It
takes a special kind of person to become a physician. Not because of
the intense schooling involved, or a career devoted to peoples’ health,
although those factors are certainly worthy of mention. No, the real wondrous feat of these folks is
adherence to the rule of doctor-patient confidentiality, the ability to
not blab to their friends about all the strange things they see at the
office, like weird moles, and birthmarks shaped like the Horn of Africa.
This
is how I know I’m not cut out for it. I’d squeal like a little piggy.
“Hey Chaz, you’ll never guess what I saw on someone’s inner thigh today!
Vericose veins that spell out the preamble to the Declaration of
Independence!”
Bet it’s happened.
Unlike
me, the vast majority of physicians aren’t schmucky, immature
man-children, so “the mum rule,” as I like to call it, is a welcoming
blanket of comfort. Without it, check-ups would just be way too creepy.
There’d be nothing distinguishing an annual physical from the cavity
probing they give you when you get tossed in the slammer. Except, after a
doctor’s visit, you can at least cry out your shame in the car, as
opposed to a cell with a busted toilet and a cellmate named Brick.
The
mum rule, aside from upholding the twin pillars of tact and decency, is
perhaps the one aspect of a physical that allows a person to continue
feeling like a real human being through the whole process, as opposed to
underperforming livestock. Humans are indeed an animal species, but we
don’t like to be reminded of that, so we concoct ways to distance
ourselves from other mammals, like wearing clothes and memorizing Weird
Al lyrics. Getting poked by a finger wrapped in latex is the closest we
get to acknowledging our animal roots, followed closely by sex and
bare-knuckle boxing. Activities which should never be combined, by the
way.
The
reason all this comes to mind is that my own annual physical is mere
weeks away, and while I’ve no reason to sweat – I’m a gooshy
marshmallow, but otherwise a passable specimen – the thought of going
through the whole process brings to mind past physicals, which merge in
the memory into a disconcerting melange of forced nudity and foreign
appliances. And what appliances they are. If a doctor’s various tools
were all laid out on a table end to end, it’d be hard to tell if they
were medical apparatuses or the instruments seized by police in the
busting of a high-tech meth lab.
These
intimidating devices also accomplish the uncomfortable goal of
reminding us of the frailty of our own biological processes. When you’re
sitting at your desk at work, you generally don’t think about your
heart beating, or the various fluids slooshing through you at all times.
Those are behind-the-scenes phenomena, the set designers and lighting
gurus that allow you, the actor, a stage on which to stand. They work
best in the dark.
A
doctor’s office is a spotlight revealing all, and it usually starts
with the blood pressure screening, whereby a nurse or doctor’s assistant
straps your arm into a sling that was once used to strangle dissidents
in a Soviet gulag. In many respects, it’s the simplest and least
offensive part of the whole deal – someone gives a few quick pumps on a
plastic squeeze-thingie, checks a watch, releases the pressure, checks
the watch again. To see them do it, you’d think they were running
diagnostics tests on a race car engine.
Easy
stuff, but I always think about what’s actually going on in my arm when
this is happening; the blood being cut off, then the slow trickle back
into a full flow. It makes my arm feel tenuous and unsubstantial. We
think we’re made of steel until something happens to remind us that,
actually, the body is about as sturdy in the face of hardship as a weepy
animal-rights activist at a screening of “Free Willy.”
But
all that is warm-up, of course. The mum rule exists, essentially, for
two reasons: To protect your sensitive health information, and to
mitigate, as much as possible, the awkwardness of getting naked and
showing your genitals to a stranger in a mask. Unless you’re a swinger
in Amsterdam, this is a highly unusual activity. When the first
proto-humans were walking upright on the Saharan plains, do you think
there were members of their little societies whose purpose was to
examine everyone else’s junk in a non-sexual, clinical setting? I would
think not. As a species, we just haven’t evolved sufficiently to feel
comfortable with that kind of thing. Generally speaking, if there’s
somebody down in my area, it’s because we know each other personally and
I bought her dinner first. Every time I have a physical I feel like I
should bring a long-stemmed rose and a bottle of wine.
It’s
rather obvious to point out that people should get check-ups as often
as possible – particularly women, whose complex biology allows more
opportunities for system failure than the control panel of a NASA
module. It’s an odd experience nevertheless, and it doesn’t get less odd
with time. If anything, it gets odder. Our bodies have limited shelf
lives, and the longer they’ve been running, the more they need
specialized attention given to various problem areas. That assertion
should ring true for anyone who’s had a colonoscopy, which is probably
the closest humankind has ever come to those invasive alien probes you
hear about from wide-eyed farmers and shut-ins. Come to think of it, I
suppose it’s technically possible that there exists a race of bug-eyed
galaxy surfers, green men who exist solely to abduct isolated whack-jobs
and give them routine colon exams.
It’s
a marker of immaturity that the only reason I’d consider becoming a
doctor would be to voyeuristically scope out peoples’ eye-popping
abnormalities. The stories, I’m sure, would be endless, and I’d have to
start a blog just to keep track of them all. Which would have
repercussions. A justifiably vindictive patient would see fit to expose
my own fear of needles, which make me squirm like a nun at a screening
of “Caligula.”
That’s why I’m sitting on the exam table and not wielding the stethoscope. Good thing mum’s the word.