Carl Thompson is a 21-year-old with cerebral palsy and scoliosis who is undertaking honours in marketing. He writes for ABC’s Ramp Up, DiVine Victoria and blogs here.

My right hand was yanked from my wheelchair control stick by a serious looking plastic surgeon.

The author hates plastic surgeons

“He has severely deformed hands,” she remarked, as an older gentleman professor reeking of poorly concealed cigarettes grabbed my left hand and agreed, “yes, he indeed has a pronounced deformity.” Boy, I’m glad they got the pleasantries out of the way.

Yeah, I get it. Surgeons want to talk about surgery, not chat about the weather over tea and biscuits. They have limited time available to spend with their prospective patients, and normally I wouldn’t mind. I suck at small talk - I’m scared of appointments at the hairdresser. But even I expect some warmth to be shown by the surgeon.

Okay, maybe not warmth per se, but I don’t expect to be dealing with a bona fide dickhead either.

Tact on the part of medical practitioners is especially important when they are dealing with children. I’m an adult now, so I can handle idiots (up to a point). But it’s so much harder when you’re a kid receiving worrying medical news.

It’s no fun needing a bone scan at the age of 10. It involves the use of huge, cold machines that look like robots. You’d think those conducting the scan would take this into consideration, and perhaps try to make their patients as relaxed and comfortable as possible, wouldn’t you? You’d be wrong.

As my parents once carried me to a scanning table, the doctor remarked that I “looked very weak!” As if her point was not already made, midway through the scan I was told “You have very brittle bones. It is a wonder you haven’t had more fractures!”

Sadistically, there was genuine excitement in her voice - what appropriate comments! I left the appointment extremely upset and was in tears in the foyer. At that point I was pretty sure my parents wanted to put the doctor’s own bone strength to the test.

And no, it wasn’t a once off. Doctors without a modicum of social decorum exist everywhere. Can you imagine the repercussions on the emotional well-being of children these callous doctors and surgeons have when they talk without thinking? I can’t count the amount of times I was told that my “...spine keeps getting worse, doesn’t it?”

Yes, there are good ones - some doctors even say hello when you arrive and goodbye when you leave! Still, I survived my appointment-filled childhood without too many emotional scars. Though surgeons have nonetheless given me a few physical ones over the years, at least I signed up for them.

I thought I was done with it all, no more arduous appointments with specialists and a welcome end to the countless consultations with elitist surgeons. How could I be so wrong? Just last month I was compelled to sign myself up for an appointment with a diverse group of clinicians.

I thought it was an opportunity not to be missed. Many specialists were there; plastic surgeons, orthotists and physiotherapists to name just a few.

This is where my “severely deformed hands” and the closet smoking professor come into the picture. My hands are strange, and yes, maybe even slightly deformed - but I much prefer the term unique. I was there voluntarily after all, baring all at the mercy of eight professionals.

“What’s your name?” asked the coordinator as I entered the appointment room after waiting patiently for 45 minutes. Carl Thompson, I replied. “And your age?” Twenty one.

After the cursory and insincere formalities, it was straight to business - “Can he flex his index finger?” asked a plastic surgeon out of the blue. I paused; was that a question or a request?

Luckily, a young, reserved (and nice!) physiotherapist then piped up and sheepishly said, “Carl, can you please try to flex your index finger for us?” Oh, so it was a request! Who would have thought?

Unfortunately it didn’t improve; “He would enormously benefit from Botox, for someone in his condition it may be the only way.” Did they not realise I was less than 30 cm away from them?

Maybe they just didn’t care. I’d had enough by then, and as my age should have indicated to them, I was obviously no longer a child, so should I tolerate being treated as one? I asked the surgeon sternly, are you referring to me? I received a terse response of “Yes, of course.”

“But aren’t you a plastic surgeon?” Her response was more defensive this time, “Yes, and I have been for 10 years.”

I simply replied, then surely you must have a definite bias towards Botox and other plastic surgery, as opposed to non-invasive procedures?

Taken aback, she squeezed my hand noticeably tighter but said nothing. The other plastic surgeon then offered to put me in touch with “success story” clients. I asked whether they were paid a commission. He didn’t give me a straight answer.

They didn’t refer to me in the third person after that, they called me by my name - they called me Carl.

58 comments

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    • Sceptic says:

      06:25am | 13/07/11

      Such an approach is not reserved only for the disabled.  Able bodied people are also spoken to like that described.

