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Is Getting Sick Like Being Raped?

Lissa Rankin's picture

A patient I saw recently, who has been sick on and off for the past 16 years, spent the better part of the past two years in the hospital, under the knife, and once released, shuttling between doctor’s appointments. At one point she broke down in tears and said, “It was an assault. It was like being raped.”

And I found myself tearing up while silently witnessing the confession she had just made.

Was I Assaulting People?

Hearing this broke my heart. Trained as a gynecologist, I know that what we do can feel like a violation. In the office, we strip off people’s clothes, insert cold foreign objects into their warm vaginas, and sometimes let our fatigue and busy schedules lead us to be more brusque than any healer should be. We forget to call people by name, fail to ask for permission, and walk out before listening for the questions our patients may be too frightened to ask.

In the hospital, it’s even worse. We dress people in modesty-stealing hospital gowns, feed them bad food, and wake them at 4am for blood draws (and stick them again a few hours later when their doctors think of new tests they want drawn after rounds.)  We call them “Room 201” instead of by their names, we expose them to a roomful of people before placing cold stethoscopes on bare breasts, we talk about them in front of them like they’re not there, and then we leave as quickly as we entered.

We strip people of their dignity, dehumanize them into body parts, violate them, and then leave without saying “I’m sorry,” much like someone who commits date rape might.

In more subtle ways, we bare not just people’s bodies, but their souls, without leaving anyone in charge of tending those bared souls. As we suffer from pain, fear what is happening, or even contemplate our own death, we become more vulnerable than we’ve ever been in our lives, and who is there to hold our hand?

My Own Assault

As I alluded to here, I’ve been blessed to only be hospitalized once, when I gave birth by C-section to my daughter. I was an attending physician at the hospital where I gave birth and like any OB/GYN having a baby, I was considered a VIP. Even so, giving birth to my daughter was one of the most dehumanizing experiences of my life. The surgery wasn’t too bad. I trusted my doctor, and my business partner was assisting, so I felt held by two doctors I loved. So while it wasn’t exactly a touchy-feely home birth or even a nurturing midwife drug-free birth, I coped pretty well.

It wasn’t until I was in the recovery room afterwards and started puking my guts out that I started feeling fearful. I had warned them that narcotics throw me through a loop, and they promised me I would be getting only spinal anesthesia. Nobody told me they put morphine in the spinal. The vomiting began - and continued for 12 hours straight until I almost dry-heaved my sutures out.

I asked for Zofran, the nausea drug I knew helped me when I’d been given narcotics before because of a dental procedure. They told me I was given Zofran, but in fact, they gave me Compazine. It made me nearly psychotic.

In the midst of all this, my IV ran dry for hours, until blood was creeping up my IV line and I had stopped making any urine because I was so dehydrated.  I begged them to hang a new bag and bolus me with more fluids. I pleaded for Zofran. Nothing happened.

By midnight, 10 hours after I had given birth, I was so dehydrated that my lips were cracking and, needless to say, there wasn’t much coming out when I tried to breastfeed. Dried out and in severe pain from all the wretching, I called my doctor at home because by this point, I was so dehydrated that I knew I needed at least another liter of fluids, only the nurses weren’t giving it to me. My doctor, in a gesture I’m sure she meant to be helpful, wrote an order that I could order my own drugs and IV fluids. Every hour all night long, the nurse came in to say, “Doctor, what shall I do next?” And I’d bark off the orders.

By morning, I was finally peeing and the nausea had stopped. But I was exhausted, my baby was crying, my husband felt completely helpless. So what did I do? I checked myself out of the hospital and went home. At least there, I could take care of myself in peace.

Healing The Wounds

If this is what happens when a doctor gets hospitalized, it’s no wonder people feel assaulted when they leave the hospital. My patient told me she’s recovering from PTSD because of her hospitalization, and something just feels wrong about that.

As doctors and other health care providers, aren’t we supposed to comfort, nurture and heal, rather than assault, violate, and traumatize? What is wrong with this system?

I know there are wonderful doctors in this world. I know we’re all doing the best we can and navigating our way within a very broken system. Now that I’m out, my goal is not just to bitch about how broken it is, but to be a voice of healing and to start a conversation about how we might begin to mend the wounds the system has inflicted upon not just the patients, but the health care providers who care for them.

Have You Felt Assaulted By The Health Care System?

