During my five years in Dallas I went for four of those years without establishing a relationship with a physician. It was only in my last year there when I got sick that it occurred to me that I ought to find a regular doctor and get one yearly checkups and physicals. Aside from the health reasons there were fiduciary reasons, I was paying insurance premiums but never drawing any benefit from that.
I've already gotten sick once since we moved here (turned out to be just a cold) and trying to see a doctor if you're a new patient when you are sick is impossible. Luckily, the urgent care physician I saw was great but getting sick was a reminder to establish a relationship with a regular doctor. So I set up and appointment with a physician nearby our apartment in the Castro.
I walk in. Meet and greet. Paperwork. Weight, height, temp, pulse, blood pressure, etc. Very standard visit so far.
The doctor comes in. He's an older man, looks like a cross between the best parts of John Waters and worst parts of Tom Sellick. From the get-go the questioning was a bit accusational. It didn't quite seem to click when I told him that I was fine and that I just wanted to get a check up and some blood work done, it had been since December that I did so.
We continued with the questioning.
"Are you straight, gay, or bisexual?"
First thought that came into my head was, "Why does any of that matter?" I'm not ashamed of answering the question but my immediate thought process was you treat the patient, not the sexual orientation. I thought that places like San Francisco had moved beyond the concepts of "gay diseases" and the like. The soapbox was quickly dismantled and put aside to maintain civility.
"Gay."
"Are you in a relationship?"
Okay, I don't see the need for this question either but he's probably trying to profile me so don't get so defensive.
"Yes."
"Are you monogamous?"
I see the point of this question from a clinical profile view point but combined with the first question I'm starting to get a little bit uneasy here. Normally these kinds of things come up in a more suave conversational method, this guy's bedside manner sucks!
"Yes."
Now, I answered yes because I'm not going to count the number of times when Brad and I jointly, and I emphasize jointly, aren't 100% monogamous. There are times, but not enough that I would say that we're not monogamous.
Nothing prepared me for what came out of the doctor's mouth next.
(With sarcasm, dryness, and irony) "So if you're in a monogamous relationship, why do you need to get tested for HIV?"
Jaw. Dropped. To. The. Floor. Are you kidding me!? A doctor, who's office is at the corner of 18th St. and Castro questioning the value of an HIV test for one of his patients!?
First of all, not more than three minutes ago we discussed that I had a brother who died from HIV. Furthermore, it's always good to get tested even if you're in a "monogamous" relationship because even if you're monogamous you can never be 100% certain that your partner is too. If he was trying to determine if I was lying about my monogamousness (spell check accepts that word by the way - use it today in a sentence) there are better ways of figuring that out and I don't seem to remember making an appointment with a psychiatrist. Lastly, when did it become a frivolity to get an HIV test?!
I answered him.
(Cooly, calmly, but with indignation) "Because it's always good to know."
He cast me a patronizing smirk and a nod. I felt at that moment what I imagine it must have been like for little black girls in the south when rich white women would approach them and tell them how "precious" they were in an attempt to assuage any thoughts of them being racists.
I won't be going to this doctor again. His attitude is severely lacking and I find his clinical style and demeanor to be antiquated. Not to mention he thinks HIV testing is some kind of luxury, reserved only for the truly debauched.
I took my sheet of paper and stormed down to Noe St. to get my blood drawn at the local Lab Corp office. Never before have I felt so righteous while being bled.
Fuck you Dr. Irresponsible.