Story 637: Trying to Get Back Pain to Go Away

 FRIDAY EVENING 

(In a living room, Sibling 2 is following along with an online workout video playing on a laptop propped up on the couch)

Trainer: (In time with swinging a giant kettlebell) All right! – You got this! – Just one! – More minute!

Sibling 2: (Swinging a much smaller kettlebell) I thought – you said that – five minutes – ago –

(One minute later, a timer on the video “DING!”s and Trainer stops swinging)

Trainer: (Gently sets down the kettlebell and claps enthusiastically through the sweat) WHOO-HOO!!  You made it!  I’m so proud of you, I could cry!  Time to cool down.  (Collapses onto a mat and full-body stretches for a long time)

Sibling 2: (Still swinging the kettlebell on autopilot) I – can’t – stop –

(Later that night, Sibling 2 lies down in bed to sleep)

Sibling 2: (Lying back onto the pillow) Ahhh, there’s nothing like resting after a self-satisfying workout.  It could’ve gone better, but it also could’ve gone much worse.  (Smiles while closing eyes and takes a deep breath; eyes fly open with a sudden back spasm) Uh-oh. 

SUNDAY MORNING 

(Sibling 1 calls Sibling 2, holding the phone between head and shoulder while putting away breakfast items)

Sibling 2: (Answers after a few moments of an open line, sounding strained and a little muffled) `Ellllooo?

Sibling 1: Hey, I found myself with a Sunday where I actually have nothing planned – wanna go bike riding in the park?

Sibling 2: Since when do you bike ride?  Again?

Sibling 1: (Brushing teeth in the bathroom) Yeah, I know, it’s been a minute, but if not now, when, know-what-I-mean?  Figured the ol’ legs should still be up for it, right?  (Swishes and spits into the sink) So: you in?

Sibling 2: Thanks, but… I’llll have to pass… on that….

Sibling 1: (Stops while tying shoes near the front door) Are you OK?

Sibling 2: Not… really….

Sibling 1: (Walks to the living room and starts pacing) You sound like you’re lying on the floor – what happened?

Sibling 2: (Lying on the living room floor in child’s pose with arms next to the sides and two ice packs strapped to the back; the phone also is on the floor, on speaker, next to Sibling 2’s mouth that is smushed up against the laminate) Well, you remember the kettlebell I got and never used?

Sibling 1: …No.

Sibling 2: Of course.  Anyway, it’s only 10 lbs and I use heavier dumbbells all the time –

Sibling 1: What, like 15 lbs?

Sibling 2: Shush – I’m all the way up to a whopping 25 now.

Sibling 1: Good for you!  Anyway?

Sibling 2: Anyway, I found a kettlebell workout series online, so I figured, “Why not?”  So I finally used it.

Sibling 1: And?

Sibling 2: And, do you know how much swinging a kettlebell is involved in a kettlebell workout?

Sibling 1: All of it, I’m guessing.

Sibling 2: Not on this one – I actually wound up with the dumbbells for most of it since they were heavier; the swinging was intermittent.

Sibling 1: OK, sure, and?

Sibling 2: And the swinging got longer and longer with each session.  By Session 5, there was lots and lots and lots of it.  So much, that I think I broke something.

Sibling 1: (Stops pacing and gasps) The TV?!

Sibling 2: No, not the TV!  My back!

Sibling 1: (Gasps louder) You broke your back?!

Sibling 2: No, I’d be talking to you from a hospital if I did that!  What I meant was, I think all that swinging strained my back, and now it’s spasming all over the place.

Sibling 1: Oh no, can you even walk?

Sibling 2: (Slowly sits back onto heels) Yesss, I can walk, I can bend down, I can reach up – I just get these sudden pains that threaten to topple me over.  (Freezes and grabs lower back) Like just now.

Sibling 1: Ouch.  You try ice or something?

Sibling 2: (Taking off the ice packs) I tried everything: ice, heat, twisting, stretching, massaging, yoga videos specifically targeting back pain, the works.  It hasn’t gotten better since it started Friday night, and in some ways, I think it’s gotten worse.  And now I’m afraid to go into the office tomorrow and face-plant on the way to my desk.

Sibling 1: Have you fallen down yet?

Sibling 2: Not yet, but I’m sure it’ll come when I least expect it.  Probably when I’m outside so all my neighbors can watch.

Sibling 1: (Nods with brow furrowed in thought) OK… OK… I’m coming over – I’ve got an idea.

