I just lost my doctor. Again.
For more thirty years, I had the same family doctor who saw me through regular exams and a melanoma ordeal, diagnosed when I was thirty-four. I’m supremely grateful I can’t recall any other concerns in terms of physical health—not even some debilitating flu or nasty colds. In many respects, I’m a healthy guy.
But I can’t go without a doctor. Complications may arise. Ones that could jeopardize the “safe, ” manageable lifestyle I’ve carved out for the past nine years.
As one may surmise, my cherished, long-term doctor retired. But that was more than a year ago. We said our goodbyes which included tears and hugs and, since I’m a writer, a letter I wrote that conveyed the appreciation I needed to express without it getting muddled or muted due to worries about putting my doctor further behind schedule. He had a reputation of always running late because he never rushed his time with patients. Certainly not with me.
Before leaving, he’d arranged for a new doctor to take over the practice. A man half his (and my) age. I knew I would miss my familiar doctor, but I recognized a consolation, knowing in a clear, practical sense The New Guy would oversee my care until I died or moved from Vancouver. This would be a good thing.
I freak out before seeing a doctor. I’m a bundle of nerves during medical appointments. Basically, I can be too much. Thirty-four years ago, while living in Santa Monica, California, I went to see a new family doctor and, at the end of the session, he looked at me with disdain and said, “I never want to see you again.” (When did seeing a doctor mirror a coffee date?!) I remember thinking, Can he do that? and then: Why would I push the point? Despite the Hippocratic Oath, sometimes a doctor can indeed do harm.
Fourteen months after being assigned The New Guy, I got an email stating he was quitting his practice. While Canada prides itself in low- to no-pay healthcare even as it’s always struggling to deal with systemic flaws, it doesn’t mean all doctors are happy with billing procedures and the amount they are paid. (Back in 1978, my father, an Ontario medical doctor, moved our family to Texas, knowing he’d earn a larger salary under a less just American system.) According to a follow-up email after The New Guy’s announcement, the funding formula for seeing patients with HIV was changing—presumably being reduced.
While I am not HIV+, I know that many of the patients seen by the medical practice which included my beloved, now retired, gay doctor are. When I first saw my doctor in 1995, virtually all his patients were gay men and, on days he wasn’t working in the office, he worked for an AIDS clinic. Lifesaving antiretroviral drugs came on the scene about a year later, but I knew it was important to feel safe, supported and unstigmatized when I went for appointments. All my gay friends felt it was essential to have a gay doctor.
Hmm…did my Santa Monica doctor reject me because of my frantic case of the nerves or because I was gay? Maybe it wasn’t an either-or situation.
HIV treatments have changed and, I suppose the provincial government decided to reduce funding, concluding rightly or wrongly that HIV patient care is closer to the norm now even though I would surmise that cases are still more complex and visits more costly because they take longer. Whatever the case may be, The New Guy isn’t having it. He’s quitting and most likely exploring a more financially robust area of medicine.
Alas, it turns out I will have to get a new doctor before I ever leave Vancouver. How that happens, I’m not so sure. I was directed to online to a site called Request a Doctor or something like that. A five-minute process. Easy-peasy. But the form seemed to indicate I’d be assigned a doctor OR a nurse practitioner. Hmm. Overlap, sure, but not the same. I want a doctor. I need a doctor.

You really, really don't need
to see a photo of my nasty toenail.
I know, I know. I’ve said my physical health is fine. A nurse could probably advise me regarding my infected toenail which seems to be my only current concern. It seems silly to see anyone at all over a heinous looking toenail but over-the-counter treatments haven’t helped and I suspect I’m going to lose the entire nail. (Do they make press-on toenails so I can wear sandals without freaking out people who cast their eyes downward?) Maybe I’ll consult a pharmacist while waiting for a doctor/nurse practitioner.
It really needs to be a doctor. While my physical health is fine, my mental health is always vulnerable. That angsty episode with the Santa Monica doctor? In hindsight, I was probably experiencing an episode of anxiety, the kind that would be diagnosed as Generalized Anxiety decades later. That condition, combined with Social Anxiety, Major Depressive Disorder, Bipolar II and Anorexia Nervosa have led to two stints in the psych ward, one stay at a crisis care group home, a hospital admission to the provincial eating disorders ward and a group home sojourn for the same affliction. My file also includes references to Trypanophobia (fear of needles) which makes regular blood tests for my eating disorder something I delay since I seem to make a spectacle of myself each time I go. I’m done with labels—there’s no more room on my trophy shelf—so I’ve shot down other disorders for which I’ve literally ticked all the boxes at my psychiatrist’s office. A two-minute Google this morning had me newly diagnosing myself with Iatrophobia (“extreme, persistent fear of doctors, medical professionals or hospitals”) and Tomophobia (“fear or anxiety caused by forthcoming surgical procedures and/or medical interventions”). Maybe I should just get FEAR tattooed across my forehead.
Right now, with a primary doctor in limbo, my most pressing fear pertains to losing my long-term disability status which came into play nine years ago as of next month. Sure, I have a psychiatrist—who casually mentioned his own upcoming retirement(!) during our session two weeks ago—but I’m supposed to have a “medical team” overseeing my mental health care. The family doctor is generally viewed as team captain and, in my case, he’s skipped town, walked the plank or essentially left me in the same place I was after that episode in Santa Monica.
Canada has a decent health care system, I keep telling myself, but I’ve been reading for years about doctor shortages and long wait lists for all-things-medical. Rural areas and smaller towns are impacted more than big cities, but I don’t want to get any personal insights as to how much Vancouver is affected by shortages. I’m learning that fear of not have a doctor can coexist with fear of doctors.

NOTE: No actual moles are harmed
while playing this game!
I’m coping as best I can with my mental health, even as depression and anxiety keep popping up unexpectedly and I try to swat them away. (Think of a mental patient’s version of Whac-A-Mole.) In just the past month, I’ve had several episodes that have been vexing struggles and I’ve come close to loading up my backpack (soap, changes of underwear, books) and heading to Emergency for yet another possible psych ward admission. Even during a “good” month, I know I continue to function at a diminished state from my first psych ward stay in 2014 and even more so since the time of my return visit. If I lose my disability status—
Nope, I can’t even go there. I can’t start swirling over that.
Come on, Request a Doctor matchmakers! Do your thing. Please let this transition from doctor-less to doctor-assigned be but a blip.




















