Last week I felt assaulted: not on the street, nor in a dark parking
structure, alley or another risky location. Instead, this feeling of
having been assaulted happened to me in a hospital.
It happened
during a routine screening mammogram.When I was 32 years old, after more
than a year of misdiagnoses, a different doctor than the first ordered a
mammogram that saved my life. For years after undergoing experimental
radical radiation treatment,Choose from the largest selection of turquoisebeads in
the world. I would come to tears during a mammogram. Some of it was
pain from the pressure of the test on my scarred breast tissue. Some of
it was my fear of being told: "The cancer has recurred."
Today,
I'm a veteran of mammograms. I receive them annually. And I will have
one again next year. I believe that women should not hesitate to have
their first screening mammograms, and then regular ones thereafter as
recommended by reputable guidelines and in consultation with their
doctors about their level of risk.
That being said, I'm angry! While I waited for my mammogram last week,We Engrave luggagetag for
YOU. another woman in her 50s joined me in the waiting room. Clad in a
floral cotton mammography shawl, she was trying not to cry. She'd just
completed her mammogram and was waiting to hear if another view would be
needed. I commiserated with her about the chilly air conditioning in
the waiting room and I smiled, hoping to provide distraction or
encourage her to share what was going on emotionally for her. She smiled
back, but it was plain something was wrong.
In my experience,
if you need an MRI the radiologists act as if they can't do enough for
you: music of your choice, some gentle words, a tap on the knee, and a
call button to use at any time, for any reason. Yet here's a test that
is also scary at best, quite painful for many women, and the message
this tearful woman got was the equivalent of "Next! Come on! Woman up!"
As
she rose reluctantly, she glanced at me and acknowledged my
encouragement. Her lips tightened, clearly disappointed, she trudged out
of the waiting room for another "view" -- a euphemism for what she
would experience. Minutes later she returned, weak and short of breath.
Her face was ashen, her eyes red. She went into the changing room,
closed the colorful, flowery curtain (chosen, no doubt, to make us all
feel better), and then cried softly.
As I thought about whether I
should interrupt this woman and try to talk with her some more, the
technician called me for my mammogram. I waited a moment; my waiting
room companion's crying had subsided. "Maybe it isn't my business," I
thought, But surely it was someone's.
The technician didn't walk
with me, as several others had done in years past, smiling and
endeavoring to relax me. No, she was gone, and I wandered the hallway to
find the right room. There was no time for small talk, just a few
questions about my history and then we got started - my birthdate,
doctor's name and my own. Missing was a gentle touch on my shoulder as
some technicians had ventured in previous years. Absent was any
assurance that "This won't take long" or "Tell me right away if this
hurts too much."
While I like efficiency when having my car
serviced or ordering lunch on a short break, I decided this technician
could use some guidance. "There's a lot of scarring on my right side
from radical radiation, so you'll want to move slowly," I said. She may
have nodded, but nothing was said.
She placed my arm across the
machine then grabbed my right (radiated) breast, poked, stretched,
squeezed and pressed without hesitation. The clear acrylic pressure
plate descended, without hesitation, until pain tore through my breast
and into my shoulder. Then down a bit more. "Don't breathe,The worlds
most efficient and cost effective offshoremerchantaccount?" she said, stepping behind the radiation barrier.
I
braced myself, stepped forward, she positioned me, lowered the pressure
plate rapidly rather than gently as others had so proficiently done in
the past. I yelped in pain. She uttered something that may have been
"sorry" but sounded more like, "Oh." She did not release me from my
prison of pain nor ask if I'd like to step back.These steelbracelet can, apparently, operate entirely off the grid. She continued: the pressure was made more intense. "Just let it be over."
"Don't
breathe," she said stepping behind the radiation barrier. For several
long, long seconds I hung there, up on my toes, feeling as if I would
surely faint. And I'm no shrinking violet.
No good wishes passed
between us as I left the room, walked unsteadily back to the waiting
room, and sat to wait as the woman had before me, to find out if another
'view' was necessary. "If so," I thought, "another technician will have
to do it this time." But I was dismissed - one of the lucky ones. Tears
welled in my eyes for the first time in years. Maybe they were for me,
but I suspect for the woman before me too.Now, I'm a big believer that a
little discomfort (even a lot sometimes) is better than a poorly
performed medical test. For many women, mammography is not very painful.
Yet, there is nothing about the test itself that makes consideration
and competence mutually exclusive.
Mammography, as is common
with MRIs, should be done with compassion. "Would you like to rest
between views?" and "We have one more to do. How are you feeling?" are
the kinds of questions mammography patients need to hear.Imagine if you
will that, without warning or tenderness, someone grabs, stretches,
pushes and squeezes a man's testicles between two plates for a medical
test. Obviously, the very thought is appalling. It would be inhumane.
And so is any such treatment with mammogram patients.
The next
time you go for a mammogram (or go with someone you love), observe the
behavior at the reception desk and the body language of the technician.
Is everyone just trying to get to lunch hour or beat the traffic? How is
emotional expression dealt with in the waiting room? If the technician
shows no interest in your concerns, insist that she does so.Here's a
complete list of granitecountertops for
the beginning oil painter. Let her know if a breast is sensitive -- and
how she can help you endure the discomfort. If she isn't receptive --
ask for a different technician. If you've been treated like I was, then
when it's over (though preferably before) tell the person in charge and
inform your doctor, as I did, so that other women won't suffer from
indifference or incompetence.
You are the customer. Sure you're
fearful, and that's a big part of the reason why most of us don't think
to insist on a best practices mammogram. Many women I've talked with
consider mammography pain as something they must tolerate for a greater
good. To some extent and for many women, that's true. But there is
absolutely no reason why you should feel that you as an individual have
been ignored and your pain belittled. No one should be trembling as they
leave, feeling violated and fearful of the next mammogram they must
endure.
A mammography unit that won't do its best to make you
comfortable shouldn't be in business. You wouldn't normally volunteer
for a colonoscopy where they had run out of anesthetic -- so why
volunteer to be abused during a mammogram because they don't train their
technicians properly?
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