Sibling 2: (Grabs the phone from the floor and takes it off speaker) Oh no, thanks but I’m gonna go to a doctor in a few days if this hasn’t cleared up by then –

Sibling 1: (Grabs keys and sunglasses and breezes out the front door) Nope!  They’ll just prescribe physical therapy and once you’re there, YOU CAN NEVER LEAVE.

Sibling 2: (Slowly stands and walks to the kitchen to lean against a counter) That’s not a bad thing; it helps a lot of people –

Sibling 1: (Hopping into a car) I bet, but not in this case!  Be there in five!  (Ends the call, tosses the phone onto the passenger seat, and zooms away)

Sibling 2: (Holds out the silent phone to stare at for a moment) You live 20 minutes away! 

FIFTEEN MINUTES LATER 

(Sibling 2 opens the front door to Sibling 1)

Sibling 1: (Stares agape at Sibling 2 wearing pajamas and slippers) You’re not ready to go?!

Sibling 2: Go where?

Sibling 1: Oh, I forgot to mention: I know someone.

Sibling 2: Don’t we all.

Sibling 1: Someone who can help.

Sibling 2: (Steps back for Sibling 1 to enter and shuts the door) Who, an acupuncturist?

Sibling 1: (Takes off sunglasses) Better – put on some comfortable clothes and shoes and let’s go.

Sibling 2: (Sighs) I’m sure I’m going to regret this.  (Shuffles to the bedroom, closes the door, and a significant time later emerges wearing a T-shirt and gym pants; shuffles back to the front door, then slowly and gingerly sits on the floor to put on sneakers)

Sibling 1: (Staring the entire time) Wow, you weren’t kidding – you’re moving like an old person.

Sibling 2: (Stops mid-lacing to stare at Sibling 1) That’s just rude on so many levels.  (Sibling 1 looks mildly abashed) But I am feeling it right now.

(They slowly leave the house and get into the car, and Sibling 1 drives away)

Sibling 1: We’ll be there soon and this’ll all go away, no sweat.

Sibling 2: (Fiddling with control panel buttons) Sure, sure – hey, how do you turn on the seat warmer in this thing?

Sibling 1: (Accelerating on the highway) It’s over 90°F out.

Sibling 2: I NEED IT!

(At a slightly rundown office complex, Siblings 1 and 2 park as close as possible to one of the entrances and gently walk inside a former warehouse that was turned into a training center)

Sibling 1: (Holding a steadying hand out to Sibling 2) You OK?  Need an arm or something?

Sibling 2: Nah, I should be fine as long as the ground is level.  (Winces and freezes while stepping over the threshold)

Sibling 1: (Roughly grabs Sibling 2’s arm) Don’t worry, I’ve got you!

Sibling 2: (Holding onto the doorframe with the other arm; through gritted teeth) I appreciate it, but do that again and we’re both gonna wind up on the floor.

Sibling 1: (Lets go) Sorry.  Don’t know my own strength!

Sibling 2: I wouldn’t call it that.

(They slowly walk into the center, which is a large open space ringed by workout equipment)

Sibling 1: (Greeting the only person there, who walks toward them) Hey!  Thanks for squeezing us in today!

Sibling 2: (Leans toward Sibling 1; in a low voice) There’s no one else here….

Owner: (Shakes Sibling 1’s hand) No worries, there’re only classes here on Sundays so we have about – (Checks a watch) 20 minutes before the next one.  (To Sibling 2) So, you’re the one with the bad back?

Sibling 2: It’s not a bad back, it’s normally fine, just – (Grabs it in a sudden spasm) strained right now, that’s all.

Owner: (Nods knowingly) Mm-hm – office worker?

Sibling 2: Huh?

Owner: Sit at your desk all day?

Sibling 2: That’s not – this was from an intense kettlebell workout, OK!

Owner: (Nods knowingly) Mm-hm.

Sibling 2: I move around all day, you know!  I get up at least every 20 minutes, I walk almost everywhere, I exercise three times a week, I do yoga, I drink plenty of water, I get plenty of sleep – don’t judge me as a sedentary do-nothing!

Owner: (Nods knowingly) Mm-hm.  You don’t have to give an exact number, but you’re over 30 years old, correct?

Sibling 2: (To Sibling 1) I’m outta here.  (Turns to leave, has a spasm, and freezes in place)

Owner: (Flanking Sibling 2 with Sibling 1) You want this to go away and get your very active life back, yes?

