1. How did you decide which birth control method to
use?
a. My doctor told me that depo
provera (the shot) was the
best!
b. I read Our Bodies, Our
Selves and discussed
with my
practitioner
several different kinds of birth control methods including pills,
diaphragm, cervical cap, condoms, natural family planning, etc.
c. I'm a lesbian and it's not an
issue - at least not
about getting
pregnant.
d. I flipped a coin.
2. When was your last period?
a. If I look back at my birth
control pills and a
calendar I could
probably figure it out.
b. Hell, I know when I ovulated
and boy, was it fun!
c. Umm...
d. Let me ask my
boyfriend/girlfriend.
3. You've skipped your period for 2 months. What do you
do?
a. I go to the doctor who
prescribes progestin and I take
it.
b. Take a pregnancy test. If it's
negative I call my care
provider and
ask,"Should I be concerned?"
c. I sure as hell ain't pregnant.
Maybe I'll drink some
Blue Cohosh tea; I
heard that was good for bringing on your period.
d. Do nothing. Maybe it will come
next month (maybe I
will too).
4. You're feeling under the weather. What do you
do?
a. I go to the doctor.
b. I drink lots of fluids, stay
home and rest.
c. I go to the doctor and demand
antibiotics and cough
syrup with
codeine.
d. I go to work, sneeze on
people, cough on my friends,
and complain about
how miserable I feel.
5. What do you do when you disagree with what your health care
practitioner wants you to do?
a. I do it anyway - they know
what's best.
b. I ask for more information and
other options.
c. I go to another provider,
explain the situation and
tell him/her what I
want.
d. I do nothing.
We all consider ourselves mostly autonomous human beings who make our
own decisions about our own health care. To some degree though, we lose
autonomy when we become patients. While the loss of some autonomy may be
necessary in order to receive care, Body Politic thinks we should be as
involved as possible in all health care decisions. In order to do this, we
"patients" must take responsibility for becoming educated and finding a
practitioner who can be a resource, support person, advisor, and
respectful collaborator and advocate.
Think about going in for your annual PAP. There is an inherent loss
of power and autonomy when you're lying naked, flat on your back with your
legs up in the air with a light shining on your vagina, which has a huge,
cold, metal speculum hanging out of it. That's just for the Pap smear.
Then you get to have the exam in which the practitioner puts two
KY-jellied fingers into your vagina and presses down on your abdomen to
find out where your uterus and ovaries are (aren't they in there?).
Meanwhile, you can't see what's going on behind that little white paper
sheet. In this situation, you're the recipient of health care. You are
not in control and it seems that there is no room for your autonomy.
The first and hardest step toward autonomy is recognizing your rights
to knowledge and participation in your own health care. The scenario above
in many ways can't change. Women need PAP smears and other kinds of
physical examinations. But you can change the way you approach the
examination table. Prior to an exam you can contact the practitioner to
provide information and ask her to describe what she is doing while she is
doing it. You can get rid of that white sheet so that you can see what is
going on. You can reserve the right to say NO.
Many health care providers feel threatened when you ask questions.
Your questions can be interpreted as an expression of doubt about the
practitioner's competence, rather than an attempt to obtain information.
Yet you are paying for these services, and as a client you have a right to
question and understand the care that you are receiving. Qualified
practitioners do have more knowledge regarding health care than the
general public, but it is the practitioner's responsibility to explain
conditions, procedures, and choices to all of their clients.
But what about your responsibilities? Responsibility means that you
participate in your care. Suppose you have a urinary tract infection and
choose to treat it with herbal remedies rather than antibiotics. You might
consider describing your plan to your practitioner so that he or she can
be informed and can plan for follow-up or alternative care if needed. The
idea is partnership. You also have a responsibility to listen to the
practitioner's reasons for suggesting a particular treatment. Body Politic
was told when learning Chinese divination (the I Ching) that if you ask
the "little old man in the yellow coat" a question, you should be prepared
to accept the answer. If you ask someone for advice and then proceed not
to follow it, why should that person bother to give you any advice again?
You have a relationship with your health care provider and, in order to
get optimal care, consider caring for the relationship.
To be autonomous means to make your own informed decisions based on
information you have received from a health care provider and other
sources.
To participate in your own care, to be in relationship with a
provider who respects you as an autonomous woman, means that your care
provider neither hands you a prescription instead of care and information,
nor always gives you what you want, but rather provides you with
counseling on multiple options.
How autonomous are
you in your
health care decisions and choices? Take
this quiz to find out.
Actually, quizzes aren't our forte,
so
to avoid the hassle of
scoring, we made 'b' the best answer. So, if you answered mostly or all
'b', you're doing alright as far as we're concerned (unless you're lying
in order to look good). Basically, these answers exemplify taking
responsibility for your own health care and collaborating with your health
care providers. Some 'b' responses are also examples of care providers
respecting your autonomy in health care decisions.