A Catalan tarjeta sanitaria (health service card) |
The other day I
went to the doctor in Spain for the first time.
It started
off similar to what one would expect in Australia: up to the reception
desk to announce oneself, give over the tarjeta
sanitaria (health service card), get ushered into the sala de espera (waiting room). From here though, things started to deviate
from my normal experience.
As in Australia,
Catalan GP surgeries are run by private doctors or campanies who charge the
public health system for their services. But you wouldn’t guess that from the look
of my local surgery.
It was very
clean, tidy and pretty modern, but exuded that typically continental-European public
building ambience: austere, heavily utilitarian, devoid of creature comforts
like magazines or pictures on the walls and everything- walls, seats, floor - a
cool pale blue.
On entering
the waiting area, an etiquette quickly became evident. In Spain, when you go into a shop or even get into an elevator, people tend to greet each other, with a “hola” or a “buenas dias”.
It turns out
it’s pretty much the same at the doctor’s. And as in a shop or a lift, it’s the new entry who must start this off, which I was quickly prompted to do by the other patients
looking me right in the eye as I walked in.
Back in
Australia or London, I seem to remember always wanting to avoid eye contact with
other patients at the doctor’s – and the feeling seemed mutual. Maybe us anglosajones
feel that illness is a very private thing and we are a little embarrassed to be
out in public (?) It seems that's not the case with Spaniards.
Not
long after giving my greeting and taking a seat, the doctor came out and called
my name. Brilliant, I thought, it’s my turn already. But as soon as I said “sí”, she called out another name, and
then another. Turns out she was telling us our place in the order of things. I was after
the person she named after me, who was after the person she named after them.
This roll
call, along with all that eye contact, made me realise that the etiquette of the doctor’s surgery in Spain (or at least Cataluña) is pretty much the same as that of the market, which I wrote about some time back: it’s all about everyone being
secure that everyone else knows their place in the queue!
After a
while, my first and second queue-mates came and went. I stopped reading
the newspaper (on my phone) and anxiously waited for the doctor to emerge once
again and call my name. But she didn’t. I was confused. What do I do? Do I get
up and walk into the consulting room or do I wait?
As I contemplated this dilemma, my name boomed out of the consulting room, in a
tone that could only be described as slightly annoyed. Obviously, it was the
former.
This was the
first taste of what was to be my last lesson in visiting a Spanish GP: “bedside
manner”- it’s all very much straight-down-to-business. I don’t remember a smile
or even a “what seems to be the problem?”. I was just shot a look that seemed to say, “start talking”.
What
followed was lot of banging on the computer keyboard as I rattled off my reason
for the visit and, without the raising of even one eye from the computer
screen, the barking of questions back at me. I was a little taken aback.
It was all
strikingly akin to scenes depicting visits to the doctor I’d seen in Spanish
films, which I never quite believed. I remember asking a Spanish friend about those
depictions once and he told me “it’s always been like that here”. I didn’t quite believe
him either. I owe him an apology.
Don’t get
me wrong, she was very thorough and she gave me quite a lot of time and barked lots of questions about lots of things at me. I certainly felt that I was getting
good care.
It’s just I couldn’t shake the feeling that I was in the principal's office back at school!
It’s just I couldn’t shake the feeling that I was in the principal's office back at school!