I´ve been asked very often about my exams at the dermatologists in my youth and teenage time, which were always a very embarrassing procedure for me.
These exams were in the 1980s at two different dermatologists and I hated all the appointments there when my mom took me to them regularly.
So, I still remember my very first visit at a dermatologist, when I was 11 yrs old! It was in 1983, and I got a letter for my mom from the school doctor at my first school exam at grammar school, in which my mom was ordered to bring me to a dermatologist because I have uncountably many moles and suspiciuous looking nevi all around my whole body since my early childhood, and to the paediatrician because of different other diagnosis (underweight, often abdominal problems like nausea and vomiting, navel hernia, light form of phimosis and some more).
So my mom went to a new paediatrician with me first and this exam went really horrible for me (I had to undress everything and had to stay stark naked during the whole exams and I felt so bad in my stomach during a very long abdominal exam, that I couldn´t hold it any longer and vomited!). In the end, the paediatrician gave also a referal paper for the dermatologist to my mom.
I didn´t know what I had to expect at that appointment at the derm. I was nervous about it because the paediatrician was like the school doctor before very worried about my many moles everywhere on my whole body, but also about two redly chapped spots on my both knees, which had to be cleared up more thoroughly, too. My only hope before the appointment was, that I need not to undress everything again like I had to do by the paediatrician before.
The derm had his office in our bigger neighbour city, the same one, where the paediatrician was. The office was in the basement of an old ugly looking house in a kind of ghetto area. I felt really bad when my mom took me in there. It was really cold and I was frozen a bit. We were expected by the nurse at the small reception, but we had to wait a longer time in the waiting room then, which was at the opposite of the office in the basement. I remember that an orientalic looking teenaged girl was sitting and waiting in there with her mother, too, who was called by a voice from the inter phone. I was so nervously and anxiously sitting and waiting on my seat and told my mom in a stubburned way, that I didn´t want to undress everything again at the doctor later. My mom only said "We will see!"
When the voice of the reception nurse called my name in the loudspeaker, I got a really hot and flattered feeling in my stomach again. We went into the office to the reception nurse and had to wait again some more time on some chairs in front of the door of the examining room. I can´t describe my nervous and bad feeling in my stomach at that time. The waiting time seemed to be endless for me. My nervousity became still more when suddenly the door of the exam room opened and the doctor called for the nurse. For some seconds I saw the orientalic girl standing naked only in her pants inside the exam room. I couldn´t expect to have my exam finished and leave the office any more.
When the girl and her mom came out of the room some time later the nurse called me and my mom and took us into the doctor´s room and left then. I felt like I was cooking at that moment. I was called to sit up on the exam table first while my mom took place in a chair in front of the desk of the doctor.
The doctor first greeted my mom, looked at the referal paper and asked my mom for the reason of the visit. She told him about the redly chapped areas on my knees first. I was happy, that she didn´t say anything about my moles at that moment! The doctor told me to undress to my underware now, and the nurse helped me. I was happy, that I could let my pants and my undershirt still on first. I had to stand then in front of the doctor, who said on a stool now and looked on my knees first. He began to scratch with his fingernail on my redly chapped areas on my knees, told something about psoriasis, what I did´n understand what it means at that time, and that I would get a presription for a creme for that. At that moment, my naive hope was, that I was finished now and could leave the office again after this shirt time, but suddenly I noticed the doctor watching accurately and worried further more on my both legs, then on my arms, too, while he also touched and fingered at several moles there. But he didn´t say anything at that moments, and I only prayed for that I need not to undress my underware, too. After a while he stopped inspecting the moles on my arms and legs and rolled on his chair back to his desk and began to ask my mom so many questions then, which I couldn´t remember all.
I remember, that he was asking about the school exam and the exam at the paediatrician before, about everything, which the paediatrician was worried about, and so my mom told him about everything what seemed not to be in order with me. What I can I remember was, that she was talking a lot about my abdominal problems first, that I was underweight, often nausea and vomiting, that I have a conspicuous looking gnarly outie navel, too, about what I was really ashamed at that moment, too. In the end of the talk my mom told him by the way, that the paediatrician was also very concerned about my very many moles on my skin all around my whole body. The dermatologist reacted at once with a loud "Aha" and said "I have already seen, that his arms and legs are so full of moles! Does he have them everywhere?" and my mom answered him in detail "Yes, Michael has many more and bigger ones on the upper part of his body, on the breast, stomach and back!" I felt so bad and ashamed at that moment, when my mom said that. The doctor now ordered my mom in a strong voice "He has to take off his underware, too! I want to see him completely naked!" and explained, that he has to do a full body skin exam!
