Los Angeles Times

This isn’t the time to avoid a routine doctor’s visit. I didn’t. BY STUART LEAVENWORT­H

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THE MESSAGE from my doctor’s office fell into my inbox in early May. It stated: “Based on our records it appears that the following appointmen­t is due for scheduling.”

What? My doctor wants me to come in for a checkup? Amid a pandemic?

At first, I considered playing possum — not responding. Yes, Los Angeles was lifting its stay-at-home requiremen­ts and was starting to open up, but the county was still a hot spot for COVID-19.

Could I put this off? Wouldn’t it be better to avoid medical clinics where other people have been breathing, sneezing, touching things?

Ultimately, I decided to go ahead with the appointmen­t. The reasons involved a national healthcare disaster few have recognized.

Over the last three months, Americans have been avoiding hospitals and medical clinics, even when sick or injured. In May, the Commonweal­th Fund published a study that found doctor’s visits in the United States dropped by about 60% from mid-March to mid-April.

Visits have rebounded as the economy has slowly reopened, but as of mid-May, the number of visits was “still roughly one-third lower than what was seen before the pandemic,” the researcher­s reported.

Here in California, emergency department visits dropped by 40% to 60% during the two-month shutdown, according to a report this month by the California Health Care Foundation.

There are likely several reasons for this drop. People are busy. Some are juggling jobs while caring for kids at home. Others are mired in the red tape of obtaining unemployme­nt insurance.

Video teleconfer­ences with doctors have been an option ever since the shutdowns of mid-March but early on, there were questions on whether health insurance would help cover those calls.

Yet fear is a major factor. Rightly or wrongly, some apparently are scared that medical clinics could be a conduit for contagion.

That is unlikely. Doctors’ offices and medical personnel have to comply with strict safety protocols, giving these clinics a whole new feel amid this pandemic. When I arrived for my appointmen­t, a masked nurse was outside the clinic doors, asking if I felt any symptoms and checking my temperatur­e with a forehead thermomete­r. Inside, the waiting room was empty. Another masked nurse escorted me to the scales to check my weight.

Unlike in the prepandemi­c era, the nurse asked me to remove my sandals before stepping on the scales, on which she had placed a piece of protective paper.

She took my blood pressure, and retook my temperatur­e with an ear thermomete­r.

Minutes later, my physician, Dr. Elizabeth Ko, entered the room.

For the most part, it was a pretty normal exam, other than the fact she spent most of it on a chair seven feet away. We talked for a while, with her asking questions about my life and work.

She clearly was checking in on my mental health. “Are you sleeping well?” I did my best to sound more sane and rested than I probably am.

I recall during past medical exams that the doctor would ask me to open my mouth, at which point a very rough tongue depressor would be placed on my tongue as my doctor peered into my mouth.

That did not happen during this exam. My mask stayed on. So did hers.

Then she pulled out her stethoscop­e.

As she checked my heart, the experience took me back to my first childhood days. I remember those early exams, when the surface of a stethoscop­e seemed so cold on my skin, so clinical. Now I find it fascinatin­g that doctors continue to depend on such old-school technology to check something as important as a heartbeat.

Asking me to lie back, Dr. Ko pressed on my stomach, checking the surface of organs such as liver, kidneys and bladder.

She checked my neck, which I informed her was unusually stiff from three months of working at a computer on our dining room table.

She checked my head, nicely shorn by my wife after I finally broke down and let her cut my hair during the shutdown.

All this just took a few minutes but it prompted some reflection much later. I had allowed my doctor and her nurse to touch me directly. This was the first time in three months that anyone other than my spouse had done so.

The rest of the checkup was routine, with blood and urine samples taken. And that was it.

A few days later, I got my test results back. I was fine.

As a child, I remember not wanting to see the doctor or sit in those exam rooms, with their fluorescen­t tube lighting and antiseptic smells. I can understand why so many people want to avoid them.

But now, more than ever, staying healthy is crucial.

Simple blood tests, urine tests and direct exams can detect early cancers, diabetes, hypertensi­on and many other illnesses. Most of these ailments can make one more vulnerable to COVID-19. Or they could kill you outright, regardless of the coronaviru­s.

So stop playing possum. Visiting your doctor might be the key human contact you’ve been missing all these weeks.

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