What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I will too! ..Maurice (DoktorMo@aol.com)
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Let's hope this Volume 132 can continue with the needed emotional and intellectual support. .Maurice
posted by Maurice Bernstein, M.D. @ 6:18:00 PM
163 comments
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163 Comments:
Welcome Aboard.. I think the system for Volume 132 is working. ..Maurice
I hope this Volume 132 is working properly. ..Maurice
I’m responding on my end to acknowledge the new volume and was intrigued about the request of what the response would be from that urology clinic if a male was requested for the catheter replacement?
Would they accommodate or end up with a deer in the headlights expression.
Inquiring minds would love to know!
The valid response to Jeff is that there are virtually
no male LVNs in existence and if it is, as is the usual
situation, you will not be able to properly and safely
insert a Foley catheter into the bladder, you must have
the skills and caution awareness of a medical provider which will
be that LVN. It is just common current fact.."nothing more and nothing
less. And I know from experience and observation, male patients are
accepting the necessity of the insertion by a trained and experienced LVN.
There are some things in medical management where the patient has no
superiority to the skills of those in the medical system and every male
patient has to face this fact. Otherwise complications can occur which
puts the individual's life at risk. Of course you can't inspect the female LVN's mind at the time of the insertion but what is important that the Foley catheter is being replaced quickly and medically safely for the patient.
And my lengthy experience as a patient with women LVN is that is the
literal fact. ..Maurice.
Good evening.
Hope everyone is well.
I'm with Jeff on the catheter issue.
It's not about her as a professional or her abilities. It's the fact she's a female. Someone I've never met nor have I been with on an intimate level.
I have a mate that I took a vow with & she will be the only female that handles me much less sees me intimately period.
When I was single, having a female healthcare worker take care of my intimate medical needs if needed I would have had no 2nd thoughts about it.
Whether they like it or not, the american healthcare system must adapt to the changing times.
Men are no longer mindless bulls they can tell to leave your dignity & privacy at the door or don't bother asking for help.
If they refuse to adapt, then the blood of countless men whom they forced to walk away from the care they needed because of the way the healthcare system treated them, will be solely on their hands & they won't be able to lie their way out of it.
Males aren't asking for the world. They are asking for equality, compassion, empathy, integrity, & advocacy. The same thing they freely give their female patients.
That video on catheter removal should be SOP in every doctor's office & medical facility in this country.
If it's medically safe to do, every patient should be offered the chance to do it themselves in private.
,
Time for the healthcare system to wake up & embrace change where procedures are concerned.
Thank you NTT for validating my whole point in this matter! For all the years this blog has been running I think we can all agree to the need for sterility when placing a urinary catheter ! Doctor Bernstein it seems you are placing all the emphasis on the medical mechanics of the procedure while side stepping what I thought was the whole theme of this blog. MEDICAL PATIENT DIGNITY and how can we receive it? Although I have issues with unnecessary exposure which I have experienced on more than one occasion I thought that by now it would be Abundantly clear that the main issue is the gender of the person obtaining access to your most intimate areas! I have heard from multiple men on various sites that prefer women for intimate care and the only reason for that is they see what is being done to them through a sexual lens.and it is for the same reasons that other men do not want that kind of care by a woman when it causes you to feel embarrassed/ emasculated/disrespected and about a dozen other emotional words that could be chosen.
What has been expressed here for years is CHOICE or the lack there of and in many cases a total lack of transparency.
How do they justify causing someone to be triggered by their treatment because of underlying trauma in their past whether it be male or female and apply ambush tactics. The alternative is you don’t receive treatment because they are unwilling to accommodate and refuse to try. This is the price we all pay when an Industry has been hijacked by the greater need to make money and not so much to heal and do no harm
As an active male physician in the past and now retired since the beginning of
2021, I did, since before and still now, look to what is in the best immediate clinical value to the patient and look who is in the very best clinical value to
provide the essential service to the patient. Of course, I cannot look into the current active mind of the person rendering the service or the patient. No one can..but to me it is the results, the clinical outcome, the medical or surgical results of that is being performed on the patient. Every patient has their own individual rights and have every right to express and follow their wishes but it would be unprofessional not to perform clinical/surgical care on a patient who is symptomatically unconscious unless if clinically untreatable or if family member surrogates order to the physician to avoid attempts to begin medical/surgical treatment under the patient's current and expected permanent mental status. Every conscious patient has their right to define who is to treat them if the patient requires that treatment.
I hope this explains the basic principles in ethical medical/surgical practice. ..Maurice.
I am also confirming access to the latest volume and will soon respond the the latest comments by Jeff, NTT, and Dr. Bernstein.
EM
Dr. Bernstein you made a statement that this whole topic hinges on and I quote
Every patient has their own individual rights and have every right to express and follow their wishes.
You are absolutely correct every patient has the right to express their wishes and that is where it all ends. At that point to follow your wishes will more than likely leave you with the choice to except the procedure in the manner that they chose to deliver it or they will show you the door
I guess the moral of the story is wishes are like noses, everybody’s got one but rights are a completely different story
Dr. B., I hear and comprehend what you are saying in your last post but unfortunately far too many medical personnel do not either hear, understand, or both. Yes, we cannot look into the minds of others but we certainly can guess as to what their intentions are by their actions. And yes, patients who are unconscious and no next of kin available then treatment is given. That is acceptable but there again it is how the treatment is given is what I am concerned with as are many others here on the blog. We know that most of the time and even admitted to by a doctor (https://pmc.ncbi.nlm.nih.gov/articles/PMC8935547/ that patients are generally unnecessarily exposed during code blues and that he realized this and failed to act. This doctor said, "However, why assume respecting modesty and restoring blood flow are mutually exclusive?" Why indeed? He went on to say, "Rarely do I leave a code, regardless of the outcome, believing I did everything I could. Sometimes I don’t have the courage to try to cover the patient. Sometimes I don’t think about it until later. But by preserving their modesty without compromising the efficacy of their treatment, we can better honor the trust they place in us. Rather than wondering what they would have chosen if they only knew, we can ensure that they do know, and then treat them with the dignity they expect and deserve." So why do we keep coming across stories of patients being exposed unnecessarily and patients being forced to have intimate "care" given by a gender or even a person they do not feel comfortable with for that purpose? Why do we especially have female caregivers saying--I've seen it all before? - You have nothing different/special. - etc. Are they not taught that patients have the right to bodily dignity? Are they not taught that yes a patient being unnecessarily exposed by them is not the prime focus--it is about what the patient wants and feels comfortable with? Why are they not taught to deliver humane, compassionate care? What would happen in today's world if a male caregiver came in alone to a female patient who didn't want his care and he said you have nothing I haven't seen before? I bet we would see that in a newspaper. Female medical providers for too long have successfully been able to sexually discriminate against male patients. Again, I understand that you, Dr. B., believe in what you say and have taught but you are not the problem but rather it is those who do not follow your same principles. And yes, I do realize that some do not have an issue with whatever gender delivers their care but again this does not justify in what I am generally talking about--the need of medical personnel to unnecessarily exposed patients. JR
Usually the answers that patients get on forums like Quora to matters of patient privacy & dignity are either that it doesn't matter or that it is an either/or issue. It is as if they believe a patient cannot both receive good care at a clinical level and be treated in a respectful manner. They seem to think that asking for both is asking for too much.
Because I am well experienced in female staff being far more prone to needlessly exposing me than are male staff, I ask for male staff when that is an option. I accept the reality of healthcare demographics meaning that usually there isn't any male staffing, and I'm not going to deny myself healthcare on that account. My primary issue is the routine needless exposure, be it in the form of extent, duration, or audience. And audience includes chaperones which to me are at the top of needless exposure list.
https://www.nj.com/hudson/2024/12/jersey-city-doctor-charged-with-sexually-assaulting-patient.html This article should send up so red flags for those on this blog. An 88yr old male doctor sexually abusing/assaulting a male patient during 2 different visits is the main theme. First, IMO the doctor was too old to be practicing medicine. Secondly, it once again proves that same sex care is not safe or without its problems. Cindy and I do our best to inform/educate patients about good touch/bad touch in medical encounters. We have done numerous shows on what should not happen during a medical encounter. If you read the article be sure to scroll downwards as there are more cases of sexually inappropriate medical encounters listed. JR
JR since the horrifying humiliating experience, I had with open-heart surgery combined with other humiliations placed upon me in other surgical settings always at the hands of women. In recent years I’ve been digging into my past specifically childhood through the help of a therapist. Only to find out piece by piece of multiple incidents of blatant humiliation fostered on me by women of Authority. I have come to understand why some of the treatment that I received in a medical setting felt like more of the same disrespect and humiliation being placed on me by women of Authority (and what they did WAS disrespectful ) the deep wounds and scars left on me in my early developmental years by what I would classify as cruel women, all of that lay dormant in me throughout my adult life until I got introduced to the medical world and it manifested into one of the most traumatic triggering experiences of my life. That is why I focus and zero in on women stripping me naked and handling my genitals.