    • KH says:

      07:58am | 13/07/11

      I was going to say…........get over it princess - they are like that to everyone!!  A veteran of more than 10 surgeries over the years, I can honestly say you just aren’t a person to the surgeons.  Often they are rude, arrogant and even disdainful of your presence.  Rarely do they call you by your name, and sometimes they don’t address you at all - just others in the room, like the 10 students they brought along and asked if it was OK only after they were all standing there…...........

    • Carl Thompson says:

      11:25am | 13/07/11

      I didn’t say treatment like this was reserved for people with a disability. But intuitively, it is exacerbated and much more frequent, as those with a disability often have more frequent and severe medical treatment.

      In addition, those with physical disabilities are often spoken to in a condescending manner. And for those with intellectual disabilities, they are often not spoken to at all.

    • seniorcynic says:

      12:45pm | 13/07/11

      After my heart attack a doctor said that I should take early retirement because I might die on the job. I was taken aback by this at the time but took her advice. Two years later she was diagnosed with cancer, retired early and died 2 years later. At least she followed her own advice and I am still living.

    • CJ Morgan says:

      12:51pm | 13/07/11

      @ KH:

      I’m a similar veteran of numerous surgeries and hospialisations over the years, and I agree with you that such treatment is pretty well normal - but with plenty of exceptions to the rule!  However, I disagree strongly that anybody should just “suck it up”. 

      Unfortunately, there’s no easy solution for a patient confronted with such impersonality - and sometimes downright rudeness - especially if one is confined to a hospital bed.  My personal strategy is to engage them, ask heaps of questions (including their names) - in short, try and get them to like me so they are motivated to cure me.

      Ditto with administrative staff, who are usually worse than any of the doctors - nurses are far less afflicted, in my experience.

      @ Carl:

      Well said.  Keep on speaking out, sometimes it’s the only power you have.  I also have a relatively minor lifelong disability with my hands (amputated fingers from burns), so I have some idea of your experience.

    • Vicki PS says:

      03:51pm | 13/07/11

      ” And for those with intellectual disabilities, they are often not spoken to at all.”  How right you are, Carl.  I accompanied an elderly man with Down Syndrome to A&E one afternoon, after he’d had a fall land cut his forehead.  The doctor proceeded to address his questions to me, so I made a point of turning to Mr. W and asking him “J, how did you hurt your head?”  Even after Mr. W answered, the dimwit doctor continued to speak through me, as though Mr. W (who was perfectly intelligible) needed an interpreter.  Par for the course, unfortunately.

    • atthepub says:

      06:46am | 13/07/11

      I agree Carl. They suck. Most of them. My theory is that they start studying to be ‘medical’ in their teens and don’t come out (of their studies) till they are adolescents. By which time they’ve missed an important part of socialising, maturing, basically growing up. Instead they’ve been mistakenly led to believe that they’re contributing to society in some way and somehow society owes them.

      It shows in their behaviour for the rest of their lives. They are wrong and you are right .. most of the time. I don’t have a solution other than hoping that more and more people like you will wake up to this and refuse to see them and refuse to have these kind of people touch them. In which case they’ll be out of business soon and will need to change their approach. Till such time .. they suck .. most of them, yes.

    • Rover of North Cooma says:

      12:49pm | 13/07/11

      I’m confused. Doctors start studying to be medical in their teens and are adolescents when they finish? No wonder they haven’t matured. Aren’t teens and adolescents the same stage in life?
      If you’re going to back them, at least make some sense.

    • Rover of North Cooma says:

      01:15pm | 13/07/11

      *bag
      Sigh.
      Way to ruin own point with typo

    • Fiona says:

      06:09pm | 13/07/11

      Umm, don’t doctors actually contribute something to society??? I agree with carls comments about poor bedside manners, but I don’t agree with your comments. After all, I’m sure you’ve seen at least one doctor in your life.
      How about everyone becomes an active consumer (because that’s what you are). Question doctors a out your treatment, demand respect, get second opinions if possible. Medicine may be a “science”, but really, it’s still an art too.

    • atthepub says:

      10:12pm | 13/07/11

      Thanks for pointing that out to me Rover. I was under the mistaken understanding that adolescents were in their early to mid twenties. Better phrasing would have been, don’t come out till years later when they are in their early/mid twenties.

      And you’re right too Fiona, there’s actually quite a few doctors that contribute to society. Carl’s article really triggered me and I love how Bitten sums it up when he says There are good doctors out there ... The rest of them though - turf-guarding, wall-pissing, arrogant, socially-retarded super egos. I’ve come across quite a few of them and yes .. I got triggered. And I would like people to be less in awe of these people and not put up with this nonsense. On ye Carl.

