A health history I don’t recognize

by punchmommybelievesinlife

health-history-form

I went to the dentist the other day. I was long overdue for a cleaning and after all the abuse my body has been through in the past six months I figured it was time. I was a new patient so I was given a new patient questionnaire to fill out.

Has your health changed significantly in the past 2 years? Yes.

Have you been hospitalized in the past year? Yes.

When is the last time you were seen by a doctor? Yesterday.

Please list the names of your treating physicians. Um, I have more treating physicians than the space provided. Should I use the back?

Please circle “Yes” or “No” if any of the following apply to you:

Cancer. Yes.

    Please list the type of cancer. Non-Hodgkin’s lymphoma, primary mediastinal b cell lymphoma.

Chemotherapy. Yes.

Blood transfusions. Yes. 

I’ve filled these questionnaires out many times. I took pleasure in writing “N/A” with long lines through all of the ailments listed. Who is this person with this health history that I now have to disclose? How could she be me?

 

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