You have clearly and accurately described on many occasions the differences between what motivates female versus male medical professionals to violate patients. I believe that almost all literal sexual violations that involve an actual sex act are committed by men and men depending on their sexual orientation can will and do violate both sexes. Women on the other hand are generally motivated by other reasons and are much more clandestine in their approach and operating on different motives they-usualy pivot around power and the pleasure some of them achieve by watching a man turn red in the face and seeing how much humiliation they can inflict on a man without ever losing that persona of a true professional. This is not the case for most of the people in the medical profession. The hard part for a patient (actually impossible) is telling the good from the bad. Is this close to the way you see it?
In my case with my experience and background it doesn’t matter because a woman for me in that setting will never cease to be a woman of authority with all the power over my vulnerability.
Intimacy with a woman for me doesn’t happen like that although they claim there is nothing sexually intimate about it I beg to differ. All you have to do is read some of the Dictionary descriptions of what intimate touch is . When they speak of the erogenous zone ! Is the hospital an erogenous free zone ? Or is that achieved with a pill or an injection?
Sorry for being so sarcastic but none of this is that hard to understand or figure out
Jeff, I completely understand because my husband no longer females involved in his care period unless he is fully clothed. Until he was sexually assaulted/abused, he didn't have that issue. Although he didn't like it, he tolerated it like so many men do because they feel they have no choice if they want to receive healthScare services. Even though I am female, I would also say that women in authority do have axes to grind. They especially love grinding their axes on men but make no mistake they will also harm other women too. Women get by with abuse more than men because women can hide the abuse over the falsehood that women are nurturing, compassionate, etc. and this holds especially true for women in the medical field. I have found that while people will talk about male medical providers in a negative manner, they are less likely to do so about a female provider. Yes, men are more likely to act in a sexual manner but that is changing and women are becoming more and more sexual although like you so well described many women still do their harm for different reason.
I just want to make sure those who are seeking same gender care realize it is not the cure all as it also presents unique harm situations which is why I preach/highlight no unnecessary exposure. And yes, since it is your body you get to decide how you feel. The "naked" experience isn't about what the medical personnel think or feel but rather should only be viewed from the patient's perspective as they are the naked one. I have read so many articles abt medical students having to become used to seeing patients naked but where are the classes for the patients as they are really the ones who matter? JR
As a former first and second year medical student instructor for "Introduction to Clinical Medicine", my view to the students and the view of the other instructors was that these male and female students must attend and follow the privacy issues presented by their patient who accepted their presence. And the students obey. ..Maurice.
Dr. Bernstein, I hope you & yours & your home are far from the fires currently raging in LA. It staggers my imagination what I am seeing in the media.
Concerning Jeff's recent comments, I agree that men are far more often the ones who sexually assault, usually females but sometimes males too. Though it may seem that assaults by women have grown more frequent, I suspect that may be more a reflection of the legal system finally being willing to acknowledge it. If the steady stream of female teachers being arrested for statutory rape of their male Middle School & High School students is any indication, it seems that women are more assaulting minors than adults. However it could be that few men are willing to bring assault claims to authorities.
What men more commonly face is needless exposure by female healthcare staff. Some may just be poorly trained and unaware of what they are doing wrong. Some that are aware may be driven by the power dynamic that Jeff & JR mentioned; their enjoying the embarrassment of their male patients. If the patient is young, fit, and/or good looking, or if he is otherwise porn star material, the incentive might be basic voyeurism.
Just as male pedophiles found safe harbor in the priesthood & Boy Scouts for many years, female voyeurs & those on an anti-male powertrip still to this day can find safe harbor working in healthcare. This is almost always women below the physician level.
There are bad apples in every profession. The problem with healthcare is that they rarely weed out those bad apples.
Biker you tied in a very good point with teachers and students, Priest and scout leaders and young boys all being places where pedophiles, voyeurs and sexual predators can hide in plain sight. What would make anyone think or believe that medical settings would be any different?
Patients are probably the most vulnerable of all! it just takes a lot more effort and education to be allowed in a position that gives you that much access. Even that is not necessarily true if you consider medical assistants and CNA’s that require very little training. And chaperones can be the receptionist with no training at all.
All of the examples given by Biker have one thing in common they are all positions of trust and Authority and the one that is afforded the most trust and the belief and claim that they would never treat anyone with anything other than the upmost respect and professionalism has been proven to not be true in many documented cases.
Many people refuse to believe they have been handled in a way that didn’t require the amount of exposure they receive but once you do how and who do you trust going forward?
I just read an article that blew me away that everyone needs to read .
If you Google “ the legal and ethical imperative of explicit consent in intimate medical procedures” the article will come up
Jeff,
https://aihc-assn.org/the-legal-and-ethical-imperative-of-explicit-consent-in-intimate-medical-procedures/
The author of this article, Shelby, is the wife of a man who sexually assaulted/abused during medical treatment. She and her husband have een on our radio show and she works closely with Misty. Shelby wrote another article that was published in Voices in Bioethics, November 2023. https://journals.library.columbia.edu/index.php/bioethics/article/view/11927 Shelby is another wife who is not going to passively allow her husband to be abuse while seeking medical treatment and she is also a survivor of medical sexual harm when she was a child. JR
JR I remember when you had him on and I remember reading what happened to him. I didn’t Connect her name to his story . It is an excellent article and the issues that exist couldn’t have been spelled out any better. I got it from a site that I follow called #medical me too which obviously you are aware of.
Now that you pointed that out it all makes sense THANKS.
Jeff, They used aliases as they were pursuing legal action at the time. JR
Good Afternoon:
Shelby Harriel beautifully explained the issue we face in both articles. It's too bad, the healthcare system isn't listening because state & federal government isn't forcing them to.
The state legislation to stop unauthorized pelvic & rectal exams was a start be they must take it further however, I know from talking to elected officials in my state, they don't have the spine to go up against the medical community & make more rules for them to follow. One rep told me just getting the pelvic law was like pulling teeth.
Oh well, the fight goes on.
A pleasant evening to all.
Regards,
NTT
NTT, and if legislators won't ban non-consented pelvic exams of unconscious women, anything and everything else many of us would like to see isn't likely to even warrant an initial discussion on their part. Change will only come from patients speaking as and when they deal with the healthcare system.
There is no doubt in my mind that from a medical clinical viewpoint there is
an absolute value to the ventilation of information and personal perspective
which is written here on this "dignity" topic but on every other topic on
this Bioethics blog. It is both supportive or clearly informative to all the visitors to this many many year old blog. ..Maurice
Hello,
I'd like to relate what happened during my son's (age 52) recent hospital visit. I wheeled him in a wheel chair into a large room with six beds surrounded by curtains. I helped him onto a bed and, the nurse asked him to put on the gown. She said that only his shirt needed to be removed and, she closed the curtain. She asked if we were ready, opened the curtain and, said that I could sit in a chair near the bed. The doctor entered and spoke with my son re draining his abscesses. My son indicated that he was hoping for drains for the abscesses instead of just a one-time draining. The dr. said that he didn't think he had drains small enough and left to check. He found possible drains and, told my son that he would consult with my son's dr regarding them. After a short while, the dr returned to say that both doctors agreed to try the drains. The dr began prepping my son's back for the insertion of two drains for abscesses near my son's spine related to a previous back surgery. He lowered my son's pants a bit and placed a towel over a small portion of the top of my son's buttocks to (as the dr said) maintain his dignity. The dr readied an ultrasound unit and began the operation. He periodically asked my son how he (my son) was doing and, even asked me to turn off the lights that he didn't want to touch with his gloved hands. The doctor sutured the drains in place, gave the nurse instructions for my son and left.
I was astounded. The doctor actually listened to my son and allowed my son to voice his (my son's) requests. The dr actually agreed. I was not asked to leave. I did not gown. The dr was concerned for my son's dignity. I was treated as if I was an actual person. As we left, the nurse even thanked us for coming and wished us a nice rest of our day.
From what I've related, I'd suggest that hospital protocols need not be set in stone and, that patients and their caregivers can be treated with dignity and respect. However, finding the right hospital might be a challenge.
I hope that others here will have similar positive experiences.
Take care.
Reginald
You know to write the hospital admins about this. Wish they would teach other facilities this is how its done. With this kind of respect for patients id be glad to allow students. Cat
As folks here know, there are many possible reasons for feeling as we do about how healthcare is delivered. After more than a year of thinking about my reaction to an experience and then running a followup experiment of sorts I think I now understand what one of my drivers has been.
