"Then the sea breathed again in a long slow sigh, the water boiled white and pink over the rock; and when it went, sucking back again, the body of Piggy was gone"
~William Golding, Lord of the Flies
I went to the nurse yesterday to discuss my asthma. I could now tell you all about the exciting machine I've been given and the handy little diary that I have to use over the next two weeks. Instead, I'm going to have a good rant about the first five minutes of my appointment which have absolutely nothing to do with my health.
To recap, after four chest infections in four months, Dr J referred me to the Asthma nurse so that I can be "properly diagnosed" with Asthma. The nurse is located in the same surgery as Dr J.
It's all very simple, you check in, sit down and wait for your name to appear on the 1984 screens of doom directing you to a room. The last time I was in that waiting room I was there for 90minutes because Dr J was running late.
The first two steps were relatively simple; I checked in and sat down. To give you an idea of the waiting room, imagine a white, featureless space surrounded by doors. There are three rows of chairs, with a few pointless walls set out here and there, topped with glass bricks to give an element of purpose in design. It's sterile, offensive in its inoffensiveness and despite being only a year old has no air conditioning.
As with most surgery waiting rooms the place is full of old people, stressed parents with bored children and the occasional middle-aged man looking decidedly worried. Sometimes it can be quite loud, sometimes it can be deathly silent. Because it is half-term everyone has their kids with them and the place was jumping.
I settled myself down in a seat next to a wall in full view of the screen. Out came the phone with the intention of trying (again) to solve Level Whatever on Candy Crush to pass the inevitable wait. Every so often the screen makes a loud "BERP" noise followed by the deliberately calm and mechanic tones of a female computer asking for the next patient. Then some poor soul shuffles off to their designated room. A perfect factory.
I was suddenly wrenched from my revery by the *quietest voice in the world* whispering my name. I'm not exaggerating too much, either. I barely heard it. No one else around me reacted (obviously - it wasn't their name being called!) By the time I had leapt from my seat the source of the whisper had long since disappeared.
The receptionist was kind enough to wave me towards a door. I knocked and went in.
My opening gambit went thus; "I'm so sorry, I didn't hear you call my name". It was the perfect sentence - it started with an apology, acknowledged that she called my name, and explained why I didn't immediately respond. An acceptable response would have been something like "that's all right" and then we would have discussed why I was there. Needless to say, all did not progress as planned.
The first question in response to my apology did not fill me with confidence; "what was your name?"
Now, correct me if I'm wrong, but the nurse should have already been in possession of this information. She had used my name moments earlier in order to establish if I was in the waiting area, albeit rather quietly - almost as if she hoped I wasn't there. This question was so unexpected that I wondered if I had misheard the receptionist and had wondered into the wrong room. Somewhat confused, I confirmed my name.
"Well, I called it several times".
The good news: I was in the correct room. The bad news: the nurse wasn't going to ask me why I'd come to see her today or how she could help me. Instead she was going to drag out the "I called your name and you didn't get up quick enough" situation. This would probably continue until we agree that it was all my fault.
Now, something similar happened in the office the other week. Stormin' Norman, (the office 'Daily-Fail'-reading rent-a-gob) was supposed to call a lady back because the lady had asked a question that Norman couldn't immediately answer. For whatever reason, Norman didn't have the correct phone number. When the lady rang back several days later, understandably cross that she hadn't been contacted as promised, the conversation should have gone as follows;
"You didn't ring me back"
"I'm terribly sorry, I wasn't able to call you back because I didn't have your correct telephone number. I must have taken it down wrong"
"Oh, I see." ...and then the conversation should have moved on to answering the original question.
Instead, Norman decided to fight her corner. She insisted that the number she had written down was the number the lady had provided and that it must be the lady's fault that Norman wasn't able to return her call. She pulled out the telephone records to read out the number she had been given and even wanted to go and listen to the recording of the original telephone call to prove she was right and the lady was wrong.
I do not understand people like this who choose their battles so badly. This total inability to focus on the bigger picture and instead aggressively argue to the death every minor detail.
Returning to my angry nurse, I found myself getting quite annoyed. Perhaps I should have followed my own advice and tried to steer our conversation back to my lungs but something in the tone and the look just put my back up. The nurse had thrown down her gauntlet, slapped my apology out of the way and was waiting for my next move.
I said that I was expecting my name to appear on the big screens like it does *every other time I've ever been there*. "Oh no!" she says, with a patronising shake of the head, "those are only for the doctors - us nurses prefer to come out in person to call through our patients". How was I supposed to know that? Ignorance is no excuse in the eyes of the law.
I don't really care that the doctors and nurses have different procedures for calling through patients. I'm not actually that sorry that I almost missed my name being called. I am unphased by the inconvenience of having to repeat yourself in a crowded room where there are people talking and children yelling and patients expecting their names to appear on screens. We have danced through the customary "I apologise and you say that's ok and we move on" scenario - why are we still discussing this?!
She did finally agree that it was quite loud due to the number of people (and children) in the waiting area. Additionally, the arty-farty walls don't help sound to travel. We'll call that a nil score draw.
One final word on this and then I'm done. On those (now infamous) screens in the waiting area they have various "important messages" from the NHS displayed to give Joe Bloggs some valuable information. One message has already caused me issues. It essentially says "don't come to the doctors with a cold as they can't help you". Imagine my surprise when Dr J had a go at me for " not coming sooner" with my flurry of chest infections. As I have a Masters in History and not a Medical Degree I'm not qualified to tell the difference between a bad cough and bronchitis.
The other sign they have on repeat is one advising that the average appointment lasts seven minutes, so make sure you use your time wisely. Five of those precious seven were spent discussing my total inability to respond to my name. Heaven help anyone with hearing problems!
Post Script and Appendices
The long and the short of my exciting aventures with the nurse is that I've been issued the following;
I have to clock my peak flow in the morning and evening for two weeks. I will also record if and when I use my inhaler during the day. Then I get to go back for Round Two with the nurse.
In the interests of fairness, she thawed out once we actually got down to discussing my symptoms and even gave me the little gadget for free rather than writing out a prescription. When I go back I will be sitting outside her door, staring at it with cat-like-readiness.
The Porch
We have commisioned someone to come and do the porch! They are coming tomorrow to take final measurements.
Finally - the Tree
Coming along nicely, as you can see.