This week I'm working for the NYU medtheatre program. Its a test for 4th year medical students to give them the experience of working with real patients. Only I'm not a real patient. I'm an actor who gets paid to pretend to be a patient. I spent two weeks developing my character, Paul. I haven't been sleeping very well lately, so I've come in to see if I can get a prescription for a sleeping aid. What you don't know, and neither do the doctor's unless they build enough rapport to make me feel comfortable enough to share, is that I came back from working in Iraq 4 months ago. A few weeks before I came home I was at work and a car bomb exploded outside my office. And it was such a lovely day too. I had gone to the market that morning and bought some figs because I like fig newtons and its the closest thing I could get in Iraq. But I digress. Two of my co-workers were killed in the explosion. Bonnie and Cliff. We weren't extremely close, but Bonnie and I did go on a date when I first got to Iraq. It was just a one time thing.
I wasn't in the military, so even though I saw something traumatic, I don't feel like I really deserve the attention of someone who was effected by war. But I actually have Post Traumatic Stress Disorder. Don't worry, most of the doctors I see get me in touch with a psychologist and give me a light sleeping aid to use for a few weeks before the therapist sets me up with a better drug to control my anxiety. I have lots of anxiety. If there is a loud noise outside the exam room, I jump. I bounce my knee a lot and wring my hands. Loud noises bother me.
My exam room is in the Pediatric wing of Bellevue Hospital. Its an old brick structure that was one of the first hospitals in the city and instead of tearing it down when it started to deteriorate, they built a new building to surround the first. So when you walk in the modern glass entrance, you're face to face with a antique looking large red brick building.
The whole wing is closed for testing. Apparently kids don't get sick on the weekends. My room has a scale, tongue depressors, stickers that say "Ouch! I got a shot" and lots of other medical equipment I don't understand. There are lots of bight colored signs about the food pyramid and healthy living. It makes Paul feel a little weird and kind of like a wimp for having to see a doctor.
I see, or rather am seen by, about 18 doctors a day. Same bouncy knee, same jump at the loud noise, same story 18 times. It gets exhausting, especially when the doctors aren't getting it. I just want to grab them by the lapels of their white lab coat and shake them. I have it pretty easy though. I don't have a physical exam like some of the other standardized patients (actors). They have to wear a hospital gown all day and have lights shown in their eyes and their knees pummeled to check reflexes. One girl has to undo her bra and lift up her boob so that the doctor can check her heart. One time a doctor undid her bra and lifted her boob for her without so much as a warning. This same patient also was diagnosed with AIDS once, while her real diagnosis is that she's pregnant. Not even HIV, full blown AIDS. Don't worry, not all of these students become doctors. Some do research.
It gets hard to remember which is which when I'm writing their review at the end of the exam. Did he ask me if I was feeling suicidal? Did he use open ended questions? Did he pressure me enough to find out that I'm self medicating with alcohol? One doctor decided that I was an alcoholic. He jumped on it pretty quickly too. First he asked if I drank to which I replied, as always, "for the past three weeks or so I've been having a beer or two at night to try to help me sleep." His next question was "Do you ever drink so much that you pass out and have seizures?" "Not that I'm aware," I said.
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