That prior experience was my not being embarrassed or self conscious with a female nurse's presence for a cystoscopy. I had always been somewhat embarrassed & self conscious previously with female nurses, but then this time I wasn't, and I didn't understand why. For several years I had male nurses but one wasn't available this time. The experience perplexed me, so this year I decided to not ask for a male nurse and see what happens, though I was hoping that if I had a female nurse it would be the same one from a year ago.
While waiting to be called I saw that they had a male nurse and almost went up to the desk to ask to be assigned to him, but then convinced myself to just take my chances. An older female nurse came for me, and I again found that I wasn't embarrassed or self conscious with her. It left me very perplexed but after thinking about what commonality there might have been last year and this, I realized what it was. Neither viewed me through a sexual lens.
How can I know this? A lifetime of being viewed that way. Starting at age 15 girls were throwing themselves at me and it continued in work settings, social settings, pretty much any setting, even in front of my wife. I learned how to react (or not react) in ways that wouldn't embarrass or encourage them. I always knew when it was happening and in non-healthcare settings I could control the situation because we were on even ground.
In healthcare settings it wasn't an even playing ground. I was undressed and powerless and they were dressed and in charge. I could tell when I was being viewed through a sexual lens, and it made me uncomfortable as I never wanted to be judged on my looks but rather intelligence & personality. Some would say it was a good problem to have but I was never fully comfortable with it.
Realizing that the commonality between last year's experience and then again this year was my not being viewed through a sexual lens was liberating, especially since I am now perhaps old enough that it isn't likely anyone working in healthcare will view me that way anymore. That said, next year I will go back to asking for male nurses to do my prep on account I know I will be comfortable with them.
I think one root of the problem of male patients being treated badly in this instance is there isn't any accountability for the female staff embarrassing the male patients. It's much harder for a female to cover up feelings of humiliation and often will cry. A large ratio of the Healthcare workers aren't feeling sexually towards the patients but who ever set things up the way they are weren't doing anything out of pure or innocent motives. It was never a coincidence when most gynecologiss were male. It isn't a that the surveys limit what a patient can complain about.
My sister talked about how bad the staff was about violating her modesty to just whoever else happened to be around. Ok. This doesn't have to do with modesty but my sister was told she only had a year left. Her doctor was adamant about that. She ended up dying after 3 years. Just a couple of weeks ago. My question is did she die of Cancer or the Cancer treatmentc JF
Good morning.
I read your comment Biker.
You said an older female nurse came for you. Could the fact you dealt with an older female nurse instead of a 20-something nurse have been what made you feel comfortable with the situation.
Some men are more accepting & more at ease when the opposite gender caregiver is closer to their own age.
Regards,
NTT
NTT, it's possible that her age was a factor. I think most guys find it more embarrassing being exposed to young women. In this case, I think it was more her attitude. I could tell that my exposure didn't mean anything to her. The interaction almost got off to a poor start when she asked me if I wanted a gown. It startled me and I responded "yes I do, I'm not an exhibitionist" but even then I knew for her it was just a practical question in that the gown would only provide cover as I walked about 6 feet from the changing room to the table. She took no offense at my response.
Once I was changed (in private in an adjoining room) and on the table she proceeds with the prep and we had a nice conversation. Turns out she is a travel nurse from the South. She was planning on giving up on the travel and returning home to her family and going back to working in pediatrics. I found it interesting that urology was not her area of interest.
So again, given my life experience, I just knew she had no interest at all in me or my exposure. There aren't many advantages to getting older, but for me I now realize that healthcare interactions might be a bit more comfortable than they were in past years.
Something about what you and BRT said made me remember about a memory from recent years. I don't believe my coworkers got sexual gratification from seeing our elderly patients nude but they DID however get something out of exposing nude patients to other patients. One coworker insisted on leaving the door open in case somebody fell in the hallway we'd be able to hear them but this same coworker would leave the building at night for two or three hours I tried to protect the privacy but sometimes met with resistance. One coworker just told me No. She's just gonna see his ass I should have turned her in but I strongly suspect it wouldn't have been taken seriously anyway. If I'm spelling badly I'm sorry. I'll be getting cataract surgery in a couple of months JF
JF, were those co-workers very young? Most of the stories I have read about sexual improprieties directed at nursing home patients involved very young staff.
Different ages. Younger than me. JF
One of the worst experiences I’ve ever experienced was at the hands of a nurse in her fifties. Age doesn’t always matter. For me gender is the issue not the age. It is always possible that after years of being desensitized to exposing patients it becomes so commonplace that what can be perceived as professionalism is really complacency. When it comes to that kind of exposure to a woman I want it to be meaningful (like in a relationship) not meaningless. That is when I feel disrespected ,dehumanized and emasculated. I know everyone doesn’t feel that way but I have a long history of abuse by women in authority taking those kinds of liberties with me going back to childhood. For men they only have one option, let women expose and touch you intimately or forgo treatment
Biker all different ages all younger than me JF
Greetings to All,
I have not contributed in a while and thought I would comment on the topic of whether or not the age of medical staff makes a difference. I am also more leery of younger staff and would be more comfortable with older nurses as I perceive the younger staff to be more immature and prone to the types of behaviors that I see illustrated on AllNurses or in Facebook memes (body shaming i.e. a scared turtle needing a catheter). I have a slight twist to Biker’s perception of whether the nurses were looking at him through a “sexual lens”. I have never felt that a woman is looking at me in a sexual way but I find that if I do not have any potential sexual interest in the nurse, I find the situation to be much less troublesome. I am more concerned with the intentional humiliation through unnecessary exposure.
I may be forced into coping in the near future as it turns out that my ESWL procedure to fragment my kidney stone did not work and a 6x5mm stone still exists. This may necessitate an ureteroscopy with laser lithotripsy which is the procedure that caused me the most anguish 11 years ago and brought me to this blog.
In a side note, I have been looking for volunteer opportunities in my community and have decided to apply at a local hospital. In addition to helping relieve work pressure on the nursing staff by performing menial tasks not requiring medical training, I hope to gain some insight into what actually happens in a medical environment from the inside and will be a “fly on the wall”. If I observe positive interactions affirming patient dignity, it might help lessen my concerns or at least make me feel that the bad behavior is an exception and not the rule. In addition to the menial tasks, I am thinking I could be available to lessen another modest man’s discomfort by being available to assist in dressing or other activities where exposure to women is embarrassing to the patient.
EM
Sounds like a great plan EM.
TC
I couldn't help laughing months ago when one nber really expected Trumps medical czar to help with same gender nurses.
I am back here only directing my observations to any liberals on this site (probably none) as I've made it clear what I think of Trump supporters.
I've been suffering decades with chronic dizziness, not taken seriously by physicians, & now virtually going blind with photophobia. (I've had tinnitus & pressure in the right ear. A new term, vestibular migraines applies. I can't get my so called "expert" neurologist to keep the initial appointment, & tomorrow having an emergency eye exam. The overall shin, foot, back,thoracic radicular abdomen & ribcage pain was & is overwhelming.
Wednesday, February 19th at 05:25 am I made a 911that I don't remember, however it's 8 minute length does indicate a high level of cognition as I have & a total medical history rundown. I remember their doing a CT scan to see if I had a stroke, no concerns in my part over a stroke, my symptoms are decades in the making.
I blacked out until about 12pm, & was discharged from a Barstow hospital at 3pm. (This is the same hospital I had praised for the dignity shown me during my 04/03/23 knee scope,)
On February 21st at 3:06 pm the "ordering ER doc" got from LabCorp negative" fentanyl test results, which absolutely shocked me. Again, I was coherently advocating for myself & refused a urine test at which point the ER doc ordered to forcibly catheterized me if necessary --so the records indicate. If that happened, it would've erupted to extreme violence.
A 50 hour drug test precludes trying to "save my life" with a sense of urgency. The test was cynical & a result of profiling & stereotyping residents of this scummy "hi-desert". I don't socialize since leaving Malibu in 2001.
Blackened out or not, my moral compass is s constant. One & done inquiry about recreational drug use & take me at face value: no urine tests & treating me like a scumbag (the fact the test was negative vindicates me!)
The risk coordinator, going into the corporate protect mode, & reading from the records w/o interviewing the guilty parties, asserted 1) I wasn't catheterized 2) I wasn't urinated in the bathroom in privacy, not in room 4 where I was observed & supervised & it was a "clean collection" (by Google's definition means my genitals were washed in contrast to "midstream")
Questions arise. Was I told of their plan to catheterize me (probably not) was I scared into urinating (I suspect that aftee hours there I simply had to go) the catheterization orders were behind my back, but it's not a matter of "no catheterization? No harm, no foul" The threat in itself is a sexual assault)carried out it's sexual battery) & is causing me complete distress.
I called the city police & they laughed at me,& told me doctors are allowed to do anything they want in t4eating patients, & to consider civil suits.
