Worn

Interior, Metropolitan Museum of Art

Every year around this date I especially find myself marveling at love…

Love that is gained and lost, and found again. Love that is unrequited and unrewarded and yet still persists. Love that claws its way through the heart and lodges itself there against all logic and stays regardless of physical presence or absence. Love that endures despite being utterly spent, never quite reaching the point where it simply cannot love anymore. 

Lonely love.

Brilliant love.

Eternal love.

For over twenty years I have loved this love. At times gingerly, even tentatively, and at other times fiercely and with conviction. Is it more valuable for bearing all of the scars and scuff marks, the wear and tear of time and hurt? Is it more precious for simply surviving?

Perhaps….

But then, all love is precious. 

The First Lady

Liberty's torch

I put the baby to my breast. She ate greedily. 

So tiny for such a strong suck.

He had not come home yet. He did not know that she was a she and not a he. He would be angry, I knew. Would he let me keep her or would he kill her as he had the other three? Would he beat me as he had before?

Look, she is so beautiful, so perfect! Why can’t you love her?

Why can’t you love me?

The midwife busied herself quietly putting the room back in order. 

He would never pay for a doctor or a hospital. Not for me, he said. I was not worth it. 

A woman. 

A girl.

Someday I would leave him. I would run away. Far, far away. But to where? And they would find me, wouldn’t they? They always did. If I was lucky, they would shoot me where they found me. If not, he would be allowed to stone me to death. He’d like that. Then he could take a new wife. Someone who would give him boys. He never listened to the logic of genetics, that the determining X or Y chromosome actually came from him and from not me. My education, my past… it meant nothing to him. 

Neither did my future. 

No. I will outlive him. I will NOT give him the satisfaction.

The little one scrunched up her tiny baby face and yawned. Enough eating for now, she seemed to say as she looked directly into my eyes and grinned a lopsided baby grin. Then she drifted off into a peaceful slumber.

Born on Independence Day. If I were going to name her I would name her Liberty after the giant statue they tore down decades ago. No woman will stand as a national symbol, they said.  

Now she was gone.

Just like my own Liberty. 

The Artist

Room detail, Metropolitan Museum of Art in NYC

Over twelve years ago I met an artist.

What she had was a gift. I never had to tell her what to do. It was like she just knew. Left to create on her own she did the most amazing work.

Today was my last appointment with her. 

My hair stylist is retiring and I am grieving. She was the first and only person to ever take charge of my hair and make it look GOOD. She made me feel better about my hair, about myself. I cannot put into words how important and life changing that was.

When I ask patients what they do, often I’ll get the, “I’m JUST a…. fill in the blank.” Hair dresser, office worker, mail handler, Mom, etc. I hate, hate, hate that phrasing. 

Never doubt that what you do has an impact. No matter what your job happens to be, it matters to someone. 

It matters to me.

Maybe I will find someone just as good. 

Maybe I won’t. 

I loathe this kind of change so it will be a growing experience regardless but for now, I grieve. She was an artist in the true sense of the word and she will be missed.

The Boobs Have It

Display in museum in New York City
Do you know how many breasts I have touched? 

Thousands of them.

It is staggering when I reflect upon it. 

So many breasts. So very many. All shapes and colors and sizes. Hairy. Not hairy. Moles and rashes and skin tags galore. Droopy. Perky. Somewhere in between.

During breast exams I have for years and years referred to the exam as the “boob check.” Whenever I made reference to my breasts of anyone else’s I nearly always called them boobs or boobies. 

To be honest, I thought it was cute.

Touching another woman’s breasts makes me uncomfortable, maybe even a bit embarrassed. I feel the same when someone else is looking at or touching mine in a nonsexual, clinical sort of way. So I made fun of breasts and joked about the situation. It took some of the sting out of the situation to act goofy.

One of the many beautiful things about blogging  is that from time to time someone says something that makes me reexamine a part of my life and causes me to make some changes. 

Mark at Exile on Pain Street made a comment on one of my blog posts a while back (ok, maybe it was WAY back in July of 2015) that has stuck with me:

“I hate that word. Boobs…. Boobs sounds comical and crude. It lacks decorum. They’re beautiful! Not something to make fun of.”

This. From a MAN. 

At first, I blew it off. What does he know about women’s bodies anyway? What gives him the right to tell me what is disrespectful about the term boobs. I can can dang well call them anything I want, can’t I? I own a pair after all.

But it ate at me. 

And I felt kind of guilty.

I would take that comment out from time to time and chew on it. The word boob is, after all, another way to refer to someone who is a fool. An idiot. My breasts are way better than that, aren’t they? So are every other woman’s breasts for that matter. They give pleasure. They give life. Right or wrong, so much of who we are as women is wrapped up in these exocrine glands. I would never tell a man to show me his “twig and berries” if I were doing a genital exam. Why do I persist in denigrating the female anatomy during office visits? 

Excellent question.

Yesterday I was telling a woman to change into my lovely blue paper gown so we could do a breast exam when it struck me…

When was the last time I called them boobs?

