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Post by jmkgeb on Jun 2, 2007 19:40:16 GMT -5
"Mr. Hollis, I understand how distressing this is, but please try to relax, I promise you I'm going to do everything I can to make sure nothing falls off. I want your penis to leave here in better condition than it arrived so that you have no further complications" Izzie told him.
"Weeks is better than months, but until I know for sure what kind of problem is underlying the rash, I cant say how much time we have left to treat it, it really would be better if you showed me Mr. Hollis"
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Post by euphoria on Jun 4, 2007 12:23:58 GMT -5
"You do??" He asked surprised, when she said that she wanted his penis to leave in a better condition. If he wasn't so freaked out, he probably would have made some dirty or perverted joke, but because the future of his sex life lay in this woman's hands, he wasn't going to risk it. Even he wasn't that dumb. "I mean...uh...sh-show you? Thats..kinda a big step from asking questions...its kinda embarrassing." She would never sleep with him if he showed her what it looked like now...even though she hadn't seemed impressed by him thus far, he was still determined to ask her out, at some point when he was less tense.
"Look, I know you wanna help and everything, but you gotta understand that its hard for a guy to just show a woman like you something like a...penis rash."
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Post by jmkgeb on Jun 4, 2007 14:29:00 GMT -5
"Yes I do" Izzie responded as he questioned in surprise her wish to have his penis leave better. She could only hope he wouldnt take that as her wish to make it better so she could do anything with it outside of the hospital since that was not at all what she was implying.
"I understand your anxiety, but I assure you its nothing to be embarrassed about and nothing I havent seen before. I've treated plenty of penis rashes." Izzie told him, realizing how much she hated that sentence. She was a surgeon, not a penis rash doctor. "If it'd make you more comfortable we can discuss your sexual history before the physical examination. But I will eventually need to see it"
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Post by euphoria on Jun 5, 2007 13:03:41 GMT -5
"You have??" He asked. For some reason, he thought it strange that a female doctor did that sort of thing. Why wouldn't they get a male? Although, he didn't come to the hospital often so he really didn't know the way things worked. "Why would they make you do that?" He asked, wondering if it was punishment for when they did something wrong, or whether it was just because.
"Yeah..that would be good. Making talking about that kinda stuff will help make it....easier to show you." The next topic was something he usually didn't mind talking about, however, under the circumstances he was understandibly reluctant.
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Post by jmkgeb on Jun 5, 2007 16:53:43 GMT -5
"Yes I have Mr. Hollis" Izzie informed him when he questioned if she had really seen a lot. "Because I'm a doctor and its what doctors do. And because you're not the only man in Seattle to have had a rash on his penis, far from it in fact"
Izzie wasnt sure if knowing he wasnt alone in this would make any difference or not. But she did know that she had to get him comfortable enough to be willing to drop his pants for her. Or maybe he'd just be uncomfortable enough talking about his sex life that undressing would no longer be a big deal.
"Alright, can you tell me how many sexual partners you've had in the past few months? Have you been using any contraceptives?" She was pretty sure she knew the answer to at least the second question but she still had to ask.
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Post by euphoria on Jun 12, 2007 9:02:27 GMT -5
"I'm not??" He asked. For some reason, that surprised him. He just didn't think this was a very common thing and so to be assured that other men out there underwent the same the torture he was now experiencing, was oddly comforting. "That sounds so blunt..." he said, making a face when she said 'rash on his penis'. "It feels more complicated than JUST that." It felt more complicated indeed...complicated and just plain, terrible. "Its what doctors do eh? Its probably not what your used to doing...bet they never told you you'd have to treat these kinds of things in medical school." Tom really didn't know what kinds of things they taught in med school (as he had obviously never been) but he was just scared right now, and so wasn't even sure what he was saying. "By the way, you can call me Tom. Mr Hollis makes me feel old....I don't want to feel like an old man with a penis rash."
When she asked the next two questions, he knew there must be a right or wrong answer...an appropriate and inappropriate one. He just had to figure out which one was which. "Uh...a lot?" She was probably looking for a more detailed response than that. "I'd say at least...10 in the past month." Was that good answer? Was it a bad one?
"And I sometimes use contraceptives..." He said, looking at her unsurely. Maybe he should say he used them all the time. "I mean...all the time...I use them....safe sex is good sex, right?" He added with a nervous chuckle.
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Post by jmkgeb on Jun 12, 2007 19:04:33 GMT -5
Izzie gave a small smile as Tom said they probably never told her in medical school that she'd have to deal with these things. That was far from the truth. They had told the students repeatedly about these things. Izzie could clearly remember several lectures, always accompanied by pictures of syphillis in particualr. It was popular STD apparently. She remembered her patholgy teacher showing one picture where the ulcerations had spread to a woman's lips and the professor declared what luscious lips the woman had and what a shame it was that no one wanted to kiss them.
