Monday, October 13, 2008

What's wrong with your doctor seeing you buck naked?

Sometimes the legendary American prudery catches up with you in unusual ways.

One of them is your typical visit to your physician for a full check-up. The usual drill is that you wait for a while in the waiting room, flipping the pages of Happy Medical News for Senior Citizens, until a nurse calls you into the inner sanctum, where you first follow her (unless the nurse is a man, which would be a rarity in a doctor's office) into a little room where you get weighed (that's when you realize that it's time to hit the Weight Watchers diet!) and your temparature is taken (it's done routinely, even if you're not sick.) The nurse then takes you to the examination room, where she takes your blood pressure (good for me, I do have the blood pressure of a frisky puppy!), after which she reviews health issues that you may have, and, then, invites you to undress and to don the obligatory "doctor's office gown," a flimsy piece of cloth or, worse yet, paper material (note the adorable pattern on the one the woman on the picture is wearing.)

Why do you get to wear this ridiculous garment for the entire duration of your examination by your M.D.? Well, because, my dear faithful readers, God forbid, Dr. Feelgood cannot - in any way, shape or form - see you in your full, glorious nakedness.

Which, you will admit with me, is preposterous.

How, indeed, can a physician properly assess the health status of a patient without getting a good, solid look at his/her entirely naked body? Having been born and raised in France, I spent a good amount of time buck naked in front of miscellaneous general practitioners and specialists, and never for a minute did I ever feel self-conscious, embarrassed or, worse yet, violated because I was fully naked in front of a person who was not one of my parents or someone with whom I was intimate (undressing - or, rather, getting undressed - for intimacy was way more psychologically complicated, believe you me, than undressing for a physical exam.)*

In the opening sequence of the French film Ensemble, c'est tout Camille, the female protagonist (played by Audrey Tautou) exits the trailer that serves as the examining facility for la Médecine du Travail. As any French employee, she has to submit to a yearly government ordered and administered physical. Two of her female workmates are waiting for their turn on a bench, across from the trailer. One of them asks Camille (about the Médecine du Travail doctor):

- Y t'a examinée toute nue? (Did he examine you completely naked?)

To which Camille replies:

- Ben, évidemment! (Well, of course!)

The other woman adds, however:

- T'as gardé ton slip et ton soutif, au moins... (You kept your panties and your bra on, at least...)

To which Camille does not respond.

This dialogue reflects the common French practice of being examined fully naked by a doctor. It also alludes to the fact that not everyone is fine with this practice - and that some women would rather keep their undergarments on, especially if the doctor is from La Médecine du Travail and, as such, a complete unknown (I do remember that, for the yearly physical that we always had in school - which always included a lung x-ray, TB was still a worry in France when I was still a child - we used to keep our underwear on, of course. I never had to submit to a Médecine du Travail physical, but I think that the person being examined gets to his his/her underwear on.)

Even when I go for my physical therapy sessions, the therapist leaves the cubicle in which she gives me my ultrasound treatment, and draws its curtain before I change into the "gown" (I leave my bra on, and keep the back open so that she can access my knotted muscle with the ultrasound wand.) She is a woman, for God's sake, and I would not mind being in my bra while she is giving me this treatment, but that is not what is required by American conventions in this sociocultural context.

What I find amazing here, is that Americans of all ilk, who don't know each other from Adam, constantly run into each other buck naked in fitness centers and swimming pools locker rooms, where they prance in the nude as if it were nothing at all (which is something that makes me squirmish to no end!). Does American prudery stop in the locker room? Please, someone, explain this to me!

Frankly, I'd rather be naked in front of my doctor than in front of total strangers in a locker room. Of course, I am well aware that locker rooms are separate for men and women, but I feel as self-conscious being undressed in front of women as I would in front of men (never mind that I'd be too busy staring at the most glaring part of their anatomy, were I to be thrown into a co-ed locker room...).