It had been a long, long time, I realized.

And that made me smile…

Fertility vs. Virility

Gerber Daisy in a pot

“I need help,” she pleaded. “I don’t know where else to turn.” 

“Sure. What do you need?”

“I’m pregnant.”

She was newly married. They were recent college grads, just starting their first jobs and their lives together.

“Congratulations! How exciting!”

Her face crumpled and she began to cry great body wracking sobs. I braced myself. Had he left her? Was she being abused? Was there something wrong with the pregnancy? Had she lost her job somehow?

“My health insurance excludes coverage for birth control. The pills make me so nauseated and the depo provera shot just made me bleed and bleed. I couldn’t afford to pay out of pocket for other forms of birth control. So we used condoms. We tried to be careful.” She whispered hoarsely, “I don’t know what to do.” There was terror in her eyes. “My insurance policy excludes coverage for pregnancy. We made calls. All of the OB’s in the area want at least $10,000 up front in cash. We don’t have that kind of money. We have student loans and a mortgage!”

Could health insurance DO that? Exclude coverage for both pregnancy AND birth control? Oh, yes. Yes they could. And it was always hidden in the fine print. It was the young women starting out in life that didn’t know what to look for, the ones most likely to end up pregnant. 

It made me angry for her. What kind of misogynistic world did we live in where this was allowed? Where women are punished for possessing a functional uterus? The United States of America. The bastion of freedom and democracy.

We talked about her applying for Medicaid. 

It felt wrong, though. A woman… married, employed, insured (sort of, apparently) having to apply for Medicaid. That was not what Medicaid was intended for, was it? Once her dates were calculated, the pregnancy predated her employment contract and would have been considered a preexisting condition anyway, even if she did have pregnancy coverage. No matter what kind of policy she had, she was screwed. Literally and figuratively.

The other thing, which no one talked about out loud, was that the OBs who took Medicaid in the area were typically so awful no one with real health insurance would ever willingly use them. There was a huge stigma attached to it all.

So what happened to her, you ask?

She had an abortion.

Despite what you want to believe, hers was not an isolated story.

What a relief it was when the Affordable Care Act worked to changed that. No matter whatever else you felt about the ACA, it was a powerful step forward for women but even it did not go far enough. We all deserve comprehensive medical care that takes care of our entire bodies, not just the parts that correspond to our male counterparts.

But here we are with some people thinking it would be great to go back to that alternate kind of reality.

Well…

Be careful what you wish for.

Exposure

Almond tree flowers
What makes a woman report a crime?

I’ve been thinking about this question since my turn with jury duty. There are tons of things that would make me call the police. Theft, causing physical harm to a person or property, cyber bullying, extortion, etc. There are some gray areas, however.

For instance, let’s take a woman who is minding her own business loading groceries into the back of her SUV. A man drives up slowly in the store parking lot and exposes himself to her, his penis waving about in all of its erect “glory”.* What makes her say, “You know what? I’m going to call 911 and report you, you sorry bastard!”

To be honest with myself and all of you, I would not be the woman dialing 911. I’d be shocked and disgusted to be sure, but calling the police? No. Not for this.

Why? 

Shouldn’t I be reporting the guy to keep him from doing this to other women? Isn’t it my civic duty to report it, to protect the public? 

Maybe I am just desensitized from seeing men’s penises every day as part of my job, some of them even erect (nothing funny about that, it is involuntary) that it does not offend me as it should? Maybe I just don’t want to waste more of my time on him. Filing a police report, potentially testifying in court… those things take time. A lot of time. Then there is the added aggravation of having defense counsel work to convince the jury that out of either malice or ignorance I must not have seen what I know I saw… worse, if the jury decided he was not guilty.

So here I am, an educated woman telling you that I would make the conscious decision to not call the police about a man showing off his penis to me in public and I have to be honest with you that after serving as a juror, I think I would be even less likely to do it. 

Call me a coward. 

What prompts another woman make the report, though? What are your thoughts? Would you call 911 if you were the woman? Why or why not? What if you were a man and witnessed this being done to someone else? What if it was done to you? Would you do something different if a friend was with you? What if there were kids around?

*In case you are wondering, this was not the case I served on as a juror.

Pecking Order

Flamingos fighting

Just take a nip 
Here and there
So I can be pretty
Fix my hair
Pull and tuck
Gouge at my eyes
Make me look pretty
Slim my thighs
Whiter teeth
A larger bust
I’m still not pretty
Another adjust
Raise those cheeks
Now my nose
Got to look pretty
Paint my toes
Some fuller lips
Sharper jaw
She is so pretty
Fills me with awe
Chisel me down
Tighter skin
I could be pretty
If I were thin
Sew me up
Dress me up
Give me more pain
So I can feel alive
So I can feel loved 
Still not happy
Just a pinch more
Want to be pretty
Want to be adored
Soon I’ll be there 
You wait and see
Soon I’ll be pretty
Soon I won’t be me

Games Played

Pelican on the water

“The staff doesn’t like you. They are all scared of you.” She sat across from me, feigning concern.