Sibling 2: (Eyes squeezed shut and lips tucked in; nods quickly) Mm-hm!

Owner: Come with me, then.  (Gently takes one of Sibling 2’s arms, slowly turns around the latter, and all three gradually make their way to a long metal table on the other end of the training center) Now: lie down, please.

Sibling 2: Wait, don’t I need to fill out some forms first or something?

Owner: (Chuckles) Not for this!  I’ve seen all I need to know.

Sibling 2: Oh-kaay…. (Lies back onto the table) Ooh, the cold feels good.

Owner: That’s nice – turn over, please.

Sibling 2: Oh.  OK.  (Slowly turns onto stomach; beckons for Sibling 1 to lean down and mutters) Keep an eye everything, would you?

Sibling 1: (As Owner takes off sneakers and socks) Don’t you worry, I’ll be right here beside you the entire time!

Sibling 2: Thanks – (Owner lithely hops onto the table and steps onto Sibling 2’s back) Oof!

Owner: Please remain still and relaxed whilst my full body weight is concentrated upon the muscles surrounding your sacrum.  (Starts carefully walking around Sibling 2’s lower back, wriggling toes in certain spots to massage that area)

Sibling 2: (Gripping straps attached to the table) I don’t know if this hurts or not….

Sibling 1: (Holds out a hand) I can take the pain – wanna crush my hand until it’s over?

Sibling 2: (Stares at the hand) …I’m seriously thinking about it.

(After a few minutes, Owner steps off Sibling 2 and lithely hops off the table)

Owner: There!  All done!  You can sit up now.   (Sibling 2 slowly sits on the edge of the table) How do you feel?

Sibling 2: (Rubs lower back) I’m… not sure….

Owner: Try standing and twisting a bit.

Sibling 2: (Plants feet on the floor and slowly twists from side to side) It seems… OK, but the spasms usually come out of nowhere anyway.

Owner: (Puts socks and sneakers back on) That’s normal, but you may find you’ll have fewer and fewer of them now, if any at all.  It’s my patented technique that I share with no one: what I did just now should permanently heal all of your current muscle issues.  On the off-chance it didn’t though, come back in a few days and we’ll try my other patented technique.  (Affectionally pats one of the straps that Sibling 2 was gripping earlier and gestures to another pair of straps that are at the other end of the table, which are now seen to be arm and leg restraints attached to resistance bands; the restraints are welded to the table and the straps are welded to the nearby wall) We here unofficially refer to this as “The Rack”, but we’re aware that that can come off as a bit… insensitive.

Sibling 2: (Stares for a few moments at the restraints with Sibling 1; suddenly back to Owner) No, I think I’m good – I’ll let you know if I need another… standing session, but I think you made my back feel better for now, so thanks, we’ll be leaving.

Owner: Glad to hear it!  (All three look toward the entrance as people in workout clothes start to come in) Well, it looks like my next class is here, so please call us if you’d like to join as a member.  (Smiling, takes out a card to give to Sibling 2 and then shakes the latter’s hand) All are welcome.  (Shakes Sibling 1’s hand) I’ll be sending you the bill.  Bye!  (Waves at both and jogs to the entrance to greet the class)

Sibling 2: (To a shocked Sibling 1) You can send me the bill.

Sibling 1: (Shakes head to clear it) Yeah, sorry, I thought it would be one of those “The first one’s free” deals.

Sibling 2: (Pocketing the card) Ha, never.

Sibling 1: So, how’s your back feel?

Sibling 2: (Twists again several more times) You know, I don’t want to jinx it, but it really may be better now.

Sibling 1: (As they both walk back to the main entrance past the incoming crowd) That’s great!  I’m so glad when something actually works!

Sibling 2: (Stops suddenly and turns to Sibling 1) Question I was too distracted to ask earlier: (Points a thumb over at Owner with the class) What is that one licensed in for this place, anyway?

Sibling 1: …Gym… ology?

Sibling 2: (As they both start walking to the main entrance again) Yeah, next time, I’m going to an actual doctor first, physical therapy and all.

Sibling 1: Really?  Even with this miracle cure?

Sibling 2: Especially with this miracle cure.  Nothing’s ever that easy.

Sibling 1: Well, you have a little bit of a point with that.

Sibling 2: (Amused) Oh, really?  How so?

Sibling 1: (As they get back into the car) If I’d’ve known that was all you needed, I could’ve saved you the trouble and stood on your back for free!

Sibling 2: I’d rather you didn’t.