"Actually Tom..." Izzie said addressing him how he said he preferred "Medical school has prepared me for all kinds of illnesses, including this. And yes you're very right it is more than just a rash, the rash is merely the first outward sign of a problem, and hopefully you got here in time" She actually thought it was rather am-musing when he said that he didnt want to be seen as an old man with a penis rash.
When Tom went on to tell her his number of partners, she nodded writing the number down in her notes. Doing this task gave her time to make sure she didnt react either way to the number. It shouldnt have surprised her, but his next response did. Always? No, try again.
"Umm, Mr. Ho..Tom...safe sex is better for you health yes, but in treating you its crucial that I know about your habits...now you did hesitate, if even on a few occaisions you didnt that's ok, there's no right or wrong answer, are you sure you've always used protection? And have you been having sex with men, women or both?" She said matter of factly so he wouldnt think she would be judging him.
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Post by euphoria on Sept 1, 2007 14:09:46 GMT -5
[OMG!! You said am-musing!! *HUGS!* ]
"Okay okay, you're freaking me out. Got here in time? How...wait...how much worse can this get? What other signs are there?" He was starting to panic and the fact that she was writing down his answers (even though he knew it was her job) was making him more nervous. "W-Why are you writing that down? Isn't there like...doctor patient confideniality or something...is anyone else gonna read that?"
When she went on to explain that safe sex was better, he felt like he was in high school getting a lecture. Her next questions surprised him, and he felt even more awkward for answering them. Although one of the questions he HAD to clear up right away. "Women! Oh my god...definitely women! And JUST women!" Her asking him whether he hesitated or not, and whether he always used protection....well, he really didn't wan to answer those questions.
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Post by jmkgeb on Sept 2, 2007 14:14:15 GMT -5
"Well until I know what kind of problem we're dealing with, there are many signs that could show up. You could lose your eyesight, have sores spreading over your whole body, brain damage, paralysis...you could even have gangrenous necrosis develop which could make us need to amputate" Izzie stated all relevant medical information for him before adding the one that am-mused her the most (and was the scare tactic instead) "That is if it doesnt fall off on its own"
"Yes there is complete doctor patient confidentiality. What I'm writing will only be used by myself and any other doctors that may need to treat you, depending on the severity of the problem." Izzie debated for a moment telling him that there were also conditions that required reporting to the CDC, but she knew that could cause him to close up and stop answering. She wasnt technically lying anyone, if she had to report anything, she wouldnt be showing them his chart, so they wouldnt read it.
She couldnt help but smile at his adament reaction of letting her know that he only slept with women. "Okay..." She said checking off another box, she noticed his avoidance of clearing up whether he always used protection so decided it was best to assume what she already had, that he probably used it when he felt like it. "Now other than the rash is there anything else bothering you, any rashes or sores in other areas, pain, confusion, fever?"
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Post by euphoria on Oct 7, 2007 12:04:40 GMT -5
His eyes widened with fear as she listed off a bunch of things. He didn't even understand all of them, but they sounded scary! "What the hell! Blindness? Paralysis? Gangre what?? How can all this stuff happen just from a rash! I don't believe you!" He wasn't thinking clearly right now, otherwise he wouldn't have accused a doctor of lying about something like this. He was just too panicked to focus or think rationally right now. "It won't fall off! It can't fall off! Thats impossible! Stop making things up!" Once again, he really didn't know if she was making things up or not, but he was freaking out.
"How many other doctors? How severe is this? It doesn't feel severe! I have been able to see perfectly fine...and...I have had no headaches!" In his state of panic, he somehow assumed that the only sign of brain damage would be headaches. "I don't want other doctors to read this, they'll probably make stuff up to!"
He couldn't answer her next questions. They were too hard for him...he couldn't even remember right now. The only thing that was on his mind was his penis falling off, and it was enough to make him more scared than he has ever been in his entire life. "I don't know! Would it matter if I told you? You'd probably just keep making things up! Get me a more experienced doctor!" Wait, she said confusion...was that a symptom too? He felt confused right now...did that mean it was going to fall off? He began to worry even more now.
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Post by jmkgeb on Oct 10, 2007 16:11:52 GMT -5
"Mr. Hollis, the rash is merely the first outward sign of a disease that could be in your blood, which since that goes everywhere in your body it can have many effects in many different areas, which is how the blindness and paralysis can occur. Rashes can be very serious which is why you cant take this lightly" Izzie said trying to be as professional as possible instead of just yelling at him to use condoms and take some antibiotics. But having not yet seen the rash herself she coudlnt know for sure which STD (assuming that's what he had) it was that he had contracted.