I thought be if a doctor grabs you or rips off clothing you should call 911?
TC
Patients that present to the ER exhibiting what the ER staff see as indications of possible drug abuse or mental disorder, whether either turns out to be correct or not, are going to be subjected to whatever tests the medical staff deem necessary to figure out what is going on and to stabilize the patient. It is not always possible to know what the issue is beforehand, nor is every patient in a position to accurately convey what the problem is. Figuring it all out and doing what they have to do is the nature of ER's.
I've gone to the ER when experiencing severe vertigo-like episodes, and I know what the issue is given it's happened before, but the ER staff will still do scans & other tests to definitively rule out a stroke or heart issue. Despite what I pretty much know with certainty the problem is, the ER staff don't and do what they have to do to ensure they are treating the correct problem. Maybe one of these days it will be a stroke and their diligence will have paid off big time.
Out of curiosity, a question here for others as concerns sharing what you know with those who don't. A good friend developed a hernia. He is very fit and healthy and as such has had very little experience with the healthcare system. In speaking with him the day prior to his surgery it was evident to me that he didn't know much of anything about what was going to happen. He had met the surgeon and based on what he said I surmised that her physical exam at that appt. was somewhat embarrassing for him.
The surgery was to be at our small local hospital. I chose not to tell him that he'd be naked on the table as he was shaved with what most likely would be an all-female team observing, possibly including nursing students or kids shadowing the doctor, then prepped by that all-female crew, and then naked again on the table as he got cleaned up, and then likely with his gown being lifted by the female staff in post-op to check to be checking the wound site. I was also thinking he is a very well known person locally and the odds of no one in the OR knowing him was fairly remote. I thought best not to say anything as the surgery was necessary and adding to his nervousness would not serve any purpose. Is this how others have handled this kind of scenario?
I forgot to add one thing. Had I known my friend was going to be having this surgery back when he was 1st going to his primary care doctor, I would have suggested he consider going to one of the 2 large hospitals that we have just a couple hours away if he would prefer being more of an anonymous patient rather than a known local entity. At that point he could have asked to be referred to a surgeon at one of those other hospitals. Finding out a day before the surgery it was too late for that, hence no point in adding to any nervousness.
Biker I think not telling all the dirty little secrets to him was pure compassion on your part not to cause him any undue anxiety and fear. The concern is he finds out as he goes through the process on surgery day what he will ultimately endure and him wishing someone would have told him. That is the problem with the medical world is they intentionally avoid mentioning any of the more unpleasant parts thinking they are doing you a favor by taking the ambush approach when actually they could be doing you lasting harm emotionally which is what happened to me. That is up to them to make him aware not friends or family who are more familiar with how things go but as we all know that rarely happens.the fact that he was willing to see a female surgeon for this knowing the proximity to the genitals a hernia is he must have had some idea she would be looking at and poking around his genitals? I see your dilemma to tell or not to tell? I think you did the right thing! Quite often the shaving and prep is done after they knock you out and you have no knowledge of who did what and how many watched. If the shaving is done in pre op he will soon know how it sits him. I wish him all the best.
Jeff, he went to the surgeon that his primary sent him to. I don't think he knew it was a woman until he got there. If it were me my concern would more be the likely all-female OR staff that does the prep & cleanup and the fact that odds are I wouldn't be anonymous. When my wife was there for a kidney stone removal, one of her OR nurses was a neighbor. I would instead drive to the hospital I get all of my scheduled care at which is 1.5 hours away. I
TC replying to his own post here, & anxiously awaiting to hear from my highly esteemed PCP, who claims to be trying to get to the bott of the ER visit, & get records from last week,which they are reluctant to send her.
I am prepared to take some responsibility for what happened depending on the 911 tapes
.
That said, a conscious patient that refuses to give urine, & whose vitals are good, IS RESPONSIVE..An order to "catheterize if necessary" is simply a blustury retaliation, & a power grab in reaction to a patient exercising his right to say NO. That aspect is unforgivable. Catheterization is the worst thing that can happen to me. I'd pour kerosene all over myself & strike a match first. You all know how I ripped a Foley out after a carbon monoxide suicide attempt, & staff retaliated by tying me up for 6 days after. The write-up the board of health gave them was a just pittance of vindication. I don't regret it, healthcare workers are generally pigs, & that was a consummate gesture of contempt for them.
I'm not grateful to those assholes for "saving" my life, I intended to end* (especially the filthy gay, ER nurse who catheterized me, & later visited me in the ICU just to scrub my genitals, contaminating me with his filthy, while saying about the infection it's SOOO gross & disgusting (not as disgusting as he, the s with an ostensibly stereotypical lisp) already had a designated asian female ICU nurse on my genitals all the time, she knew how much I hated her!
*This isolated private place is a Godsend. I'll be able to cleanse myself of that F----'s sexual assault.
TC
https://archive.nytimes.com/cityroom.blogs.nytimes.com/2008/01/16/forced-rectal-exam-stirs-ethics-questions/
The ultimate medical "no means no" story. This can't be new in this group, though probably forgotten, & I've read tons of articles on this, but the victim had a forehead gash requiring four stitches. (Me too I'm 1961, but no DRE. Dr B can probably confirm that concerns about SCI aren't significant, unless the injury is at the base of the back of the skull.
This exam was as bogus as "catheterize him "if necessary".
Hilarious that when my PCP encouraged me to call 911 on 02/12/25, I emailed her this article & citing how stupid anyone is to go to an ER given "implied consent " meaning license to molest. Then on the 19th I really set myself up.
Sadly a jury of the victim's peers sided with the perp (or perv's more apt). That is the authoritative personality disorder. Brownshirt & Blackshirt types invariably siding with the experts against their own interests.
TC
TC
Again, Jennifer at Hospital "risk management" told me that restraining patients for unwanted catheters isn't their style, never, but what kind of idiot willingly accepts a catheter after refusing to urinate? Duh!
Jennifer told me that my urine was a "clean catch" done in privacy in the bathroom, but that, by definition, means midstream & washing the penis -- like I'd do that in my own
TC
TC
The facility is stonewalling my PCPs 02/19/25 STAT request for those ER records .
In the face of OCR complaints & lawsuit threats, they will alter the records.
11/07 I had an initial consult with a orro guy for bilateral knee scopes, he agreed no genital exposuse
The surgery scheduler got frustrated with the ordeal of arranging transportation, had concerns about "bilateral", my age & my solitary living status. A red flag on Dec 7 or 8, when in MyCHart the surgery venue was changed from the Palm Springs facility to the big hospital in Rancho Mirage.
The surgery schedulercwent behavior nd my back & r talked the doctor into moving the surgery from the Palm Springs facility to the big Rancho Mirage hospital for an overnight sta for a damn scope! I found that out 12/16/22 & went ballistic.
All sorts of complaints & threats, & the MtChart entries were altered. The change in venue deleted, the initial 11/07/22 consult was changed to look that I agreed to the overnight stay at Rancho Mirage from the start!
My PCP did her residency at that big hospital the altering of records didn't surprise her. I wish I had screenshots of before & after.
This is why I'm so violent in my dealings with medical people. They're scu & deserve no mercy!
TC
Also too those here using measured language to vaguely rationalizing the ER staff's mistreatment, please remember that fentanyl tests take more than 48 hours can't be relevant as an "emergency measure"! No one can argue they were saving my life when my vitals were good & I was walking around & soon to be discharged.
I now can surmise that the hospital is federally funded, & the feds wanted the fenyinyl test for demographical reasons, to keep an eye on the desert white trash & keep us in line.
I can qualify this. At a federally funded desert care network clinic for years at every intake, the young MAs gave me the third degree about tobacco, drugs & booze the way my mother did 50+ years ago. Given my health agenda was ignored, they only cared about federal $, I always got mad about it. it came to a head in 2019 when the NA asked me about recent sex, (I'm surprised my reaction didn't lead to a dismissal.
09/21/21 I saw a Dr A just for pattafay eye drops (now available over the counter) he tried to tell me that a blood panel (I hadn't had in 4 years) was "indicated" for that the eye drop contraindication. (My rheumatologist did lots of blood work that Dr A didn't know about)
I had to go to the ER for the eye drops she forgot to prescribe instead I got a requisition for everything, including an echocardiogram, a PSA, and Help C test. I only saw it when the results returned. I fired Dr A, voiced my resentment about the lifestyle implications of a hep C test (no needles, no tattoos, no blood transfusions & openly celibate for decades due to poor dating options. )
The clinic apologized for Dr A's aggressive hijacking, but rationalized that the NCDC wanted that info. I exploded, "WHERE IS IT TATTOOED ON MY BODY 'PROPERTY OF THE FEDERAL GOVERNMENT'? No I'm here as a medical consumer, have already given my social history just once, never again unless I seen it relevant
The 3.7 PSA wasn't a no harm no foul. It came back to bite me.
