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The Neglected PatientBy Francine |
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The
Neglected Patient My experience with hospitals and
clinics has been limited, because I have generally been in good health. My last hospital
visit was for a maternity event, some twenty years ago. The product of that experience has
now grown up and found her way to college, so you can guess I can no longer claim to be in
the fresh bloom of youth. Nonetheless, with my fifty years, I certainly do not consider
myself old, or, I hope, completely unattractive. My experience with the clinic really
began with an auto accident. I was in a collision, in which no one was injured seriously
(except the car), but I did suffer from some minor damage. My right ankle and foot were
cut rather badly, and obviously bruised. I had an assortment of other minor cuts and
bruises, with some soreness of unknown origin. My own tendency was to get these treated
superficially and trust they would heal quickly; but the insurance company thought
otherwise. To cover their possible liability, they advised me to get a thorough medical
check-up to establish whether I might have any other (perhaps not obvious) injuries. As
they were paying for it, I agreed to comply. The physician I had selected
practiced in a clinic used by a number of doctors. It also had quite a bit of diagnostic
equipment and a small lab. It was not, however a hospital, and did not care for overnight
patients. I arrived in the early morning and
checked in for a nine o'clock appointment. "Mrs. Karen Whitestone?"
the receptionist inquired. "Yes, that's me," I
answered, standing at her counter on one leg. I was using, I hoped temporarily, a borrowed
crutch because I couldn't put any weight on my injured foot. She inquired for the usual insurance
authorizations and had me fill out a fairly lengthy paper. Shortly afterward, I was told
to proceed to an examination room. A nurse escorted me, and gave me my instructions. "The doctor will be with you
shortly. I need to do some preliminaries, if you will just sit on the table there",
she said, indicating the examination table. She asked a number of questions, checked my
blood pressure and temperature, drew a blood sample, and a few other items. Then she told
me, "For the examination, you will need to remove your clothes and lie on the table.
I am sorry, we have run out of the usual gowns, but I will give you a plastic sheet with
which you can cover yourself. Now, if you will just get ready, it will be only a few
minutes before the doctor comes in." I did as instructed, though it was
rather difficult with one leg out of service. I lay on the table and arranged the sheet
over my now naked body. It wasn't as long enough to cover me from neck to toe, but I
arranged it so it covered most of me, leaving my feet hanging out at the bottom and just
my shoulders at the top. I waited. Shortly, a nice looking man,
probably forty something, came in. "Good morning, Mrs. Whitestone," he
introduced himself. "I am Doctor Murray. Now, first, let me look at that foot you
have all wrapped up there". He was looking at my right foot, sticking out from under
the sheet but wrapped heavily in a homemade bandage. He spent quite a bit of time on my
foot and ankle. He concluded that I probably had a bad sprain and an assortment of cuts
and bruises. With his nurse, he cleaned and treated the foot and ankle, then wrapped it
tightly in what seemed to me to be an enormous bandage. "Mrs. Whitestone", he
instructed me, "I am going to have you keep off that foot for a while. Don't try to
walk on it. Don't put any weight on it at all, for a few days. Now, I need to look over
the rest of you and see what other damage you might have." He lifted the sheet a section at a
time, at times having me sit up and then turn over. He seemed to be quite thorough. He did
quite a bit of writing and communicating with his nurse, not all understood by me. Finally, after an hour or so, he
seemed to have evaluated most of my sore spots, and at least looked at the assorted
scratches, cuts, and black and blue spots I had developed. After some consultation, he
turned back to me. "I am going to have some x-rays
made, and a few tests run. They will be done here, and will take a little time, but they
are important. You are not to walk, so I will have you taken there on a gurney. Oh, yes,
after the x-rays and some other items, I want you to have a pelvic ultrasound, because you
have indications of possible problems in that area, and I want to be sure." The rooms where the x-rays and
several other tests were done were down the hall from the examination room. A man came in
with a gurney, and then left the room as the nurse helped me to transfer myself to it from
the table. During the next two hours I spent a
lot of my time trying to preserve my modesty by constantly adjusting the plastic sheet as
I was positioned for various tests and pictures. Finally, it seemed, most of it was
done. A male staff worker took me on the
gurney down to where I was to have the ultrasound exam. "It's down the hall a bit
farther, and I will just leave you there because they have a line of patients and you will
need to wait until they get to you", he casually informed me. He parked me at the
side of the hall outside the room that evidently had the equipment. I waited. I could see
other patients coming and going, mostly young women. Ultrasounds, in my limited knowledge,
were used mostly for pregnant women, and several of the patients I saw seemed to be in
that state. After a while, a technician came to
check on me. "Your name?" he asked, then, not trusting me, looked at the tag on
my gurney. "Oh, yes, you're Mrs. Whitestone. And you want an ultrasound?" "The doctor ordered it", I
replied. He shrugged. "We're pretty
busy. You have been checked?" "Yes, the doctor just examined
me. I've had a lot of tests!" "Not what I mean. Are you
prepped for the ultrasound?" I wasn't sure what he meant.