This was exactly that, what I didn´t want to hear! I absolutely didn´t want to take off everything, and so I behaved like a really stupid and very stubborned child at that moment and did not observe the doctors instruction first. So, after a while, my mom got angry with me and told me that there is no way to leave the office without this full body exam and she threatened me, that I would get grounded and also that I would come to hospital, when I would not obey now! I had a big fear of coming into hospital, so it was such an awkward situation for me, in that I had no chance again, and so I let my mom take off my underware, too, so I was completely naked now.
The doctor ordered me to lay down on the exam table at once, because he wanted to do a "general inspection" first.
I felt so bad when I laid down completely naked on the table, the doctor came at once and sat beside me on the table and looked with a very critical view on my body now.
I remember also his first words now: "Absolutely, Michael is much too skinny! He looks really sick!" At that moment he grabbed his hand on my stomach and began to poke, press and knead in my stomach and fingered also on my protruding gnarly navel for a while, what I hated always. I felt like I could vomit again, but fortunately I could hold it this time. I was wondering, that the doctor did not examine my moles everywhere at once, and did a kind of abdominal exam instead! After he had stopped poking, pressing and fingering on my stomach and outie navel, he suddenly took my penis, retracted the foreskinand noticed my phimosis and asked my mom more about it (what the paediatrician said about it), too, followed by checking my testicles, too. My mom told him, that I had surgery of an undescended testicle, when I was nearly 6 yrs old.
Only then, when he had finished the genital inspection, the doctor started with the exam and accurate inspection of my moles and nevi all around my whole body, starting on my head and neck moving slowly down above my upper part, armes and back, down to my legs and feet. He took a magnifying glass and inspected very many moles on my body, the most ones on my breast and stomach, but also on my back, arms and legs again. It was such an embarrassing procedure, because the doctor did that so long and thoroughly, and fingered and touched all the time on my moles with his finger, too. He touched and palpated many of my moles with a light pressure. He looked for moles everywhere and found several nevi also on my penis, on the glans and between the cheeks, too, but also lots of moles, which looked conspicuous and suspicuous to him, because they are bigger or irregular, about which he was totally worried. How longer he inspected and palpated my moles, he got more and more concerned about them and me, so I got more and more embarressed, too.
After a long time of inspecting, touching and palpating on my moles, he suddenly took a pen and marked (circled) several suspicuous and bigger moles on my whole body, and wanted to know the number of my moles per part of my body, either! For that, he went to the door and called for the nurse again, too. I was so ahamed when she came in and saw me now lying completely naked on the table, too.
It was such an embarrassing procedure when the nurse tried to count my moles everywhere, what took a long, long time again. She started while I was still lying stark naked on the table, after a while I should stand upright infront of her. Few times she had to start from the beginning again after she miscounted sometimes, because I have so many (hundreds!) nevi everywhere.
In a next step the doctor wanted to make the dokumentation of the suspicuous looking moles, so the nurse should register the marked nevi into a paper - a kind of body sketch - and should also measure the diameter of many bigger and suspicuous looking moles, too. This was a long and shameful procedure, either, because not only the doctor was worried about my many ugly moles, the nurse took comments on them, too. The doctor repeated several times to my mom, how important it would be, to come in future to further more and regular full body mole checkups in close intervals; he wanted to see me at least all three to four months! When he ordered that to my mom, I was shocked, because I never wanted to come back for a next exam again and wished I could leave his ordination forever. When the doctor and the nurse had all these shameful exams finished, so that I was allowed to dress on and leave the ordination after a very long time, I was so enervated, that I begged my mom not to go with me to this dermatologist again, but she fully agreed with the doctor and always said to me "there is no discussion by your extremely many and ugly moles everywhere!"
So, my mom took me then regularly all three to four months to him and we had always a hard dispute before the appointments, because I didn´t want to go to him. But my mom was strong and took me to him nevertheless.
