Tuesday, November 11, 2014

Patient Dignity 20: "It's called sticking your finger in my ass! "

Warning: This post is brutally honest and NSFW (not safe for work).

Physicians and other providers like to correct patients on the terms that we use. It is not a cock, a dick, a willie, mini me, or even Fred, it is a penis.

Does anyone know the reason human beings don’t like to use the words like penis and vagina, but prefer “pussy,” “cock,” “privates,” “wee-wee,” etc.?
Context. Those scientific terms are sterile and devoid of emotion. Those parts of our bodies are very emotional to us all.

This is part of the problem. There is a disconnect between providers and the rest of society. I would attribute it to the way providers are trained. 

What providers may find acceptable, the rest of society does not. Healthcare has granted itself privileges to our bodies that nobody else has. Not even law enforcement. 

Warning: the following example is to illustrate the control over our own bodies. It compares sexual actions to medical actions to illustrate the disconnect. . Although the actions are the same, the intent and purpose are different. 

There are married couples (partners, significant others, etc,) who are adventurous sexually and those who are vanilla. One area that is taboo for many is anal sex. There are many ways to stimulate the anus, but I will use digital stimulation for my example. 

There are people who will not allow this, even for the most important person in their life; their partner. Our partners are more important than healthcare. The species can continue without healthcare. It did for millions of years.

Yet, depending on our age, healthcare imposes an annual DRE on both partners. Imagine the psychological effect this has on people; healthcare imposing something a person would not even grant their spouse.

If a partner were to allow the other to try this stimulation out of love and trust, they have the right to say NO, otherwise it is considered assault (even within a marriage). 

Yet in certain situations (the ED), a healthcare provider can ignore our wishes and it may not legally be assault, but I am sure the patient feel assaulted. 

I am sure we have heard the adage of the American College of Surgeons in their Advanced Trauma Life Support (ATLS) is a training program: Reasons to omit digital rectal exam in trauma patients: no fingers, no rectum. 

There are some spouses who do not like their partners to see them undressed. In certain Jewish sects, intercourse involves a sheet with a hole in it. Again, healthcare expects us to annually undress and place our genitals in the hands of strangers (literally) for a physical exam. 

Going back to my example of "digital rectal penetration," from the point of view of the patient, whether it is a sexual tryst with a partner, or an exam (with appropriate draping and conducted in a professional manner) to make a diagnosis...

 ....it still feels like a finger up my ass!!!


I found this on cancerholocaust.com:

Do you see my point????

Thank you for reading.