Category: Women’s health

  • Reduced Focus

    For the past four years my eye prescription remained relatively unchanged. Unfortunately, my glasses haven’t remained unscarred through an infant’s grabbing hands, a puppy’s curiosity, and life in general.

    I took advantage of a coupon to buy an emergency pair of bifocals for $250. During a recent week of travel I wore that pair. My eyes never adjusted to the left lens, the one the optical tech said was stronger than my old prescription. Each afternoon I found it difficult to zip through messages on my phone, enjoy a book, or read small print on a menu. Headaches started early in the day. I panicked about fulfilling writing obligations and tried to not think that maybe my eyes were in trouble.

    This is the kind of bad decision I made because of a high deductible health insurance policy. The $175 eye exam would be out of pocket so spending $400 for the security of back up glasses felt prohibitive. I shopped around and spent less. Fortunately, my discomfort ended when I returned home and put on the old glasses. Scratches and all, my vision cleared, and the headaches stopped.

    Others are making more difficult decisions—taking the gamble of not purchasing an asthma inhaler for themselves to make it possible to pay for a partner’s insulin, cancelling necessary lab work or tests to pay for their child’s asthma inhaler, not following a physician’s directions in using an expensive medication to stretch its use, staying in a hated job to hold on to health insurance, not replacing bald tires on the family car because of a health emergency.

    Most of my adult experience was in a health maintenance organization. We groused about wait times for appointments, lack of choice in the optical area, going to a hospital across town, but we never faced decisions like today. If we hesitated about taking a child to clinic for a possible ear infection, it was about traffic or workload and not about the $125 bill.

    These decisions are made in all zip codes throughout our wide metropolitan area. Only the very wealthy or very fortunate are exempt. We don’t comment on a good friend’s darkened tooth, push a neighbor to join in a night out, or question why a kid’s wheezy cough doesn’t improve. We’re all too polite to talk about the healthcare monkey choking America’s sense of comfort and scared about what’s coming next.

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  • Mammo Whammy

    I hate going to the Breast Center. I steel myself and try to be as matter-of-fact as if I’m getting my teeth cleaned or doing some other unpleasant medical chore.

    Everyone there is nice. The décor features soft colors and flowery prints hang on the wall. I’m shown to a dressing room and instructed to put on a gown with the opening in the front.

    But the presence of too many women, who are scared out of their wits, wondering what will become of themselves and their families, weighs on me.

    I change into the raspberry gown and stash my clothes in the locker.

    As I wait to be called, I wonder about the other women. Who will be lucky today? Who is waiting for a second mammogram because the radiologist found something suspicious? I avoid looking my companions in the eye. I have no wisdom and very little comfort to offer.

    Inside the mammo room, the technician is pleasant and professional. But the whole process—baring myself, pushing my breast on the metal and plastic plate, allowing her to pull and stretch it into place as if it isn’t one of the most intimate parts of me—is dehumanizing.

    I hold my breath, wait for the eye-watering mechanical squeeze. Then we repeat the process and I’m done. She says they’ll call if there’s a problem.

    I nod and smile and pretend that I’m OK. I try not to let my mind form the sentence, “What if my luck has run out? What if this time is IT?”

    The spirits of the women I’ve known with breast cancer travel with me as I get dressed, walk to the parking ramp and try hard not to think about the three biopsies I’ve already had.

    I teeter on the brink of fear, but push that feeling as far back in my mind as possible. I know from experience that worrying won’t help.

    I hate going to the Breast Center. But I think of Kim, Jane, Lisa and especially Kathy, and so I go. I’ve got a life to live and people to love. I can’t afford not to.