Showing posts with label Doctor. Show all posts
Showing posts with label Doctor. Show all posts

Monday, February 9, 2015

7 Reasons Why Military Wives are Stressed Out All of the Time (But you may not know it)

I've haven't posted much on my Military Monday blogs over the past few weeks, not for lack of things to post about, but because I had SO MANY things I wanted to post about, and didn't know where to start. I'll admit, I hadn't planned a post for today. Today is 'Family Day' in British Columbia. A provincial holiday designed to encourage family together time. A great initiative, even when together time means posting on your blog while your teens snore happily from their beds at 9 a.m..

This weekend I read two blog posts. The first one, posted by a friend of mine who is currently on a duty station in the United Kingdom, entitled The Military Family Vaccination Problem. You can read it here on Canadian Army Wife's blog. It struck a cord with me, having dealt with this very problem a few weeks ago, so much so that I wrote a long, drawn out comment. Incidentally, the same blog was reposted this morning on the Canadian Medical Association's Blog which you can find here.

The second blog was by Dr. Psych Mom on Huffington Post's blog, entitled: 7 Reasons Your Wife is Stressed Out All The Time. It can be found here.

Both blogs highlighted real problems. One was more military-centric, the other more general. But they got me thinking. I have many, many friends who are military wives who somehow manage to hold down a job, raise healthy, happy children, and meet the 'expectations' of being a military wife with panache. I'd even like to include myself in this group. These ladies take the term Supermom to a new level.

What you don't see, though, is the exhaustion beneath the facade. Why? Because even though they might be stressed out, they have learned to put on a brave face. Their problems are minimal, because hey, their husbands job is so much more stressful than anything they could ever do.

1. Military Wives are Judged Differently Than Other Wives.

This may sound picky, but it's the truth. How many times have I heard, 'But you must be used to it by now'. Or: 'You should have known what you were getting yourself into when you married him'. The thing is, there is nothing you could do to prepare yourself for three days of barfing kids in a snowstorm a thousand miles from your family while your husband is under fire in Afghanistan. Nothing. But it happens.

2. Women Need More Sleep Than Men.

I love that Dr. Rodman included this in her blog, and I'm reposting it here, because in the military lifestyle, the sleep thing is even more complicated. There is no way a military wife would suggest her hubby gets up to deal with the crying baby when she knows he's going to be training with live ammunition the next day. Or flying a multi-million dollar aircraft. Or searching in broiling ocean waters for a lost fisherman. And when hubby is deployed, she's on her own...often for months at a time. If she doesn't get up to soothe the crying baby, no one will. And the toddler gets up at 5 a.m....

3. Help Is Often Far Away.

The closest I have lived to my mother (i.e. the go-to person for mothering matters) is 600 km away. Right now she is an entire country away. More than 3000 km away. And my bestest friend (other than my husband) is almost the same distance. Add time zone differences and busy lifestyles, and I'm lucky if I speak with either of them once a week. That's pretty typical for military wives. And if their most trusted friends are not nearby, they won't ask for help.

4. The Help That's Close is Inaccessible.

This one is tricky. The military is wonderful for providing help for military spouses. We have many, many resources available to us. Social workers, support groups, discussion panels, gym facilities, casual childcare... the list goes on. Especially in Canada, the Military Family Resource Centres (MFRCs) are a huge help in navigating the lifestyle we have chosen to lead. The problem is not lack of resources. The problem is accessing them.

Occasionally getting to the resource, i.e. basic geography, is the issue. Take Ottawa for example. The city is vast. The MFRC is wonderful. But for most wives, the actual programmes are at least a 45 min drive to access.

The biggest problem with accessing help, though, is the stigma associated with it. Military wives, like their husbands, do not want to be seen as weak. They want to be supermom. They want to look like they've got it together. So walking into an MFRC to access a support group for deployed spouses is the last thing they want to do. Nor do they want to tell hubby (who is getting shot at on a regular basis) that they need help.

It's a problem with no ready solution. The MFRCs continue to search for one, though, and for that they should be applauded.