    • Sandy says:

      02:30am | 14/07/11

      I have CP, compounded by a speech impediment. So, obviously, I must be deaf and unable to comprehend anything, right?  My friend took me to the eye doctor about 30 years ago.  The doctor came in, sat down and stared at us. After a long silence, He asked my friend if I had a contagious disease.  Looking at each other speechless, my friend eventually found her voice, saying, “I think I’d have it by now, having known her for 6 years!.

    • scooter says:

      07:43am | 13/07/11

      I feel for you.  The pain and inconvenience eventually forces us back into the hands of someone else’s choice of specialist, who has a stake in preferencing his/her own treatment modality.  Patient welfare is often secondary to a specialist’s self interest. 
      Coincidentally I recently sought help with arthritic and CTS hands, was advised joint replacement for the arthritis, a relativity new technology.  When I asked about the old technology (arthrodesis) I was sternly lectured about who was in charge.  Needless to say I terminated the session, and so consigned myself to both further pain and potentially, a lesser surgeon.  I merely asked the question whether new technology had a higher success rate than old technology; I suspect an honest answer may not have confirmed the recommendation, nor provided the concomitant advantages bestowed by prosthetic manufacturers on surgeons.

    • Bitten says:

      07:48am | 13/07/11

      Oh so true. There are good doctors out there - normal human beings who in spite of the enormous challenges of medical school, internships, specialty fellowships and horrendous working hours throughout manage to retain social competence like the rest of us.  The rest of them though - turf-guarding, wall-pissing, arrogant, socially-retarded super egos.

      We recently had a doctor as a patient. She made a very offensive complaint that our doctor was practising her specialty inappropriately by discussing results with patients directly at the time of the scan. This doctor’s preference would be for us to send all patients away, no advice, no indication of whether we found malignancy or not, for the anxious patient to wait a week or more until they could get a follow up appointment with their original referring doctor. Her fear? That we might discuss results directly with patients and that would be just so wrong - doctors are the delicate geniuses who must always be the only ones who can handle anything remotely intelligent. I responded that in fact, patients aren’t idiots, they are human beings just like us and the overwhelming majority of our patients attend our service specifically because we don’t treat them like idiots and we don’t send them away without our doctor telling them whether they are ok or not.

      Now we always refer them back to their referring doctors, of course - for those turf-guarding douches out there. Don’t worry, you’re not missing out on a fee. But I am not going to force patients to spend a week or more in anxious limbo until you, their delicate genius referring doctor can manage to finally fit them in to your busy, terribly important schedules. And even when you do that, you barely understand the principles behind the test you asked for in the first place - whereas the specialist actually does. So pray tell me, who is in the better position to discuss results, s’il vous plait?

      And as for disregarding the specialist opinion, which so many GPs frequently do?! WTF is that about?

    • atthepub says:

      08:36am | 13/07/11

      More about that fear Bitten. Gp’s are notoriously scared that specialists will ‘steal’ their patients. Why would a patient continue to see their GP if the specialist holds all the knowledge re their condition. No love lost between most GP’s and specialists. For patients it’s all about who best manages their illness. For many health professionals it’s about paying off their mortgage, funding their holidays and toys. Patients are just an essential key in that link which funds their lifestyle.

    • TChong says:

      09:16am | 13/07/11

      atthepub
      Thats the reality.
      Everyone,whos in paid employment does so for money - for paying off the mortgage, funding holidays and toys, funding their lifestyle.
      Why should healthworkers be any different?
      If you want the health professional to also be your Bestie, than you will be dissapointed.
      For the majority, ,patients are numbers- otherwise every health worker would be an absolute basket case if you expected them to take on board all your problems.
      You may feel it is   indifference, they ( healthworkers) might see it as a way of staying objective and sane.

    • Bitten says:

      09:20am | 13/07/11

      ATP: I don’t know if I’m that cynical really, my experience with doctors has generally been with good ones, but that is likely because I am in the industry and know where to go. But for the average joe out there seeing the average GP or specialist, it could well be like that. The thing is there is a place and a role for GPs and for specialists. It’s just that everyone has to do their job really really really well. All of the time. And leave your freakin’ ego out of it: you’re the doctor and guess what - it’s not about you. It’s about your patient. Remember them?

      If you’re crap at the medicine part, I can see you getting really paranoid about losing patients to specialists or *gasp* other GPs. But really that would apply to all professions, be you a crap lawyer, crap banker, crap stockbroker, crap plumber, crap beautician. If you’re good at your job, you never have to worry about that.

