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- First, I talk with the patient; with pelvics, I always
schedule a little extra time. I think it's important
to have this conversation while the patient is still
clothed. If it's the patient's first pelvic, or she has a
history of problems, I approach it very differently
than the pelvic given to an experienced patient
­ although I try to teach something during every
exam. I acknowledge during this conversation that
a pelvic can be an embarrassing experience.
- I tell the patient what's going to happen before it
happens, preparing her for sensations and sounds.
I also explain each step as I do it. I offer the patient
a mirror so that she can see what I'm doing.
- I watch the patient's face for signs of discomfort
and stop if she grimaces or looks upset ­ I don't
believe in having her grit her teeth till it's over.
I ask her to tell me when it's OK to start again,
giving her control over the progress of the exam.
- I stay flexible. What works for one patient might not
work for another. I try to be aware of the patient's
body language and tension, and be guided by her
reactions.
Issues with staff. It may also happen that you become
unhappy with the way you're treated by a member of
the physician's staff. Do speak to your doctor about this,
but be aware that she spends many hours a day with the
staff and only sees you for a few minutes at a time, so
mediating this kind of problem is a delicate situation. The
physician will discuss the problem with the staff member,
which probably will put an end to the problem. If it keeps