Story 623: Doctor vs. Patient

            (In a hospital procedural suite, Patient lies propped up in a stretcher while wearing a hospital gown, non-slip socks, and a ready-to-go IV port in one arm, and glares at a clock on the wall while tapping fingers on a side railing when Doctor 1 suddenly zips around the corner)

Doctor 1: (Carrying a tablet) Heyyyyyyy – sorry I’m running a little late this morning –office called me with a last-minute appointment that I had work into today’s schedule over the phone – everyone wants everything – you know how it is….  (Starts typing on the tablet)

Patient: (Stops tapping and stares at Doctor 1) You didn’t get up extra early and wound up stuck in the snow and ice like the rest of us this morning – you don’t have to lie to me.

Doctor 1: Heh-heh-heh.  (In a low voice without looking up) Appreciate it if you didn’t mention that to anyone else.  (Hands over the tablet) Sign at the bottom, please.

Patient: (Speed reads the digital forms) What is this now?  I thought I already signed everything on the portal?

Doctor 1: Almost: it’s a procedural consent.

Patient: (Looks up at Doctor 1) I signed 15 of those yesterday.

Doctor 1: Not this one.

Patient: (Sighs and signs with an index finger) I would say that my presence here, inadequately clothed at a pre-dawn hour, would have made it abundantly clear that I consent to this procedure, but I know how these things go.  (Hands back the tablet) Here.  Can we get this necessary invasion of my body orifice over with now, please?

Doctor 1: (Types on the tablet) Almost…. You finished the prep last night and are all clear now, correct?

Patient: Oh, I’d better be – that’s an experience I’ll never forget, or forgive.  The scope you’re using had better show that I’m all clear at this point, for I have nothing left to give.  (Shudders at the memory)

Doctor 1: (Still reading through forms on the tablet) Uh-huh, uh-huh.  (Furrows a brow, then looks at Patient) Has the anesthesiologist been by yet?

Patient: No, just everyone else who works here, and you.  Why?

Doctor 1: Need to sign a consent for that, too.

Patient: (Momentarily lets head fall back onto the pillow dramatically) Argh, just digitally rubber-stamp my signature on whatever forms that say you all can do whatever needs to be done to my helpless body, and let’s get on with it!  I have places to go, food to eat, and naps to take!

Nurse: (Maneuvers between Doctor 1 and the stretcher to check the IV port on Patient’s arm) Anesthesiologist called earlier and is on the way; got stuck with an emergency in the O.R.

Patient: HA!  That would be last shift’s problem – bet it was snow and ice again.  I’m not ashamed to admit it, so I don’t see why everyone else is.

(Doctor 2 suddenly zips around the corner while peering closely at a tablet, stops, and looks up at Patient; both freeze on seeing each other)

Doctor 2: You?!

Patient: You!?

Doctor 1: (Points back-and-forth at both) You… two know each other?

Patient: You can say that again!  (Gestures at Doctor 2) I’ve been that one’s accountant for ages!

Doctor 2: Ex-accountant!  I fired you years ago!

Patient: And you still never sent anything in writing about it, so our financial divorce was never official!

Doctor 2: Is that why your name is still all over my paperwork?

Patient: Oh yeah!  And you owe me years of fees, years!

Doctor 2: Nothing doing!  You lost me money every tax season, and I got audited five times!

Patient: What do you expect when your records are a disaster?!  For the longest time I thought you were trying to pull a fast one, but I finally realized that you’re just a mess, an absolute mess!

Doctor 2: Well, maybe it all wouldn’t have been such a mess if I’d had an advisor who knew what they were doing!

Patient: (On an intake of breath) How dare you!

Doctor 2: (Suddenly turns to Doctor 1) Doctor, I would like to recuse myself from this procedure today, please.

Patient: Yes, please!  I can’t believe I completely forgot after all these years that you claimed to work here!

Doctor 2: I do work here!

Patient: …That goes without saying!  (To Doctor 1) So, I want a new anesthesiologist, ASAP!

Doctor 1: What – no – we can’t, this is the only anesthesiologist working up here today, and I’m already behind schedule!

Patient: Just grab the other anesthesiologist hovering somewhere else in the building, then – I’ll wait.

Doctor 2: Other one’s in the middle of a bilateral knee replacement in the O.R., and that’ll take hours.

Patient: HA!  No wait, I believe that one.

