Physical Exam Time Again

I have my second annual physical exam with my new lady doc scheduled for this Friday. I sincerely hope that this time, I get an old-fashioned complete exam, by HER, instead of the lame-ass joke of an exam I got last time. Yeah, I know how the saying goes- be careful what you wish for. If I can ensure my long-term health and get some enjoyment out of it at the same time, I consider that a double win.

Since my testicular variocele does cause me occasional discomfort, and I've got some skin tags near my groin that sometimes bother me, maybe it will lead to a truly thorough exam. I think I deserve it by now 😃 .

If you want a more thorough exam, my advice is always to take charge (at least a little bit) and send her some not-so-subtle signals. For example, if the nurse tells you to get undressed and put on the gown, leaving your underwear on, you can choose to wear slightly less than what was requested. You can strip to your shorts and leave the gown off completely, or if you prefer, remove your shorts and wear the gown. Or better yet, do what I do -- which is to strip completely, don't bother with the gown at all, and just wait on the exam table covered in the little paper drape given to me by the nurse. If the doctor or nurse has a problem with the way you've prepared yourself for the exam, you can explain yourself in several ways. First, you can tell them that you just feel more comfortable this way -- which is probably true. Or, if you really want to drive home the point that you want a thorough physical, you can say that you went ahead and got totally undressed since you thought it would make her job of examining you much easier. Once the exam starts, I typically push the paper drape aside and the remainder of the exam is conducted without any covering at all.

Unless your doctor is completely oblivious to your not-so-subtle cues, she will understand that you're expecting a thorough, head-to-toe exam. If she still isn't thorough, then perhaps it's time to look for a new doctor.

As a physician having a patient undressed will not change the extent of my exam. Since the history nearly always dictates what I do for an exam I suggest to you the following. If you want more of an exam simply ask about any area you want to have examined. I consider myself a pretty perspicacious doc but sadly I don't read minds. If you want it, just ask for it. It makes things much simpler.

My big issue is, as a melanoma survivor, I want as many trained eyes as possible to see my skin. Every pair of eyes increases the chance of early detection and simple cure.

I'm going today for my annual, this will be my third time with her. So far I have not been asked to undress other than drop your pants for the testicular and rectal. I'm going to try to force the issue a little today, simply because I have some moles and frankly I think that should be part of the exam. Hopefully she looks and decides they nothing to worry about..........

I reiterate, don't expect us to guess what you're thinking or read your mind. Just ask for what you want.

Third and still a very unthorough physical...three strikes and you are out. Perhaps it is time to find another doctor.