{"id":5129,"date":"2026-09-21T21:36:02","date_gmt":"2026-09-21T19:36:02","guid":{"rendered":"https:\/\/www.hoperoth.com\/blog\/?p=5129"},"modified":"2026-09-21T21:36:03","modified_gmt":"2026-09-21T19:36:03","slug":"whats-up-doc-2","status":"publish","type":"post","link":"https:\/\/www.hoperoth.com\/blog\/whats-up-doc-2\/","title":{"rendered":"What&#8217;s Up, Doc?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Lilian and I both had annual checkups recently. Finding a primary care physician here in Lyon can be an exercise in futility and frustration. There&#8217;s a shortage of physicians, and just about everyone I found on Doctolib (the app we use for booking medical appointments) had a note saying that they&#8217;re not taking new patients. Everyone in France needs a &#8220;medicin traitant&#8221; (primary care doctor) for things like ordering tests and approving specialists. I won&#8217;t be using any of those services until I get all of my paperwork taken care of. But, I figured I should still find a doctor that I can stay with for the long haul.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-medium\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/i0.wp.com\/www.hoperoth.com\/blog\/wp-content\/uploads\/2026\/09\/IMG_0962-2-1.png?resize=225%2C300&#038;ssl=1\" alt=\"\" class=\"wp-image-5131\" srcset=\"https:\/\/i0.wp.com\/www.hoperoth.com\/blog\/wp-content\/uploads\/2026\/09\/IMG_0962-2-1-scaled.png?resize=225%2C300&amp;ssl=1 225w, https:\/\/i0.wp.com\/www.hoperoth.com\/blog\/wp-content\/uploads\/2026\/09\/IMG_0962-2-1-scaled.png?resize=768%2C1024&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.hoperoth.com\/blog\/wp-content\/uploads\/2026\/09\/IMG_0962-2-1-scaled.png?resize=1152%2C1536&amp;ssl=1 1152w, https:\/\/i0.wp.com\/www.hoperoth.com\/blog\/wp-content\/uploads\/2026\/09\/IMG_0962-2-1-scaled.png?resize=1536%2C2048&amp;ssl=1 1536w, https:\/\/i0.wp.com\/www.hoperoth.com\/blog\/wp-content\/uploads\/2026\/09\/IMG_0962-2-1-scaled.png?w=1920&amp;ssl=1 1920w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><figcaption class=\"wp-element-caption\">Artwork from an exhibit about motherhood at MUCEM in Marseilles.<\/figcaption><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">I like Doctolib, but its filters leave a lot to be desired. There&#8217;s an option to filter for spoken languages, but &#8220;speaks English&#8221; is well and truly in the eye of the beholder.  I saw a gynecologist over the summer and you could have knocked me over with a feather when she asked if I&#8217;d prefer to converse in English. Every other doctor&#8217;s appointment has been in French. Also, you can filter for &#8220;appointments available online,&#8221; but I must have clicked on 50 different profiles just to read that all appointments were reserved for existing patients.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I eventually gave up on finding a doctor in the city and booked something with a doctor out in the suburbs. It took me maybe 30-45 minutes to get there today on the bus. Which seems like an eternity by local standards (the office admin actually remarked about how far I&#8217;d come), but wouldn&#8217;t have been that bad back in Boston. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Getting an appointment for Lilian was comparatively easy. Most primary care doctors will still take children as new patients (even if they&#8217;re not accepting adults). We still spoke with her doctor in French, but at this point I&#8217;m getting better at conversing in French.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">All of the doctors&#8217; offices that we&#8217;ve been to here have been really bare bones. There&#8217;s an office admin, but no other staff besides the doctor. The admin today asked me what my height and weight were, and waved me over to a scale in the corner of her office when I didn&#8217;t actually know. She then sent me to wait in the waiting room, where I was the only patient. The doctor came right on time to collect me. I&#8217;m used to seeing a medical assistant or a nurse first, but every appointment here has begun directly with the doctor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We went over some basic demographic information and health history. I had all of the results from the last round of bloodwork that I did in the US and she seemed struck by how many tests they&#8217;d run. She said all of my numbers were good, so she didn&#8217;t feel the need to order any. She did a brief exam (took my blood pressure, listened to my heart and lungs, etc) but mostly she took me at my word that I felt fine and didn&#8217;t have any health problems. I think she&#8217;ll order bloodwork next year when I have a Carte Vitale and won&#8217;t have to pay for everything myself.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I paid a whopping 30 euros out of pocket for the appointment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One interesting difference: <a href=\"https:\/\/www.service-public.gouv.fr\/particuliers\/vosdroits\/F704?lang=en\">in France, you get a TDaP booster at set ages: 25, 45 and 65<\/a>. They don&#8217;t do a booster every 10 years, until you&#8217;re in your 70s. I had the shot a couple of years ago, so I guess I don&#8217;t need another one until I&#8217;m almost retirement age? Twenty years between boosters seems like an awfully long time, but apparently they don&#8217;t do <em>any<\/em> tetanus boosters in the UK. Medicine is wild. