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Patient Modesty: Volume 64
In this and the following Volumes, there is no need to go
into more detail (and I will not allow that to be published here!) about
"unprofessional behavior" if it amounts to describing prurient sexual
interest and acts or frank sexual crimes by professionals. This behavior is
clearly wrong for a physician or nurse behavior and requires notification of
state professional boards in the United States and law enforcement as
necessary. That is the solution for that behavior. To educate the patient to
ask their provider "are you planning to manipulate my breast or genitals
for your own pleasure or do you intend to rape me?" are ridiculous
questions to ask at each medical exam or procedure. The way to feel confident in
the behavior of the doctor you plan to visit is by getting recommendations from
friends and neighbors and by visiting the state board website to see if there
are any "bad marks" for that doctor. Also, if the patient can have
the opportunity and afford (it certainly may be worth the expense) an
introductory visit to talk with the doctor about his or her experiences and
views (including religious) and at the start tell the doctor how you want to be
treated in terms of your modesty issues but also in other regards. I am sure
most patients will be able to size up this doctor and the doctor's environment
and enter for an examination at another time with more confidence that the
doctor has been "made aware".
What I want is this and the next Volumes to be directed to is listing specific
issues to educate and attempt to change the behaviors of the medical system to
make the system aware of the need to incorporate programs of attention,
mitigation or resolution of issues of patient modesty beyond current concerns
about medical mistakes, preventable risks, patients' medical record privacy,
ways to pay for patients' medical care and so on.
How do we do this beyond the one on one conversation with a doctor, nurse or
medical tech? It is all this that we have to discuss. And where do we start? I
believe I have previously mentioned for the United States: the Joint Commission
that sets standards for patient care in hospitals and a hospital not passing
the regular detailed surveys: no governmental Medicare or Medicaid payments.
In the next Volumes, instead of tearing down the medical system with
accusations (and many may well be valid), let's go ahead and progress to
"doing something" to meet the requirements for meeting the ethical
principles of "justice", "beneficence",
"autonomy" and finally "non-malificence" for all patients
of either gender and their own degrees of physical modesty. ..Maurice.
Graphic: From Google Images and modified by me with ArtRage and Picasa3
NOTICE: AS OF TODAY APRIL 15 2014 "PATIENT MODESTY:
VOLUME 64 WILL BE CLOSED FOR FURTHER COMMENTS. YOU CAN CONTINUE POSTING
COMMENTS ON VOLUME 65.