Going to another clinic & seeing PA C.M, was jumping from the frying pan into the fire. PA C.M told me I'd have to get my Cardura (ostensibly a hypertension drug with secondary urinary benefits) from a urologist. I was 65, no fear of cancer, no desire to live to 90, will never see a urologist again, & and she replied, "but your PSA is 3.7"
"BUT NOTHING....., as I continued on a vesuvian tirade that could be heard past the walls of the facility.
I returned to the first clinic to try out an NP back from maternity leave, & they told me I was Dr A's patient & couldn't see the NP. it took months of bellowing over the phone,"Dr A was fired immediately, I'm no less her property than I belong to the feds. " yeah I do a lot of bellowing because people aren't reasonable. It like being trapped in Green Acres.
TC
TC
How can anyone say that medical aren't evil & are drawn to the inoble craft by a desire to control others
Pigs! . https://www.cbsnews.com/news/anal-probes-enemas-ordered-after-nm-traffic-stop-lawsuit-alleges/
TC
Addendum to the knee scope surgery it was around 11/07/22 fur the initial consult, & the problem was that theuvrefise to give a tine of the surgery until the day before. Impossible fur me.
TC.., or this!
https://www.nydailynews.com/2013/12/19/woman-faced-illegal-body-cavity-search-lawsuit/
None of those hospital adm
inistrators or workers were forced by border patrol & law enforcement to do that irredeemable act. So much for the Hippocratic Oath. A mockery. I'm not exaggerating when I say that a moral compass is usually absent on those chosing medicine (yeah some exceptions, my PCP, who even describes her colleagues as "God complexed.
Very obvious but overlooked fact, that just because the healthcare Nazi's say they're not sexually aroused, that doesn't make forced exposure any less a sexual assault.
TC
Now on a roll & can't stop samctimoniously bashing the guilty.
Another evil thing that doctors do is while working for the SSA, examining turning down people who àre clearly disabled, & saying they can & should work. Even turning down down ALS patients, who die awaiting their hearing. (Please don't say "if not for all the fakers...," )
Even the doctors outside of the SSA who've treated me have asserted little wrong with me . A LLUH neurologist wouldn't sign my SSI papers & I had to rely on another neurologist, from India for that -- who pulled my pants down w/o warning or permission. I was too vulnerable to fight her.
I've fallen off the cliff & will see an NP @ LLUH. I'll have recent brain & back MRIs, but I wonder if I'll face the threat of her testing cremasteric &/or sacral reflexes . I don't want to impede her job, & my legs are weak, & lots of neuropathic pins & needles, but no saddle anesthesia & no incontinence . I'm still at a point where medical people still shock me with their brazenly aggressive, "birthright" for access to my private areas. Looking back at these last 3 years alone I simply can't believe it
TC.
Biker,
Given the short time frame and the fact that he went ahead with the examination with a female surgeon, I think you did the right thing.
My first surgery (cervical spine) required a catheter per hospital policy and I wasn't particularly pleased about it but didn't really think about it much until two years later when I had my problem with the urology procedures and my learning of this blog. It was then that I got the surgical records from the spine surgery and was very upset to learn that there female nurses inserting the catheter as well as finding out that there were observers causing me more upset.
My point is that perhaps your friend will not be bothered enough to research what happens during surgical procedure. He could remain blissfully ignorant and therefore not be troubled or upset.
If he expresses embarrassment or discomfort after the fact, you could share your experience and knowledge and let him know how he might proceed for any future surgeries and how to lessen the discomfort.
EM
TC here, & my inquiry is directed to Dr B
Question: what should be our greatest concerns patients face in terms of future of our healthcare"
ANSWER: "Corporatism! All medical facilities are either non profit, or profit, but all the same, corporations have the lawyers we don't have, they have the money we don't have, & they lobby politicians to make the rules of the game in their favor, not ours (the patients) .
With the political pendulum swinging so far to the Right, it can only get worse with all the activist Supreme Court decisions making it for & by the corporations, the little guy hopelessly manipulated."
So Dr B: Is this a direct answer to a direct question? (Regardless if you agree or disagree) Or is this answer somehow an unsuitabley inappropriate response?
TC (eagerly awaiting your answer
To maintain the worthy title of this blog: PATIENT DIGNITY and all the interpretation and the readers personal definition of their dignity, I must
not set my own interpretation of my readers' wants. I must allow the
readers to set and express, if they wish to participate, their own
interpretations. This self-expression, hopefully, will maintain their own
individual dignity. ..Maurice.
TC post part 1
Dr B,. Please be more direct. My question to you is waa my answer inappropriate enough to warrant omitting.
That question about the direction healthcare is going (I am paraphrasing appeared in Quora' "Advocacy for Change" appeared early last Autumn.
I gave a pointed, straightforward legitimate, insightful answer, that the lack of healthcare quality & dignity is a mirror reflection of our corrupt, conservative political system.
I got a notice in big red letters, that my answer was deleted by an Advocacy for Change administrator. I had no recourse, no one to contact about the blatant dictatorial censorship.
NOTHING inappropriate I'm my answer. It was deleted by a conservative administrator, "Beverly" or "Cat" (the only two) who didn't want my informed, opinion put out there concerning the peril of my dignity (& theirs) being expressed. My post, putting the obvious blame on the Right, was censored by conservative Quora Advocacy for Change, because it was liberal & they didn't agree, & they had NO CHANCE of winning a debate with me.
I'm calling shenanigans there in Advocacy for a Change. It formerly had given me a literary safehaven, but ultimately proved a sham. In censoring my observations they dishonored themselves, and their posted complaints of hospital dignity assaults on their husbands has lost credence, & they commensurate lost my all respect.
Cat would be able to shed more light on this, but I extricated myself from that farcical sight because it suppresses intellectual honesty -- which I place above all.
That suppression,the censorship was the trigger behind my tirade in this group on 11/06/25 in which my claim of dumbasses in this butthurt domeone. (liberals are t dumbasses). It was the last straw when Trump's minions poured billions of dollars into "Swiftboating" Harris with LIES: negative ads about her giving free sex changes to prison inmates. That, along with gerrymandering & suppressing million of votes (that would've still gotten Harris elected) is a mirror reflection of how conservative Advocacy for a Change administrators operated by suppressing my very direct, accurate, truthful answer.
Cat, what say you as one of the administrators ? Was it you, or Beverly.
TC
TC Part 2
Ive presented posts on forced, public school nudity for boys swimming only. All those law suits by decent parents to end the humiliation were shot down by conservative court rulings
When women (& men) are humiliated, sexual degraded & abused by cross gender cavity searches, it's always conservative courts shooting down the ACLU Lawsuits trying to end prison abuse. (25% of Alabama female inmates are raped by guards).
I don't understand this group's blatant cognizant dissonance here. Those looking to conservative corporatists to set limits on cross gender nursing. They only care about hospitals & prison facilities, making a buck by doing what's most expedient.
Conservative courts don't want consensual nudity, especially if it's pure & pleasurable. To them it must be agonizingly forced by clothed, authoritsrisnd in prisons, hospitals schools & airports. Hellish humiliation for the subjugated victim. That's the conservative way.
Wake up & smell the coffee. If you support right wing ideals & vote conservative, you get the opposite of what you want: a bizarro world.
TC
TC here
I want to stipulate I was paraphrasing both the Quora question & answer now unavailable to me now, but the gist of things Iade clear. I pointed at conservative ideal of "corporate personjood" as the single impediment to quality,dignified healthcare & my post was censored because it's liberal
TC, across my adult life federal administrations and congresses have gone back and forth between Republican and Democrat control. Both parties have plenty of their own judges out there that they try to get their cases heard before. No matter who has been in control, nothing has changed for patients as concerns the topics discussed here. Behind the scenes the R's & D's of Wall St and DC are all part of the same club that shares in the spoils of the system. Big pharma and big healthcare donate to both parties so as to have whoever wins beholding to them. There are no shining knights in top tier politics or corporate circles looking to address anything discussed here.
To the unidentified person who addressed me I must remind you that Democrats stopped being liberals 50 years ago, largely thanks to supreme court rulings giving corporation "persinhood" & unlimited campaign dollars somehow "free speech"!
Please Mr or Ms anonymous get Democrat & Republican out if the liberal/conservative ideal equation. Ideals are ideals
Eisenhower was a republican, but his moral compass & ideals were quite liberal.
Google the 1956 republican platform & it reads like a Marxist manifesto )in the eyes of brainwashed conservatives )
Read Eisenhower's letter to his brother (in which he expressed concern for the end of social security & farm aid; or his cross if I run speech, or his departing mikitay industrial complex speech.