Doctor 1: Well, I can’t wait until that’s all done down there: I’ve got 23 other procedures up here today, and then I’ve gotta get back to the office to see patients there until who-knows-when tonight!  It never stops and I never get any rest!

Doctor 2: Don’t talk to me about never getting any rest: my shifts start before the Sun rises and supposedly end in the afternoon, but with all the paperwork and the emergencies and the last-minute add-on cases I’m lucky I get out of here before meeting myself the next day!

Patient: Excuse me!  (Everyone turns to Patient) I scheduled this in the middle of tax season because I was told – (Glares at Doctor 1) that it was so important and had to be done, but at this time of year I’m working with and without the Sun for months on end so don’t come crying to me!

Doctor 1: We don’t have a season!  Healthcare is 24/7!

Patient: Sounds like a “you” problem!  I still want a replacement for this deadbeat putting me in a temporary coma!

Doctor 2: If I’m a deadbeat, then where’d all my income go, hm?!

Patient: I don’t know, check wherever you bury all your other worldly goods!

Doctor 2: Swindler!

Patient: Quack! 

Doctor 1, Doctor 2, and Nurse: <Gasp!>

Patient: (Calmer) I apologize: I didn’t mean to insult you fine clinicians or the healthcare profession as a whole.

Doctor 1: (Rubbing temples; to Patient) Regardless, if we don’t start the procedure within the next… (Checks the wall clock) three minutes, we’ll have to reschedule.

Patient: (Nods) For later today.

Doctor 1: No, for another day.

Patient: (Hisses) I am not going through that prep more than once a decade, do-you-hear-me?!

Doctor 1: Well, it’ll be once every five years with your family history – (Patient’s eyes widen and mouth drops open) but if you don’t want to repeat it this year, then we’ve all gotta go now!

(Patient glares at Doctor 1, then at Doctor 2 who shakes head in disgust at Patient, then at Nurse who is quietly seething)

Next Patient: (Sharply draws back the curtains separating the two stretchers and addresses Patient) If you’re not going, does that mean I can go now?!  I haven’t eaten since yesterday morning and I’m starving!

Patient: We’re all starving – deal with it!  (Yanks the curtain back closed, stares at the others for several moments, then holds out a hand for Doctor 2’s tablet; the latter quickly gives it to Patient who signs without reading it and mumbles) I don’t believe it – for once I get to be the client, and I still have no rights, no rights whatsoever!

Nurse: You have the right to privacy.

Patient: (Hands back the tablet to Doctor 2) Not once I’m in that procedure room, I won’t!

Doctor 1: (While grabbing one side of the stretcher railings as Nurse grabs the other; they release the brake and race Patient to the procedure room) All-right-thank-you-let’s-go-let’s-go-let’s-go!

Patient: (Points wildly to Doctor 2 while being rushed through the corridor; the latter jogs after the stretcher to keep up) Just remember: if you try anything funny in there, I’ll be surrounded by a room full of witnesses!

Doctor 2: (As Patient’s stretcher is parked in the procedure room and everyone scrambles to get things ready, plants leads on Patient’s chest and puts nasal cannula around Patient’s head and up the nose, starting oxygen flow) Are you kidding?!  I could do everything right and still get sued, reported to every State and Federal organization out there, and have to relive it every time I apply for a new position or need new malpractice insurance – could you imagine how much more of a nightmare it’d be if I actually did mess up?!  On purpose??!!

Patient: I wouldn’t put it past you!  You never gave me the information I needed to fill out Form 706 that one year, and then complained when you got notices yelling at you about it later!

Doctor 2: I didn’t – !

Nurse: (Preparing equipment) All right, not that I don’t want to interrupt, but before we start there are few last checks we have to do.  (To Patient) Your date of birth?

Patient: Again?!  It’s --/--/----!  And now I think I’ve told the entire hospital twice how old I wish I wasn’t!

Nurse: Great, and who is the doctor performing the procedure today?

Patient: You don’t know?!

Nurse: Of course we – just answer the question, please.

Patient: Sorry: Dr. ------.

Nurse: Thank you.  Now –

Patient: Not for nothing, but at this point I refuse to complete the rest of your time-out process without being paid at least some of your salary.  (Turns on the stretcher to lie on the left side) Do with me what you will.

Doctor 2: (Injects solutions into the IV port) All right, sleep tight: your life is in my hands now, heh-heh.

Patient: (Falling asleep) If I wake up in the middle of all this, I’ll know it was you….

Doctor 1: (While preparing the scope; to Doctor 2) Out?