I had three following appointments by that dermatologist then, at which I was taken into the exam room by the nurse after the waiting time before. Now, I always had to undress everything at once infront of the nurse, had to lie down on the table at once then and wait for the exam by the doctor. Sometimes the nurse did a kind of inspection on my moles during that waiting time and talked to my mom during that time. The rest of the exam went like I described before and was always so embarrassing for me! When the doctor came in, he always came to the table and started with a general, abdominal and genital inspection, and did a palpation of my stomach and on my (outie) navel too, followed by a short exam of my penis, glans and testes. He always asked my mom about my other problems and appointments at the paediatrician. Only then, he started with the complete mole checkup.
After these three following appointments my mom stopped going with me to this dermatologist, because she always had such a big trouble with me and because my abdominal problems became more often and more serious, so that she took me much more often to the paediatrician, too, which did also full body exams every time, for which I had to undress everything and completely naked, too. So he inspected and palpated my moles everywehere at all appointments, too, and my mom decided, that that would be enough then. So I had nearly one year without an appointment and exam by a dermatologist until I was 13 and a half years old; then I was sent to a new dermatologist during a very long (nearly a whole day!), intense and awful exam by a very strong doctor at our public health office, who I had to see for my first stay (8 weeks) at clinic for treatment of my underweight and often abdominal problems. By this public health doctor, I had to undress again everything and stand upright stark naked in front of her, and she asked my mom after few seconds, to which dermatologist she went with me for regular mole checkups. When my mom answered, that she were not going to the derm with me for more than one year, the public health doctor became really angry with my mom and told her strongly off, that it would be completely irresponsible not going with me to these full body mole exams and that these would be absolutely necessary, because I would look "so sickly by having so many moles and bigger, suspicuous looking nevi everywhere"! So she phoned with a collegue during the exam, who seemed to be a friend of her, that I got an appointment for a complete mole exam by that dermatologist already the next day (because my long stay at hospital started three days later!)!
So, in the next morning (it was thursday), my mom took me to the office of the new dermatologist in our main city of our didtrict. We didn´t had a fixed appointment, we should come in the morning to have more time because without a fixed appointment we had to expect much longer waiting time. At the reception the nurse asked for the personal data, my mom told her all and that I was the patient, for who the public health doctor called the day before, that I had to get a full body mole exam, because I´m so totally full of moles and nevi everywhere. The nurse seemed to know from the doctor´s call the day before and told us, that we had to wait a longer time in the waiting room now. When we came into this waiting room and after I took off my jacket and took place on a seat, I got a real shock: on the opposite site, I saw a girl from my parallel class from school (her name was Kerstin) was sitting and waiting there, either. Oh my God, it was so embarrassing for me, that someone from my school knows, that I had to be examined by that dermatologist, either. I thought about my other class members at school, because they only knew about my exam at the public health office why I couldn´t go to school the day before, but they would have been asked themselves, why I´m not at school today, either?! Surely, Kerstin could tell them about my appointment here by the dermatologist. Kerstin was looking to me with questionnable views, but fortunately, the distance was too far to ask any questions! I was very nervous again, and the waiting time seemed to be endless for me, how longer it last how more I got these bad and nervous feeling in my tummy again. I knew what I had to expect because of the few dermatological exams by that other dermatologist before. I expected that I had to undress everything and had to stay completely naked during the exam later, too, but I absolutely didn´t want that at all nevertheless. In between that long time, a nurse came in several times and called the name of the patients who would be called for an exam, I was always nervous to hear my name, but it last more than an hour. Then, the nurse came in and called some names again and suddenly I heard the name of Kerstin and after that my name, too! We were brought into a corridor infront of some exam rooms and had to take place on a few seats in that corridor for an additional waiting time again. I got the seat directly left beside Kerstin! After few moments, she whispered to me "Why are you here?" and I was too ashamed to answer and say anything. It was horribly embarrassing for me! After few minutes, Kerstin and her mom were called into an exam room by another nurse, so I was relieved for some moments. Some time later the other nurse called my name and took me accompanied by my mom imnto another exam room. The nurse told me to sit on the exam table and asked my mom more about me, because it was my very first visit. My mom told her, too, that I was the patient, for who the public health doctor phoned yesterday, and that I had to get a full body mole exam because of my uncountably many moles everywhere. The nurse wanted to know much more about my exam at the public health office yesterday and also why I had to come into the clinic the next days, I can´t remember all her questions. I only remember, that my mom told her about my nausea and that I vomited during the exam by the public health doctor yesterday, who dod a very long and intense exam of my stomach and my outie bellybutton, too, and that this doctor was so