My Favorite Prescriptions →

Patients expect prescriptions, and doctors deliver. The problem is, what most patients need can’t be delivered in a little pink pill. During the past twenty years, I’ve written a lot of prescriptions. Here are my favorites:

Have great sex three times per week!
Take a vacation to the coast.
Go on a seven-day silent retreat in the woods.
Find a girlfriend!
Quit your job!
Reconnect with deceased relatives.
Have your husband do the dishes for a week.
Go on a media fast for a month.
Stop worrying.
Fall in love with yourself.
Have your children massage your feet before bed.
Speak your truth.
Get a puppy.
Write a book.
Come with me to a writers’ conference. I’ll pay.
See an energy healer. I’ll go with you.
Get an exorcism.
Sell your car and commute by bike.
Avoid your mother-in-law.

Maybe people don’t need so many medical appointments. Most people just need to relax, have fun, and hang out at a petting zoo.

Excerpt from http://www.petgoatsandpapsmears.com/   ** Now available on Amazon! **

Tags: , , ,
1 Comment

***

America: Oversexualized & Sexually Repressed →

The cover of my forthcoming book, Pet Goats & Pap Smears, has generated controversy on the proper display of women’s bodies for public consumption. During the last few days, I’ve heard from over one hundred people who have shared their joy (and their rage) over my book cover.

I was intrigued by such divergent and emotionally charged reactions.

A patient offered this analogy, “A typical magazine at a grocery checkout counter will advertise 101 chocolate cupcake recipes next to how to lose 15 pounds in 15 days. Americans are overfed, yet starving. It’s the same thing with sex.” she explained, “Our culture rams it down our throat and then says it’s bad, don’t do it.”

America is excessively sexualized, yet I find many people are clueless about their feelings, their bodies, and their sexuality.

I grew up in Texas–a landscape of strip clubs and churches. I’m well adjusted to the ads with bikini-clad women holding M16 assault rifles and toddler beauty pageants with four-year-old girls prancing about in false eyelashes, spray tans, and high heels. This is America.

I remember being a girl. Once my little brother opened the bathroom door while I was peeing and asked, “You pee out of your butt?” I said, “No.” He was only five, so I let him slide. But when forty-five-year-old men ask if women pee out of their vaginas, I take a deep breath, sit down, and pull out a diagram to explain the three holes. As a physician, I shouldn’t have to review basic female anatomy with grown men. Should I? But I’ve been explaining basic anatomy to patients for years. Some women complain that men can’t find the clitoris, even in the middle of the day.

None of this surprises me–anymore.

While editing my book a few months ago, Michigan State Representative, Lisa Brown, was barred from speaking on the House floor during a debate on reproductive rights when she said the word “vagina.” Apparently, male legislators felt the anantomically correct term was offensive.

At the same time, I was gathering endorsements from physicians for my new book. That was when one doctor said that he could not endorse my book. I wondered why. He told me he was uncomfortable with some of the topics in my book. Intrigued, I asked, “What topics?” He explained that, as a specialist, he didn’t have to deal with chlamydia, gonorrhea, penises, and vaginas anymore.

Then a few weeks ago,  two male photographers entered my clinic to shoot the cover of Pet Goats & Pap Smears. I explained that there would be a woman wearing undergarments in the Pap position. They looked baffled and laughed. “What exactly happens during a female exam?” they asked.  I pulled out the stirrups and jumped up on my exam table to demonstrate the position that every woman in America gets into every year for their exams. They were most appreciative for the explanation. And they took a perfect cover shot. Thanks guys!

Here’s what surprises me:  In America men can find pole dancers, but they’re not too sure how many holes women have. In America, we have male lawmakers and doctors who make decisions about women’s health, but they’re not exactly comfortable with the word vagina. In America, it’s okay to drape half-naked women over gun ads. But please don’t put a woman in the anatomically correct position for a Pap smear on the cover of a book that celebrates women’s health. Oh, with a goat facing the audience wearing a stethoscope. Now, that’s offensive.