"Its good that you're not experiencing headaches, but I cant tell how severe it is without examining you, and until I do that I wont know if I'll be needing another doctor to help you as well. You may need a specialist, or even just another surgeon to work with me. But no doctor here, including myself, is going to make up things. We're just trying to get you better and make sure nothing worse happens to you"
"I'm not making things up" Izzie repeated "And yes, other symptoms do matter" She sighed when he asked for a more experienced doctor. "I am an experienced doctor, and right now I am your doctor, so unless you want to leave and take your chances with it falling off, you need to let me do my job"
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Post by euphoria on Oct 26, 2007 18:49:02 GMT -5
The more she spoke, the more scared he got. "So now you're saying this damn thing is all in my blood...spreading throughout my body...its killing me slowly?!" He didn't even know what he was saying anymore, he was just scared. He felt like he was going to have a panic attack, but he couldn't do that. It would just make the situation even worse (if that was possible at this point). "How common is it for a guy with this...sorta thing to get paralyzed? Come on doc! Give me my odds!"
"So just go get a specialist then, so I don't have to show you! If I can show someone else who would have a better opinion than you, I'd rather do that than just show you and have you figure out whether someone else needs to see it. Just get me a specialist now...it'll save me the trouble of having to show you."
He did not want to show her at all. He knew that when he first saw who his doctor was. He couldn't show a young, hot woman his penis when it was so...gross. There was a time and place for that, and right now in a hospital was not it. "I'm not gonna show you," he said stubbornly. "And I'm not leaving! Get me someone else!"
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Post by jmkgeb on Oct 27, 2007 19:58:05 GMT -5
"I'm saying that there's a chance that it could be in your blood, that this could be a sign of something seriously wrong that could end up killing you if you dont treat it, but I wont know what is wrong with you until I see it, I wont know how serious it is or how many other things may or may not be affected. I cannot do anything else right now without examining you first" Izzie explained to him starting to get rather frustrated but trying to keep calm.
"You may not need a specialist so I cant just call one, and I wouldnt know at this point who to call because I havent seen it and what it may be affecting, if its your brian I have to call a neurologist, if its purely a skin problem a dermatologist would be needed, if its going to fall off I'll need a surgeon who can attempt to save the appendage" Izzie told him.
"If you would feel more comfortable with a male doctor present I can ask someone else to step in the room, but you are not getting anothre doctor because I am your doctor and no other doctor is going to have a different opinion of this than I do" Izzie explained "I understand you're nervous but you have no reason to be, I have seen hundreds of penises, maybe even thousands by now, this isnt anything new to me, its like me looking at your foot"
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Post by euphoria on Nov 10, 2007 19:31:38 GMT -5
"First its gonna make my penis fall off, and now its gonna kill me?! I can't believe this! I thought I would just be coming here, getting drugs, and leaving so that it would go away! But obviously, I was mistaken. Now your telling me that its going to fall off and I'm probably going to die! I told you what it looks like, now just give me the meds, and I'll be on my way!" He had a feeling that wasn't going to happen, but it was wishful thinking.
"Stop using big words!" He said as she listed different kinds of doctors. They were that big of words, but he had a headache, and was panicking. "Why should I show it to you if I can just as easily show it to a specialist? Then, it won't be unecessary...and no more people will see it than needed. Wait...a surgeon? NO! Its not going to fall off!" He was in denial that that would ever happen, it couldn't!
"Why are you so desperate to see it? If you want to see it so badly, then I will gladly show you after its healed...after dinner or something, but right now, I don't want you to see it. I don't care if your my doctor. You weren't my doctor before...I had another dude, bring him back! He was the first one who saw me." He was confused...she had really seen that many? "I don't doubt you have...a woman like you has probably seen millions," he began, misinterpreting her reason for seeing penises. "But you can see mine when its not so...infected. Just get me a male doctor, or a specialist or...a male specialist. That would be good!" He said, as if the decision was completely his to make.
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Post by jmkgeb on Mar 15, 2008 18:52:11 GMT -5
"If you let me see it maybe I can give you drugs to prevent anything worse than a rash from happening, but without seeing it I cant treat it and there are severe side effects" Izzie tried explaining to him.
"If you show it to me, there's a chance I can treat you without you needing a specialist, but in case you do need a specialist, without seeing you first, I wont know who to refer you to." Izzie said wondering if any of what she was saying was actually getting through to him.
"The other doctor gave your file to me, he's no longer available and you're stuck with me" Izzie said trying to ignore the comments about him showing it to her after a date. Her eyes then widened as he implied that there was another reason why she had seen so many pensies. "Doctors see thousands of penises, I am a doctor. I am YOUR doctor, the best I can do for you is get you a male of some sort to be in the room while I examine you if you're more comofortable but I cannot hand over your care to anyone else"
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