angry that I had not had a complete and full body mole exam for a longer time. The nurse seemed to hear very interestingly to all the words my mom told her about me, then the nurse said, that I surely would get a very intense and full body mole exam today, too, that would also last a long time today, and she asked my mom then if she would like to go into the city to do some buys or settles in the meanwhile. At once, my mom said "no" and that she would stay the whole time to see how I will be examined. The nurse left the room then and I felt so bad now, my mom said nothing, I looked around in the room to get some distraction. I tried to think about my class and school first, but it did not give me a better feeling, because I absolutely would like to be at school much more than to sit here and wait for that long thorough exam. Then, I looked at several posters and illustrations on the walls, most of them showed bad looking moles and skin lesions and kind of skin cancer and melanoma. Some of them also showed female and male bodies full of moles and I got the feeling that these bodies look nearly as bad as mine! I also noticed a big mirror standing beside the exam-table, what gave me a really nervous feeling! How longer I sat on the table how worse and nervous I felt in my tummy again! I wished I could have go out and home at once! My mom then asked me some unpleasant and embarrassing questions, too, if I feel nausea in my abdomen and if I maybe have to vomit again like the day before by the public health office. I didn´t knew what I had answered her, but she now talked about my stay at the clinic the next days and that she wants to take me to the paediatrician tomorrow, too, because of my sick abdomen! I was angry about my mom, but said nothing, because tomorrow was Friday, the last chance to go to school before my clinic stay for my underweight treatment.
Suddenly, the door opened, and a blonde haired female doctor - nearly about 40 yrs old - came in and greeted us. Again, she also asked my mom for the reason of my visit today, and she again told her about the phone call from the public health doctor and that she was so angry that I didn´t had a thorough dermatological exam because I am so full of very many moles everywhere. The doctor asked more about the reasons for my exam at the public health office and my upcoming stay at clinic, too, I don´t remember them all, but it was so ahaming for me when my mom told her about that in detail, too, most of all when she also told her that I vomited during the long abdominal exam by the public health doctor yesterday! After these questions, the dermatologist asked more about my moles, if I would have bigger ones, too, and also suspicuous looking nevi. My mom answered he "Oh yes, absolutely, he has some really big moles, too!" and told her first of all about one big mole on my right upper leg, which seemed to get bigger to my mom the last time! I got shocked that my mom said that, but now the doctor wanted to see that mole! So I was ordered to get undressed to that mole, what means, that I had to undress everything, also my panties, but still not my under-shirt. The shirt was the only thing I took on me at that moment. I had to stand upright infront of the doctor now and she rolled on her stool to me and did some close looks and some fingering on that bigger mole and then on different other nevi on both my legs! She said nothing, but her views were so critically, that I suspected nothing positive. After a while of inspecting my moles on my legs, she suddenly lifted up my under-shirt above my tummy up to my nipples and I never forgot her surprised and worried expression on her face and her words then: "Oh my God! There, he has soo many more moles, too! And what kind of conspicuous ones!" I was so ashamed at that moment, I can´t describe in words, I felt like I could cry at once! The doctor told me now that I had to take off my shirt at once, too, and that she has to examine me completely naked from head to feet very thoroughly. She explained to my mom then, that the whole exam would be done in several steps and that it would last a long time today, too! My mom agreed to that and said it would absolutely no problem for her. But for me it was! The doctor now was much more critically, she now looked with concentrated eyes on my tummy now and suddenly she said "Oh, and what kind of navel he has?! He still has a complete outie bellybutton, too!" I wished the ground would open and swallow me up, because I was so ashamed at that moment. The doctor asked my mom now more about my gnarly protruding navel, if I would have a navel hernia, too, and if my outie bellybutton had been examined thoroughly by other doctors before, too! While she started looking very closely, touching and fingering intensively on my ugly protruding bellybutton, my mom told her a lot about my exams by the paediatrician and by the public health doctor, that she was absolutely complaint about my outie navel, too, and examined it very thoroughly, too, and that I didn´t like these exams at all. The dermatologist answered with a convinced voice "Absolutelyy, that must be done to that conspicuous outie bellybutton! Of course, his navel has to be examined very thoroughly and regularly, too!" She fingered and pressed on my navel knot for a while, but I was happy, that she didn´t poke harder, because my navel still hurt a bit from the exam by the public health doctor the day before, who did a much longer exam and more intense pressing, poking and pulling on my navel! During her swirling and light palpation on my outie navel, I felt myself so bad, because I noticed my naked body in that big morror infront of me beside the exam table! I was really relieved, when she let her fingers gone from my navel after a while! Then, the dermatologist began to touch with her finger on several moles on my tummy, first of all on my biggest mole on my upper tummy and on a bigger one directly left beside my navel, then on some other nevi on my tummy, too. She also asked my mom more about these moles, since when I have them and if they got changed and something else, what I cannot remember all.