“Why?” I felt my face redden and struggled to keep the emotion under control.

“They just think you are too demanding. You should stop talking to them. Let me handle it for you so they can be mad at me.” 

Too demanding? I was not being ugly. I just asked the front desk to check on a patient’s insurance coverage. How could that be construed as anything but an honest and necessary question so I could take better care of a patient? 

“If you have a problem, come to me and I will take it to them.” 

And with that I was not supposed to communicate directly with my staff anymore. Because they feared and disliked me. The practice administrator over her and HR supported this she said. 

Whatever. 

My head reeled. She left. I closed the door and had myself a good cry.

Unbeknownst to me, that office manager was telling the staff that she was the boss, not the physicians, that they should stop taking their concerns to us. If there was an unpopular decision the staff was told that it came from the docs even if it didn’t really. If it was something good, she told them that she had done everything in her power get us to reluctantly agree. She lied and lied and lied to the staff about everything.

If you have been reading my blog posts for a few years you may recall the angst of this period of time. How could I be doing the same thing I always did but now all of a sudden everyone thinks I am the bitch from hell? Is it really that I am so evil? Or is it that I am woman and as such people are taking everything I say and do and twisting it into something I am not? If so, why now? 

What was going on?!?!!??!!

I had this niggling suspicion, as my staff continued to leave the clinic one by one, that my office manager was not supporting the physicians or the staff, that there was something else going on to which I was not privy. I reached out to upper management and they listened for a change. Within a couple of months she was gone. It was startling how quickly that occurred. Typically there is a huge HR process and blah, blah, blah. At the time I felt guilty, terribly guilty, blindsiding her with it when HR showed up to escort her out of the building. I worried that I had destroyed her career. 

Yesterday I found out that there was an investigation going on, that each employee who had left the clinic during that period of time was approached by a contracted firm for statements as to why they left. The investigation supported what I was saying which was why upper management moved so quickly. But no one ever told me this occurred. I found this out from one of the employees that we rehired. 

In fact, virtually everyone who has left this clinic has asked to come back at one time or another. On some level I knew it was not really me but how to rationalize that with what I was being told by an office manager that I trusted?

That whole period of time really messed with my head.

Friends and family started to doubt me. Hell, I doubted myself. I questioned my judgement. I questioned everything. In the end I realized that I had to let it go. All I could do was what I thought was right and I found my peace with that. While the maelstrom swirls around me, I can stand upright knowing I am doing right. In that respect the whole experience has been invaluable. I care so much less what people think about me. 

Just do what is right.

I have been back to communicating directly to my staff again for over a year. The practice administrator last week complimented me on my “level of engagement with the staff,” saying that everyone always had positive things to say about me.  

Ok. 

But I am doing the same thing I have always done. Maybe it is just the tequila I keep in my office?

Love Is….

Heart shaped hole in a tree trunk

… someone who makes you a cup of coffee the way YOU like it instead of the way THEY want you to like it.

It sounds so simple but the truth of that statement evaded me for longer than I care to admit. There is peace in the knowledge, though…. peace and love.

So, to that man in my life, thank you for being my hero and saving us from the house fire… both literally and figuratively. I love you!

Marching and Madness

Statue covered in dozens of breasts
“I like how he responds to the media. I voted for him because of that. I hate the media…” she was watching video of the inauguration on her phone when I entered the room.

I moved to listen to her heart and then her lungs. 

“That sort of thing is how he won the election,” I murmured, careful to keep the judgement out of my voice. I quickly changed the subject back to her persistent nausea. 

My clinic is not the place for political debate. It is for healing.

At the end of the visit I picked up my computer from the counter across the room and caught his face leering back at me from the magazine rack again. I always moved him to the back of the stack but somehow, just like a bad penny, he kept turning up again at the front. How many pelvic exams had I done in this room with him looking on? I have tried to remain neutral publicly but I just could not take it anymore. I snatched up the magazine and threw it into the biohazard bin while the patient walked out of the exam room.

I wish he would shut up.

Does he even hear himself? The things he says? How he appears to others through his tweets?

“Watched protests yesterday but was under the impression that we just had an election! Why didn’t these people vote?” Donald Trump

I imagine there were women out there marching who did vote for him. That does not mean that they cannot stand up and protest. That march was not just about Donald Trump, even if he wanted to think it was.

I did not march yesterday but oh how I wish I had. Do I agree with everything the Women’s March was said to represent? Maybe. Maybe not. But I do stand as a woman who is more than a pussy, a woman who believes she deserves more respect and equal pay and better rights. A woman who believes that people have the right to kindness, love, safety, and respect regardless of religion, gender, sexual orientation, skin color, or country of origin.

This was how he should have responded from the first instead of as an after thought:

“Peaceful protests are a hallmark of our democracy. Even if I don’t always agree, I recognize the rights of people to express their views.” Donald Trump

Yes. That.

So I say this:

Unite us. Stop dividing and provoking. Be someone we can respect, even if we do not agree with you. 

Act like a president.