    • Shane says:

      11:22am | 13/07/11

      I have to disagree with you there Bitten.

      There are sound reasons why radiologists and the like do not, and should not, discuss scan results with patients at the time of the scan.  Yes they are the specialist in reading the scan - that’s why they provide a comprehensive report to the referring doctor.  However, the referring doctor is the specialist in handling the consequences of whatever shows up - or doesn’t show up - in the scan.  The patient needs the whole picture in order to understand what’s going on, and what happens from there, and the radiologist does not have the whole picture. 
      Say the scan shows up normal, and the radiologist happily tells the patient they’ve got nothing to worry about.  The patient relaxes, starts planing their future without the medical drama, and perhaps doesn’t bother to even respond to messages from the referring doctor to come in for a follow up to discuss the results.  Unbeknownst to the radiologist, the referring doctor was actually getting the scan to rule something out, before confirming a different, perhaps worse, diagnosis.  At best, the patient must endure a false dawn before being given the bad news by the referring doctor.  At worst, the patient never bothers to follow up with the referring doctor because the radiologist said they were fine.

      Giving a patient bad news from the scan is also unhelpful, as the radiologist is unable to discuss the repurcussions and treatment options with the patient.  They get the bad news without knowing the way forward, or even knowing if there is a way forward.

      For the most part, rules and systems exist for a reason.  Yes, some doctors are wankers - so are some radiologists, policemen, teachers, and radiologist’s receptionists.  But to ignore the rules and systems because you perceive someone to be a turf-guarding, wall-pissing, arrogant wanker, is unprofessional in the extreme, and potentially harmful to your patients.

      Also, re GPs being scared of specialists stealing patients…  most doctors in my area are booked out weeks in advance.  I hardly think that they conspire to keep their patients away from specialists in order to keep their appointment books full.  Call me naive, but that sounds a little paranoid…

    • Bitten says:

      12:45pm | 13/07/11

      @ Shane: if you’re a crap radiologist, then yeah, I would absolutely agree that you need to know your limitations and stick to the bare minimum. But if you are a radiologist, not only do you have the same baseline medical qualifications as every GP, but you have also completed a specialist fellowship. So technically, not only can you read imaging, you should* be able to put it in medical context. If you can’t, you’re crap at your job. And I know there are crap radiologists out there like there are crap GPs out there and crap surgeons and crap beauticians and crap insurance brokers. I don’t really support crapness in any field as I’m sure you can appreciate :D I personally think crap medicos should be taken out to university, spanked, and then put through remedial courses. Seriously, if you can’t do your job brilliantly, f* off and do something else and stop wasting the world’s time.

      In this specific instance we dealt with recently however, our consultant is renowned for this specialty. Not only will she be better able to identify malignancy or congenital anomaly, her peripheral knowledge is such that we frequently field calls from other specialists and GPs alike asking about how best to handle a certain clinical outcome. In this context, the complaint from the doctor-as-patient was purely about turf-guarding from a young upstart douche. Which is just so disappointing. It should always only and ever be about the care for the patient and no, you are not going to be receiving less than gold-standard medicine with us. I hate this nonsensical socially retarded egotistical garbage so many medicos go on with.

    • Shane says:

      01:05pm | 13/07/11

      Hey again Bitten.  I don’t think its about whether someone’s a crap radiologist or not.  Its just that in most cases, the radiologist won’t know the patient’s complete medical story - only what the specialist has told them.  The specialist may only give the radiologist a small snippet of the complete picture when they write the referral - enough to ensure that they get the right images and look for the right things.  But there could be a plethora of other issues for that patient that the radiologist is not filled in on.  It then doesn’t matter whether the radiologist is a complete moron, average, or world-class with specialities in several fields - they still cant give the patient advice that’s definitely correct because they simply dont have all the pieces to the puzzle.
      Sounds like you’re referring to a specific doctor/patient who acted like a douche and I totally sympathise.  I’ve got no patience for egotistical behaviour in any professional field - particularly in medicine when people’s lives and livelihoods are at stake.

    • iansand says:

      10:04am | 13/07/11

      Treating clients as objects is a way for professionals to maintain their sanity and detachment.  Detachment is important for many professions.  You need to be in a position to evaluate options without emotional involvement.  I used to say that it was fortunate for my clients that their interests and my ego coincided.  Not to their faces - I had a better deskside manner than that. 