Does getting hospitalized feel like being raped, or are we just being melodramatic? Do you feel nurtured by the health care system? I know people have stories on both ends - miraculous stories of doctors and nurses who have nurtured them every step of the way and horror stories of what went wrong. As someone from inside the system, I know we’re all doing the best we can. So tell us your stories. What’s working? What’s not? Let’s get this conversation going.

With wishes for healing for us all,

Lissa

Lissa Rankin, MD: Founder of OwningPink.comPink Medicine Revolutionarymotivational speaker, and author of What’s Up Down There? Questions You’d Only Ask Your Gynecologist If She Was Your Best Friend and Encaustic Art: The Complete Guide To Creating Fine Art With Wax.

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Comments

John Carosella's picture

Soul Loss

For those suffering from post-traumatic stress of any kind, I recommend "Soul Retrieval - Mending the Fragmented Self" by Sandra Ingerman. Sandra pioneered the re-introduction of Soul Retrieval, a widely practiced and ancient shamanic healing method. You can find out more at Sandra's website. Soul retrievals are increasingly available, and there are a number of very good practitioners out there doing remarkable work. I encourage you to explore - you may find a deep healing and peace that you thought would never return.

Anonymous's picture

Hi John: Sandra's work is a

Hi John:

Sandra's work is a beautiful masterpiece to help a certain subset of patients or people help retrieve their fractured souls. This is a beautiful ceremony she is involved in. However, PTSD involves TBI's, TTBI's,Neurological & Brain Damage as well as pathogen infections that specifically target the brain, namely the lack of 02 to the brain as result of vessell constriction at the base of the brain from infections and a weakened immune system- ending in gray and white matter damage. Although I realize you mean well, To suggest a shamanic healing for a trauma or rape victim may not be appropriate. I wish Sandra's work all the best. However, when dealing with brain injuries and damage as seen in PTSD, I think it is better to leave this work to Neuroscientists and infectious disease specialists. As far as rape victims, Your comment offened me. And yes, I have done years of work on all levels imaginable. I am sure you menat well. Blessings, Julia Hugo Rachel

Michelle Medina`'s picture

Thank you for this suggestion

Thank you for this suggestion John! I've looked up practicioners in my area and have sent one of them an email!
P.S: I'm really enjoying your blog as well!
Thank you for sharing the link so we could all read it!

Jo's picture

Healthcare related trauma is nothing like rape

I must admit that my ire over the heading of this post is what made me read more but I'm grateful it was written. It exposes many of the negative aspects of healthcare systems around the world.
What I do take offense to are these very real problems being likened to having been the victim of a sexual assault in any way, shape or form. Whether I agree with it or not I do not invalidate the claim of the patient who made it. I simply and respectfully question whether it was made from a point of ignorance rather than knowledge.

I understand the dehumanizing sense of helplessness the hospital system in particular can give a person. You feel like you are insignificant and every part of your health and daily functioning is dictated by another. I myself suffer from PTSD following the traumatic birth of my daughter. At 14 pounds she was an attempted vaginal delivery that went wrong. Partially delivered I ended up having a section done under a general even though I had an epidural already. As a registered nurse I knew I was in a lot of trouble and that both my life and the babies was in danger. For days afterwards I was in so much pain I wished I had died. Then i had problems with a DVT. I joke now I'm in a rare group of women who can claim to have had both an episiotomy and a section but that statement hides a lot of pain. I now avoid doctors and will only go to hospital for something life threatening. It was the second most traumatic event of my life.

The most traumatic was having experienced the very thing that the healthcare system is compared to. In my case I can say the two are nothing alike. There may be similarities in feeling out of control, of having things done to you. Dismissive and agressive know best attitudes of medical staff will never equate to those of a sex crime perpetrator. I agree that this is an area that could benefit from improvement. However the same intent to hurt, humiliate and affect profoundly is not there. I would imagine few hospital staff come to work that day sadistically hoping they will get to traumatize somebody. The same way rape is not sex as it is void of that intent even though the act may be the same.I'll take the modesty depleting hospital gown over the terrified humiliation of rape any day.

