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 get over fear of rejection in romantic pursuits?

I am an undergrad who knows many people at my school. Interestingly enough while I am a very outgoing person and a very self-confident person, I am very shy when it comes to initiating a relationship. I know that I simply am afraid of the big "R" (rejection). I know that this is normal, but I feel that my fear is possibly causing me to miss out on a chance of having a good relationship.

I have been asked out a few times this year, but the guys did not interest me at all (one was divorced with two kids, the others I found nice but dull). All my friends are male, and I talk to them about my problems, but it hasn't helped at all. How can I gain self-confidence in the area of romance (I don't have a problem once I am in a relationship), and why is it that all my friends are males? Am I seen always as the sister or mother type? (Don't get me wrong, I am not interested romantically in any of my friends.)


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.


How can I tell the girl I've been hooking up with that I just want to be friends?

I'm a 25 year-old guy, average looking, and I think I have a normal personality. I met this very nice and pretty girl a little more than a month ago. Almost since the beginning, all she wants to do is go to bed and make love. This was great in the beginning, but, you and some guys out there may think I am crazy, I am starting to get worn out. I like her very much and we get along great in bed, but I want to date her just like my friends date their girlfriends, although my friends tell me they wish they had my problem.

Anyway, when I suggest going out, she shrugs her shoulders and says that she likes to be in bed with me. I'm sure that you get a lot of inquiries about how to move a friendship over to bed. Can you give me some advice about how to move the bed over to a friendship?


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.


How can I start dating?

I am beginning my sophomore year in college. Last year, I was disappointed to not become friendly with any women. I have been back a week and I'm looking to turn my situation around. I would like to start dating once and for all. Any suggestions?