      Towards the end of most conferences I used to say some thing like “The only stupid question is the question that you don’t ask.”  Sometimes that statement extended the conference for longer than it had already run.  It was also a line I learned from a surgeon.

      You also cannot judge the competence of a surgeon by their charm.  23 years ago I had a knee reconstruction from Sydney’s then pre-eminent knee surgeon.  His bedside manner did not rise much above the level of a grunt followed by “Me Merv.  Me fix”, but I am still skiing on that knee.

    • Carl Thompson says:

      11:30am | 13/07/11

      I can understand the need for doctors and surgeons to have a disconnect between the human side and the medical objectivity side, but some common courtesy and respect is often all that patients want - and it’s something that shouldn’t interfere with a qualified medical practitioners professional judgement.

      In fact, if medical practitioners do not communicate, and do not foster an environment where communication is encouraged, then patients may have a fear of speaking up. Thus, regardless of the skills and expertise of the surgeon or doctor, their efficacy will be reduced in the case of a misdiagnosis - not because of their skills, but because of their inability to communicate.

    • Roxyemma says:

      04:57pm | 14/07/11

      Don’t believe Doctors or Surgeons don’‘t feel anything when they lose a patient.  It does affect them.  They are a brilliant and caring lot of people.  I have seen patients discharged from the clinic who when the Dr has offered his hand in farewell the patient reaches out and hugs them.  Yes they get moody but then so do we all.  Also as I work in the Admin side of a practice I try and keep in mind how I would like my mother treated or how I myself would like to be treated by staff.  Yeah they can be annoying (the patients) but they are there because they are unwell not to annoy me.

    • James1 says:

      10:20am | 13/07/11

      Keep in mind that, the more you are educated, the more you lose your ability to interact with other humans.  Thus, the surgeons’ lack of ability to interact with you without being awkward is not limited to you and others with cerebral palsy.  Indeed, such inability to communicate is not limited to surgeons, but is quite common throughout the academic community.  I left academia nearly nine months ago for the public service, and I am only just now starting to recover my ability to interact.  atthepub explains the reasons behind this quite well above.

    • Criminologist says:

      10:32am | 13/07/11

      This is not true for all Academics.  Some require intensive communication and interactive skills.

    • James1 says:

      11:03am | 13/07/11

      Indeed.  That is why I said it is common, rather than absolute.

    • Carl Thompson says:

      11:08am | 13/07/11

      Academics with no social skills exist, yes, but at the same time, those whose research involves qualitative studies and thus often interviews or conducting focus groups would need tremendous people skills.

      I’m not sure the issues around education, more about detachment from the humans involved.

    • James1 says:

      11:36am | 13/07/11

      I see your point Carl, but I think it also has a lot to do with the nature of higher education as well.  For me, the main reason my oral communication skills suffered was that I spent so many years buried in books, papers and archival material.  I didn’t need to communicate effectively outside the seminar room or lecture theatre (which is a very different type of communication to interaction).  As such, I see the detachment as partly a result of the education.

      On a related note, we had a similar experience with a surgeon ourselves after our daughter had a nasty accident.  He refused to answer questions to the point where we requested not to see him any more.  Since we have been handed over to a much better one - is that an option in your case?  If you are going through the public system, you do have the right to request a different doctor, I believe.

    • Dan says:

      03:51pm | 13/07/11

      James - if you think the public service is a good place for meeting people who can interact then you are having a very different experience to me. I used to call many of my colleagues “social mutants” because they could not handle simple social situations - like a chat at morning tea (with anyone).

      I genuinely hope you are having a better experience and good for you for recognising someting that was obviously bothering you and addressing it… but don’t necessarily believe the public service is a normal place - that way insanity lies!

    • James1 says:

      04:32pm | 13/07/11

      Dan, I meant that it is better than academia for such things.  Keep in mind that this sets a pretty low standard…

      However, in the part I work we tend not to get too many of those, as we are constantly required to deal with the public and Members of Parliament.  I know many of the social mutants to which you refer, and most of them work in Defence.

    • Grant says:

      10:29am | 13/07/11

      Hey Carl,

      You sound ungrateful.  It sounds like you have had world class medical care all your life. 

      A lot of surgeons treat patients in this manner, I wouldn’t be too concerned.  This is because they are probably busy and have serious and complicated surgeries to plan and undertake.

    • Carl Thompson says:

      11:19am | 13/07/11

      Just because something is common, it doesn’t mean it’s right.