5. Military Wives Deal With Many Life Stressors At Once.

Moving itself is a stressor. Move to a new country, new job, new doctors and new schools with a new rental agreement, an unsold previous home, two toddlers and a newborn? That's a lot of stressors. Add a husband that leaves three days later for a 1.5 month 'indoctrination course'? Yeah. And don't say that would never happen, because I've done it.

Military wives deal with this stuff every one to four years, Sometimes less. Moving is hugely stressful, and there are always issues. Always problems. And mom often takes the brunt of it. The vaccination issues that Canadian Army Wife illustrated are just the tip of the iceberg. Finding a new family doctor (read about it here) is one of my biggest headaches. Same with dealing with new schools and trying to explain an educational issue for the umpteenth time to a new teacher. It's hard to explain how stressful that is to hubby, because as Dr. Rodman says, women are judged differently than men. A dad who walks into the school with a child with learning difficulties is much more likely to be listened to. Especially if he's still wearing his uniform.

Add PTSD into the equation, and life gets even more complicated. Great articles on the PTSD struggle can be found here and here.

6. Tradition Is A Harsh Taskmaster.

Oh boy. Tradition. The unwritten code of etiquette that dictates the everyday life a military family. Rank, duty, honour, expectation. All difficult to manoeuvre and all without a handbook. And each post has it's own micro-culture that you have to figure out upon arrival. Talk about stress. And a lot of military wives have no previous military experience, so learning how to manoeuvre life on base is like learning a completely new culture. With no course to explain it.

7. Guilt.

Guilt is a four letter word masquerading as a five.

In most military families, the husband is the breadwinner. His job--a soldier/airman/marine/sailor--dictates where the family lives, when he works, how long he works and what he does. The military 'owns' him, so to speak.

Most military wives get it. They don't want to complain. They understand that his job is hard. They get that they have to move...again. They understand that hubby has to be deployed...again. But they have to reconcile that understanding with the complex difficulties of their life. They wouldn't dream of asking for help because they see that as weakness. They feel their problems are minuscule compared to hubby's 24-hour-a-day job in the desert. He needs to focus on staying safe. He needs to know that everything's okay at home--his wife is managing, his kids are alright, the bills are being paid and the household is just fine--so that he can concentrate on his dangerous job. So they feel guilty that they even think about being stressed, which only makes them more stressed. And then they feel guilty that they themselves are stressed when hubby's job is just so much more stressful.

And do they talk about it? No.


As I mentioned above, the good news is that there are resources available. And military leaders are aware of these stressors and are trying to help. Talking about stressors for military wives is the first step. Are you a military spouse? What stresses you out? How do you deal with stress? Do you talk about stressors with your husband or do you go elsewhere? What do you find helps?

I'd love to hear below.

Brenda




Monday, September 23, 2013

Military Monday: Finding a Family Doctor

A few days ago I went to my first regular doctor's appointment (for myself not one of my kids) in
four years. As I sat in the waiting room afterwards, lab requisitions in hand, I got thinking about that fact. For me personally, this is not a big deal. The College of Family Practitioners recommends that a female of my age should have a periodic health exam every 3 years. And honestly, if I'm not sick, the LAST place I want to be is the doctor's office.

But what I realized as I sat there, was that (assuming everything is okay) it's quite likely that I will never see this doctor again. It took me almost two years after our posting date to find a doctor and get signed up with her practice, and if the lovely bloodwork comes back negative, I won't need to see her for another 3 years...at which point I'll be somewhere else.

In my sixteen years of marriage and eight postings I've had four 'real' family doctors. Real, meaning a doctor that I might have developed some sort of relationship with. The other postings I dealt with group practices (where the doctor on-call was the doctor you saw), urgent care clinics, or I did without. I HATE finding a new family physician. HATE it. It is probably the single-most stressful part of the posting process for me. Well, beside finding good schools for the kids. On this posting I called at least SIX clinics in our current small home town, and every single clinic administrator but one was rude and unhelpful, acting like I was wasting their time. Then there's the transferring of records (and fees which are sometimes covered, sometimes not) and the 'get-to-know-you' visit (two hours out of an already busy schedule to fill out reams of paperwork). And God help you if you discover that you don't actually like the doctor you've signed up with, because you won't be given the opportunity to find another one.