Doctor 2: (Checks Patient and a monitor) Yes, thankfully.

Doctor 1: Good: let’s get this done so I can get to all the others piling up like a backed-up conveyer belt out there.  (Starts the procedure and examines a monitor)  You know, these things are trying enough to do without the added drama. 

Doctor 2: (Also examining a monitor) Heh, you’re telling me…. Speaking of which, I’ve gotta schedule one of these things for myself soon: you think you’d be available –

Doctor 1: (Without looking at Doctor 2) Absolutely not.

Doctor 2: Fair enough.

Story 545: Compartmentalization During an Eye Exam

             (In an ophthalmologist’s office, Tech brings Patient to one of the exam rooms)

Tech: (Holding the Patient’s chart, gestures to the big recliner for the Patient to sit) Any changes with your health since your last visit… (Checks the chart) almost 10 years ago?

Patient: (Settles back in the recliner) Yeah, I’m really bad with stuff like that.

Tech: We don’t judge – out loud.  So, any changes?

Patient: (Thinks) Well, I was at this outdoor event last week where it must’ve been over 100° in the shade, and somebody must’ve let their pet horse loose or something because at one point my eyes got so red and itchy and watery like you wouldn’t believe; might’ve been hay or something got in the air during the joust – I mean, during the intense, intense horse race that I had a lot of money riding on.

Tech: (Staring at Patient) …So, no changes.

Patient: (Looks down in shame) No.

Tech: (Writes a note on the chart and sets it on a nearby counter) The Doctor’ll be in shortly, then.  (Leaves immediately, with the exam room door left ajar)

Patient: (Leans over to the chart) I shouldn’t… but I do have a legal right to my own medical records…. (Shakes head) Nah – I’ll play with the space alien contraption instead.  (Swings over the phoropter, mushes face up against it, and starts fiddling with the lenses) Woooooo….

Doctor: (Voice heard down the hall on exiting a nearby exam room) …awful this weekend; I swear, if I have to put up with their garbage another second, I’m gonna lose it for real this time.

Tech: (Voice heard down the hall) When’s the next time you have to see them?

Doctor: About a year, but they keep calling in the meantime and I can’t ignore that.

Tech: Why not?

Doctor: Because the phone’ll keep ringing and I can’t stand it.  I can only hang up on that so many times.

Tech: So block them.

Doctor: You can’t block family!  By the way, bring in the next appointment to Room 4, please – it’s barely 8:00 in the morning and we’re already two hours behind.

Tech: Yes, Doctor.

(A ringtone is heard)

Doctor: Argh, speaking of, here they are again!  I can’t take it anymore, I just can’t take it!... Hi, yes, GO AWAY!  (Breezes into the exam room while shoving a cell phone into a scrubs pocket; Patient is sitting demurely in the recliner, hands folded in lap) Hello there!  Any changes since your last visit in…. (Walks over to the counter and starts reading through the chart)

Patient: Nope; no changes!

Doctor: Great!  (Sits on a stool at the counter and starts entering volumes of notes onto the chart; after a few minutes of standard questions) Let’s check the ol’ vision, shall we?  (Scoots over to the recliner, swings over the phoropter, and wipes it with a disinfectant cloth) Press your face up against this, please.  (Patient does so as Doctor fiddles with the lenses) Hmmm, someone’s been messing around with the lenses again….

Patient: (With upper face mushed up against the metal mask and mouth exposed at the bottom) Heh-heh, can’t trust anybody nowadays, can you.

Doctor: Hm.  (Finishes fiddling, then lowers a mini-eye chart that is attached to the device) All right, which is worse, one – (Flips lenses) or two?

Patient: Ummmm… one?  No, two!

Doctor: Trick question: they’re exactly the same.

Patient: Oh.  Oops.

            (A ringtone is heard from Doctor’s scrubs)

Doctor: (Sighs quietly in disgust) Excuse me one second, would you?

Patient: Uhhhh, sure.

Doctor: Thanks.  (Takes out the phone and forcefully swipes while hissing) Take that, demon!  (Returns the phone to the scrubs pocket) Sorry about that – now, the real test begins, I promise.  (Does a few more checks, then swings back the phoropter and places drops in Patient’s eyes) OK, your eyes are now numb so hold still while I poke them to check the pressure.

Patient: Huh?

