Is it important to have a primary health care provider?

I've been hearing a lot about having one health care provider follow my medical history, but I'm fairly healthy and don't have a chronic disease. I've been switching from my local doctors when I'm home to the on-campus docs. Is it really that important, given that I'm a healthy individual?


How can I cope with recovery after cancer treatments?

A loved one of mine had a double mastectomy due to a rapid growing breast cancer, chemotherapy, and radiation. She is in her early 30s. She is a year out from treatment/surgery and suffers daily with aches and pains. She also has lymphedema in her right arm, which doesn't help with her discomfort. She feels pain in her joints, sometimes her back, she gets headaches, she is often fatigued, and she feels sick a lot. She's forgotten what it feels like to have her body feel good. Is this normal? She definitely has depression due to this and often thinks she will get cancer back somewhere else. It's been two years since her diagnosis and she has not felt a day of no pain and or sickness. I want to give her some good feedback, some light at the end of the tunnel so to speak (without using that phrase) to help her get through it. The doctors aren't too helpful. Mostly they want her to take more pills, which are becoming the size of a meal. She refuses to take the pills that are anti hormonal. I don't blame her; she can't handle the menopausal symptoms they give her on top of everything else. She is active and often just pretends to feel ok for others sake. She also eats well with a low salt diet to help the fluid in her arm. Should there, or will there be relief after undergoing so much stress on ones body?


Can I shrink my large nipples?

I am an eighteen-year-old male and I have had an embarrassing problem my entire life. My nipples are rather large and round. I'm not fat, and the rest of my body looks normal, but my nipples protrude and look very strange. I have spent much time doing every chest exercise imaginable, and although my chest muscles seem to grow, my nipples just get pushed out further. This has been a source of insecurity for me for a very long time. I am ashamed to take off my shirt in front of others. I really think that my nipples are the only thing keeping me from having a nice body. Is there anything that can be done to correct this problem?


What are my rights as a patient?

On a recent gynecological visit, I requested an HIV test. The doctor, a woman, responded with the question, "Why, too many New York nights?" I was shocked by her response, but, because I felt intimidated by her, I disregarded her remark. After I told her that I had never been tested and thought it was time, she looked at me and said, "I think you're okay." Needless to say, I did not get tested by her.

During my exam, a Pap smear, she put on her rubber gloves and then realized that she couldn't find an instrument. So she rummaged through the drawer, went to the door and turned the knob, requested something from the nurse, closed the door, and proceeded with the exam. She never changed her gloves. I was appalled, but never said anything. I don't know why, but she totally intimidated me — one of those women who seem to have all, brains, beauty family, wealth, etc.

My question to you is, do I report this woman? If so, to whom? It happened several months ago and it was outside of NY state. I appreciate any reply. Thank you.


What should I do if I'm interested in my nurse practitioner?

I am a graduate student and have been using Health Services for a number of years. On recent visits, I couldn't help but notice a certain nurse practitioner on whom I now have a big crush (pardon the school-kid terminology). On my last visit through walk-in, luck would have it that I got this person to treat me (a random happening--I didn't choose it in any way). I felt somewhat awkward during the visit, yet happy to see this person. Nonetheless, I realize that this is not an ideal state of affairs, but I don't know how to handle it. I am due to return to this same N.P. for follow-up.

Should I tell this person that I feel awkward receiving medical treatment from someone I would rather be dating, or should I just make an appointment with another person? Would it be possible to seek medical attention from this person after letting them know how I feel? If I do end my medical relationship with this person, how would I begin a different one? There don't seem to be many occasions when students and the Health Service staff interact outside a medical setting. I would hate to pass up the possibility of meeting that someone special due to professional constraints that would not hold had we met under different circumstances.