Anonymous's picture

Hi Jo: For privacy reasons, I

Hi Jo: For privacy reasons, I am not going to share my story. But for those that have been raped and also have had invasive medical procedures, a trauma occurs which feels like a huge violation of a womans body and a rape. I could go on to explain more, but for those that have been through both situations, I can honestly say an invasive, traumatic surgery with complications and in the wrong hands can feel like a rape. Especially the aftermath. It is difficult to explain, horrifying to explain. I think the worst part is, you don't know whats coming, they don't tell you, then you are shocked and left with how to pick up the pieces of your life. This can take years, even for the strongest of women. I honor your words on Rape. I understand them well. Thank You, Julia .....

Michelle Medina`'s picture

Anonymous, Thank you, I

Anonymous,
Thank you, I second this.
I've had 66 reconstructive operations on my face and was held down by nurses so they could clamp a mask over my face when I didn't want it. It felt like there were hundreds of hands there! I was only 9 years old when it happened.
Nevermind the fact of waking up surgery after surgery with my underwear off.
Ovbiously when your an adult they make you take them off before surgery, but back in the late 80's and early 90's when I was young they didn't. *I don't know what procedure is now for children since I'm 26*.
Anyway, that's just one experience I've had.
Then there's the fact that I've always gone to teaching hospitals because that's where my plastic surgeon always worked, so there were always medical and pre-med students there.
I was born with a Tessier Cleft *very rare, it only effects between 10-20 people in the entire world* and it caused congenital blindness as well.
The very short explanation is that my face didn't form properly so the doctor basically had to create most of my face. I was born with eye sockets, a mouth and lips, but the bone structure needed to be built up and the lips and area around the eye sockets needed to be btrought together and closed so I'd have a face like most people have.
So there was always constant poking, prodding, pealing away bandages to investigate the healing process, etc, etc, etc.
Needless to say, I came to the conclusion that my body belonged to everyone but me, and I had no say, no control, no rights and no 'personal space'.
As I said I'm 26 now and still learning the concept of personal space, setting boundaries and the idea that yes, I do have a say in what happens to me/what people DO to me!
Thank you for your comments!

Anonymous's picture

Your Welcome! I've fought

Your Welcome! I've fought beside some amazing warriors and I consider you one of them. You are amazing. Blessings. Julia

Michelle Medina`'s picture

Thank you!!!! You gave me a

Thank you!!!! You gave me a big smile this morning!!

Andrea from Orthotics Ottowa's picture

Victims of rape can make them

Victims of rape can make them traumatise.Rapist always plan your daily routine,time and place so everyone should be aware of that.

Lissa Rankin's picture

Oh Michelle.

I can only imagine what you've been through, darling.
Thank you for sharing.
Sending love as I often do
Lissa

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Michelle Medina's picture

Seeing the word rape here was

Seeing the word rape here was shocking to me, but when you said that your patient was suffering from PTSD after being in the hospital??? All I could do was cry. Even with a fabulous doc, which I had, it still felt like I was raped. I went to a teaching hospital for all my surgeries, so not only was it a bunch of doctors it was med students and premed students and so on and so forth. It was like being in a minature circus sideshow. . .
Even after the healing I've started doing, working with a few coaches, tapping, Affirmations and working out, this still slapped me in the face.
Yes, there is more to be done, and remembering to tend the soul/humanbeing you're 'caring' for is just the beginning.

Thank you for acknowledging the pain we've all been through Lissa!!!! Huge hugs!!
And I'd like to say, though I did not cause it, I'm sorry for what you went through even as a doctor.

Anonymous's picture

Surgery Trauma

Thank You for this recent Blog. I recently underwent 2 surgeries and was prone for nearly 2 years. I felt violated, traumatized and expressed to a friend that I had felt "raped". I have allowed myself to heal, to grieve and to let go- yet this took time. During the down time, I founded and started 2 new healthcare non-profit corporations. I literally started these from bed!

I realized that I had been put to "the test" through my surgeries. Growing up with 7 autoimmune diseases (1 potentially fatal), living a life of rotating doctors and natural paths, then having a wonderful son who ended up with CFIDS (Viral Induced CFS), I realized my world needed a shift. Always a fighter, I fought to get my son treatment that mainstream society has said "does not exist". I fought the mainstream medical community for the right to treat and save my sons' life; then I listened intently to excellent integrative, alternative and natural path specialists who were part of our saving grace to life and better health.

