May We Dance Upon Their Graves

Incest Survivors, Spirituality and Ceremonies of Justice – the story of a woman living a rich, fulfilling life while waiting to dance on her sociopath father's grave.

What I learned about health care and sexual abuse survivors

I’d like to summarize what resources and history I’ve gathered (or created) that might be helpful to other survivors.

I went from someone who had an 8 year gap in both pap tests and dental work to someone who has had a pap test and a dental cleaning within the past year.  I also successfully asked a health clinician doing my pap test to examine me for scar tissue from the rapes (I have evidence of tearing that no-one had mentioned to me previously.)

Here are my posts about that journey

  1. Warrior Schedules PAP Test– Okay, so I think I found a safe (to me) place to get a gyne exam.
  2. The day before the pap_Yesterday I saw my therapist and we talked about the pap test appointment tomorrow. What’s different about this appointment is: 1) the medical professional will know I’m a survivor. 2) I’m planning to ask if I have scar tissue. 3) …
  3. Warrior Victorious in Pap Test – So the gyne visit went about as well as it could possibly go, and better than I could have envisioned. The nurse-practitioner I saw was very experienced and nice and drew the correct line between warm sympathy and matter of …
  4. In the wake of proof – Knowing I have scar tissue has changed my life I think. It’s like an incontrovertible validation of what I’ve been saying all along. No longer can I doubt or go into denial about the accuracy of my memory. I know …
  5. Icing my vulva – I’ve had pain and itching in my vulva for most of my life.  I’ve worn out holes in the fronts of underwear from scratching. This, I’ve found through some recent reading, is actually pretty common with vaginal injuries like mine.
  6. Hidden Disabilities and Dentists A childhood sexual abuse survivor goes to the dentist, and triumphs over fluoride treatments. Continue reading →
  7. I get an appointment with a gyne surgical specialist and finally get a diagnosis for my sore, itchy vulva, that pretty much always feels like it has a sunburn. I get a biopsy in the first appointment (painful!) and a diagnosis of chronic inflamatory condition in the follow up appointment. After treating with a strong steroid cream for several weeks, I switch to a herbal anti-inflammatory (turmeric taken both internally and as a topical ointment) which has completely controlled the symptoms.  Yay! Autoimmune and inflammatory conditions are apparently common in survivors.

Here are some great information resources I found:

Handbook on Sensitive Practice for Health Care Practitioners: Lessons from Adult Survivors of Childhood Sexual Abuse (applies to doctors, nurses, massage therapists, physiotherapists, dentists etc…) This report is a good read for both survivors and practitioners and is linked below. The one thing I would add is a one page disclosure and accommodation request form, so I created it. This document was written by university professors in the departments of  social work, physical therapy, nursing and medicine of several major Canadian universities. (I love Canada a lot. ) So it’s got the ‘clout’ to be influential with your doctor or dentist.

Here are some links to some other good resources:

And last but not least here’s a resource I created:

I’m really proud of this one. Wouldn’t you like to just hand your doctor a form with checkboxes for the accommodations you need to be able to tolerate a pap test? No working up to disclosing abuse just before getting into the stirrups, no worrying your voice will break or you’ll lose your nerve. All you have to do is hand over a piece of official looking paper. Look no more, here’s my survivor-designed and field-tested version, made using some of the recommendations from the sensitive practice guide linked above: SwordDanceWarrior’s Information Sheet for Gynecological Care Providers Providing Care to Childhood Sexual Assault Survivors I’ve used it. It works beautifully. I ended up in my own clothes rather than a gown, sitting up with a mirror so I could see what she was doing, with everything explained as she went along, and with my partner present. It was way less stressful than a regular pap test. If you use it, I’d love to know how it went.

Advertisements

4 comments on “What I learned about health care and sexual abuse survivors

  1. Pingback: Memories of childhood sexual assault – how are they different? | May We Dance Upon Their Graves

  2. Pingback: Primer for Partners of Sexual Abuse Survivors | May We Dance Upon Their Graves

  3. Shalev
    August 30, 2013

    I am so glad you made this sheet. I was able to have my best friend and keep my clothes on instead of being naked in a gown. The doctor was really nice and made me feel like I was in control, which I think made the biggest difference for me.

    I also enjoyed your other posts. You’ve given me words to use for things I haven’t been able to describe. So thank you. I enjoyed the “what not to say to survivors.” Some of those are the reason I don’t tell people, even if I do trust that they won’t say anything to others.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Enter your email address to subscribe to this blog and receive notifications of new posts by email automatically.

Join 153 other followers

Top Rated

Categories

SwordDanceWarrior on Twitter

%d bloggers like this: