IS SEDUCTION A TWO.WAY AFFAI R? _Ahumorous repry to Dr. Michaelides'survey The October 198O issue of Southern African Family Practice contained an article entitled "The Sexually Seductive Patient in General Practice" by Dr. B. Michaelides. Here, a female patient who calls herselfmerely'Medusa' makes a light-heartedreply to the article, so doctors bewar e...... I'm the very first to admit that you guys really have a problem.After all, it can't be easy to make the decision whether or not to 'take advantage'of your female patients.In fact, the lay public (to introduce a rather uneasy pun) ought to be eternallygrateful to you for your forbearance. In a recent survey, ('The sexuallyseduc' tive patientin generalpractice'.)only seven percentof your'bedevilled'numberactually admitted to having had erotic contact with patientswho asked them. I hateto do this to you but what about the ones that you asked first? The first time a doctor embarrassedme, I was sixteen,a virgin, overweightand made puffy by mumps. The only seductive thing about the at' mosphere in that house was presumably that it was deserted but for the aforesaid doctorand me. I have no doubt that the gentleman in question later described me as 'the hystericalpersonality'type (1). I admit that I screamedat the top of my voice. This approachwasso effectivethat I recommendit to you without reservation.lt even beats 34 FamilyPractice- May 1981 Praying... Shortly after the unfortunateincident, a mole above the eye occasioneda visit to a G.P. who had been describedas well over 70 and therefore unlikely to pose similar problems. The mole, he felt, necessitated the total removal of my clothing, and I trustinglycomplied. Gazing into my eyes (a bad sign, I discovernow, too late, alas), he said 'You have a lovely pair of eyes'. Then, mean. ingfully, with downwardglance'And that's not the only lovely pair you have either...' Then of course,there was the time that I burnt myselfcooking.BecauseI was at that stage breast feeding a baby, I was most concernedabout the damageI had done to my right nipple. The conversationwith my doctor went somethinglike this: 'Doctor, Me, briskly: I have inadvertently burnt my nipplewhile cooking'What must I do?' Doctor, chuckling: 'You cook in the nude? What you must do is give me your addressso I can come and watchyou some time'... On being informedthat I found it difficult to locate the strings of my new copper T with my fingersto ascertainwhether it was still there,the same charmersuggestedthat I come in regularly,so that he could feel them for me. What we girls must bear in mind is that the last thing to have regarding these onslaughtsis a judgementalattitude. It's a hundred to one that the doctor who ap. proacheshis trusting patient with that kind of seductiveattitudeis one that suffersfrom sexualdisfunctionand, what is even more likely under the circumstances,a wife that doesn't understandhim. He may be depressedas a resultof some personalloss. Chancesare that he simply needs to be reassured that he is a thoroughly sensuous man. The latter reassuranceshould, where possible, be conductedover a telephone. Doctors have their problems as well. They have, apparently,to bewarethe pa' tient who bats her eyelashes.Particular care must be taken with chronic bron' chitics.A husky voice is an absoluteindex of the need for intimatecontact. Patientswhostroke their hair,and smoke their cigarettesin time with their doctors, have to be dealt with very firmly indeed. When a patientis sittingoppositeyou and a brief creepingabout on all fours has shown that under the table she has a tilted pelvis, this is an occasionfor extremealarm. We women patientsat risk havesimilar signpoststo warn us of impendingdanger. If you ask a doctor where to put your 'Right there, on clothes,and he answers top of mine', you have problems.If, after that, you notice that he is standingmore erect, I think that you can safely take it that he is indulging in quasi-courting behaviour. Few doctorswith whom I havecome into contact habitually wear see.through clothing, even late in the afternoon,but we have all heard news of bottom-pinchersin the medicalfraternity,and a kisserat the lift or two... Ihave a friend whose gynaecologistexamines her breasts with eyes reverentiallyclosed. There are weapons to be used against the seductivedoctors.Let a male friend go into the consulting room ahead of you. That way, he will be in a position to warn you if the medico is a Ken doll type. Avoid his eyes, only complain about your husband if he is present. Never stroke your wrist. Visits late in pregnancyare to be abjured. You never know if your contorted posturemight remind him of a tilted pelvis. Doctors, it seems, are turned on by the most subliminal of messages,and we are warnedthat the Councilmay evenfeel sympathetic to the doctor whose patient displays any of abovementioned provocativebehaviour. Last of all, be sympatheticto your doctor. Tell him: lt's a woman you need, not a patient'. lf all elsefails,and you find yourselfbeing taken advantage of by your doctor, remember that in their repliesto the questionnaire previously mentioned, very few doctors indeed felt that their relationships with their patientswere at alljeopardisedby a little hanky panky. Medusa References 1. South African Family Practice,October 198O Vol, 1 No. lO I]IFO GIUESrcU IHEFACIs OTBUSIIIESS IIFE. to buyof sell. . . anyservices you \ ,/ needor factsVouwantto know.. . callINFO. Ourcomputer findstheanswer insplitseconds and giveyoutheanswerinstantly. ouftelegirls To enquirers, theINFO serviceisabsolutely free;to advertisers, itsa mere R1,00 a da5z O#F^ffit,f;il-'l,H Forfurtherinformation circrer.ro1 8 FamilyPractice- May 1981 Heley BatesCoodshipANaay 8349 35
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