    • Crip-chic says:

      12:42pm | 13/07/11

      So disabled people should feel grateful for being told their bodies are wrong their whole lives? Yes, some doctors want to improve our quality of life, but others just want to make us more normal. There’s a world of difference.

    • Taryn Harvey says:

      10:51am | 13/07/11

      Just because specialists generally treat people like crap doesn’t detract at all from the legitimacy of Carl’s piece.  What, so we should just ignore it and accept that that is what they are like?  Medical professional’s failure to establish a decent rapport, and listen to and respect their patients and the knowledge of their patients has significant consequences.

      I know for a fact that many parents of kids with intellectual disabilities, for example, feel threatened in dealing with professionals and this can have tragic consequences.  Professionals who don’t respect their patients knowledge and autonomy potentially ignore very critical information that people are trying to provide and this can lead to tragic consequences.

    • Andrew says:

      11:08am | 13/07/11

      I think your right Carl, There are not enough doctors and specialists out there that take the time to get to know or be nice to their patients. I understand about being detached from the patient to maintain there sanity but there is a difference between being dettached and rude or dettached and proffesional and courteous.

    • Fiona says:

      07:03pm | 13/07/11

      Exactly and it would be lovely if doctors could stop thinking out loud/discussing their patient’s issues between each other in front of the patient. It isn’t helpful or confidence inspiring, particularly if you pretty much understand their jargon.

    • Reggie says:

      11:13am | 13/07/11

      We’ve all encountered the whisperers and the declamatory persons who fail to adapt to the needs of the listener and certainly we all aware by now that those with English as a second language, need to be yelled at so they can understand what is being said. 

      I have only recently realised that my childhood desire not to disturb others by not thumping my heals as I walk, is regarded by some as “creepy.”  Well f**** me, from now on I’ll load and empty the dishwasher at 2 am and sing at the top of my voice at the same time. 

      However, just recently I was at a wedding reception where the groom’s mates were the nicest, smartest bunch of computer nerds one could ever wish to meet. Well I think they were. It’s just that none of them used vowels. They spoke in grunts, the whole lot of them. They looked glassy eyed at me when I said anything. Now I am prepared to concede that what I said may have been boring BUT, I found that if I too adapted by dropping my vowels, their eyes lit up and the responded. I still wasn’t sure what they were saying but the visual message was positive. 

      Communications is a two way process and requires effort from both of those involved and silence is sometimes the least intrusive if the other is concentrating.

    • morrgo says:

      11:18am | 13/07/11

      The health-care profession is under threat from the democratization of information.  Anyone with an ability of conducting scientific search can find more information on any condition on the internet than that taught in medical school.  While this is clearly dangerous in the hands of the ignorant, the ever higher level of general education is more likely to bring benefits.

      If people can also apply scientific logic to processing the information, they can form a reasonably informed opinion, thus breaching the monopoly of health-care practitioners.  Some are willing to accept this, others resist.  My GP is willing to include the results of my research in his decisions, but I heard of others who go purple in the face. 

      The excessive general cost of everything associated with health care, as well as the frequent overservicing by the professions involved, is not only more exposed, there are also new ways of mitigating it.  One example: $1500+ CPAP machines are the instinctive recommendation for sleep apnoea, even if a $30 DIY mandibular device may work.  Ditto for spectacles: frames sell for hundreds by optometrists when similar ones are sold as sunglasses for under $10 everywhere. 

      In the end, monopoly profits are at stake.  While there are legitimate arguments about risks and expertise, much of them is self-serving to protect said profits.  Like charging a full GP consultation to read a test result with everything normal (and clearly marked as such on the report).

    • grumpy says:

      01:12pm | 13/07/11

      Carl, I think your treatment at the hands of these so called specialists was disgusting, and I’m pleased to read that you bit back!. I’m one of the fortunate ones who has never really had much worse that stuffed knees and a cold, and the same goes for the rest of my family, so I guess I can only imagine how bloody angry this treatment would make you.

    • Thats Not Fair says:

      02:37pm | 13/07/11

      Carl - I am so sorry to hear that you were treated this way. Good on you for standing up for yourself. I do not have a disability, although I have been treated in a similar way myself, by surgeons over appendicitis, of all things. I wish you all the very best - and just remember - what comes around goes around. Osteoarthritis for the bitchy surgeon anyone?? smile

    • Outraged says:

      02:53pm | 13/07/11

      I agree Carl…but I find the majority of bad doctors like this are FEMALE doctors.

      They think they have to prove themselves in a male-dominated industry…so they act hyper-insensitive and aloof…because they don’t want to be perceived as “mothering” the patient.