I know I'm not alone, so I put it out to some other military spouses to see if they had similar experiences with finding a family physician.  Some of the comments I got back:

* "...did not have a family doctor for 2 years"

* "I was without a doctor until I was being treated at hospital for a serious back injury and one of the doctors agreed to take me as his patient...The lesson I have learned is to take control, research and act quickly."

* "It wasn't until I was pregnant in early 2011 (three years later) that I finally was able to get a doctor because I had to call around and be like "dude, I can't just go to a walk-in clinic to have a baby, SOMEONE has to take me" and I STILL had to make a lot of calls before someone would take me."

* "Currently on our 6th posting, and only one of those I couldn't find a doctor. We were only there 2 years thankfully."

* "In Petawawa I waited 1 year and in Cold Lake I got (a doctor) right away."

* "We are now posted to New Brunswick and have to go on a waiting list, which can be at least a year wait. You do not get to choose your doctor, you are assigned one. There are no mediclinics in the town, you have to go to the hospital, which closes I believe at 5 and then you have to go into Fredericton after that. It is a big worry not to have medical service readily available."

* "I am relatively new to the military life (3 years), but I haven't had a family doctor since we left home at the beginning of the 3 years."

* "We got posted to Saint-Jean-Sur-Richelieu Quebec, it will be 5 years next month and we have 3 kids and we still do not have a family doctor..."


Two years? Three Years? Five years of waiting for a family physician? And this is just a fraction of the responses I got. I know that it's not JUST military spouses dealing with the shortage of family physicians, but military families often move every two or three years. That means each move is a new fight, a new waiting list, a new wait time for provincial health cards and a new physician-patient relationship. And let's be honest, it is NOT FUN having a routine female health exam by a complete stranger. Some families seem to have better luck than others, with no wait times at all, but the vast majority of spouses who responded had long waits and very little choice in which practice they ended up with.

Don't bother clicking...not accepting
new patients here!
Another spouse brought up a different side of things--namely trying to get medical care in your own language. French speaking Canadians in English provinces (and visa versa) have great difficulty even communicating with their doctors. One spouse commented, "I have to take someone with me to translate the personal information that is discussed, and depending on the appointment or the seriousness of it, they would even have to come into the room with me for the tests." Military spouses do not get to choose where they live. But, like every Canadian, they should have the option to receive health care services in both/either of the two official languages.

Thankfully, the Canadian Forces are taking baby steps to make health care more accessible to military families and have opened several CF family medical clinics on bases like 14 Wing Greenwood to facilitate the process. Unfortunately some of these base clinics have been forced to close, due to lack of family practitioners to staff them.

Another step in the right direction, in Ontario provincially insured services now have the wait time waived for CF family members.

Better, but still a big problem.

An American friend of mine commented, "I'm American, a military spouse for 15 years now...never had an issue finding a doctor who would accept our family. We've moved 15 times or so. The only time we avoided the potential to not have a Dr. was when we did the exchange tour to Nova Scotia. We lucked out (or "in" as Canadians say!) and the same Dr. who was seeing the family we were to replace took us on as we were the same number of people in our family. I always felt guilty because I knew many of our neighbors (Canadian military families) who didn't have one."

Wow. She felt guilty for actually having a family physician? You know there is a problem when...

Anyway...as for me, my medical appointment last week was quick and relatively painless, and I left minus 3 vials of blood and with three extra specialist referrals in my hands. I was pretty lucky. I bought myself a treat, had a coffee and came home. Who knows where and when my next family physician visit will happen? Will I even see this doctor again? Or will it be the same, tedious search for a new doctor in a different town? Province? Country?

I have no idea.

There's no life like it. 

What about you? Have you ever had to find a new physician as a result of a move?

Brenda