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A Routine Visit

Yes­terday I visited my internist. I had no par­ticular com­plaint. My back hurt no more than usual. The numbness in my left foot was neither better nor worse than it was last month. I wasn’t suf­fering from vertigo or abdominal pain. I went because I had an appointment to see her, nothing more.

Until just a few years ago, I rarely visited a doctor unless I was pregnant or sick. I called when there was a problem, and my doctor would see me in whatever unusual cir­cum­stances I was in. She checked on me when I was in the hos­pital, reviewing my labs and x-​​rays and whatever else there was to take in. When I had cancer, or needed pre-​​operative eval­u­a­tions for surgery, she would check my heart and lungs and write a note as needed. Some­times I went to her office for a flu shot.

The idea of an adult woman seeing the doctor for regular, what some might call “well,” care might seem strange or even wasteful. Some might con­sider it a luxury, which I suppose it is.

But I think some of the most infor­mative doctors’ appoint­ments are routine. That’s because there’s value in a doctor’s getting to know a patient when she’s not par­tic­u­larly ill, when she’s not in pain or ter­rified, when she’s feeling just as usual.

I’ve had the same primary care physician since 1987. She knows my habits, my fears and my quirks. She, as much as anyone, has a sense of how I’m doing – emo­tionally and phys­i­cally. In some years, I’ve taken better care of myself than in others, and she’s very much aware of that. She examines me care­fully and makes sug­ges­tions regarding diet, physical therapy and other everyday, non-​​urgent matters in my life that affect my health.

The best thing about having a doctor know me so well is a matter of trust. I rely on her not to solve what’s unsolvable, which of course no one can do, but to do the best she can to take care of me. If ever I’m very sick again, in a cir­cum­stance when I can’t make deci­sions for myself, I know she’ll act according to my interests. She’ll be able do so because she knows me, my usual self.

Having a doctor who knows you shouldn’t be a priv­ilege. Really I wish it for everyone. It helps.

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