      Female doctors think acting with compassion is a weakness and showing their feminine side…which they perceive will be ridiculed by superior male doctors…

    • Tania says:

      03:32pm | 13/07/11

      I agree.  I have multiple disabilities, and I’ve been to dozens of doctors in my 26 years of life.  The vast majority were excellent physicians.  Nearly all of the bad ones were female.  They were highly insensitive and didn’t seem to care about their patients at all.  I remember one neurosurgeon from my late teens that was particularly horrible.  When I went to see her, I was experiencing pain in nearly all my joints.  She never looked at or physically examined me.  Instead, she looked at my chart, saw I was slightly overweight, and declared that was the reason for the pain.  Actually, she said, “You’re fat and lazy.  That’s why you’re in pain.”  I only saw this doctor one time, and she soon left that clinic for good.  Her ‘diagnosis’ was proven wrong when, after I lost the weight I needed to lose, my pain was actually worse than before.  I was later diagnosed with a joint disorder and hypothyroidism, both of which can cause the pain I was having.

      As a woman, I generally do prefer female doctors.  However, I now do my research into a doctor before scheduling an appointment.  I have found that female doctors with their own practice seem to be much better than those at a large clinic.

    • Bec says:

      03:13pm | 13/07/11

      Ah yes, I’ve been there to some extent - definitely not to yours. But last year I had my first ever surgery and was all alone (I had been transferred to a hospital in Melbourne, hours away from my family) and was pretty scared about my first ever surgery - as I was in the holding area; one of the surgeons came up to the side of my bed (and could clearly see I’d been crying) and went over the logistics of the surgery, she then said “you are quite obese though, aren’t you?”. At 165cms and 65kgs, I didn’t entirely agree with her, I must say. But that once again opened the floodgates… Bloody hypocrite of a woman, she was rather rotund herself.

    • Ben C says:

      04:33pm | 13/07/11

      Wow, seriously words fail me if that woman considered you to be obese Bec. Not advocating violence against anyone, but I would have congratulated you if you socked it to her.

    • Tchom says:

      03:21pm | 13/07/11

      Referring to people you’re talking to in third person is kind of fun…

    • Amy Pond says:

      03:27pm | 13/07/11

      To everyone who says Carl should just get over it because it happens all the time - that’s a poor argument. It’s about as effective as telling mistreated kids to suck it up because there are starving people in Africa.

      Maybe you should start answering in the third person when they speak to you like that. “Can he lift his index finger?”

      “He might be able to, have you tried asking him?”

    • Glenda Lee says:

      04:21pm | 13/07/11

      Spot on Carl!  Something I wrote many years ago…
      The Cycle of Negativity
      Most people with a congenital disability and many of those with an acquired disability (depending on the age they are when they become disabled) are caught in a “cycle of negativity”.  For example, from the moment a person with a congenital disability is born, the general reaction to their disability and therefore to themselves is one of negativity.  As babies, toddlers and children they will hear people saying things like “what a shame she is like that” or “it’s a pity she survived”.  The medical profession will talk about them in front of them about their inability and their deformed bodies or minds.  They will be paraded in their underwear and poked, prodded and operated upon.  The medicos will be the “experts”, the ones who know how wrong these children are, and they will say so.  Often opinions will be expressed as to the capacity of these children to “perform”.  Doctors and physios will say “she will never walk, talk, read a book, laugh, respond to you, drive a car, get married, etc”.  They will not be expected to achieve anything, they will be teased by other children, stared at in public and avoided by other people. This is the cycle of negativity.

      This negativity seeps through to the child’s core and leads to them having a very low opinion of themselves.  They may see themselves only as useless and a burden.

      When a person with a disability fails to achieve because of discrimination, lack of opportunity or poverty no one will recognise that those are the reasons.  They will see the failure as an innate part of the person and therefore not anyone else’s responsibility.  The failure will confirm the earlier predictions by doctors or parents or friends.  They will confirm their own rightness.  But for the person with the disability the negativity goes on.

      This cycle does not ever stop.  Even after a person with a disability dies people often say what a blessing it is that they are free.  Those people never consider that they all had a hand in building the prison of Negativity.
      If anyone uses this please crdeit me as Author: Glenda Lee

    • scooter says:

      08:12am | 14/07/11

      For a moment there I thought I must have written that, but differed on the latter self esteem issue. Once I realised I could compete with able bodied men at sport all my teenage insecurities disappeared.  Nonetheless, as competitive as I am, I still love the quietly whispered aside (to my team mates) ‘These people are amazing’.  My physical appearance gives me a huge advantage in their under estimation.