I did feel violated from the surgeries. At 48-49 years old, these were traumatic and invasive surgeries. Yet, I also learned that letting go of all of the trauma I had experienced in my life that occurred leading up to the surgeries; was a huge part of my recovery process. And, allowing "time" to do this healing, no matter how much time I needed, was worth every moment.

Your work is amazing. Western medicine saved both my son and my life. However, Alternative and Integrative medicines and clearing the "junk" from our minds and diets also saved our lives. It was a balance. One which is individual, yet the parts of the puzzle remain the same.

Best,
Julia Hugo Rachel

John Carosella's picture

Western medicine carries a deep wound

Western medicine is itself deeply wounded. It's possible that the wound, in part, stems from a Cartesian, reductionist view of the world - and thus, of ourselves. We're not machines with separate parts. We're shifting and evolving fields of life, coalescing matter around ourselves in a vessel that becomes our bodies. And when we're not "filled with our own health" - our own spirit and vitality - we leave that vessel open to being colonized by something else. Nature abhors a vacuum, as it were.

If we thought of ourselves as an evolving whole, our "medical care" would emerge from a desire to restore health by restoring wholeness. Unfortunately, when the medical model is reductionist - "this part is broken", it seems that we slide down the slippery slope of reducing the patient to the ailment, or the symptom, or the reaction. The "part" that's "broken".

And we stop touching and loving and singing. And we stop seeing the bigger picture where restoring wholeness restores health.

I hope practitioners of western medicine learn to sing again. And maybe then the urgency of "Physician, heal thyself!" might begin to be understood.

Linda Mickle, NP's picture

Illness as a Trauma

Thanks for this post, Lissa.

More and more, over the years, I have pondered whether chronic illness has the potential for trauma. As a Psych NP, AND as a patient with a genetic kidney disease having been on dailysis, surviving kidney transplant and multiple rejection episodes and all the complications from the multitude of medications and side effects and adverse reactions, I feel there is a huge component of trauma in just being sick.

I looked up PTSD in the DSM-IV and it does mention trauma from life threatening situations, but I ask "what about the day in and day out of having a chronic illness", and wonder about all the doctors appointments, invasive studies,worrying about the results and the toll it takes on patients.

In all of the medical care I have received over the years, I can think of a handful of MDs who really knew me as a whole person and appreciated the stress I had dealing with all of these issues.

All that being said, I learned that it was up to ME to take charge of my care and to make sure I created a team of healers who "got" me and really cared about me as a whole person. That's why I'm so committed now to working with women suffering with chronic illness and helping and showing them how to empower themselves, because Lord knows, no one else is telling them "Get in your power!", except for guardian angels such as yourself :-)

It's up to all of us to change the paradigm of health care to empowering patients as equal partners working toward an agreed upon goal. That's why I love your "Doctor Patient Agreement". We need a movement to make this happen!

QuintBy's picture

Chronic Illness is not a POST-traumatic stress disorder but...

Having 4 major, chronic and disabling illnesses I've adopted a point of view very much in line with Linda's observations regarding the PTSD-like effects which chronic illness has upon a person. And one of the things that occurred to me is that overwhelming, the major stressor which medicine and psychology focus upon is a past event. Somehow, what seems to have gotten lost in the analysis is that not all traumatic stress is "post", i.e., occurs only AFTER the event has occurred.

So I have asked several of my own providers, "What about TSD? Why is there not a recognized disorder entitled simply 'traumatic stress disorder' to reflect the obvious - that not all trauma occurs in a neatly-packaged, discretely separated traumatic event which occurred previously but is no longer occurring now. What about the kind of trauma which, to borrow from an old TV commercial, keeps on traumatizing once the initial trauma has occurred?" No one has had a response other than to, in effect, scratch their heads and say I don't know.

My opinion on the subject is that the almost-nonexistent recognition of a Traumatic Stress Disorder is a part of the same mindset which tends to trivialize the suffering and the disability which a chronic illness or another chronic health condition like chronic pain can visit upon someone. This is the mindset that adopts the opinion that being sick or being injured is all about getting sick, then getting better the becominf completely well and good as new. Yet anyone who has a chronic illness knows that this simpification is a myth.

