sex, lies, and gonorrhea
So, the other day I admitted a young black woman who presented to the emergency room with acute pelvic pain and cervical motion tenderness. She had pelvic inflammatory disease. As expected, the culture I took in the emergency room was positive for gonorrhea. Since I admitted her I decided I should be the one to break the news to her.
When I walked into her hospital room, her boyfriend was sitting at the bedside, holding her hand and looking soooo attentive. I felt like pointing at him and screeching like in Invasion of the Body Snatchers. Guilty! Ark! Ark! Ark! I kicked him out of her room (okay, I politely asked him to step outside) and told her she had the clap. In fact, her infection was so bad it landed her in the hospital for IV antibiotics and forced her to miss several days of work. "I don't understand," she said, looking genuinely puzzled. "My boyfriend and I have been together for 5 years, and I haven't slept with anyone else." I watched silently as the truth dawned on her. Her expression changed from confusion to hurt to rage in about 30 seconds.
"You can come in now," I told the boyfriend, sweetly.
When I walked into her hospital room, her boyfriend was sitting at the bedside, holding her hand and looking soooo attentive. I felt like pointing at him and screeching like in Invasion of the Body Snatchers. Guilty! Ark! Ark! Ark! I kicked him out of her room (okay, I politely asked him to step outside) and told her she had the clap. In fact, her infection was so bad it landed her in the hospital for IV antibiotics and forced her to miss several days of work. "I don't understand," she said, looking genuinely puzzled. "My boyfriend and I have been together for 5 years, and I haven't slept with anyone else." I watched silently as the truth dawned on her. Her expression changed from confusion to hurt to rage in about 30 seconds.
"You can come in now," I told the boyfriend, sweetly.
posted by babydoc @ 1:34 PM
3 Comments:
At September 11, 2009 at 9:21 AM,
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At February 25, 2020 at 4:18 PM,
OB doc said…
You are awesome--i remember reading your blog when i was a medical student and it just popped up in my mind again. Since then i've been through ob gyn residency and in practice for 10 years and have started to think about trauma-informed care for women and how that could even be possible in ob-gyn given the repression and trauma of our training. Your blog came to mind as such an entertaining to read illustration of how the rubber meets the road on that front. I hope you kept writing and are thriving in whatever you are doing!
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