Do not go gentle into that good night…Rage, rage against the dying of the light. – Dylon Thomas
First this happened:
“You’re an exceptional player for a woman your age,” my online male scrabble opponent wrote on the chat line. “I bet it helps keep your mind active as well,” he added.
“OMG! I can’t believe you just said that!” I replied. He had no idea how old I was, but my profile picture indicated I was a woman of a certain vintage.
That was pure gendered ageism, and I was having none of it. I gave him a dressing down and told him his comments were misogynistic. I suggested he go and sit in a corner and think about his words. Then I beat him by 100 points!
Then, two days later – this!
Scene: Doctor’s Office, Examining Room.
Characters: Doctor and Patient (me).
Me: “I haven’t been here for so long, I thought I’d come in before you fire me as a patient.”
Doctor: Looking at my chart. “I’d never do that. But you were just here to see the nurse practitioner on Nov. 2, 2023, for a flu and Covid shot.”
Me: “No I wasn’t. I’ve never had a flu shot and furthermore, I haven’t been to this office in over a year.”
Doctor: “Yes, you were Pat. It’s all here in your file. You called two days before to make the appointment and came in at 5:30pm on November 2, 2023. The NP checked you out at 5:40pm after your shots.”
Me: “No, I didn’t. I’m telling you, that’s not me. I wasn’t here.”
Doctor: “Yes you were. Look, here are all the details of your appointment.” She turned the computer screen toward me. “It’s definitely you, and isn’t this your health card number? We wouldn’t make a mistake like that.”
Me: (getting agitated). “Please believe me. I wasn’t here.”
And so it continued…
Doctor: Looking at me with pity in her eyes, soothing voice. “Pat – people your age, especially smart ones like you, find clever ways to conceal their forgetfulness. I tell my geriatric patients that all the time.”
Me: “OMG! Did you seriously just say that? You think I’m losing my marbles?”
Doctor: “Well, I’ve been here for 10 years and an error like this has never happened. Our NP is very precise and she never makes a mistake. I think you should go home and check your appointment book to refresh your memory.”
Then the doctor brought in the office manager who looked at the file and agreed that I had to be in the office on that day. They both silently looked back at me, while I sat there feeling unheard, unbelieved, and utterly confused.
Now what?
I drove home thinking about the possibility and perils of my cognitive decline. What if I had forgotten I was there and really couldn’t remember getting those two needles? But I’ve never had a flu shot in my life – or have I??
Sure, I admit, last Sunday I wore my pants inside out all day in the house and didn’t notice until I went to bed. And then there was the lettuce I found frozen in my freezer. Should these occurrences have warned me of a bigger problem, rather than make me laugh the way it did at the time?
When I got home, I went straight to my appointment book. The only thing on my calendar for Nov. 2 was lunch with a friend. I emailed the doctor’s office with a picture of my diary pages. Again, I insisted in my email that I wasn’t in the doctor’s office at the end of that day.
The office manager phoned and promised to check the call logs to see who had made the appointment. I could hear in her voice that she was doing it to prove it was me. She would be looking for my phone number. What if I couldn’t prove I wasn’t there? Would it be a stain on my medical records?
The experience shook me, and I couldn’t let it go. That night I developed an episode of atrial fibrillation that went on for 17 hours. Coincidence? I think not. I was unnerved.
Vindicated
I lingered in confusion until the next day when both the office manager and the doctor called. They (very sheepishly) said they had found the mistake by using the call logs, and explained exactly how the mixup in patient files had occurred – apologizing profusely for the error.
They said nothing like this had ever happened before and assured me new measures would be put in place to enforce a stricter control in their processes. I made sure they understood how upset and unsettling it was not to be believed and to be accused of “concealing my forgetfulness.”
I told the doctor how she had made me doubt my own sanity. And how hurtful it was that she had instantly jumped to her own conclusions and disbelieved me.
“How could you think you were getting dementia?” the doctor said on the call, trying to recover from what they did to me. “You’re healthy and active and still writing books for heaven sakes!”
“I didn’t think that!” I shot back at her. “You did!” I did not let her off the hook! I had walked into her office feeling great and left as an old lady with memory problems.
Final word
Ageism is a common theme for seniors. Too often it’s used to diminish the competency and capability of the older person. We all experience it in subtle forms, but this past week, it very boldly slapped me in the face! It bothers me that the episode shook my confidence in my ability so quickly. Was I really all that fragile?
At least this week has reminded me to, “Rage, rage against the dying of the light,” as Mr. Thomas so eloquently stated. My shocking feelings of vulnerability have reinforced my resolve to call out ageism as I see it and encourage others to do the same. We experience it all the time in the healthcare system. We’ve earned our place in this world and deserve to be heard, and treated with honesty and respect.
Pat Lamondin Skene
PS. Despite it all, I won’t be switching doctors. I have enjoyed a good relationship with her for 10 years and she has always been responsive and attentive. She’s a good doctor. I’m sure her actions were driven by a belief that the office procedures in place were infallible. That, coupled with my age, and the fact that she hadn’t seen me in well over a year, may have influenced her (thoughtless) behaviour. Calling her out on it was enough.
See you between the lines.
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