young people get them it’s just awful. Imagine not being able to swallow solid food or use your legs?”
At this point, I feel it is time for me to stand up for myself, whether my vagina is in her face or not. “A big part of disability is how the people around us react. Really, we adapt quite well. It’s society that has the disability.”
“Oh, but some of these disabilities are just awful. I mean, you, you’re lucky!” She finishes her exam. I sit up. “You know, someday, when they have better technology and you have more money, you could get that fixed with lasers.” She points to my forehead.
My womanliness, in all her fabulous, well-groomed glory has been exposed and scrutinized by this quack, yet the uniqueness of my face is still more interesting. I smile, “Actually, they have that technology already and I wouldn’t change my face if you paid me. I like my scars.”
She gives me a “Good for you” that one usually reserves for a 3 year old. Do I look like I need a hug? Especially from someone who has just stuck a variety of cotton swabs up my vaginal canal?
Honestly, I was just trying to take care of myself by getting a check up today, but instead I ended up having to explain and defend not only myself but the entire spectrum of physically-disabled people to an ignorant doctor whose only concern should be that I don’t get cervical cancer or any other type of boob/vagina illness. And then, after I’m done defending myself, she has to end it with a “You go, girl!” As if I need her vote of confidence. I’m offended in triplicate (as a human, feminist, and disabled person) that she would suggest that I fix my face without knowing anything about my personality, politics, or body image.
I will answer questions from children, family, and friends regarding my scars and where I fit on the disability spectrum. I don’t mind at all. I like to open up dialogue and create a safe space for inquiry. But when I go to a Planned Parenthood to see a doctor whom I will probably never encounter again, I am not there to be an educator. I am there to get my pussy checked out so I can go get laid like a responsible adult. And that is all!
For the record, I love my face and my forehead. The circular scar in the center is a third eye, a glimpse into my past, why I am the strong and compassionate being that I am today. I resent it when anyone (especially a healthcare professional) tells me there is something wrong with my appearance. Can they not see the beauty of this scar, this map of my past, on my face? Are they blind, or are they just so insecure about their own appearance that they can’t appreciate the uniqueness of mine?
Whatever the reason, Planned Parenthood, I’m glad you exist, but I am never going back to you again. I would write a complaint about this particular doctor, but I don’t want her to lose her job. Of course maybe she should. She doesn’t seem to understand the Hippocratic oath very well.