    • Da Pimp says:

      04:43pm | 13/07/11

      It used to be called a ‘bedside manner’.  Now its called ‘customer service’.  Whatever you call it, a dose of common civility and human warmth is going to be helpful for professionals who have sworn to ‘do no harm’. 

      You reckon some of the above comments are from people who are just in the habit of trolling on The Punch?  Let’s hope you don’t fall off your roof or get cancer.  They deserve to be in the same category as physicians and specialists who have been practicing so long that people who need treatment are ‘just another number’.

      Good article, Carl.

    • Kate says:

      04:50pm | 13/07/11

      Carl, I am so glad you raised this issue. As a registered nurse it disturbs me no end when doctors come in to see the patients, don’t even bother saying hello, introducing themselves or even telling them why they are there. And yes I do harbour a belief that plastics are the worst offenders (just an opinion!). As professionals we do need to maintain a distance for our own sanity, but it does not mean we need to be rude or uncompassionate. Thankfully I have the privilige of working with (mostly) fantastic doctors, but I still see the odd rogues. Don’t be afraid to speak up and advocate for yourself, you have every right and a good health professional will appreciate this.

    • Glenda Lee says:

      05:19pm | 13/07/11

      hear hear Kate.  The only way they will change is if we insist on their changing the way they treat us.

    • 70 Liberal Party Punch Trolls says:

      05:31pm | 13/07/11

      Make the Angry Cripple the PM now ! He or she knows what voters want!

    • Kate says:

      07:30pm | 13/07/11

      My absolute worst was the doctor I had for my first Pap smear. I was really nervous, having been told by countless people that it would be horrible, painful and uncomfortable. I explained to the doctor that I was feeling a bit scared. Her reply? “Well, it’s not like you’ve never had anything up there before”.
      I felt like decking her but it’s hard to do from a lying down position!
      I’m sorry you had to put up with that treatment Carl, but hopefully in speaking up you can give those doctors something to think about, so it doesn’t happen to another patient.

    • Jennell Conners says:

      10:09pm | 13/07/11

      Good for you

    • mary says:

      10:30pm | 13/07/11

      congrats on being called your name rather than your condition. I can sympathise w the feeling that docs can be ghoulishly interested…I don’t like feeling like I’m the main attraction at the circus sideshow.

    • Ells says:

      11:31am | 15/07/11

      I find it remarkable that so many people are arguing that this is the norm so it should just be accepted. As a student who is about to enter the workforce as a registered nurse we do not take a single subject during which we aren’t told that we must not accept or adopt poor practices simply because they exist, but should rather fight to improve best practice and advocate for patients always. I believe that in any profession, and indeed in general society, we should not accept shortcomings simply because they are there, but should work our hardest at improving the system. It is too easy to lie down and accept poor treatment as the ‘norm’. We are all given a voice, and it was made to be heard. Congratulations Carl on speaking up - I certainly hope that your voice is heard by medical professionals, and that they can recognise that you are just one of many who has been negatively affected by such behaviours.

      To those who say that surgeons are simply trying to remain aloof and emotionally uninvolved, I can respect that, but using someones name and talking to them directly isn’t going to make much difference, except to the patient himself, so why not simply show a little respect. I am sure if a surgeon was to require a consult with a colleague he would demand to be spoken to as an intelligent being, as he should. At the end of the day, Carl would have far greater insight into his own condition and its progression than any doctor could, and they could probably learn a great deal from him if they bothered to ask.

    • Billyo says:

      03:58am | 16/07/11

      I have found Australians generally to be very keen on being rude and bitchy - comes from the British roots, where the poms delight in rudeness and put-downs. The higher the so-called “professional” ranking, the bitchier the person. Asians and other foreigners are more human.

    • Jenn says:

      02:53pm | 02/08/11

      I don’t know whether you mentioned your disability because you felt their treatment was somewhat a result of your disability, or you simply mentioned it to help describe yourself and why you have been to so many doctors.
      If it’s because you feel like it adds to your bad treatment, I would tend to disagree. They’re just dickheads in general. It’s got nothing to do with you being disabled. I work as a disability carer (I’m a nice one I promise) and I hear a lot of the rants about the difference of treatment in all walks of life. Whilst a lot of them have merit, often I find that the people I work with have a tenancy to assume they are being treated in a certain way because of their disability when in fact, it’s the way we all get treated.

 

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