This has been an erosion of human right & middle class so slow, so incremental that you guys aren't noticed
I do concur with you that the way things have become, it's a hopeless fight & too late!
I’m not sure who wrote this but you are 100% correct . I have lived through multiple administrations (many of them two term)and seen both parties control congress and have seen no movement on either side that benefits my needs. So endlessly ranting about one party or the other is of no benefit (at least not on this site)The fact is if you throw enough money at either party you will get what you want or maybe you could save some money if throw it directly at the people involved in your immediate care and watch how fast they find ways to accommodate. Now all I need to do is find the money 💰 LOL
TC last remark to Anonymous by TC
Well my PCP has gained me. All she had to do was call the hospital & talk to the attending ER physicians immediate supervisor, & ask "why the needless threat of a catheterization" on my patient!
She's been very sweet & patronizing in the portal, but the lack of action has prompted me to bombarded her staff with calls -- which she asked me to stop doing -- bother her on the portal instead.
After asserting that the catheterization order seemed unecessary & bothered her, she finally told me she want call the hospital & make any inquiries about the abuse I faced on 02/19/25
It really takes someone lacking a soul, having a thick skin, who can look away from all the abuse of her colleagues, & throw away her moral compass.
She really is a phoney, baloney patronizing wolf in sheep's clothing. She's one of them .
She failed to do the RIGHT THING which was to call the ER physician or her supervisor. It would've saved a lot of strife.
I've cancelled all my appointments with specialists, I give up. No more MRIs or EMGs. It's simply a matter of cleaning up my place (very hard to do with my neuropathy & severe pain) kick back & watch movies for a while
I can't fire Bisnchi, she will be instrumental inkeeping me a little more comfortable for a few months. In the end she wanted nt lunch ok back with an ounce of survivors guilt. She doesn't don't get to where she was by doing what's right, she got to her level of status nu "playing the game".
TC
TC responding again
But it goes "back & forth" (as you aptly put it) because Wall Street & the corporations have pulling the strings of both parties, with the democrats totally selling out the middle class & the little guy.
DOES THUS JUSTIFY THE CENSORSHIP on the part of Quora iconservatives to omit my direct answer, BECAUSE THEY DISAGREE & can't win a debate with me?)
(Try listening to real liberal talk radio on Thom Hartman on TuneIn.. Give it a try before Trump pulls it off the air. That's the conservative way. Suppress the opposing view as Advocacy fur a Change did to me in Quora.
TC
You don't know what your talking about. You show partial comprehension, but it gets all muddled up. You sound like JR & I'm not going to keep going around in circles with you, just because you won't educate yourself politically.
As for Going around & around: I keep pointing out that you are obfuscating matters by invoking the concept of "parties" (reps & dems) Get parties out of the equation! As a senator, Obama voted in phase with republicans -- that house negro was not a liberal!
The assertion that both "parties" have a fair share of judges is made up! (only JR sneaks in that BS thinking she can fool us) NO truth to that.& you're not fooling anyone. The whole country has gone batcrazy to the extreme Right. Law enforcement is right wing, military is right wing, most of our senators & congressmen (dem & rep) are right wing; our courts are mostly right wing. Ultimately the corrupt, immoral, activist supreme court has had the final word. It's hopeless.
It's simple, & you keep muddying up the waters to make them appear deep, & trying to sound to sound erudite you only trip over yourself in the process.
ITS SIMPLE: LIBERAL= COMMON MAN
CONSERVATIVE = BIG MONEY BIG BUSINESS.
"corporate personhood " & unlimited political campaign dollars contributions is STRICTLY a CONSERVATIVE IDEAL. Not a liberal ideal. FDR fought it, his supreme court fought it (with a conservative Justice Warren siding with them) & it wasn't until the 1971 Powell memoirs were written as a blueprint for this corporate hijacking of our democracy. Nixon rewarded Powell with an appointment to the Supreme Court,& they've ultimately made irreparable damage
You cantbfight health facilities because theyve lobbied for laws that favor the (make lawsuits impossible to prove and win (political) they have lawyers (that we can't afford) up the yin yang, & that's political.
I Grant you that patient dignity wasn't good during the New Deal eraTl truth is that if not the politpical pendulum ng by now you could sue to get female nurses away from your husband's dick, balls & rectum.
I only debate people who can make sensem. You're out of your league here
TC
JR you actually make my case for me: about "big pharma & big healthcare" donating to both parties. That's what I mean when I write you show "spot on" insight at first.
But then things get all muddled up, because you have no comprehension, no knowledge of the Supreme Court decisions that allow "big pharma & big healthcare", to.msnipulate us. IDEOLOGICALLY, these are right wing decisions by activist Supreme Courts that HATE DEMOCRACY & WANT A PLUTOCRACY:
You're committing a great sin of ommision by overlooking,. & grossly underestimating the impact of these three destructive Supreme Court decisions:
1st National Bank vs Bellotti
Buckley vs Vejello
Citizens United. (The final nail in the coffin of our democracy in 2010)
JR you have one advantage here over me, & that is most of the people in this group get their political propaganda from the same sources you do (Fox News,whatever) & are grossly misinformed by the "big businesses" that control them.
TC
Im reference to my PCPs negligence in light of my crisis, adamantly failing to call the BCH ER supervisor to ask what happened. This, after promising to get to the bottom of it. to ask, "what did you do to TC on 02/19" I just gave her a tongue lashing, , coldly playimg the game as she's trained, as a money making shill who overly oloverlook the the bad things other physician do to other people. I called her a moral coward & phoney baloney
TC
Oops. That was me who did the response to TC on Tuesday.
TC
I'm talking to the ER supervisor about my 02/19/25 ordeal. There was an order for a "straight catheterization if necessary" & as you all know I HAVE A BIG PROBLEM WITH THAT! I wasn't catheterized & the ER supervisor noted that I was coherent, talking & walking, so they would not, could force a catheter on me.
Nevertheless, that order from the ER doc was an indecent proposal. Because of that & my PCPs aoargy & betrayal, I QUIT all future imagining, diagnostucs, Neurology, Ortho & Pain treatment.
Now I'm trying to find out about the "clean catch" sample I gave. I get only conjecture from them, but witnesses have to be interviewed.
Patient: "Hey doctor, my pinky finger hurts"
Doctor: "pull down your pants, turn your head & cough!"
Patient: "hey doctor, my knee hurts!"
Doctor: "Bend over do I can shove this lubed finget up your ass"
Patient: "doc, I have vestibular migraines, pain & neuropathic & can't get off the floor"
Doctor: "be quiet while I shove a catheter up your dick"
It this is NOT a comedy act. It's reality. The medical profession has a morbid obsession with other people's privates. Even Misty Roberts conveyed that from the start. I quit. No more neurology, Ortho or pain docs. Everything is cancelled
.
A catheter should be used as last resort, not for expedience, or for the adrenaline rush from subjugating, dominating, & sexually humiliating patients But t's the norm, & considered acceptable.
My PCP did her residency at a hospital where I was totally screwed over by a rher orthopedic colleagues -- who retroactively fudged the records to cover their behinds.
She sat by, while a female pain doctor (working at her same Palm Desert office) gave me too thorough a urologic exam, in the middle of which her assistant ambushed me. My PCP said the whole thing was inappropriate
I continued to get screwed over, as she could just watch.
I didn't ask for her help in fighting any of those abusive docs or facilities. I did my own fighting.
This recent ER incident does warrant a phone call to the hospital to ask, "what the fuck did you do to my patient?" Initially she agreed that the cath order was totally inappropriate, but she now won't investigate, & failed to even acknowledge (to me) receipt of those ER records I want put in PDF on my portal.
I just her as a moral coward. Siding with her fraternity rather the underdog. Her training as a physician blinds her to the obvious, & ultimately did what was expedient, not right. This was a major betrayal, & very hurtful.
TC
If I were your doctor TC, I wouldn't spend my time pursuing a contingency order in an ER for a catheter "if necessary". Doctors can't all be second guessing each other over minor things, and yes a contingency order that was never acted upon is a minor thing even if it isn't for you. I have no idea why it was ordered but it wasn't done for someone's entertainment. ER's try to quickly cover all of their bases because they are dealing with unknowns. In the end maybe not all of it proved necessary such as in your case.
Quite honestly, your extreme anger and sometimes unreasonable expectations are such that if I were a doctor or medical practice I wouldn't take you as a patient, or I'd fire you as a patient if I already had you.
I spent a day in the ER last weekend for a heart matter, and was immediately sent for several tests, got an IV, and was monitored for various things in their attempt to establish what was going on. It is the nature of ER's. I didn't question what they wanted to do or argue with anyone. Whatever the doctors, nurses & techs wanted to do I said OK, and thanked them each time for their efforts. They in turn were very respectful. Other than spending much of the day without a shirt on, I was fully clothed so there wasn't anything of an intimate nature involved, but I went there for their attention and expertise and allowed them, without any fuss, to give me that attention and expertise.
