Is it important to have a primary health care provider?

I've been hearing a lot about having one health care provider follow my medical history, but I'm fairly healthy and don't have a chronic disease. I've been switching from my local doctors when I'm home to the on-campus docs. Is it really that important, given that I'm a healthy individual?


How can I hygienically wear a thong and wipe my bum?

I am curious to know whether there is any right and wrong ways to wipe one's ass! Is wiping sufficient or should it be cleaned with water thereafter? I've heard that people use water to clean, which is regarded as more hygienic in foreign countries.

How safe is wearing a thong in terms of hygiene after a bowel movement? I wonder because a thong literally sits right on the anus. Are there any products available commercially for genital hygiene?


What are my rights as a patient?

On a recent gynecological visit, I requested an HIV test. The doctor, a woman, responded with the question, "Why, too many New York nights?" I was shocked by her response, but, because I felt intimidated by her, I disregarded her remark. After I told her that I had never been tested and thought it was time, she looked at me and said, "I think you're okay." Needless to say, I did not get tested by her.

During my exam, a Pap smear, she put on her rubber gloves and then realized that she couldn't find an instrument. So she rummaged through the drawer, went to the door and turned the knob, requested something from the nurse, closed the door, and proceeded with the exam. She never changed her gloves. I was appalled, but never said anything. I don't know why, but she totally intimidated me — one of those women who seem to have all, brains, beauty family, wealth, etc.

My question to you is, do I report this woman? If so, to whom? It happened several months ago and it was outside of NY state. I appreciate any reply. Thank you.


What should I do if I'm interested in my nurse practitioner?

I am a graduate student and have been using Health Services for a number of years. On recent visits, I couldn't help but notice a certain nurse practitioner on whom I now have a big crush (pardon the school-kid terminology). On my last visit through walk-in, luck would have it that I got this person to treat me (a random happening--I didn't choose it in any way). I felt somewhat awkward during the visit, yet happy to see this person. Nonetheless, I realize that this is not an ideal state of affairs, but I don't know how to handle it. I am due to return to this same N.P. for follow-up.

Should I tell this person that I feel awkward receiving medical treatment from someone I would rather be dating, or should I just make an appointment with another person? Would it be possible to seek medical attention from this person after letting them know how I feel? If I do end my medical relationship with this person, how would I begin a different one? There don't seem to be many occasions when students and the Health Service staff interact outside a medical setting. I would hate to pass up the possibility of meeting that someone special due to professional constraints that would not hold had we met under different circumstances.


What can I do about salty sweat stains?

I've been a good kid working out and being healthy, but the gym I go to has uniforms and I always wear a black t-shirt. That's great, until I sweat and it leaves salt rings where the sweat reached out to. Ewwww. This is embarrassing, and I have to wash the shirt before I can wear it again, which is annoying since I go almost every day and need to re-wear shirts once or twice. ANYWAYS, how can I reduce the amount of salt in my sweat, and prevent these embarrassing white rings from forming on my clothes? Eating differently, drinking more water, help!


What can I do about vaginal odor?

1) For like several years I have been afflicted with a really smelly crotch. It's like I sweat a lot down there and it just has a really sweaty vaginal odor. I bathe regularly but nothing really helps; by the end of the day I always smell funky. This wouldn't gross me out if it was just an occasional problem, but it happens every day. What can I do?

2) I have an embarrassing odor problem in the crotch area due to sweating. The odor is the same as underarm body odor. FDS didn't seem to help any. Cornstarch and powders work for about an hour. I wear only cotton panties. It seems that gel deodorants (Mitchum/Soft & Dri) are the only products that will control the odor for more than one hour (not long enough). Is using antiperspirants/deodorants harmful to my body (I do not use it in the clitoral/vaginal region, only on the "mound" of hair)? Also, how can I eliminate this sweating? My friends don't seem to have this problem. I am 32 and the problem seems to worsen each year.