A senior Navy leader took Friday morning off work to escort me to my medical and dental appointments in Bethesda. There are four possible reasons he would do this:
- He finds my keen insights on the military healthcare system thought-provoking and/or amusing.
- He anticipated his mediating influence would prove invaluable when my brain shifted into caffeine-withdrawal mode.
- He didn't trust I would actually show up for my appointments without adult supervision.
- His job is really boring.
Mostly he sat in waiting rooms reading Catch-22 while I engaged in witty repartee with earnest healthcare providers.
Lab
Patient: You have a lovely first name.
Pricker: Peggy?
Patient (slightly confused): Is Peggy a nickname for Gilbert?
Pricker (glancing toward name badge affixed to lab coat): Oh, this isn't mine. (removes name badge)
Patient: Aren't you required to wear a name badge?
Pricker (slapping tender skin inside patient's elbow perhaps a wee bit harder than necessary): Hmmpf.
Patient: No, really. I'm sure name badges were required WHEN MY HUSBAND WAS THE XO OF THIS HOSPITAL. (Patient nearly chokes to death on huge lump of self-hate while Peggy secures correct name badge to pocket flap before jamming needle into patient's trembling arm.)
Dental
Dentist: So you're here for an overseas screening?
Patient: I'm not exactly sure. Someone already signed my screening form because we couldn't obtain our Family Entry Approval without a signed screening form and we had to have that Family Entry Approval before the moving company could schedule our packouts for Unaccompanied Baggage, Household Goods, and Storage.
Dentist: Oh. Well I'll just check your teeth to make sure you don't have any problems the dentists stationed in Japan can't handle.
Patient: And then when I arrive in Japan I'll need to schedule an appointment so the dentists there can verify you did your job properly?
Dentist: Exactly.
Patient: Then the dentists in Japan will give me a chit to prove I am eligible to have my teeth cleaned and cavities filled?
Dentist: That's correct.
Patient: And then I'll carry the chit from the dental chair to the appointment desk where the clerk will inform me the current appointment page is already full?
Dentist: Probably. I can tell you've been overseas before.
Patient: And then the clerk will invite me to call or stop by to watch him turn to a new page in the appointment book at 7:00 am on Thursday morning?
Dentist: Sounds right. Except we try to change the page-turning day to Tuesday or Wednesday once everyone gets used to Thursday, just to keep our patients on their toes.
Patient: And then I'll say to the appointment clerk, "Please allow me to bend over your counter in order to demonstrate how Real World businesses that value their customers, like beauty parlors for example, turn the page of the appointment book while the customer is standing right in front of them."
Dentist: Oh, God.
Medical
Patient and Escort reach the Internal Medicine Department five minutes late (or 35 minutes later than Escort's intended ETA) because Patient was sidetracked by an adorable 20-year old corpsman (male) who admired her purse and insisted on discussing his favorite Vera Bradley patterns (mental note: sign petition urging President Obama to repeal DADT policy). "Insisted" is a bit of a stretch but sounds better than "Patient tried every gambit in her conversational armamentarium to keep those gag-provoking x-ray contraptions out of her mouth for as long as possible."

Back to Internal Medicine . . . oh wait, not really because the appointed doctor has been relocated to another department with a catchy name, "Medical Home." Patient and Escort trudge about a mile through possibly the worst laid-out hospital in the Western Hemisphere and reach a door marked "Medical Home." The door opens onto a hallway stretching to infinity. "I am having the strangest sense of
deja vu," whispers Patient with an impressive French accent, "I could swear Franz Kafka described this exact hallway in Chapter 12 of
The Trial." Escort, who has been navigating labyrinthine hospitals and aircraft carriers for over 35 years, was similarly arrested (Kafka-speak for 'startled').
"Maybe we're supposed to enter this room on our right," whispers Patient, spotting a large woman seated behind a larger desk facing a dozen chairs ranged around the walls of a small, narrow room. The large woman asks Patient to produce identification then hands Patient a clipboard with a form attached to it. The large woman also returns the identification card to Patient which is positively serendipitous since Patient must consult that card to answer every single one of the six questions on the form.
Patient and Escort hastily seat themselves in two of the three vacant chairs and avoid eye contact with the party of five who entered the waiting room just behind them. "I'm having deju vu again," whispers Patient, "but this time I'm reminded of a Twilight Zone episode." "Why are we whispering?" Escort wonders. "I am being a role model for those two ladies across the room whose normal tones of voice are echoing off the acoustically-defective walls of this room."
Patient manages to mantain complete and total silence for at least nine seconds. "I sure hope they don't forget to fix this waiting area as long as they're doing all that construction and remodeling work to merge with the army hospital. The secretary's furniture is taking up at least a third of the available space and if all those doors on the Infinity Hallway lead to examination rooms, there sure aren't enough chairs to accommodate the number of people it would take to fill those rooms." Patient's attention drifts when Escort begins citing existing data and studies regarding the appropriate ratio of waiting room chairs to examination rooms. She suddenly notices the lack of smudge marks on puce-with-a-hard-C-colored walls. Uh-oh.
Patient sees hospital staff member (or random person wearing hospital scrubs under a lab coat) sitting three chairs to her right. Perhaps he can shed light on the issue. "Psst!" (Patient regrets for the millionth time that the one gene her mother withheld was the one gene Patient most wished to inherit, Marcia's heart-stopping, attention-riveting, loud-as-a-clap-of-thunder Finger Snap.) "Psst!" "What are you doing?" Escort asks in a horrified whisper. As . . . if . . . he . . . didn't . . . know. "PSST!" Eye contact is achieved.
"Do you work here?" Scrub boy hesitates before nodding. Patient beams encouragingly. "Great! Maybe you can answer a question for me. Are we sitting in a pre-renovation or post-renovation room?" Scrub boy thinks the latter. He looks regretful. Their minds meet and hug briefly (yet chastely, of course, since Escort is watching them like a hawk with tongue poised for a rapid-fire tut if necessary). Darling scrub boy feigns interest in the latest, still-under-development, of Patient's 35,294 heartfelt opinions: healthcare systems, especially those purporting to provide patient- and family-centered care, ought to make damn sure patients are in the majority on any and all committees or boards responsible for hospital design or re-design.
Scrub boy is visibly relieved when a doctor is ready to see him. Escort hisses, "I am going to personally pour two gallons of caffeine down your throat the minute we get out of this place."
Patient does not care for the tone of that hiss. She spots a Customer Satisfaction Form on the table to her right, finds a pen, and shares a few of her better ideas until the doctor is ready to see her. Afterward, neither Patient nor Escort are able to locate a receptacle for Customer Satisfaction Forms anywhere on the hospital premises. "Catch-22," grins Escort before escaping to the suddenly blessed boredom of his job.