Biker, first off, it's not an "unreasonable expectation" to be free from the terror of forced catheterization in an ER visit for a FUCKING migraine. I now have the ER records that clearly state I was completely alert, no confusion, very communicative, "NO ALTERED MENTAL STATE", vitals good, nothing life threatening, just extreme disconfort! No basis to do covert treat me like a scumbag druggy, & no reason to force a catheter -- about the worst thing that could ever happen, I'd pour kerosene over myself & strike a match first
This patient dignity group has espoused dignity, privacy, autonomy, transparency & choice, freedom from unecssary genital exposure, freedom from passive spectatorship
"didn't question what they wanted to do or argue with anyone. Whatever the doctors, nurses & techs wanted to do"
But here you espousing the opposite of what the site stands for by preaching at me the gospel of patient passivity (& pussification, frankly). This only invites bad operations & sexual abuse. I know, having two unecssary, nonconsensual, surgical scars & life long dydfuguration & pain. This group has defined this as "medical assault" & my last medical assault. The latest medical assault on 03/06/21 was a reckless TPI in the waist, by a pain doc that wouldn't listen & let me guide him to the left lateral scar line that he successfully had injected 32 year prior. This can't be undone & I now have Irretractable inguinal.pain.
Add this to the CPTSD from decades of intermittent sexual abuse at the hands of these monstrous discs & nurses? No hyperbole to say the.ehoke profession has an endemically, morbid, sick interest in other people's privates, they are God-complexed.
Do I have to remind you that it's only the HHS keeping them from practicing rectal/pelvic exams on OR victims, proving a total absence of any moral compass. Ethics taught in Medical institutions means "covering up their misdeeds & those of others" They are no better than the Catholic Clergy. Those who don't molest, harbor & cover up for those who do -- exactly what doctors do.
I'm supposed to bow down to them, bend over unquestionably? No! I've drawn the line. No unecssary exposure of sexual parts for procedures on other parts, no passive spectatorship, NEVER DREs or catheterization. I will decline a lifesaving surgery requiring catheterization & just kill myself -- inevitable as I'm going out on MY terms anyway.
BIKER, who can do things your way, value longevity to the point where your constantly under medical "care" with tubes in your every bodily orifice, if you want, but who in the Hell do you think you are for sanctimoniously "dress me down" for choosing not to be the prissy little ER bitch you proudly boast of?
TC
TC, as I said, your anger issues and expectations are such that I wouldn't take you as a patient, or I would fire you as a patient if I already had. I know how to pick my battles, and not every aspect of healthcare is worthy of a battle. And guess what, when I politely make a request for a male nurse for my annual cystoscopy prep, it gets honored. And when I politely say no observer for my annual dermatology visit, it gets honored. Basic people skills can go a long way in life.
Biker,
I have to disagree with you about the ER as it is the place that causes many medical malpractice cases. You have in some ERs, one doctor who sees a variety of patients who each have different complaints of distress. That ER doctor runs between cubicles trying to diagnose, stabilize, etc. so many mistakes can happen. Just do some research and you will find that mistakes in the ER are common and I personally know of far too many people who have been harmed or died from ER "care" so yes, you should question what they are doing and why. To blindly assume they shouldn't be monitored is foolish.
Furthermore, it is interesting to me that you seem to infer you have no issue with unnecessary exposure in the ER bc you are there for life-threatening events but yet you say you spent a day there so you weren't dying within seconds. Just imagine if you were a female or even your wife, would it have been okay to be bare-chested for an entire day? Yes, I know the difference between men's and women's chests but unnecessary exposure is still unnecessary exposure. Men do go bare-chested but generally it is their choice. I recently saw a published pic of a women getting a mammogram and she was naked from the waist up and again it made me angry for the disrespect not to mention how they have been hiding the dangers of mammograms from the public for years. There is no reason why a woman should not be given a gown that opens in the front for mammograms except they simply do not for whatever reason(s). I believe the reason is they enjoy the power and control patient nudity gives them. The thrill is also sexual in nature.
The another thing I find amazing is the rationale behind behind not being upset at unnecessary exposure in the ER vs. in an office. Nudity is nudity especially if it is unnecessary. I don't care abt the sex of the medical provider as much as I care abt whether it is necessary and the only the necessary people present. That's my personal opinion. Of course, for my husband who was sexually assaulted by females, he has a different view.
Cindy and I did an interesting show abt a doctor who said he thought during Code Blues that many patients are exposed unnecessarily and too many unnecessary people are in the room just to watch but yet he did nothing to change this. He knew it was wrong but did nothing just as many of them do. JR
As for TC, since he alert and was not a Baker Act, he certainly did have the right to deny any catheterization and certainly they would need to give him informed consent but bc so many believe that ERs have the right to whatever they want (although this is not true), they believe all ppl automatically will give up their patient autonomy. Unless the patient is unconscious or otherwise unable to consent, even ERs must follow rules. Yes, in true emergencies like you are bleeding to death or coding, etc., they may act quickly but even then if there are next of kin, in my state, they can stabilize but must inform for consent. Sometimes they will cath for their convenience bc catheterization should be a last resort.
As for the drug testing, many hospital systems do it because they believe most patients lie and their rationale is drugs could interfere with their treatment. However, we know this is a smokescreen bc those drug test results are not immediate and if there is a true emergency, treatment will happen before the results. Also, years ago HHS made asking abt sexual preference, partner numbers, drug usage, alcohol consumption, smoking, etc. standard questions for Medicare/Medicaid patients bc they will use that information to make $$$$.
During my husband's medical assault, there was an order for urinary cath. if needed. It wasn't and we only found out abt it through the MRs. He would have been even more violated if it had been done but then he remembers the predator nurse threatening him with it if he would urinate for the onlookers she had in his room for entertainment.
Also, questioning them is not arguing. Saying no to them is not arguing. Only you should determine what happens to your body. They are there to offer advice and help if you decide to accept it but accepting it doesn't mean you have your bodily dignity violated or your autonomy violated.
Recently, there have been several instances in Fl. about ppl who have been Baker Act becoming violent and harming nurses. One I believe broke every bone in one nurse's face. Another pt from PA, shot a guard and held the ICU staff hostage bc he believe they harmed his wife. However, they see this as a patient issue not issues they cause by their actions/attitudes. When you treat people as badly as many of them do, right or wrong (and I am condoning violence but I do understand), some will snap. JR
To be even handed about this, the ER doctor injected every drug imaginable for dizziness from meclazine to dexamethasone , so kudos for taking my complaints complaints of dizziness quite seriously. But it also goes to show kust how to lucid & articulate I was -- and many of those drugs augmented the negativevside side effects the ambieim & hydroxyzine I already took.
ALL the more reason that covertly performed recreational drug screening was inappropriate & irrelevant. NOT COOL! Done behind my back. What happened to transpareny, not fooling the patient "for his own good"?
All tests were negative except opioids, Norco I take rarely because it rarely helps
You don't want to insult my integrity by sneaking on a drug test, AIDS test,.HEP C test or PSA w/o my permission, & you won't get it anuway.
I never had a blood transfusion, I am not gay, no tawdry tattoos or piercings (like my PCP has -- that filthy little bitch!) no needles, no promiscuity -- celebate most of my adult life not entirely by choice
No cancer screening & NEVER A a PSA test. This bears repeating, a control freaks MD snuk that in with a Hep C test, I fired her IMMEDIATELY, the next PA I saw used the 3.7 PSA as an excuse to tell me that if have to get my Cardura from a urologist -- to which I'll NEVER GO, as I'm not gay like them!
I ANSWER ONCE, personal questions honestly in the written intake process, then tobacco, alcohol, recreational drugs & sex are off the table for inquiry, unless I initiate dialogue & concerns about that (never!) Then in Federally funded clinics, intake MAs hound & harass me . It's my body, my choice, my health agenda
As a musician I observed that there's nothing good or redeemable about those who take recreational drugs, even pot. They are obnoxious slobs, & that's why I quit playing bass. There isn't a straight musician in the jT area who died to drink & drive, & have never done that once in 51 years of driving. I violently disapprove of getting drunk or hi, & to treat me as guilty of that, having to prove my innocence by urinating (potentially by force, or observed) is 100% unacceptable.
How does this differ from getting pulled over for a tail light, then hassled by cynical cops as a suspected DUI, needlessly humiliate you in public w/a field sobriety when you know you are sober & innocent.
All military, law enforcement , correctional officers, public school teachers, & Healthcare workers are innately arrogant control freaks & no good!.