Suddenly, without saying any word before, she took my penis with her fingers and tried to retract my foreskin. She noticed my light form of phimosis, too, and said then in a surprised voice: "Oh, he has some more moles here, too! On the penis and on the glans, too!" In consequence of my embarrassment my heart seemed to stop beating, she suddenly touched and palpated a conspicuous looking mole on my glans with two fingers for some seconds, and suddenly it happened what I cannot remember that it had ever happened before to me: my penis got bigger and bigger until I got a complete erection of it! I never had that before and so it was the maximum of embarrassment for me! I felt so shocked and crazy, so hot and cold at that moment, that I thought about running out of the room and the office, but the next second, I remembered that I was still completely naked and other patients were sitting outside, so that I couldn´t do that! I saw my mom´s eyes were fixed on my upstanding penis now, I felt so nervous and bad in my tummy like I could cry and vomit at once again, but I hold it! The doctor seemed not to be surprised about the erection of my penis, she said now, that she could examine the moles there better and that I still have to get used to this part of the exam in future!
In future? I absolutely didn´t want to have any further more exam by her, too, but the next second, I lost these hope because the dermatologist continued that I must have very intense full body mole exams in very close intervals in future!
She now turned me around so that she could have a close view on my back. So I looked to the door now, and my only hope now was that none would open it to come in, because my penis was still fully erected. But exactly that happened few seconds later! A nurse came in to ask the doctor something and let the door open for several seconds. I saw a few patients on the opposite site sitting in the corridor, one of them was Kerstin, who looked with very suprised eyes on me and my naked body!! So for few seconds, she saw everything, my body full of moles, my tummy, my outie navel and my erected penis! I thought, now she knew why I was here, about what she asked me and what I didn´t want to answer her before when we both sat and wait in the corridor! (Few weeks later, when I was back at school after my stay at hospital, Kerstin asked me much more about that situation and exam then! It was so shameful!). The doctor told the nurse, that she still needs a long time for my exam, because I´m so full of moles everywhere, the nurse took a worried look on me and answered then "Oh yes, I see! Absolutely!" and went out then! I felt absolutely depressed, but was relieved when the nurse closed the door now!
Now, the dermatologist started with the systematic inspection and exam of all my moles and whole centimetre of my skin from head to feet.
In the first step, she took a mangifying glass and scrutinized closely every centimetre and every mole on the upper part of my body, first on the front side, then on my back side, then on both arms, too. Then, I was ordered to sit on the exam table. The doctor started looking on my head and between my hairs, I felt like an ape during a delousing procedure! The doctor found some small nevi on my earlobes and found them unusual.
