Did you tell the Dermatotogist you're a nudist?
Dr. L, the dermatologist I have been going to for the last 8 years retired. The visit with Dr. L was always the same. I would be escorted to the exam room and instructed to strip down to my underpants and put the gown on with the opening in the back. A few minutes later Dr. L would enter and begin the exam. She would start with my face, then pull off the gown, ask me to lay down, and check my chest, legs and feet. Followed by slightly pull down the waist band of my boxers to check my lower abdomen. Then ask me to roll onto my chest so she could check my back and once again pulling down my boxers to check my buttocks. Although my all over tan is obvious, neither Dr. L nor I ever mentioned I was a nudist.
On my final visit with Dr. L, she found a basil cell which had to be removed by a MOHS surgeon. The procedure went well and everything is fine so I did some reading on basil cells and discovered once you have had basil cell there is a 50-60% chance of getting another on your body. The cells are triggered by sun exposure. I further read other articles about what you should tell your dermatologist. The list included, parental history of basil cells, blistering sunburns and sun exposure. I also read in the Journal of American Dermatology about what are the parameters of a full body skin exam. Basically, once you have had a basil cell, the exam should be more through. Reason is, a basil cell found early and removed causes you no problem.
So I had a first visit with my new dermatologist, Dr. G., this Fall. Here's how it went.
I checked in with reception and was soon escorted to an exam room by a medical assistant. She asked all of the usual questions and took my blood pressure and temperature. I was instructed to removal everything except underpants. Then she handed me a gown and said I could "wear it or not...however you are comfortable" , and left the room. I stripped down to my boxers and debated on wearing the gown or not....then put on the gown, opened in the back, and sat in the exam chair.
In a minute or two there was a knock on the door and in came Dr. G. She was late 30's, long hair, fit build, dressed in scrubs. With an energetic voice she said, Hi Mr. Z, I'm Dr. G. She looked like she was smiling, but the dreaded covid mask covered half of her face. She checked the spot where the basil cell was removed and asked how the Mohs surgery went and said it has healed very nicely. Then she asked if I wanted a full body exam. I replied, yes and discussed my reading on once you have had a basil cell there is a 50-60% chance of getting another on your body. Also, how cells are triggered by sun exposure. I further mentioned other articles about what you should tell your dermatologist and then discussed parental history of basil cells, blistering sunburns and sun exposure. I also recapped the Journal of American Dermatology parameters of a more through full body skin exam once you have had a basil cell. Reason is, a basil cell found early and removed causes you no problem.
Then as my heart rate increased, I told Dr. G. I was a nudist. Told her my wife and I tan nude on our deck and also go to nude beaches. Without hesitation, she asked if I would like her to include the buttocks and genitals in the full body exam. I replied yes. She finished checking my face and neck then began my shoulders. I stated I did not need the gown and she agreed and removed it. She said some patients like to keep "covered up" and agreed the exam is easier for her without the gown. She finished my chest and asked me to lean forward in the exam chair so she could check my back. She then checked my arms, hands, legs and feet. Then Dr. G. asked me to stand with my back toward her and she lowered my boxers and checked my butt. She then said to turn and face her. Once again, Dr. G. lowered my boxers and checked all sides of my scrotum and penis. "You can pull up your boxers and have a seat in the exam chair". Dr. G. said I had a clean skin check. Needless to say, she did not miss a spot. But, good news....no basil cells. She suggested I come back in six months.
So the question is; have you told your Dermatologist you are a nudist?
Tom, Jill's hubby
I am my own dermatologist. If I find some errant growth on myself I can remove it herbally, since there are herbs and herb roots I can harvest back in the field or forest (while nude roaming) that will kill and cause to fall out any abnormal growths. But so far I've seen nothing.
I have told my dermatologist that "I'm not at all shy about my body." She seemed to appreciate that; it made the exam go more simply. She knows I have a history of full-body sun exposure in an attempt to keep eczema under control, and has now prescribed a full-body UVB sunlamp for the same reason. We have discussed exposure of the genitals, which dermatologists recommend against, even when they are, as in my case, recommending UV exposure in general. (There's enough evidence from UVA psoriasis treatments to know that those treatments raise the small chance of genital cancer, moreso than on the rest of the body.)
