Doctor, doctor

By T Osiame Molefe

Hello…my name is Osiame and I am a self-diagnosed chronic cyberchondriac.

*Pause for group reply*

It has been a day since I googled my last set of symptoms. Needless to say, despite the radiating headache and short-term memory loss, I discovered that I do not suffer from encephalitis as I self-diagnosed. It was probably celebrating the New Year well into the early hours of the 3rd of January that brought on those symptoms. I spend hours on the internet reading through medical journals and medical encyclopaedias. I play endless games of “pin my gripe to the disease” far more often than I would like to admit. The Doctors and Medical Detectives are two of my favourite TV shows. I can name almost all the major bones in the body from memory and I know where I can find my flexor digitorum longus.

Most doctors will tell you that cyberchondria is a real threat to a patient’s well-being. In addition to the stress that worrying about imagined diseases causes, it can really hamper patient-doctor relations. I’m one of the milder cases though. I mostly keep this crazy side of me online and rarely bother doctors with my imagined plagues.

I cannot explain why every glitch in my normally smooth running body strikes me with the fear that I’m about to succumb to some horrible disease. I cannot explain why I find solace in attempting to put a name to the said disease. Just trust that my neural pathways almost fused when I checked my symptoms online before I self-diagnosed as a cyberchondriac. Let me give you a moment with that one.

I think it’s an awful waste of time this is. And pretty morose too.

Correction, I used to think it was an awful waste of time until those rare occasions when I actually had to pay a visit to a doctor. Let’s just say there’s a reason why it is called the “practice” of medicine. I once averted an archaic treatment for a gastric ulcer because I knew about helicobacter pylori. I also once refused to accept that a closed reduction was the best way to treat my distal radius fracture; I now have 99.9% normal mobility in my left wrist thanks to that.

Most of us put our absolute faith in medical professionals and most of the time, it works out. It is often taken for granted that the medical professionals who care for us know best and that they will do their best. There are times, however, when that unquestioned trust ends in malpractice suits and unspeakable tragedy.

A recent visit to a hospital emergency room re-affirmed my belief that my cyberchondria has made me somewhat of an educated patient and that educated patients are more likely to survive bad-apple doctors. You know those ones; the ones that operate with that churlish charm that seems to form part of the curriculum for some medical schools. The ones that turn smug when you ask a question or worse, knit their eyebrows, cross their arms and say: “Well, you are welcome to treat yourself since you know best.” All that, to stop you from discovering that in this case, with that particular doctor, you probably do know best.

By no means am I suggesting that everyone take up my symptom googling lunacy and I am also not saying all doctors are bad. All I’m saying is that you should have the basic knowledge to engage with your doctor about the care you receive. You should know your basic medical information like blood type, allergies and medical conditions affecting you and your immediate family. Take time out to educate yourself on any diagnosis given and do not be shy to seek alternate opinions. Reticence has no place when it comes to safe guarding the body you’ll hopefully be living in for a long time.

Competent doctors are more than happy to field questions from their patients; it is the ones that become cagey and defensive that will likely send you home worse off than when you arrived in their care.

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T Osiame Molefe is an MA (creative writing) student at UCT. He is also yellow-bellied, self-ingratiating fraudster. He passes himself off as a writer, photographer and child of bohemia living in the Age of Aquarius. Truth is though, he’s never published a thing, his camera is more competent that he is and despite his best efforts, he has never been involved in any kind of orgy. His irrational thoughts are made public at http://www.boyuninterrupted.com

8 Responses to “Doctor, doctor”

  1. Great piece.

    January 9, 2010 at 9:54 am
  2. sadiyya sheik #

    haha, well written.
    I am doctor and I wish that more patients would know information like their blood type, or what medication they’re taking or even what diagnoses have been attached to them. I think googling your symptoms is all well and good now and then, it really does serve one well to walk into a consultation with an idea of possible diagnosis as a sort of protection from dodgy practitioners. That been said, excessive googling can indeed negatively effect a doctor-patient relationship as you rightly mentioned.

    January 9, 2010 at 11:26 am
  3. Steve #

    Hi Osiame, I agree with yuor take on defensive/arrogant doctors. Thankfully, I have a doctor who actually welcomes my take/insight on what my be wrong with my body and why. He regards my view of my body (it is my body after all) as a contributory part to his diagnosis. And he ahs proved to be an excellent diagnostician. I have been going to him for more than 15 years.

    January 9, 2010 at 11:28 am
  4. Steve #

    …and I loved your blog! thx!

    January 9, 2010 at 11:28 am
  5. Cobus Fourie #

    I couldn’t agree more with the notion that one has to be at least medically literate. I par example study the pharmacopoeia as oft used (pragmatic) treatment. After fielding countless rude & condescending doctors I found one who actually takes heed of what I say. I now dictate what I want on a prescription.

    The days of “yes doctor, of course doctor, you’re right doctor, thank you doctor you are my hero” are gone. One has to be cognisant of the fact that a participative approach is necessary as we cannot relinquish personal responsibility.

    I am appalled by the widely held notion that those medically educated and pharmacopoeia-competent are de facto automatically drug addicts. Some of them I have reported to the authorities.

    It’s nice to be a smug little brat ;)

    January 9, 2010 at 11:34 am
  6. MLH #

    My doctor made two mistakes on my last script and four on the one before that. The only reason I don’t change doctors is that it’s so much effort. But wait until I get ill…then I will. My medical aid thinks I pay it to manage my life and refuses me access to my personal information (do you know what your doctor is charging you for?) They all stink!

    January 9, 2010 at 12:16 pm
  7. lebo #

    I am a doctor in the townships.Cheating is going on big time.Doctors writing fraudulant sick leave certificates.Medical aid members selling their
    medical aids.Medical aid members using medical
    aids for relatives,mistresses,boyfriends,etc..
    Going to dentists for gold fillings,etc…
    Its not that they cannot afford it.Its because its
    something for “free”.

    January 11, 2010 at 10:45 am
  8. ian shaw #

    I have a BSc degree in human physiology and biochemistry and am currently studying for a BSc Honours in pharmacology. Oh, yes, I also ahve a Dr.Eng. in electronic engineering and taught engineering as a oprofessor for many years,
    I found too many doctors who had instant inferiority complexes and felt isnulted when I asked questions related to medicine. One of tehm even said that he will refer me to someone else if I insist on “playing a doctor”. I was also able to unmask a doctor who uses new buzzwords to justify his overly expensive practice. I deal with doctors only if they appreciate the fact that I participate in my own health care. Luckily there are still some with enough self respect and a firm belief in their own professional qualities. I use no more GPs, only specialists, fill in my own lab request forms and order my own medication with the cooperation of such a doctor. I still remember when I was very young and doctors used to hide behind obscure Latin words as members of a closed society.

    January 11, 2010 at 9:12 pm

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