Pet Goats & Pap Smears

http://www.petgoatsandpapsmears.com/

Tags: , , , ,
57 Comments

***

Pet Goats & Pap Smears →

I am happy to announce my forthcoming book, Pet Goats & Pap Smears: 101 Medical Adventures to Open Your Heart & Mind.   

Many people have commented (both positive and negative) on the cover. Unlike advertisements that objectify women or dominate animals, this book cover celebrates and honors both women and animals. Ads often use women to sell products. Think of a sexy woman lying on a sports car or a young woman wrapped around a bottle of liquor. Selling alcohol and cars has nothing to do with nearly naked women, but performing Pap smears is about naked women. I’m a doctor. My patients are mostly women and I spend much of my day listening to women and examining their bodies.

The cover model is a medical student and she is not naked. The goat–Charity– is a therapy goat. Both enjoyed the photo shoot. In fact, Charity choreographed the shoot by getting into some very funny positions and sometimes offering us hilarious facial expressions. The woman and the goat are not cheap gimmicks. They are both congruent with the profound message of Pet Goats & Pap Smears.

Why pet goats? Many people know that I have been leading town halls nationwide to help citizens design their own ideal clinics and hospitals.  As I met with people across America, pet goats were an unexpected theme in citizen testimony. And to my surprise, pet goats keep popping up in my life. The healing potential of animals is underutilized in medicine. To serve my patients, I’m willing to integrate most of their ideas into my medical practice–even if their requests seem odd to me.

Why Pap smears? A Pap smear is a screening test for cervical cancer, in which a smear of cervical cells is taken from inside a woman’s vagina. The cervix is the doorway to the womb, the birthplace of all humanity. When I’m in between my patients’ thighs looking deep inside the places where nobody has looked before, patients often tell me things that they’ve never shared with anybody. This sacred relationship between a doctor and patient is the foundation of health care.

Pet Goats & Pap Smears is more than a collection of stories. It’s a book of 101 medical adventures that have been retrieved from the deepest places inside people I have cared for. Sometimes, I’m so deep inside patients that I believe I have touched their souls. I know they have touched mine.

Pet Goats & Pap Smears

Tags: , ,
20 Comments

***

The Endless War on Pubic Hair →

 

Over the years I’ve noticed a lot of hairless pits and pubes during paps. Some women apologize for the stubble, for not having freshly-shaven legs.

But I live in Oregon now where people celebrate pubic hair. And I prefer the natural look. I love smiling women with hairy pits who never apologize to me for not shaving their legs.

Why apologize for hair?

Hair insulates and offers a buffer to chaffing and abrasions. And shaving inflames follicles leaving microscopic cuts that act as a breeding ground for nasty bacteria like staph, herpes, and other STDs. Plus there’s the risk of abscesses, boils, and deeper infections that necessitate surgery on one’s scrotum, labia, penis, or inner thighs.

Some claim shaving their pubes increases sexual sensitivity.  My plea: Just a trim, not a clear cut.

 

 

Tags: , , , ,
3 Comments

***

Medical Mystery Shoppers →

Obama says primary care is a top priority for the administration, but 36% of physicians lose money every time they see a Medicare patient.  Now Medicare will cut reimbursement by 30%.

Government-hired mystery shoppers were to spy on doctors to figure out what’s really going wrong. Thankfully, public outcry at this $350,000 taxpayer-funded program led to its demise.

Want to fix primary care? Ain’t no mystery. Pay docs enough to keep their doors open or get out of the way. More and more physicians are boycotting abusive third parties and establishing direct relationships with patients who value their services.

Your thoughts?

 

Tags: ,
4 Comments

***

ARCHIVES

WIBLE’S NPR AWARD

Copyright © 2011-2025 Pamela Wible MD     All rights reserved worldwide     site design by Pamela Wible MD and afinerweb.com