The Worrying State of Medicine

I spent about four hours today at a local Urgent Care facility. Without going into too much detail, the reason I had to do this was because the doctor's appointment I had scheduled for yesterday got canceled because my doctor got sent to cover ER shifts because of labor shortages in the medical industry. The immediate problem I was seeing her for is that my oxygen saturation levels, especially early in the morning, were getting worryingly low, and after starting a new medication I had gained six pounds in a single week, which could be seen as visible swelling in my legs. Since I was measuring my O2 levels with my own pulse/ox, I used the patient portal to say, “This is what I'm measuring. What should I do for the next two weeks before our rescheduled appointment?” Thus, today, I received a call where my doctor informed me I should go to the Urgent Care facility to get examined to make sure there wasn't anything major going on.

Now the fact that my primary doctor wasn't available for a scheduled appointment due to workplace shortages of medical professionals isn't the main focus here. It is certainly worrisome, but I think what might even be more so is the exchange I had with the doctor at the Urgent Care clinic. Since I wasn't getting enough oxygen and had obvious fluid retention from swelling, he ran a litany of tests on me including EKG and a chest X-Ray, even the universal COVID test, all of which came back as “good news” (thank God). But after he got the results back and he was explaining them to me, the doctor mentioned at one point that they'd had a little difficulty with one of the tests because my chest is so large. He then immediately said, “Not that I'm saying there's anything bad about being so large.”

And this is the point I want to bring up. I actually immediately said, “No, I know it's bad. In fact, the increased weight is precisely one of the very things I pointed out to you that had me so concerned.” I immediately saw his demeanor change, as if he was relieved to be able to speak honestly instead of being terrified of offending me, and he said, “Yes, if we could get rid of that weight, it would almost certainly help across the board with everything else here.”

So why did I find this exchange so problematic that I decided to write a blog post about it, especially given that it means I had to divulge (albeit obscurely) some health details I'd rather not talk about? Because I just experienced a doctor telling me something we both knew was a lie because he was afraid that I might be offended had he told me the truth.

There's real danger in this, though. I could have easily come away from that conversation telling everyone, “I went to Urgent Care and the doctor said my weight is fine” when the reality is the exact opposite. If he was so unwilling to state the objective fact that being overweight is detrimental to one's health, then what else are doctors afraid to tell patients? It's extremely worrisome if doctors will lie for the sake of one's ego instead of telling the truth for the sake of one's life.

In the meantime, I still have a case of “We Don't Know”, but at least I know my heart and lungs are sound right now, and I don't have Wuhan Bat Lung either. Prayers would be appreciated that someone in the medical field discovers what the proximate cause is. Or, God could just zap me. I'm fine with that too.