Натолкулась на Tumblr на одну тему, порадовалась, что хотя бы это не только моя проблема.

Как, я думаю, уже все мои читатели выяснили, довольно долгое время я болею Неведомой Хуйней, причины которой врачи понимать не хотят, и ввиду того что хожу по докторам я буквально каждую неделю, какой-то негативный опыт, на основании которого можно составлять личную статистику, у меня уже накопился. Как и у, по-моему, каждой второй женщины, с гинекологией у меня все не так хорошо как могло бы быть. Гинекологи лидируют в моем списке посещаемости. А гинеколог - это зеркало. Так вот. Если от меня хотят добиться какой-то информации, хоть кости ломай или иглы под ногти заводи - я партизан. Но покажи мне этот агрегат - друзья мои, я сдам вас всех.
Естественно, каждый раз я предупреждаю врачей о том, насколько эта процедура для меня болезненная. Один раз после выхода из кабинета я почти брякнулась в обморок, спасло только то, что я знаю, как этот процесс остановить. Естественно, каждый раз всерьез меня не принимают, и только один раз врач всё сделала так, чтобы было терпимо. Посмеявшись надо мной потом, мол, "ну и где эти крики которые вы мне обещали?". Если какие-то другие вещи, казалось бы, тоже субъективного характера - типа эмоционально тяжелого ПМС - врачи охотно лечат гормонами, то на то, что человек может упасть в обморок от простой процедуры - эт норм, типа.
Практически на каждый мой симптом (кроме бумажки с анализами - вот им врачи верят) я слышу ответ "..Ну вы, наверное, эмоциональная, впечатлительная?"
"Ты такая молодая, даже 30 нет, куда ж тебе болеть!"
[При этом моя последняя гинеколог начала говорить, что "тебе уже 29, уже времени нет" (мне 28, я поправила ее дважды, и она трижды сказала что мне 29). Так я молодая или я не молодая? Молодая но старородящая?]
А мы - эмоциональные - что, не болеем? Бессмертные? Было бы неплохо. Если ты параноик, это не значит, что за тобой не следят.

Собственно посты:

itrhymeswithalayne
people have no idea what its like to be 14 and have everyone telling you that you’re faking and pretending to be ill for attention or to skip art class and the doctor’s telling you you’re ‘just being a teenager’ when you actually had a serious kidney disease
if someone hadn’t eventually listened to me i would have died
Please, please support self-diagnosed teenagers, don’t pretend they’re not really disabled, don’t belittle or mock them, don’t exclude them from disabled spaces and for the love of god don’t pretend you know more about them than they do
the-philosophers-bone
i am disabled to this day because when i was a teenage girl, my doctors didn’t take me seriously. when i said i was in extreme pain, they said i just wasn’t trying hard enough at physical therapy to repair a broken ankle. turns out they’d fucked up the surgery to fix it, and their neglect of my months of complaints meant it was damaged beyond repair. i still have mobility issues 8 years later, will have pain and require surgeries throughout my life and will, always, be disabled. because of them. because of the silencing of girls’ voices, in all spheres. because doctors do not value the voices of teenaged girls.
mousepunker
When I was twelve, the knee specialist I had finally convinced my mom to take me to (after years of begging) told me that my knees hurt because of my hips widening.
“No,” I said. “You don’t understand. I can’t walk when it happens, it hurts so bad. It’s been since I was a little kid.”
“It might twinge a bit, sure,” he told me. “Go to physical therapy for a few weeks.” I burst into tears.
My mom then refused to take me to physical therapy, because it was a long drive and the doctor said it wasn’t serious, so why should she bother? That was the start of her not listening to any complaint about my joints I ever had.
As it turns out, my knees were dislocating every couple of days. She and my doctors ignored and taught me to ignore sprains, fractures, cartilage tears, and dislocations until I moved out and learned that it wasn’t normal. I missed out on years of my life because of my doctor not only discounting the experience of a young girl, but fully blaming my pain on the fact of my being a young girl.
Listen to children when they tell you something is wrong with their bodies.
ryncoon
I had stomach pains for years as a kid. Almost daily. I was blamed as a faker.
I have Celiac.

И научная работа, ссылку на которую дали в одном из них. Я немного обалдела от количества данных, подтверждающих, насколько по-разному врачи относятся к словам мужчин и женщин.