Doctor: Relax, it’s testing for glaucoma – you won’t feel a thing, just ignore every natural instinct to protect your eyes from danger and you’ll be fine.  (Swings over a tonometer, wipes it down, and gestures for Patient to lean forward while a device with a blue light shines in Patient’s eyes and Doctor also leans forward from the other side) Now – DON’T MOVE.

Patient: (Head is immobilized by forehead and chin rests on the device) <Gulp>

Tech: (Raps once on the door) Sorry to interrupt, Doctor, but multiple phone calls have come in on the office line for you and we can’t get a thing done out there.

Doctor: (Still leaning forward and staring into Patient’s eyes) And you told them that patients’ very important vision is at stake here, yes?

Tech: Yes – they didn’t care.

Doctor: …I’ll take it in here.  (Tech leaves; to Patient) Bear with me, please.  (Leans toward the counter to pick up a desk phone’s receiver and immediately returns to the tonometer, continuing the glaucoma test) WHAT?!  (To Patient) Keep your eyes open, please.  (Moves the blue light device to the other eye as a loud, unintelligible voice is heard over the phone; to the phone) Any time you call is inconvenient!

Patient: Um, I can wait a few minutes while you –

Doctor: (To Patient) Absolutely not: the patient is always the top priority.  (Swings away the tonometer) And we’re done with this part; follow me, please.  (With the phone cord stretching down the hallway, leads Patient to a room that has a retinal imager on a table; the two sit on opposite sides; to the phone while wiping down the chin rest on Patient’s side) Listen, I don’t care what you think you heard, we are not going through this again – (To Patient) Lean forward, please – (To the phone) You tell them that their behavior is completely unacceptable and I don’t care if they never speak to me again; in fact, I’d rather they didn’t!  (To Patient) Stare at the giant dot on the screen and whatever you do, DO NOT BLINK.  (To the phone) Yes, I’m listening, unfortunately!  (To Patient) Hold still, please – you’ll see a blinding light in a few seconds.  (To the phone) No, I wasn’t talking to you just then; not everything’s all about you, you know!

Patient: (Blinks as light flashes into one eye) Oh sorry; I blinked.

Doctor: It happens; we’ll take another one.  (To the phone) What, I can’t be civil and decent to a patient?!... No, this isn’t a HIPAA violation; I haven’t disclosed any patient identifiers that you’d be able to figure out!  You’ve got some nerve, you know that?!  (To Patient) Try not to blink now, here we go, three-two-one – (Light flashes) Great!  (To the phone) I’m taking retinal images, nosy!  You literally just said – !  (To Patient as the machine slides slightly along the table) Same thing; stare at the big dot; try not to blink – (To the phone) It checks for wear and tear in the eye, if you must know; want me to use it on you?!  (To Patient) Here we go, three-two-one – (Light flashes) Great!  You can lean back now.  (Types on a keyboard to display the images on a large screen; to the phone) Yeah, well maybe if you’d had me examine your eyes years ago, you wouldn’t be complaining how fuzzy the world keeps getting, ever think of that?!  (To Patient) Everything looks great – I’ll send over someone to give you a field test but other than that, see you next year.  (To the phone while standing) You’re so rude – I can’t believe we’re related by blood!  (Leaves)

(Patient remains seated for a few moments in uncertainty, then stands when Tech enters)

Tech: All done?  I was told you just need a field test?

Patient: Yeah, that should wrap it up – I get to keep my vision for another year I guess, heh-heh-heh.

Tech: Oh yeah, heh-heh – this way, please.

(They both walk down the hall to another room with another machine, passing an exam room with the phone cord trailing out and Doctor’s voice alternating in intensity)

Patient: (Gestures to the room) Family drama, eh?

Tech: Huh?  Oh, yeah – happens every birthday; we barely even notice anymore.

Story 459: Allergic to My Own Species

 (In an exam room in Doctor’s office, Patient sits on the exam table, swinging feet gently while waiting)

Doctor: (Enters in a hurry and immediately begins checking Patient’s blood pressure, pulse, and heartbeat) Hi there, how long’s it been – six months?  Deep breath.

Patient: (Breathes deeply) Actually, more like eight years.

Doctor: (Checks Patient’s thyroid) You don’t say; has it really been that long?  Kids all grown up, then?  (Whacks Patient’s knees with a reflex hammer)

Patient: (Kicks at the appropriate times) No kids, just me.

Doctor: Oh sorry, must be thinking about my kids – open up.  (Shines a small flashlight down Patient’s throat while using a tongue depressor, then switches to the ears with a different instrument)

Patient: (Tilting head for each ear) I’ve been all right health-wise, so I haven’t been coming here because I haven’t been sick.

