Medical Trauma is not discussed – it should be.

By Ashrith Alavilli


Medical Trauma is an all too common occurrence, especially considering  how comprehensive modern medicine truly is. While modern medicine has truly been a lifesaver, it can also be a traumatic experience that can cause permanent harm. That being said, Medical Trauma isn’t discussed often which can lead to devastating consequences for both patients and doctors. Medical Trauma can be caused easily and is more prevalent than one might assume. Furthermore, there is still a large stigma against those with PTSD and mental illness overall. 

Modern medicine is a relatively commonplace addition to the average person’s lifestyle. Unfortunately, some may receive trauma alongside critical vaccinations or lifesaving procedures. The American healthcare system is vast, with 33 million people being hospitalized in 2021 (according to the American Hospital Association). On top of this, the CDC says that 83.4% of Americans visited a healthcare professional in 2019-2020. With such a large volume of people from a variety of backgrounds, it is difficult to treat beyond the symptoms of a patient. Thus, far too often, a patient may experience a traumatic event even though doctors were simply following treatment procedures. The current state of the healthcare system makes it practically impossible to tailor treatments and procedures for each individual patient’s comfort, especially when the situation is critical. Though doctors ultimately have the patient’s best interest at heart, they simply must prioritize the health of a patient over the comfort and safety they deserve during times of crisis.

Numerous studies detail specific data regarding such times of crisis. A paper from Counseling.org breaks down just how many patients experience life threatening and potentially traumatic procedures. In 2006, roughly 136.1 million people visited the emergency room for various reasons. Naturally, the emergency room involves serious incidents in which doctors must act fast, but this can stress out patients or cause them to feel overwhelmed. Even something like childbirth of which a majority of women experience can turn into an unexpected and invasive surgery;one third of all child births were delivered via cesarean section–the vast majority of which were not requested but performed out of necessity. The feelings of helplessness and fear which many patients may feel in a situation like that can elicit traumatic reactions which could leave a lasting psychological impact. 

Furthermore, the Medical Trauma could be caused by the condition itself rather than a direct result of a procedure. According to a Harvard Health article, one in eight heart attack survivors experience PTSD in the aftermath. The article goes on to say “the survivor actively tries to avoid being reminded of the event and becomes hypervigilant worrying that it will happen again” (Strawbridge 2012).  This is a terrible thing to go through after a life threatening event. What’s more, the article says “The symptoms of PTSD can arise suddenly, or come on gradually.” which makes it all the more difficult for patients to identify that they suffer from the condition.

What is living with Medical PTSD like? This Healthline.com article by Katy MacBride talks about the experience with trauma and how complex the feelings involved are. MacBride recounts her experience taking an allergy test where even though there was little to no pain, she “burst into tears and started shaking uncontrollably”. Even for checkups at the dentist involving routine teeth cleaning, the slightest pinch leaves her hyperventilating. MacBride says she still feels humiliated and debilitated at how she involuntarily acts as a result of the trauma she went through. Most importantly though, MacBride talks about how she couldn’t believe she had trauma. She had great care for the most part and she wasn’t assaulted or attacked. It was hard for her to believe that the trauma had come from within, without regard for any external source. She still struggles with feelings that she’s just being “melodramatic” or that she should just “get over it”. This is a real issue that many people with Medical PTSD have, and it's a huge contributor to why people don’t discuss this form of trauma openly. 

In the aftermath of World War 1, soldiers who behaved strangely after combat were diagnosed with shell shock. It was thought that the experience of being shot or shelled rattled the brain. As a result, those who hadn’t experienced direct attacks (but saw the effects of war/others get attacked) yet exhibited signs of shell shock were considered to be weaker or overreacting. Unfortunately, these same attitudes have followed us into the 21st century as there is still the same stigma against those with PTSD. This article from EverydayHealth by Julie Revelant breaks down the specific forms of stigma those with PTSD face. Public stigma, where society as a whole stereotypes the person with the condition, is the broadest category. Examples of this include people feeling the need to tell the traumatized individual to “try getting over it” or to “forgive and forget”. This feeds into the next type: self stigma. Self stigma is arguably one of the more dangerous forms where the individual doubts their trauma as a result of others telling them it doesn’t exist. This can create feelings of wrongdoing and self doubt where none should exist. The next type – label avoidance – is where the affected person avoids treatment so that they don’t get stigmatized. This is particularly harmful because as seen earlier, the effects of Medical Trauma are far reaching and can affect day to day life. Finally there is structural stigma, where the discrimination has spread so far that it goes into governmental policy and makes life even harder for those affected. There is a lot of interconnection between the forms of stigma, and this makes the effect compounded on those with PTSD who have to keep themselves mentally stable while dealing with these different forms of stigma.

In conclusion, Medical Trauma is a very real and tangible condition. In modern society, it tends to be avoided in conversation even though it affects more people than one might think. There needs to be more discussion surrounding it due to how easily it can be caused, and how much it can impact the lives of those affected. The barriers facing the much-needed open discussion of  Medical PTSD are vast but not insurmountable. By validating those who are affected and spreading awareness about Medical Trauma as a whole, we can improve the health of the entire population.


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