I am not one of the naturist persuasion (I have a secret admiration for those who are), but there are elements of the relationship of Americans with their bodies that I do not quite get. Not being able to be seen completely naked by their doctor is certainly one.

And, to get back to those pesky doctor's office gowns, they are are not really ecologically friendly, since they are usually made of paper and are thrown into the garbage after having been used. I do hope that they get to be recycled, but I am not sure.
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* If you google something like "should you be naked at the doctor's," you will find, among others, a forum that turns a bit raunchy on Harmony Central (it can never be good when men begin to discuss female doctors "feeling their balls"); a much tamer Yahoo forum on the topic. There was even a really sad piece of pornographic writing about a woman who is being seen by a head doctor and his interns, gets undressed by a couple of said interns, and then gang-banged by them all, including the head doctor as the finale. I find it pathetic that I even bothered to read the whole thing. It was trashy and, again, very sad.

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11 Comments:

At 11:46 AM, Blogger Otir said...

Nudity is a total taboo, I noticed when I arrived in the States, and you give a look at the advertising on TV and notice how incredibly suggestive and out of place most of the ads are.

Maybe if the general population was more comfortable with their own nudity, they would give more attention, time and energy to preserving their good health (and appearance) rather than pursuing the possession of big houses like madmen...

Just my two cents...

 
At 1:38 PM, Blogger La Framéricaine said...

Le Framéricain is a pathological stoic and I am one who leans more toward the hypochondriacal zone of the range in "people who visit doctors."

Thus, he always described his visits to the company doctor in France as what Americans would call a "meet and greet"--shake hands and outta there.

The main reason I would prefer not to be buck naked in any medical installation east of West Africa is that they keep it colder than a witch's tit in both the waiting room and the examining room. I always take a black London Fog raincoat with me when I must visit them to wear like a bathrobe cuz I'm so cold.

I can hardly wait to get to France, get my medicin traitant, and get buck naked! By then, of course, there will probably be no socialized medicine and I'll be just as screwed over there as I would be here!!!

By an accident of birth, I have been an "American" for 56 years. I won't even start on their idiosyncracies here!

 
At 2:01 PM, Anonymous Christopher said...

Allow me to make the case for non-buck-nakedness in front of one's doctor.

Gazing at a fully naked person could arouse the concupiscence of the gazer, which wouldn't be a good thing if the gazer is one's doctor. Doctors, after all, should be objective.

The degree of nakedness during a physical exam should therefore be only to the extent it is necessary.

Buck nakedness in a locker room, or in a bedroom with one's lover, is voluntary, whereas it isn't by order of one's doctor. So there is a degree of difference here.

By the way, why must people in France be medically examined once a year? This does seem to me a gross intrusion of individual liberty by the state.

 
At 3:48 PM, Blogger Elisabeth said...

I think that what I really find very weird about the U.S. "protocol" in a doctor's office situation is not so much that you can't be seen fully naked by your doctor, but not even be seen in your underwear (hence, the covering up with the darn gown.)

I think that a doctor feeling a woman's breast and abdomen under that cloth is not as effective as seeing her body as he/she is feeling the said breasts and abdomen. The eye can catch some things that the sense of touch may not detect.

Also, Christopher - about the doctor's "concupiscence" being aroused by the sight of his (her?) naked patient - I believe that a clinical gaze should not arouse the concupiscence of the gazer. Period. I do hope that they kind of broach that topic in medical schools.

I did check on the frequency of physicals given by the "Médecin du Travail," and this is what I found on the site of the French Ministère du Travail devoted to La Médecine du Travail (it's a little long) - I would be interested, by the way, in finding out if the French, in general, find those physicals to be "a gross intrusion of individual liberty by the state":

Quels examens médicaux pour les salariés ?
La surveillance médicale des salariés a pour objectif principal
d’apprécier, au moment de l’embauche, si le salarié, compte tenu de son état de santé physique et mental et des caractéristiques du poste de travail auquel l’employeur envisage de l’affecter est apte à exercer les activités prévues par son contrat de travail sans danger pour sa santé ou la collectivité de travail ;
puis, périodiquement, de s’assurer du maintien de l’aptitude du salarié au poste de travail occupé.