Then I was ordered by her to lie down on the exam table, flat on my back! The dermatologist took again her magnifying glass and looked very closely on many moles on my breast area and on my stomach again, what really enervated me how longer she examined there, but now she also palpated and touched at all these moles more intensively, too! She also took a kind of ruler and did measurements of many bigger and conspicuous looking moles there and noted them all in her papers. In between, she talked to my mom, that I would have so many dysplastic looking conspicuous nevi, so that I maybe would have the "dysplastic nevi syndrome"! I never heard that before, but she explained more to my mom about it, what I cannot remember all. But I never forget, when she said that I´m at high risk for getting skin cancer and melanoma later and that "it is not a question if but only when Michael gets melanoma!" I didn´t knew much about the item of cancer, the only thing I knew was, that it would be a very bad illness what can be deadly and that you have to stay often and long times at hospital then, and I didn´t like to come into hospitals at all! So I really was feared about the doctor´s words! I also remember, that the doctor criticed again, that I have several moles and nevi in "unusual locations". During her long and very accurate inspection of my upper part of my body she also found some little moles on my both areolas, one directly on my right nipple (!) and also a small nevi directly on my protruding navel knot. I was so embarrassed, when she looked so closely with her magnifying glass on these moles, too! In the same way, she examined with her magnifying glass and more intense palpation on my arms, hands, legs and feet, but also on my genital area on my penis and on my glans again, and found often nevi she was complaint about. That all took a much too long time for me! I cannot say how long I was exactly lying there, but I was very relieved, when the doctor finished that horribly embarrassing exam with all that inspecting, looking and palpation everywhere! She said now, that I would get "a break for relaxing", but that she has to do further more exams and photographical documentation later, too.
The doctor went out of the room then (I think she did examination of another patient in another room inbetween now) so that I stayed alone with my mom now. I think, that was the worst thing what could happen now. On the one hand, I hated to stay so long here, I couldn´t expect the end of all exams as soon as possible, so that I didn´t like a break of additional waiting at all, on the other hand, my mom began now asking and talking on me again! And there was only one item she was asking and talking about now: "Oh, Michael, was had happened with your penis! ... I have never seen that before?! Had it ever happened before?!" and many other quetstions and words like that. I could have died for embarrassment!
I couldn´t expexct that the doctor came back to go on and finish the exams. But it last more than half an hour, two times a nurse came inbetween and asked how I feel in my tummy and if I´m nausea?! I was wondered about her questions from where she knew that, but I cannot remember what I answered her, but I was relieved when the dermatologist came back to went on with the exam, although I didn´t like all the exams, either. In the next step, the doctor took a special kind of magnifying glass (later I knew, that it was a dermatoscope), which she put on so many of all my moles everywhere and looked through it cery closely! It took again such a long time to do that everywhere on all my moles all around my whole body from head to feet, but what bothered me still more was, that she marked many conspicuous looking moles with a kind of pen and numbered them everywhere! WHen I saw all that circles around these moles on my body I really felt like being leprous! The doctor tried to calm me by telling me, that the marks will dissappear soon by washing later, but I felt so bad in this moments!
When the doctor was finished with the dermatoscope-exam, she went to the door and called for a nurse again. It last some seconds until the nurse came, while I was still lying on the table full of these awful circled and numbered marks on my whole body! I looked expectingly to the door and noticed that she stood open again until the nurse came in and closed it. The doctor told her, that she wants to have done a complete photographical documentation now of all my moles on my whole body and of all marked nevi in a detailed view!
So the nurse took me and my mom now - completely naked how I was - through a second door into the next following exam room, which seemed to me was a kind of photographical studio. I noticed only an exam table, on which I was ordered to lie down again by the nurse now, and a big camera and some lights in front of a wall! It was a horrible vision for me to get photographed completely naked now! The nurse went out into the corridor through a second door again and came back with a second nurse few moments later.
Both nurses did some close inspectiuon on me and my marked moles first, fingered on many of them, too, then I was ordered to stand up and stand upright infront of that camera on the wall. The glare lights were switched on, which were directly placed on my very pale skin and hundreds of moles and nevi! I had really tears in my exes now! One nurse now placed me always in the right position infront of the camera, the second nurse took the dozens of pictures! I didn´t know how many pictures she took exactly, but they were so many, because they did pictures in overview, from parts of my body (e.g. left arm, right arm, left upper arm, left lower arm, the same on the right side, from my breast in overwiew, then left breast, then right breast, after that my tummy in overview, then my upper tummy, my middle tummy and navel and then my lower tummy, and then always closed pictures of similar moles and nevi!). The whole procedure took again a longer time and was totally embarrassing for me, I cannot describe that in my words! And what I also absolutely hated were when the nurses were talking about me and my moles while they did the photographing: one said I would be so skinny and look generally sick and while taking the photos of my tummy moles, one nurse said my bellybutton would look so conspicuous and funny that it should be photographed because it´s a complete outie bellybutton! While taking the picture of the nevus on my glans the nurse told the other about my erection during the exam by the doctor before! I was s angry about the nurses! I was so enervated at the end of these totally embarrassing procedure at all!