The Girl Who Cried Pain:A Bias Against Women in the Treatment of Pain (цитаты\выжимки)

There is now a well-established body of literature documenting the pervasive inadequate treatment of pain in this country. There have also been allegations, and some data, supporting the notion that women are more likely than men to be undertreated or inappropriately diagnosed and treated for their pain.
One particularly troublesome study indicated that women are more likely to be given sedatives for their pain and men to be given pain medication. Speculation as to why this difference might exist has included the following: Women complain more than men; women are not accurate reporters of their pain; men are more stoic so that when they do complain of pain, “it’s real”; and women are better able to tolerate pain or have better coping skills than men. In this article, we report on the biological studies that have looked at differences in how men and women report and experience pain to determine if there is sufficient evidence
to show that gender differences in pain perception have biological origins. We then explore the influence of cognition and emotions on pain perception and how socialized gender differences may influence the way men and women perceive pain. Next, we review the literature on how men and women are diagnosed and treated for their pain to determine whether differences exist here as well. Finally, we discuss some of the underlying assumptions re Finally, we discuss some of the underlying assumptions regarding why treatment differences might exist, looking to the sociologic and feminist literature for a framework to explain these assumptions. We conclude, from the research reviewed, that men and women appear to experience and respond to pain differendy, but that determining whether this difference is due to biological versus sychosocial origins is difficult due to the complex, multicausal nature ofthe pain experience. Women are more likely to seek treatment for chronic pain, but are also more likely to be inadequately treated by health-care providers,
who, at least initially, discount women's verbal pain reports and attribute more import to biological pain contributors than emotional or psychological pain contributors. We suggest ways in which the health-care system and healthcare providers might better respond to both women and men who experience persistent pain.
\\не поленитесь прочесть, текст простой\\
The studies reviewed indicated that although pain responses were highly variable among individuals, females exhibited greater sensitivity to laboratory-induced pain than males.
Чувствительность женщин к боли во многом зависит от дня цикла, расположения источника боли относительно половых органов.
Также есть, как всегда, различия в строении мозга, но там пока рано говорить что-то определяющее.
What is clear is that the research to date provides ample evidence that differences between men and women in pain response exist.'^ What is unclear is whether the reasons for these findings are grounded in differences in biology or differences in coping and expression, or both.

Male pain research participants have reported that they "felt an obligation to display stoicism in response to pain.""* Other investigators found that whether the researcher was a man or a woman influenced male pain response in a laboratory setting, with males reporting less pain in front of a female researcher than a male researcher, whereas the researcher's sex did not affect the responses of female subjects."'

The literature suggests not only that men and women communicate differendy to health-care providers about their pain, but that health-care providers may respond differendy to them. Также мужчинам после операций чаще прописывают обезболивающие, тогда как женщинам - успокоительные. При жалобах на боле в груди мужчин чаще кладут в больницу, чем мужчин.
The authors attributed the differences in treatment to the "Yentl Syndrome," i.e., women are more likely to be treated less aggressively in their initial encounters with the health-care system until they
"prove that they are as sick as male patients." Once they are perceived to be as ill as similarly situated males, they are likely to be treated similarly.

In addition to whether the patient is a man or a woman, physical attractiveness and nonverbal expressions of pain have been found to infiuence a health-care provider's response to the patient's pain. Hadjistavropoulos and colleagues found that physically unattractive patients were more likely to be perceived as experiencing greater pain than more attractive patients and that the more attractive patients were more likely to be viewed as able to cope with their pain. [ого, вот вам и beauty privilege. думают, что красивый = более здоровый, следовательно че ему помогать?]

Высказывается мнение, что важным фактором является то, что западная медицина в первую очередь смотрит на биологические данные, а не на слова пациента. Тогда как боль - штука крайне субъективная, в связи с чем важно доверие доктора пациенту. The feminist literature [...] describes physicians as frequently "patronizing, detached, disrespectftil,... and unvkdlling to trust the reports of their women patients."

UMMARY, IMPUCATIONS, AND RECOMMENDATIONS

The research findings point to several troubling inconsistencies or paradoxes regarding the differences between men and
women in pain response and treatment:

• While women have a higher prevalence of chronic pain syndromes and diseases associated
with chronic pain than men, and women are biologically more sensitive to pain than men and
respond differently to certain analgesics, women's pain reports are taken less seriously
than men's, and women receive less aggressive treatment than men for their pain.

• Although women have more coping mechanisms to deal with pain, this may contribute to a general
perception that they can put up with more pain and that their pain does not need to be taken as seriously.

• Although women more frequently report pain to a health-care provider, they are more likely to
have their pain reports discounted as "emotional" or "psychogenic" and, therefore, "not real."

• Women, being socialized to attend more to their physical appearance, are more likely than men
to have health-care providers assume they are not in pain if they look more physically attractive.

• Men with chronic pain are more likely to delay seeking treatment, but generally receive a more
aggressive response by health-care providers once they enter the health-care system.

• Both men and women are more likely to have the emotional or psychological component of
their pain experience suppressed due to Western medicine's tendency to separate mind and body
and to view objective, biological "facts" as more credible than subjective feelings.

[Полный текст\ПДФ >>digitalcommons.law.umaryland.edu/cgi/viewconten... << текст очень просто читается, кстати]