James Alonzo is on his way to the clinic of his primary care provider (PCP). He has no desire to do this.

James Alonzo is on his way to the clinic of his primary care provider (PCP). He has no desire to do this. His wife made him come for a physical exam. It has been 5 years since his 12 desk, and gives his name. The receptionist asks for his insurance card and tells him to be seated. He wonders how long he will have to wait as he picks up a magazine. He says to himself, “The atmosphere in this place is about like the drive-up window for fast food.” After 20 minutes, a young woman comes to the doorway and calls out his name. He follows her down a hallway. She stops in front of the scale and asks him to step up. She jots the weight in his chart and takes him into the examination room. The conversation continues. “So, I see you have come for a physical exam today.” “Yeah. My wife made me come, even made the appointment.” “Are you having any symptoms today? Are you taking any medications?” “I take an aspirin occasionally, and antacids.” “How ofien do you take the antacids?” “Oh, I keep them in my pocket, maybe once a day or so.” James kind of wants to talk about having difficulty emptying his bladder, but he is not about to tell this woman, especially when she looks as young as his high school—age daughter. “I am going to take your blood pressure now. Please remove your shirt.” James removes his shirt and puts it on his lap. When the assistant is finished, she tells James to take off all h clothes and put on a gown and Dr. Plano will be in shortly. James removes his clothes, but doesn’t know what to do with his underwear, and wonders if he should leave his socks on. He waits another 10 minutes before Dr. Plano comes in. “Good afiemoon, James. What brings you in?” “My wife says it is past time for me to have a physical.” “I see. It has been quite a while since you were in. You’re 58 now, right? It appears your weight is up about 15 pounds and I see your blood pressure is somewhat elevated. We better address the antacids you’re taking, too. Any part1 _a_r_ problems you want to share with me?” “Well, I kind of want to ask you about a problem I have when I pee. I can’t seem to get it all out, and I hayetg go quite ofien. It is kind of embarrassing when I am standing in a pub] restroom at the urinal and everyone is done before I am.” “You might have an enlarged prostate. I’ll know better afier I examine you.” As the doctor starts to listen to J ames’s chest sounds, James begins to sweat. He is thinking, “Oh no! Prostate! If he haste do anything about that, I won’t be any good at sex anymore.”

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