October 31, 2008: Arrogant Dutch Doctor

This morning I woke up feeling sick for the third day in a row. Given my history of strep throat and the fact that I was leaving for Spain in 20 hours, I decided to call the GP (general practitioner/family doctor). That was at about 9:30am and they gave me an appointment for 10:10am. Perfect. I got my bag together (planning to visit the library afterward) and headed out, stopping by the ATM on the way because without Dutch insurance, I would need to pay in cash and seek reimbursement from the insurance company on my own.

I arrived at the doctor's office and after taking my address and phone number, the receptionist sent me to the waiting room. No insurance forms, no medical history, no paperwork at all. I waited just a few minutes in the waiting room before the doctor came for me - not a nurse. He took me to his office/examining room (all in one) and asked what I was here for. I told him I had a very sore throat and had had a mild headache for about 3 days and that I have a history of strep throat. You're American? Yes. And in America, they give you antibiotics after three days? Well, yes. This is not how we do it in Holland. Americans are too quick to prescribe antibiotics. It's different here.

Ok, I can understand his point of view. Maybe Americans are over-medicated. But I am not one to run to the doctor for every runny nose. I know strep when I have it. I could have waited until Monday in Spain or Tuesday when I returned, but there is a good chance I would have severe dehydration by then possibly leading to hospitalization and frankly, I want to enjoy my time in Spain outside of the hospital. He continued, In the States, how long does it take for your symptoms to go away after antibiotics. Um, a day, maybe two. Oh, you are a quick responder. So how long should I wait before coming in next time? Oh you are welcome to visit any time you are not well... He kept talking but said nothing else useful.

He looked in one ear. Good. He looked in the other ear. Good. I opened my mouth and said "ahh." Oh. Yes I see why your throat is sore. You still have your tonsils? Perhaps in written form that sounded like a rhetorical question, but by the inflection and the way he paused, he clearly was waiting for an answer. At this point, I am not only offended but also beginning to doubt his qualifications. Clearly, I still have my tonsils. Did you not just see them? I said, Yes. Here we remove them at 5. I realize that I should have mine removed, but I haven't found time for a 3 week recovery period yet. Irritated, I held that in.

He felt the outside of my throat. I flinched and teared up. That is painful? I nodded. Very. He listened to my heartbeat, my lungs, and poked my sinuses. Finally, he said Ok. I think your symptoms make you good candidate for antibiotics. What do you take in the States? Penecillin? I resisted rolling my eyes, took the prescription, thanked him and left. I paid the receptionist, biked past my house to the other side of town, picked up the prescription, and was back home and on meds by eleven - an hour and a half after calling for an appointment. Hey, at least they're efficient :)

Note: After talking to some Dutch friends, I learned that it is extremely difficult to get a prescription for antibiotics in this country. You can't even purchase DayQuil (or an equivalent over the counter medication) without a prescription here. Who would have thought in the land in which soft drugs are tolerated that it would be so difficult to get medications for an actual cold?