Lissa Rankin's picture

I'm so sorry Shelby

Just know I am here, holding the faith that you can let this go, move on, and get well.
Anything is possible. There's always hope.
With love
Lissa

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Shelby Lauren's picture

abused by conventional HC and desperately needing to heal

This past summer, I had an 'accident' one night with a good friend of mine. It required the use of a Plan B pill the morning after. Obviously it altered my, up to that point, consistent and regular period. It was near the end of the summer, and in September i was heading off to University (Teachers College). Upon going to the on-campus clinic late in September, I had told the doctor there about the mishap and how I was looking to get back on the birth control pill to help regulate my period. The doctor took that information and ran with it. He immediately assumed I was pregnant, had contracted every single STI known, and immediately requested a swab, urine sample, printed off a blood test form and recommended I get the first injection of the Gardasil vaccine. For someone who is 1. afraid of needles, and 2. put off by the whole medical office scene to begin with, I was overwhelmed to say the least. I didn't even have time to ask him a single question before the nurse was getting the vaccine ready for me, and I was told to sit down. Three days later, I developed shingles, and two months afterward, I began to suffer from postherpetic neuralgia. My symptoms were frequent urination (never any burning) and, as a result, a different doctor assumed I had a) a bladder infection, and then b) chlamydia and gonnorhea when the urine sample showed negative for bacteria. I can't help but think that my current state now is a direct result of the fast-pace and unprofessional care that I had on September 27, 2011 while attending University. Lissa, I need help and don't know where to begin in the healing process...Why and how can health care provide the exact opposite for a vulnerable young patient? I used to play soccer, work outside, run, play, laugh, and live. I now find it difficult to do any of the above.

Lissa Rankin's picture

Thank you all for your honestly and vulnerability

I appreciate you sharing your stories and hope others who might feel this way find healing in the ability to connect through story.

WIth love
Lissa

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QuintBy's picture

ICU Delirium and the ICU experience as violative rape and worse.

I was referred to this article by a female Facebook friend who commented that it was feminine but applicable to the both us, and I agree. My friend and I are each survivors of ICU delirium which occurred in both of us almost immediately and continued for 1-15 days straight.

What I wanted to say is that while being a hospital inpatient is indeed frightening, the most frightening place of all is not the OR but the ICU. What makes it so has to do with many factors, but I believe that it is the utter and complete loss of control which you experience. While anyone and EVERYONE needs to have a family member or other advocate for their patient's needs, the ICU patient is absolutely lost without that support because ICU patients on the whole are not sufficiently connected with the real world to comprehend what is being done to them.

I agree with the characterization of being a hospital patient as akin to being raped, and I might add that for men in a very literal sense it can take on the added terror of homosexual rape.

What I was struck by most after I had survived my 17 ICU days of delirium and came after another 2 weeks was how similar the vague memories of feeling heavily-drugged (as are nearly all ICU patients) the strangeness of how hospital personnel looked with masks etc. seemed to resemble the accounts I had read in the past of people who believe that they had been abducted by space aliens. Spotty moments of consciousness, not understanding how Id gotten there or why - the parallels are many more and are striking.

Ironically, those who believe they were abducted by aliens have an advantage over those who have undergone a long ICU stay. People in the ICU don't ever really get told what happened to them so they tend to believe that whatever happened wass their own fault. Abductees, whether validly or not, at least have been able to attach meaning and structure to what occurred.

Also, because abductees are in a position to have heard the stories of many others who feel they had similar experiences, they are in a position to band together, form groups and have group sessions to help them make sense of what they believe occurred to them. ICU delirium survivors on the other hand are left to fend wholly on their own, unable to find people with like experiences in part because so many of them are dead and also because they don't realize that what happened to them was anything beyond what their particular illnesses caused. No group support exists, not even by the medical establishment which has long been aware of the phenomenon but only just in the last 10+ years have moved in the direction of doing something positive about it.

It took me 4 years but I found some answers when I stumbled upon www.ICUDelirium.com, a website operated by the medical school at Vanderbilt University. Other websites include wwww.ICUdelirium.net. A website specifically oriented towards patients and group support is www.ICUsteps.com.

L. Suzanne's picture

PTSD from medical "care"

Having a rare neuromuscular disorder, and having spent years, total, in one hospital or another, I can say that PTSD from medical "care" does indeed exist. I have had both very good and absolutely horrid experiences. I would say that the very good experiences came about only because someone, a nurse, a doctor, an intern, a medical student, actually and honestly cared and were able to at least somewhat place themselves in my position (do empathy) to see what needed to change to make things better for me. This, of course, is contrary to what medical professionals are taught to do - they are supposed to remain objective.