"Why, I think so. What do I need?" "Mostly, you need a full
bladder. Has yours been checked?" I was a bit surprised. I didn't
realize this was needed. "No, I haven't had that check - but I haven't gone in about
three hours. Maybe it's full enough." I was embarrassed at discussing
this, but he wasn't interested anyway. He just said, "I'll get Mike, over there, to
check you, when he's through with that patient." With that he rushed off. Mike, I
could see, was talking to a young woman patient whom I could see through an open door. I waited for a while, and then
recognized the one he had indicated as Mike walking out, clipboard in hand, and picking up
a new patient from the waiting room. This one, I noticed again, was another rather nice
looking young woman. Probably pregnant, I guessed. After he passed me several times, I
tried calling him. "Are you Mike?" I asked. He turned and looked at me.
"Yes, that's me? What do you need?" "I was told I needed to be
checked whether I'm ready for an ultrasound. Do you do it?" "I'm pretty busy right now. Did
you prepare yourself?" This seemed to be getting nowhere.
"I didn't know I needed anything, but--" He cut me off. "OK, lady, I
guess you need a bladder check. Right?" "Apparently." I answered.
"OK, it just takes a minute, but I'll have to do it here, or you'll have to wait
until we can take you inside." "I suppose you can do it
now," was all I could think to say. Something had to get moving. He lifted the bottom portion of my
sheet, and placed his hand on my lower belly. He pushed on it slightly, hesitated, and
then pushed harder. "You're not pregnant, are
you?" he asked. "No, I don't think so!" I
answered with a smile. "Well, you need a very full
bladder. Your bladder's hardly got anything in it. You've got to get filled up before we
can do you!" "What do I do? I was brought
here, and I can't move myself." Mike shook his head in frustration.
He walked away, and then conferred with another male employee. Mike then called back to
me, gesturing to the other man. "He's going to take care of you!" The next time
I saw Mike he had another patient in tow. Eventually a female nurse came to
me. She was carrying a pitcher of water and a straw. "Can you sit up at all?"
she asked me. I told her I could rise up a bit, but the way my leg was fixed I couldn't
really get into a sitting position. "OK", she said, "That will have to do.
It's hard to drink a lot of water when you're lying down." I looked at the size of the pitcher.
It was a big one, and from the gradations on it, appeared to hold two liters. She told me
to drink it, using the straw. "All of it?" I asked.
"All of it," she answered. "If you had come prepared, it might not take as
much, but we don't know how fast your kidneys work, and we need to get your bladder as
full we can, as fast as we can." She left me with the pitcher. I went
to work on it. It took me half an hour to get it all down. After another half hour I knew
the water was doing its work, because my bladder was sending signals to me calling for
relief. No one had checked on me in some
time, and I was getting concerned as to whether I had been forgotten. Then I saw Mike. I
called to him. He hesitated, and then came to me. "What do you need? I think
you're in preparation, aren't you?" he asked, with a somewhat irritated tone. "I think I'm ready - I feel
quite full, now. Can I get checked?" "You're probably not ready yet.
I'll have someone check you later". I almost pleaded with him to be
checked. Reluctantly he raised the sheet over me and put his hand again on my belly. He
pressed. I knew my bladder was full, but when he repeatedly pressed on it, it hurt, and I
winced a bit. He withdrew his hand, replaced the
sheet, and shook his head. "You're not ready yet- maybe in
another half hour or so, if you had enough water. How much did they give you?" "Two liters. I really do feel
full, and when you pressed- " He didn't let me finish.
"You're not full enough. You're not pregnant, so you shouldn't be complaining. Those
ladies have a hard time holding it - you'll have to take your turn. Anyway, yes, you have
a full bladder; but for this check it needs to be very, very full. Just hold it for a
while, and we'll get to you later." He rushed off. From what I could
see, there were about three technicians doing the ultrasound; one female and two men. I
didn't see much of the female, because she seemed to stay in the room with the equipment.