Exerçant une médecine préventive, le médecin du travail ne dispense pas, sauf urgence, de soins. Par ailleurs, il ne peut procéder à des vaccinations que sous certaines conditions.

Les salariés sont tenus de se soumettre à des examens médicaux :
- avant l’embauche ou au plus tard avant l’expiration de la période d’essai sous réserve des situations visées à l’article |R. 4624-12->http://www.legifrance.gouv.fr/affichCodeArticle.do ?idArticle=LEGIARTI000018528234] du Code du travail. (Toutefois, les salariés soumis à une surveillance médicale renforcée en application des dispositions de l’article R. 4624-19 du Code du travail ainsi que ceux qui exercent l’une des fonctions mentionnées à l’article L. 421-1 du code de l’aviation civile bénéficient de cet examen avant leur embauche).
- au moins tous les 24 mois, le premier de ces examens devant avoir lieu dans les 24 mois qui suivent l’examen d’embauche visé ci-dessus ;

Les salariés doivent également bénéficier d’un examen par le médecin du travail, lors de la reprise du travail et au plus tard dans un délai de 8 jours :
- après une absence pour cause de maladie professionnelle ;
- après une absence d’au moins 8 jours pour un accident du travail ou d’une absence d’au moins 21 jours à la suite d’une maladie ou à un accident non professionnel ;
- en cas d’absences répétées pour raisons de santé ;
- après un congé de maternité.

Certains salariés bénéficient en outre d’une surveillance renforcée :
- salariés affectés à certains travaux. Ces travaux peuvent être ceux qui comportent des exigences ou des risques particuliers, prévus par les décrets pris en application de l’article L. 4111-6 (3°) du Code du travail. Sont également visés les travaux déterminés par arrêté ministériel (en dernier lieu, arrêté du 11 juillet 1977), JO du 24, en cours de révision). Par accords de branche étendus, les partenaires sociaux peuvent préciser les métiers et postes concernés et convenir de situations relevant d’une telle surveillance en dehors des cas prévus par la réglementation ;
- salariés qui viennent de changer de type d’activité ou d’entrer en France, pendant une période de 18 mois à compter de leur nouvelle affectation ;
- travailleurs handicapés, femmes enceintes, mères dans les 6 mois qui suivent leur accouchement et pendant la durée de leur allaitement ;
- travailleurs âgés de moins de 18 ans.

Pour ces salariés, le médecin du travail est juge de la fréquence et de la nature des examens que comporte cette surveillance médicale renforcée, les examens périodiques devant être renouvelés au moins annuellement.

En outre, la dispense d’examen médical d’embauche prévue par l’article R. 4624-12 du Code du travail ne leur est pas applicable.

 
At 7:10 PM, Blogger Me voici₪Here I am said...

1. Maybe it's because in America we pay our Doctor's obscene amounts of money to see us naked and all we get in return is either bad news, no news or a referral to someone else to see us naked....

2. Locker rooms are safe havens for nudity, in my view, and aren't susceptible to general rules about being naked with others.

3. Don't forget the "Pilgrim Factor". Many of our social taboos, including, I feel, nudity are a result of generations of influence passed on by the founding peoples and their prudish nature.

4. Media. It continually bombards us with unreasonable expectations and standards of beauty.


"Frisky puppy"? I'm not sure I will ever be able to look you in the face again. ::lol::

Still, having "frisky" blood pressure is better than not having any.... ;-)

 
At 10:57 PM, Anonymous Citronella said...

