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.


  1. I personally think it's a healthy mix of doctors who are in love with the power trip, and doctors who are sexual deviants. Why else would they not simply use an ultra sound or something similar for a prostate check? why else would they insist on the patient getting completely naked, yes naked...(wearing socks and an open gown with your dick hanging out is naked... anyone who doesn't believe that is either a complete moron, or just making excuses and nothing more) for exams or procedures that have nothing remotely to do with ANYTHING connected from the waist down? Why would they have made it standard procedure for so long to have anyone who was in any kind of trauma accident subject to a finger up the ass, regardless of severity or symptoms... (don't make sure they can wiggle their toes to check for spinal damage... jam your finger up their ass ... that'll tell you for sure if they can walk..)

    if doctors had to learn on each other instead of raping patients, I have no doubt they'd come up with less invasive methods pretty damn quick.


  2. Take a look at Brian Persaud v. New York Presbyterian Hospital http://law.justia.com/cases/new-york/other-courts/2007/2007-27546.html. A rectal exam was reportedly forced on Persaud by a female resident who was ordered to perform the procedure by an emergency room physician at NY Presby. Persaud found an attorney who filed suit against the hospital. The hospital appealed to a judge to make a summary judgement effectively preventing the case from going to trial. The judge refused, the case was tried, the hospital won. The legal theory used by the plaintiff had to do with the right of patients to refuse treatment even if to do so could cause them harm or death, unless the patient was not of sound mind. The plaintiff's attorney gave evidence that this right has been recognized by law since the early 20th century. One jury member gave her and other jury members' reasoning behind their decision. The reasoning was specious; the jury, in effect if not by design, used their power of jury nullification to ignore the law.



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