The men seemed to be the ones taking patients in and out. I got the impression that they
rather enjoyed working on the young women, but they didn't seem to have much interest in
me. I lay there for a while longer,
trying to keep the sheet arranged to preserve my modesty, but growing increasingly
uncomfortable with my expanding bladder. But, true to his word, Mike did come
back in a half hour or so. "Think you're ready now?" he asked.
"Absolutely", I answered, "and I'm anxious to get this over!" "Everyone is - because you
don't get to relieve yourself until its finished. Now, let's see how full you are."
He slipped his hand under the sheet, and again ran his hand over my abdomen, pushing hard
in several places. At the first push I jumped a bit at the sudden pain. He appeared to pay
no attention. "I guess you're probably full enough, now. But you'll have to wait a
bit. We have two patients ahead of you. Just stay calm." I gritted my teeth and waited. It
wasn't easy to stay calm when your bladder is already way beyond its usual capacity. It
was hurting me, now, and I wasn't sure how long I could wait. In about fifteen minutes they
finally took me. The procedure didn't really take long. The woman technician ran the
sensor over my abdomen, with one of the men standing by. The sheet had been pulled up to
my navel, so my entire pubic region was exposed. No one seemed to care. When the task was
finished, the sheet was dropped back over me, and I was pushed into a small antechamber
next to the examining room. "Someone from Dr. Murray's
office will come and get you when they're ready to finish your work. But it might be a
while, because I hear they had an emergency of some kind down there and the doctor's tied
up. Just wait" "Can I go to the bathroom,
please? I mean- " He knew what I meant, all right. But
he walked away, obviously not wanting to get involved in my personal problem. I couldn't
get up, and even if I wanted to defy the doctor's orders I doubted I get over the railings
on each side of me. My belly was hurting something awful, and I had no idea how I was
going to get relief. The room I had been placed in didn't
get much traffic, and no one was paying much attention to me. I was hurting worse with
every passing minute. Several times I tried to call one of the staff, but no one seemed
interested in me. I hoped Dr. Murray's man, or technician, or nurse, or whatever would
come and get me quickly. There seemed to be some supplies
stored in a cabinet in the room I was in, and then I saw a man I had not before noticed
talking to someone outside my door. Then, to my surprise he came into the room where I was
to get something from the cabinet. He was dressed in the blue suits the staff members
seemed to wear, and he was about the same age as Dr. Murray, probably forty plus. As he
rummaged in the cabinet, he glanced at me, offering a cheery "Hello, there!" I was squirming, moaning a bit,
virtually in agony, and in no mood for cheery conversation. Suddenly he turned and looked at me. "You look like you have a
problem. Is someone helping you?" he asked. "No", I managed to answer,
"but I sure need it. Everyone ignores me. I'm waiting for someone to take me back to
Dr. Murray, when he's ready for me, but -oh oh" I started to moan involuntarily.
"It hurts so bad!" "What did you get?" he
asked. "Did they prescribe a painkiller for you?" "I don't need a painkiller - I
just need to use a bathroom! But I can't walk, and I can't get out of this- I just had an
ultrasound, and no one gave me any way to relieve myself!" "Well, lady, I don't work in
this department, and I'm not sure how to help you. But I understand your problem." He looked me over a bit. I was still
squirming, and moaning in my agony. "You sure it's OK for you to relieve yourself,
now? I mean, they didn't tell you that you weren't supposed to?" I shook my head. "There's just
no way. I felt like I was going to burst a long time ago. I didn't think it could feel any
worse, but - oh, it hurts so bad!" He looked around, but saw no one who
might attend to me. "All right", he began, "you say you can't walk, so you
have to stay lying there. I don't know how to relieve you, but let me see what we can do.
Let me see how you're set up!" I thought he was going to check
something on the gurney, but instead he picked up the right side of my sheet and folded it
back over the left railing of the gurney. That kept anyone in the other room from seeing
me, but my entire naked body was lying in front of him. He looked me over thoroughly.
"My apologies - if you were a man, I'd know how to handle it, but for a woman--"
he pondered the situation, carefully studying my anatomy. After a minute or so, he said,
"Just wait a moment; I'll be back". Then he left, leaving the sheet hanging over
the railing, and me completely exposed. In about three minutes, though it
seemed like hours to me, he was back. He was carrying a device that looked like a small
bottle with a kind of spout. I recognized it as a urinal, the kind used for male patients. He studied me and looked at the
device. "You got to excuse me; I'm a lab technician, not a nurse. I don't know much
about these things; but it doesn't look like you've got the right equipment to use this
gadget." He studied my lower anatomy with care, then added, "There was another
kind I think maybe would fit! Let me get it!" Again he left me, naked and exposed,
groaning with the agony I was in. Shortly he was back, this time carrying a female urinal. "From that bulge I see on your
bottom, you've got a lot in you. I hope this holds enough. Now, let's see--" He tried
to get the urinal in proper position. I spread my legs a bit and tried to help him.