I'm getting used to it but I was extremely surprised by how different a visit to the doctor are in the US and in France. Especially the nurse part (like, the doctor's too good to do menial tasks), and the fact that you have to say why you're here about six times to six different people (I do slightly exaggerate). But I'm still astonished at the procedure when visiting an OB/GYN. If your gyno is a man, then he won't examine you without a woman nurse in the room. And the point of putting a gown for the doctor to push aside while examining my breasts or my vagina is totally lost on me. Same with my pelvic physical therapist: she's going to spend thirty minutes with her fingers in my intimacy but she has to go out of the room while I undress?

 
At 8:43 AM, Blogger Elisabeth said...

Citronella - I discovered the whole thing about a male doctor not being able to perform a gynecological exam on a woman without a female nurse present in the room until I read the comments to this entry. I haven't had a male gynecologist in at least 25 years (I did, however, have cervical polyps removed by a male gyno, maybe four years ago, and he had a female assistant.)

Medical practices are much more fragmented in this country than they are in France. I had many discussions about this with my uncle, who is a retired French doctor. He claims, among other things, and that makes great sense, that a doctor can't know the whole picture on one of his/her patient if he/she has never set foot in that patient's home - because someone's home reveals tons about that person and his/her lifestyle.

 
At 2:32 AM, Anonymous Anonymous said...

Pardon the Americans for having higher morals than the french. If we go in to get stitches for a cut on our head we don't feel the obligation to wave our penis around or have a finger stuck up our butt.

 
At 9:10 PM, Blogger Elisabeth said...

Anonymous - I love those people who post ignorant, asinine comments without even giving a hint about who they might be. It is a delusion to believe that "Americans have higher morals than the French." And, if a French person goes to the doctor with a head or a finger wound, never think for one minute that he/she will be asked to strip (I won't use the language you used, you are definitely quite a moron!)

 
At 7:40 AM, Anonymous BOB said...

I recently had a surgery which required total nudity, with a gown of course, and in the OR the nurse said she would try not to "uncover" me. Well, it was a hernia surgery and about a minute later she was shaving my pubic hair, including some of the hair on the penis, which required handling the penis. Not too consistent with the "uncover" comment, which never needed to be made at all. Nurses and doctors think once you're under anesthesia they can go beyond their ridiculous protocol of not making you naked. Oh, the horror! Some Americans are squeamish, which might make doctors too cautious, and all of that could be ironed out by a simple explanation by the doctor of what he/she needs to do and getting the OK from the patient. Case closed.

 
At 8:07 PM, Anonymous Anonymous said...

I personally am comfortable being nude in front of my doctor who is male and in front of other women in a locker room. But I kind of have to disagree with you on the doctor vs locker room thing, which I guess would fit in with what your saying about many Americans?

I am fairly comfortable being nude in front of my doctor, but he is still a man nevertheless, so there is still a slight awkward feeling at times. Particularly during a breast examination or even worse pelvic exam.

The locker room on the other hand, that doesn't faze me in the least. It's only other females in the women's locker room and they all have the same exact parts as me, so I find it kind of silly to go out of my way to cover up around them. Nor does their nudity bother me either. I don't mean to offend you, so please don't take it that way. But from what I've heard about France it is not at all embarrassing for women to be topless on the beaches, and that even total nudity on beaches is becoming somewhat common now. Maybe that's false information though? Also isn't nudity allowed on ordinary TV shows in France?

I would think that being nude in a female only locker room wouldn't bother a French woman at all? Are women less likely to be nude in French locker rooms than American women in American locker rooms?

And yes, I've run into several women that I know over the years while either they or I were nude in a locker room, and no, it wasn't embarrassing at all because were all females. And from what I could tell they were never embarrassed by it either.

I'm probably as equally baffled by your embarrassment toward locker room nudity as you are by people being embarrassed by being seen nude by their doctor? No offense intended!

I thought that most of us Americans were prudes compared to the French and other Europeans?

Jennifer

 

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