The horrid experiences - too numerous to even talk about - have made me now totally avoid the medical profession. I now research and treat my rare disease as much as possible and, frankly, will die before I ever go back to another hospital. I do see a family practice doctor for other health issues (yearly female issues, etc.) and thankfully she will listen to me if I ask for a particular treatment or say I do not wish to pursue a particular treatment. Unlike so many at the hospital, she actually listens when I explain how the disease affects me and what has worked/has not worked in the past.

Most doctors are so arrogant that even though they've never even heard of the disease they assume they know how to treat it. On Medicaid at the time, I have been kept in a teaching hospital for months (away from my then small children) without them doing necessary treatment, or even listening to me as to what has worked in the past.

Yeah. PTSD, absolutely. Medical abuse, absolutely. I have little if any respect for most doctors.

Lissa Rankin's picture

wishes for healing

Thank you all for sharing your stories. I'm so sorry being sick has been so traumatic.
May you find peace and healing.
With love
Lissa

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Anonymous's picture

Military tricare in a foreign country.

I am an Army wife living in Germany with my husband who is stationed here. When I gave birth to my son, I essentially bled out due to uterine atony, and almost lost my uterus. Shortly after my traumatic birth experience, our orders came down for myself and our two children to move to Germany. My grandfather passed away that same week due to a hemorrhage in his brain caused by Coumadin.

In the past year I developed bilateral deep vein thrombosis. Between the German hospital, and our poor excuse for a medical clinic on post, it took them 3 weeks to decide on a treatment plan. In that time I thank God I did not develop a pulmonary embolism. I was put on heparin shots by the German doctor, and then switched to Coumadin by the American doctor on post. Every time something happens, our clinic automatically sends me to the German hospital. Just recently I presented there because I was vomiting. Before they even saw me, the admitted me, and gave me what I later found out out to be vitamin K shots, against my will. The hospital then lied to our post clinic about the medications they gave me. As you can imagine, this totally messed up my once perfect INR. I have had problems with my spleen, chronic pain issues, migraines: the list goes on. Instead of listening to my pleas of trying to figure out what is going on with my body, they treat the symptoms, and send me on my way. My husband and I now choose to drive 5 hours away to the only American hospital here in Germany.

Moral of the story: as bad as we often perceive American healthcare, it is far better than the socialized healthcare system that Germany has. The German hospital doctors are some of the most uncaring, cold, and condescending doctors I have ever seen. And because they can, they admit Americans, treat them like second class citizens, and pump us full of meds for no reason at all, and they won't tell you what they ar for. They do this because Tricare pays them tons of money. So if you go in for a cold, you stay 2 weeks. This past time I signed myself out AMA, and am headed to our Army hospital this week.

I pray that when I come off the coumadin this summer, they can find the cause for all the issues I have been having, and I can go back to a normal life with my young daughter and son. This was supposed to be an all expense paid 3 year vacation via the army. Instead it's been nothing short of my worst nightmares coming true. I cannot wait to go home to the states.

Anonymous's picture

Assaulted by HC System

I had a vabra several years ago. Most dehumanizing experience of my life. During the procedure- done without benefit of any pain medicine- resulted in such excruciating pain that I could not even speak. No one asked me about the pain. Despite the alarming resultant symptoms, no one during the procedure or in follow up conversations with attending, actually helped me.

I sought care with my GP, with little help. At one point, pain became so unbearable, I went to a regional ER. ER doctor brought in the OB/GYN on call, who happened to have done her internship under the attending who had overseen my initial procedure. The ER and OB/GYN both stated in their H&P's that I was drug-seeking. I continue to live with the physical consequences-have never been to a Dr. since. I researched my symptoms and have learned to manage them independent of any healthcare provider. Nothing like pudendal nerve damage to create long-lasting, multi-systems issues. I felt betrayed, especially since I had been a nurse for so many years. Being called "crazy" and accused of drug-seeking was devastating.

When you comment on an Owning Pink blog post, we invite you to be authentic and loving, to say what you feel, to hold sacred space so others feel heard, and to refrain from using hurtful or offensive language. Differing opinions are welcomed, but if you cannot express yourself in a respectful, caring manner, your comments will be deleted by the Owning Pink staff.