Finally we seemed to have the mechanics right. I thought he might leave me, but he didn't;
in fact, he held the urinal against my body with his hand. My modesty and privacy was
hopelessly lost, but all I cared about was getting relief. "Can you let go, now?" he
asked. I tried to. It wasn't easy. My
muscles were so tensed from holding that relaxation didn't come quickly. I kept trying. I
shook my head, as I told him, "I've got to go so bad, and now it just won't
release!" "Patience", he answered,
"I can wait. He spent the waiting moments focusing his eyes on my naked body, spread
before him. He seemed to be studying my breasts. Finally the patience paid off. I was
able to produce a stream that poured into the urinal. He nodded his head as he watched.
"Now it's coming. We'll have you relieved right soon, now!" "Thank you", I replied. He continued. "Name's Al - I
work in the lab down the hall. You say you're a patient of Dr. Murray? I do a lot of work
for him. Good thing I happened by here - you must have been in bad shape. Did you say it
hurt a lot? Say, you're filling that thing up pretty fast!" I told him I had been in an auto
accident and was being checked for possible further injuries. I wanted to be friendly,
because I certainly appreciated his help. Inwardly, I was mortified. I
realized I was lying on my back, naked, uncovered, and calmly talking to a strange man
while I was urinating. Indeed, I was urinating profusely; and he reminded me of this when
he abruptly told me, "You better shut off your water - this thing's almost full. I'll
have to empty it and come back. You feel like you have much more?" With some effort, I was able to stop
my stream. My bladder still was calling for relief, but most of the pain was gone. To Al,
I replied, "I think I have it stopped - but, yes, I have more in me! Please do come
back!" He removed the urinal, and looked at
the gradations. "Gee! You let out almost a quart! And you still got more? No wonder
you were moaning and squirming! OK, I'll be back in a couple of minutes. Just wait, and
we'll get you emptied yet!" He took the urinal away to empty it,
but as before, he left the sheet hung over the railing. He made no effort to cover me. I
thought of trying to pull it down over my body, but decided to leave it until he returned.
He was back in a few minutes.
"Hope you don't mind your pee going into the men's room! I can't very well go into
the ladies!" he began with a smile. "Now, let's get this thing back in place and
let you finish emptying yourself!" He placed the urinal again in position, holding it
against my body with the pressure of his hand. "Now", he told me, "You can
open the valves again." I did. My stream started immediately
and forcefully. While holding the urinal, he again started surveying my body, his eyes
falling quickly on my breasts. Somehow, I wanted to tell him, "Please don't
look!" But that didn't seem appropriate
under the circumstances. Finally, my bladder felt empty and
my stream abated. I indicated I was finished, and he withdrew the urinal. "You
know", he said, studying the container, "you had almost a quart and a half in
you. I wouldn't have thought a lady your size could hold so much. I see why it hurt you so
badly. Well, I need to go take care of this!" Again, he left with the container but
failed to cover me. This time I did pull the sheet over
me. It didn't stay long. When he returned he had a paper towel in hand. He again raised
the sheet, hanging it on the railing. Then he began to dry my private parts with the
towel. "Couldn't leave without doing the clean-up job, could I?" he asked, as he
finished. He discarded the towel in trash receptacle, but stood beside me without making
any effort to cover me up. I could have done it, but I was really feeling a little
satisfaction that he was looking at me - no one else had seemed interested. They were, I
thought, too fascinated with the younger women. After a few minutes of conversation,
he seemed ready to leave. "Guess it's time for me to get back to business. I'll check
Dr. Murray's nurse and see if they can get you soon. Want me to cover you up?" "I suppose you should. I
shouldn't be lying here with nothing over me," I answered. He placed the sheet over me, and
started to leave. Then he came back, raised the sheet and looked at my body again,
replaced the sheet, and moved away. As he left, he added, "That's so I'll remember
you for the next time. Incidentally, I don't do this kind of thing as a rule, but I think
you have nice looking peeing equipment. Your topside's not bad, either. Well - bye,
now!" Now I was really in no hurry to
leave. My sore foot was still there, but I had received all the treatment I needed for my
aches and pains - and for my self-esteem!
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