maybe i'm missing something, but why wouldn't you listen to a doctor's opinion of whether you're in pain or fatigue?
Okay, Iâve thought about this question for most of a day, because the obvious answer is ââŚ.why would I?â, but itâs clearly not obvious to you.
Now, I know exactly what youâre thinking. Theyâre a doctor. Theyâre a professional youâve gone to for help. And pain and fatigue are, like, medical things, right? Going to a doctor about medical stuff and then saying âLOL NOPEâ to what the doctor says is like hiring a plumber and then arguing about how to fix your sink, right? If youâre so smart, whyâd you call the plumber over?
But now imagine your basement is flooding and you call the plumber. While on the phone, the plumber asks you what the problem is and you say that thereâs a pipe in your basement thatâs burst and itâs now flooded.
And the plumberâstill on the phoneâsays âLOL NOPE.â
And you say, âExcuse me?â
The plumber says, âLook, a flooded basement is a really severe problem, okay? Usually, these calls, theyâre a clogged toilet or a leaky u-bend under the sink. Trust me, this is better. Those are a lot cheaper to fix.â
And you say, âIâm sure they are, but Iâm telling you, my basement is flooded. Iâm looking down the stairs and I can see the water.â
âIâm just saying, there are other things it could be. It wonât hurt anything to eliminate them first,â the plumber says.
And you say, âBut I need my basement fixed! Look, I canât go down in my basement and do laundry right now, and I have important keepsakes down there in boxes⌠some of them are already ruined, but maybe I can salvage some if we can just fix the problem.â
âWell, then it will be in your interest for me to check your toilets and your u-bends,â the plumber says.
âThe problem is not in my toilets or my sinks,â you say. âI am looking at the problem. I called you because my basement is flooded, and I need you to help me fix that.â
And then⌠now, Iâm not assuming youâre female, but I just want to emphasize that this is a starkly though not exclusively gendered phenomenon, so if youâre not female then imagine you are.
âMAâAM,â the plumber says, in a way you recognize. Itâs the voice of putting you in your place, the voice of unearned authority, and with this voice, this word, maâam, is not a title of respect, itâs a reminder and a command. âMAâAM, if youâll just calm down. Iâm sure what youâre experiencing seems terrible to you, but the truth is, itâs probably not as bad as it looks from where youâre standing. And thatâs a good thing! Trust me, have been a plumber for 27 years. Now, when can I come over to check your u-bends?â
âItâs not my u-bends!â you say.
âMaâam, if you donât want to be helped, Iâll start to think youâre calling for attention.â
(Now for bonus points, imagine the plumber refuses to help you until you lose a statistically improbable amount of weight just to rule out that this might be flooding your basement, or is acting on the subconscious but deeply entrenched idea that people with your skin color are less susceptible to flooding and in less need of help, or believes that as a feeeemale youâre more likely to be suffering from emotional distress than a physical problem and suggests the preferable course of action would be for you to take a nap every time the supposed flooding in your basement bothers you.)
As I said in that post, pain and fatigue â like dysphoria â are qualitative experiences. This means they happen in your head and they cannot be directly observed or measured by anyone else (which would make them quantitative phenomena).Â
The doctor talking to you about dysphoria âor pain or fatigue â is not a plumber in your house, they are a plumber on the phone. The only input they receive about the problem is your account of it.Â
And if theyâre not willing to listen to what you say and arenât willing to take you at your word, then all the expertise and experience in the world doesnât matter. You can have the most powerful calculator in the world but if you type the wrong numbers into it it will still give the wrong answers. Someone can be the best doctor in the world but if theyâre ignoring the information theyâre not going to give you the right answer.