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Fun fact<\/strong>: In France, if you don&#8217;t vaccinate your kids to the point where you&#8217;re deemed to have &#8220;endangered the health of [your] minor child,&#8221; you can be prosecuted for it. The punishment is 2 years in prison and a fine of at least \u20ac30,000. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(Good for France!)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Another interesting difference: Lilian&#8217;s doctor gave her a (paper) prescription for the vaccine that she needs. I thought I might have misunderstood her when she told me to pick up said vaccine at a pharmacy before her next appointment in a few months. But, no, a French friend confirmed that we should do just that. We also have the option of having the pharmacist administer the vaccination. I&#8217;ve spoken to some doctors in the US who told me that keeping vaccines in stock resulted in them losing money every time they administer a routine childhood vaccination, so I am thinking it probably help keep costs down that the medical offices here don&#8217;t have to store them.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Lilian&#8217;s doctor also included a topical numbing patch and some ibuprofen for when she gets her vaccine. Because they were prescribed by the doctor, I believe they should be free. I guess we&#8217;ll find out! <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Most of my friends back in the US are getting their first colonoscopies, but in France they don&#8217;t do colorectal screening until the age of 50. They also test via stool sample. Every two years, you pick up a free testing kit at the pharmacy, collect the sample, and then mail it off to a lab. Colonoscopies are reserved for folks who have a positive result on their screening test, or if there is family\/medical history that makes colorectal cancer more likely.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(I wonder if &#8220;spent the first 44 years of my life eating American fast food&#8221; qualifies as a family history?)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">France and the US have the same general guidelines for Pap smears, but they don&#8217;t do mammograms until the age of 50 (in the US it&#8217;s 40). A doctor can still order a pap or a mammogram for a younger person if they think it&#8217;s necessary. Everything is covered by social security. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As an American who&#8217;s used to having <em>all<\/em>.the.tests, it can be a little unnerving to have a doctor say &#8220;well, it sounds like you&#8217;re fine. Carry on!&#8221; But, then again, for all of the smoking and drinking that they do, the French have some of the <a href=\"https:\/\/www.oecd.org\/content\/dam\/oecd\/en\/publications\/reports\/2025\/12\/country-health-profile-2025-country-notes_7e72146d\/france_37ac3463\/b3c2743a-en.pdf\">highest<\/a> life expectancies in Europe. And their numbers put the US to shame.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I will say, it&#8217;s super nice to go to the doctor and not wait an extra hour for a rushed appointment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In which we visit the doctor and procure our own vaccines. <\/p>\n","protected":false},"author":1,"featured_media":5131,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[65],"tags":[238,239,241,240],"class_list":["post-5129","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-france","tag-doctor","tag-health","tag-vaccinations","tag-vaccines"],"jetpack_shortlink":"https:\/\/wp.me\/p5yggS-1kJ","jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"jetpack-related-posts":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.hoperoth.com\/blog\/wp-content\/uploads\/2026\/09\/IMG_0962-2-1-scaled.png?fit=1920%2C2560&ssl=1","_links":{"self":[{"href":"https:\/\/www.hoperoth.com\/blog\/wp-json\/wp\/v2\/posts\/5129","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hoperoth.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hoperoth.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hoperoth.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hoperoth.com\/blog\/wp-json\/wp\/v2\/comments?post=5129"}],"version-history":[{"count":2,"href":"https:\/\/www.hoperoth.com\/blog\/wp-json\/wp\/v2\/posts\/5129\/revisions"}],"predecessor-version":[{"id":5133,"href":"https:\/\/www.hoperoth.com\/blog\/wp-json\/wp\/v2\/posts\/5129\/revisions\/5133"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hoperoth.com\/blog\/wp-json\/wp\/v2\/media\/5131"}],"wp:attachment":[{"href":"https:\/\/www.hoperoth.com\/blog\/wp-json\/wp\/v2\/media?parent=5129"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hoperoth.com\/blog\/wp-json\/wp\/v2\/categories?post=5129"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hoperoth.com\/blog\/wp-json\/wp\/v2\/tags?post=5129"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}