After that, my hope was, that everything would be done and that I was ready for all! But the nurse told my mom, that the doctor wants to have some more special exams, so that she had to take us into another exam room again. I thought, the horrible exam would get to a never ending story for me! We could not go back into the same doctor´s room where I was examined before (I think another patient was now inside there), so that the nurse wanted to take me and my mom into an exam room on the oppoitie site of the corridor. For that we had to go few steps through the corrisdor, where a few other patients were still sitting. The nurse told me, that it did not worth to take on my clothes for that short moment, because I would have to take them off at once again then. So she took me again - completely naked like I was - into the opposite exam room, where I was ordered to lie down on the exam table there again! It took again a longer time for waiting now. I don´t remember all my thoughts about that waiting time, my mom said nothing, but I noticed a watch above the door and saw it was already later than 1 o´clock p.m., so that I thought about my class members, that they had finished the school day, while I was still lying there and being examined so intensively! I was so depressed again that I was not a healthy boy like most others and could go to school this day! I would like to change my position with my class members at once, but I couldn´t!
After a long while again the dermatologist and one of the nurses came back into the room. The doctor now sat beside me near the table and started a long talk to my mom again, that she would be sure I would have the dysplastic nevi syndrome and that she had to do some more exams like bloody tests and an abdominal ultrasound because I would also be at higher risk for an abdominal cancer by having these dysplastic nevi syndrome. She asked my mom now alot of more very detailed things about my general health and most of all abdominal problems, too, in detail about my nausea, vomiting, about fallings and abdominal pains, about my underweight and upcoming stay at hospital because of that and also about other abdominal exams (and exams of my outie navel!) by other doctors before. While my mom was anwering all these embarrassing questions, the doctor started grapping and poking with her hand more deeply on my stomach again, inbetween she also swirled, poked and pulled harder on my outie navel again. It was uncomfortable, but fortunately I could manage not to "ough" again! I was so angry about the doctor, that she did not only examine my moles but was interested in all that other things! The dermatologist was at least generally very worried about me and ordered the nurse to take the bloody tests and prepare me for the ultrasound then, which she did herself then. I also was angry about that because I still got that done the day before by the public health doctor. It took nearly half an hour again and I couldn´t expect the doctor would finish with all that pressing and moving around with that apparatus on my tummy and navel, too.
After that, the dermatologist looked on all the pictures of my photographed moles and naked body parts and controlled them with a view on my nevi on my skin. After that, she told my mom in a very strong voice, that it is absolutely necessary that I would get these regular complete and full body mole and skin checks again for at least all three months now! And, she was ordered to come at once without any fixed appointment if she would notice any changing or new moles on me! I was so shocked and depressed at that momemt, because I also never wanted to have any more of these horrible intense and embarrassing exams! But my mom was - I didn´t really expect it differently - the same opinion and agreed fully to the doctor! I was so at the end of all my nerves and power, when I was allowed to dress on after such a long time and when my mom left the dermatologist´s office with me then.
Naturally, I had often disputes with my mom, when she took me to the following appointments all three months! It also happened some times, that my mom found new or growing moles on me, so that she took me to the dermatologist at once the next day without a fixed appointment! I hated all the following appointment, because they were nearly as intensive and thoroughly as this first exam. The only difference was, that I had to undress completely naked already at the very beginning after a nurse took me into the exam room then. The photographs were taken all second to third appointment, the ultrasound were done in nearly the same intervals. And she was always interested in my general and abdominal problems and did a short abdominal inspection and an abdominal (and navel) palpation at the beginning then. After a few following appointments I seemed to be one of the best known patients of the office. When my mom came with me, the nurses often said: "Ah, Michael is there again! He ist the boy who has so many moles everywhere, right?" or "Michael comes again for the complete mole check because he is so full of moles all around, right!" and some nurses remembered me as "the sick boy with the sick abdomen and the gnarly protruding navel!", too. I think you all can imagine now why I was so unwilling when my mom took me to these intense exams, which always last nearly half a day!