Doctor: (Tsks and shakes head while tying off Patient’s arm with a tourniquet, disinfecting a spot on the forearm, and casually siphoning off a vial of blood) You should always go to your primary care physician at least once a year so we can check if anything nasty’s brewing.  (Labels the vial, takes off the tourniquet, puts a bandage over the new hole, and starts to leave) I’ll call you with the results in a few days – see you this time next year – byeeee!!!

Patient: Wait, I haven’t told you why I’m here yet!

Doctor: (Stops at the door and turns around) So there is something nasty brewing?

Patient: No – well, maybe – it’s just –

Doctor: I’ve got 300 patients to see today, so speed it up.

Patient: I think I have an allergy.

Doctor: (Whips out a prescription pad and starts scribbling) All right, I’ll refer you to an allergist – what kind?

Patient: Umm….

Doctor: Nuts?  Dairy?  Gluten?  Microplastics?

Patient: People?

Doctor: (Stops writing) I don’t follow.

Patient: I’ve noticed more and more lately that I’m feeling terribly allergic to my own species whenever I’m around them.

Doctor: (Slowly lowers arms, then grabs a stool and wheels it over to the table to sit closer to Patient) How so?

Patient: Well, first off, they annoy me.

Doctor: That’s not an allergy; that’s just reality.

Patient: I’m finding I can’t be around them for too long without feeling physically ill.  (Rolls up sleeves) Look at this: I’ve only been around you for five minutes, Doc, and I’m already breaking out into hives!

Doctor: (Takes Patient’s wrists and pulls arms forward slightly to stare at the hives) I’m not sure if I should be concerned or insulted.

Patient: (Rolls down sleeves after Doctor lets go) It’s nothing personal – I’ve been getting this way with everyone lately.  It’s like my skin bursts into boils in a misguided attempt to defend itself.

Doctor: I can give you a cream for it.

Patient: Thanks, that may help, but what about the sounds?

Doctor: Sounds?

Patient: I’m starting to not be able to tolerate any human noises – chewing, talking, breathing – again, nothing personal, but your lip smacking over there is slowly driving me bananas right now.

Doctor: (Pushes lips together for a moment) Sounds – heh-heh, sorry – like you’re describing misophonia: I can refer a therapist to help you with coping mechanisms.

Patient: Thanks, that may help, but what about the sneezing fits I get every time I enter a crowded room?  Or the shakes when strangers get in my face?  Or the racing heart when family and friends get in my face? Or the –

Doctor: (Stands) I hate to cut you off, but most of what you’re describing are signs of a social anxiety disorder rather than an actual allergy.  (Writes on a new page of the prescription pad, tears it off, and hands it to Patient) Here’s a referral for a psychiatrist: go make an appointment and see if you feel any better afterward.

Patient: (Stares at the paper with increasingly red, teary eyes) Oh.  OK.  I’ll try that.  Thanks.

Doctor: (Heads for the door) You’re welcome – I’m off – see you in a year – good luck with the kids – byeeee!!!!  (Leaves)

Patient: (Stares at the door, nose running and red bumps forming on face) But I don’t have any kids….

 ONE WEEK LATER

(On the phone)

Patient: Hello?

Doctor: Hi, this is Dr. --------------, I’m calling –

Patient: Oh hey, Doc!  I went to the psychiatrist and I think it worked!

Doctor: …What?

Patient: Yeah, we talked all about my introverted personality and the state of the world feeding into my general aversion to humanity and how I can come to terms with how awful we all are if I just stop fighting it so darn much, and wow!  What a breakthrough!  It’s still gonna take some time, but at least now I stop feeling overwhelming nausea every time I board the bus, know-what-I-mean?

Doctor: Yeah that’s great – listen, I got the results in on your blood test and you were right.

Patient: How so?

Doctor: You are allergic.  To human beings.

Patient: Huh?

Doctor: You’re even allergic to yourself – I’m flabbergasted you’ve managed to survive this long.

Patient: Uhhhh….

Doctor: I want you to order a hazmat suit immediately and then come back to the office so I can take more blood to examine and either work on getting one of those plastic bubbles for you to live in forever or arrange for you to be shipped to the North Pole or the South Pole or maybe even the Moon so you’ll never encounter another human being ever again.  (Silence on the other end for a few moments) I know this is a lot to take in, especially when you made all that mental and emotional progress –

Patient: When can I leave?