I have not identified myself as a nudist because how I socialize with people is irrelevant to my skin.
My primary care doctor was noticeably uncomfortable when I brushed aside some of his draping / modesty concerns. So I have switched doctors.
My first-ever visit with a dermatologist was a few years ago. I had a skin tag on my right eyelid. I normally just yank skin tags off, but didn't want to do that with one on my eyelid.
After she took care of that, she asked whether it would be ok if she looked at my back. While I was pulling off my t-shirt, I said, "You can look at anything you want; I'm a nudist."
She responded with, "In that case, we need to schedule a full-body exam."
At that exam, I was told to strip and a grown was left in the room. I stripped but didn't don the gown. I figured, she's going to do a full-body exam, she's a doctor, she's a dermatologist, she must be used to looking at naked bodies. I figured she'd appreciate having a patient who was comfortable being nude.
She walked in and was aghast that I was naked. She said she had "comfort level issues with the human body."
Made me put the grown on and just barely peaked here and there under the gown. I scheduled an appointment for the following year but figured I'd be better off finding someone else. About a month before that appointment was supposed to take place, I canceled it.
Later, I scheduled an appointment with a different dermatologist. I explained that I'm a nudist and described the interaction with the other dermatologist. The person scheduling the appointment was very surprised that I had such an experience with a dermatologist and I was assured that would not be the case with this dermatologist. And expressed some astonishment that any dermatologist would have such an attitude and would behave that way.
When I came in for the appointment and was shown to a room, I explained all of that again to the nurse. She assured me that would not be the case in their office. As she was leaving the room, she set a gown on one of the chairs, said I'd need to strip and added that she assumed I would not be putting the gown on. I didn't.
The female dermatologist came into the room with a female assistant and a female trainee -- and (after they were all in the room and I was sitting there nude) asked whether it was ok for the others to be in the room during the exam. I said I was totally ok with that.
She had me sit for a while, then stand, and turn around so she could check everything. We talked and even joked around a bit -- all the normal stuff you'd expect to happen while at the doctor's office. I was nude the entire time and it was a total non-issue for any of us. In fact, it seemed obvious that they appreciated having a patient who was comfortable being nude.
Some time ago I told my regular doctor that I was in the sun naked quite often. That was in response to a comment or question from him at my annual physical about sun exposure. He said I should have an annual skin exam as well and he then referred me to a dermatologist. The dermatologist doctors office called a day or so later to schedule the first exam. That was 3 or 4 years ago and I have gone every year since.
At the first visit I told the dermatologist I was a nudist and very frequently outdoors in the sun without clothing. He didnt seem to mind. I recall thinking that he had already got that info in the referral. Every year I go they have me disrobe completely and cover with a disposable paper covering which comes off once he starts the exam.
He always comments *lots of sun here, lots of sun here* as he does the exam which is hilarious to me. Its all handled very professional though and if he had a problem with that or wanted to not examine everything I would go elsewhere.
I always remind my dermatologist that I get sun in places most people don't.
I do wear a swim brief that can pass for underwear although I am otherwise a full time freeballer.
He pulls the "underwear" down one area at a time and takes a quick look.
Didnt have to, he knew when he examined below the waste, oh you have color leftover from last summer, yes Dr.That happened yesterday!!!
I like "color left over". A nudist friend's doctor told her she had "a very even tan". Love the euphemism.
Have you considered that you're paying the doctor for a service and that nudity is entirely relevant for that service. The doctor is your servant, not your master. If you are a nudist and are routinely nude when in the sun, the dermatologist needs to know that and needs to look at your entire body.
I am a nudist. If a Dr asks me to strip down and put a gown on, Ill strip and put a gown on.I'm visiting the Dr as a patient not as a nudist.The Dr is in control, not me.When I visit the dermatologist, I'm there as a nudist patient and have different requirements from non-nudist patients. This is not a situation of pushing nudity on anyone. Doctors have seen more naked bodies than they can count. Dermatologists specialize in skin. Being nude for a dermatologists is the same as taking your shoes off for a podiatrist.
Servant and Master, an unusual way to describe a Dr, patient relationship. Perhaps it reflects on the character of the person.
Mensa, weve read that you just dont care who sees you naked.
I think that phrase can be shortened to , I dont care.
You seem to have very little respect for anyone.