TC
This upcoming 03/13/25 Thursday at 11:20 am, I'm going to have what might be e my last phone or e-visit with my PCP, or with anyone. She is so patronizing, that one can lulled into overlooking that her ultimate loyalty is with her physician peers. Patients don't come first
I'm going to ask her if she'd go to bat for an abused patient (what I am) & "narc out" to the licensing board, her physician colleague who blatantly breached ethics at that patient's expense? I don't expect a honest answer, which is "I'm so afraid to piss off another doctor that I'll turn a blind eye, & the harmed patient is on his own.
Then I'll remind her of these words she wrote to me just last Friday, on the portal:
"I would certainly hope no one is altering records/ notes. Not only is it unethical on every level, but most EHR systems track that kind of thing to avoid these things from happening. That's not something just anyone has access to, but from a legal perspective, not only is there record of when notes are opened, and closed, but there is likely record when they are reopened, changed, and closed again."
In September 2022, she referred me to one of her orthopedist colleagues from EMC where she just finished her residency. As the referring physician she had a digital record of that initial 11/03/22 orthopedic visit, in which we agreed to do bilateral knee scopes at the Sunrise Palm Springs facility, but after I filed tons of complaints & threatened to sue because the venue had been covertly changed to the main Rancho Mirage Hospital to accommodate an overnight stay I didn't approve of, all the records were retroactively changed to cover their butts. She did say it doesn't dnt surprise her they'd don't that.
Evidence of that "serious breach of ethics" was stored in her computer all along & she did nothing. She knew how serious it harned me not only emotionally, but my left knee got way worse & she has 2022 & 2023 MRIs to prove it. (By 04/03/24 the meniscus tear got so bad that I was fully warned it will be probably too arthritic after scoping. It will be fatal, as I can't live with the pain, & won't accept open surgery. It's a death sentence)
Yeah, "ethics, schmethics, I have Porsche payments to worry about", says the doctor. .
TC
I DO condone violence. NO sympathy for any of them. I didn't set the rules, they set the rules: & it's them or me++ust like the rats that infest my trailer & chew my car's electrical insulation.
I'm not kidding that I've had it . I will never be touched anywhere by those pervs. I cancelled all my appointments alled ALL healthcare off, even though I am really suffering -- but not for long.
I never thought I'd see the day when TSA genital patdowns in airports are mandatory over one underwear bomber?
If everyone reacted as vehemently as I, there'd be no more TSA genital gropings, those pervs.
Thank you JR, & apparently I wasn't catheterized, but no legitimate reason fur that order in the first place. The offensive drug test to give demographical info to the feds, I didn't consent to either -- I dont think.
TC
TC,
To our surprise when we finally got the MRs, my husband also was drug tested and sepsis tested. The sepsis test is "for the safety of staff" but yet we don't know if they have sepsis so again our safety doesn't matter. Now we know there are "standard" things they will do or order such as the drug tests, an order for catheterization, sepsis tests, etc. and we will record the refusal. In California, as far as I know, you cannot legally record but where we live we can. These tests also bring in big money for hospitals which is another reason they do it. There have been several news articles abt forced catheterization. This one is very interesting: https://www.aclu.org/news/criminal-law-reform/why-was-3-year-old-south-dakota-forcibly-catheterized-he along with this article https://pmc.ncbi.nlm.nih.gov/articles/PMC5071201/ My Google search was this "court case about non consent urinary catheterization" and it brings up so many cases. Hopefully, it will help you in trying to make them understand that unconsented for caths cause harm not only physically but mentally. There is so much stuff that is not explicity consented for especially during ER visits. They rely on the "implied consent" argument that you are there so therefore you consent but like in my state supposedly if you are conscious and able to understand or if you have someone present they are supposed to get consent. But when they don't, nothing happens and they know it. The AG said we had a case but as the top cop in the state wouldn't pursue it. Medical assault is not a civil matter but a criminal matter. In my husband's case, they merely drugged him into submissiveness while isolating him from me. Although he was there for heart issues, he wasn't dying within seconds and he had already politely made his requirements known. They gave us no clue they had other plans in mind so the level of deceit was over the charts literally as they merely omitted his objections and made false entries where needed. That's why he avoids medical care especially emergency. JR
I have totally melted down due to this last straw, the ER cover up (no transparency or clarification) & my PCP bailing out on me.
I have consult with her in which I will shoot down any claim that her profession is guided by ethics. I will continue to assert that medical workers take a morbid interest in others genital health, '
A lawyer told me of not only anesthetized or victims but children in juvenile detention being fodder for medical student sexual assaults, at the threat of guards strapping or paddling their bare behinds.
Internet articles pushed back : not available, I asked Duck duck go AI
MY question:
Documented historical accounts of children in juvenile detention as unwilling teaching subjects in medical schools, sometimes enduring multiple practice pelvic & rectal exams
.
AI answers
The use of children in juvenile detention as subjects for medical training, particularly in the context of pelvic and rectal exams, raises significant ethical concerns and has been documented in various historical accounts. While specific instances may vary, the broader context involves the intersection of medical education, ethics, and the treatment of vulnerable populations.
Historical Context: In the past, particularly in the mid-20th century, medical education often involved hands-on training that sometimes took place in settings like hospitals, clinics, and, unfortunately, juvenile detention centers. Medical students were sometimes allowed to practice procedures on patients who were not fully informed or consenting, particularly in vulnerable populations.
Ethical Violations: The practice of using incarcerated individuals, including minors, for medical training without proper consent is a violation of ethical standards. Informed consent is a cornerstone of medical ethics, and the power dynamics in a detention setting complicate the ability of individuals to provide true consent.
Case Studies and Reports: There have been reports and case studies highlighting instances where medical students performed invasive exams on detained minors. These accounts often reveal a lack of oversight and ethical consideration, with students sometimes being instructed to perform procedures without adequate regard for the dignity and autonomy of the subjects..
TC
More AI generalized answers to questions I asked. Take this medical professionals! Up yours, I got ya
"The issue of sexual abuse in juvenile detention facilities is a serious and troubling concern that has been highlighted in various reports and investigations. Allegations of guards sexually assaulting inmates, both female and male, have surfaced in multiple jurisdictions, often in environments where oversight is minimal, such as healthcare areas or during transport.
In many cases, the lack of security cameras and inadequate reporting mechanisms contribute to a culture of silence and cover-up. Victims may feel powerless to report abuse due to fear of retaliation or disbelief from authorities. Additionally, there have been instances where medical staff, including nurses, have been accused of complicity in these abuses, either by failing to report incidents or by administering birth control medications without proper consent as a means of controlling the consequences of sexual abuse."
Yeah, healthcare areas a safe place fur guards to rape!
Tomorrow my doctor will invite ethical standards for not calling the hospital & I will rip her professional training to shreds.
I'll tell her she's not cooking me with "ethics" "do know harm" & that I know how " Defensive medicine " & a oudance of law suits is what guides them --& that malpractice suits can't be faked, so many victims out there, yet you can't sue a doctor anyway
TC
I am blatantly charging the med profession with having a morbidly sick interest in pruvate areas to the point they have a sense of entitlement.
For 3 decades I've complained
of 1) debilitating dizziness. 2) chronic muscles fatigue 3) not chronic, but acute muscle stiffness pain & "seizing up of muscles", but only as a consequence of too much activity (pain is chronic now, but not then!)
I suffered with no Health Insurance until 1998, after my records 1998-2014, invariable failed to document my reports of dizziness & fatigue, but falsely interjected pain as my primary symptom -- in other words, just another fibromyalgia crybaby, probably just for trying to get opioids.
Again, my doctors called me me a malingerer to my face, & then pressured me into prostate & genital exams that I always refused, having to waste time explaining my reasons.
It's was the internet, not a doctor, peacing together my symptoms (dizziness, ear pressure , tinnitus, bags under eyes, visual disturbances & photophobia) as vestibular migraines.
Not only did I complain of dizziness, but also acute bouts of subtle breathing difficulties. A lazy, complacent diaphragm that just doesnt want to inhale after exhaling -- accompanied by bouts of arm weakness.
Even after EMGs & a 2015 diagnosis of peripheral/distal neuropathy I was told "the only disease that restricts breathing is ALS & you don't have it.
2019 a rheumatologist diagnosed cervical neuralgia, but only until 2021 & 2023 were there MRIs showing substantial cervical degeneration & damage, repeated neck trauma & partial vertebrae fusion.
Yet still, my accounts of a lazy diaphragm were ignored, by my PCP. Duck duck go AI nailed it:
"The symptoms you're describing—subtle difficulties in breathing, diaphragm weakness, respiratory muscle dysfunction,, and bouts of arm weakness with ulnar neuropathy—suggest a complex neurological and respiratory condition. Here are some potential considerations:
Cervical Spine Injury: The MRI evidence of cervical injuries could indicate nerve root compression or spinal cord injury, which can affect both respiratory muscles and upper limb function. Injuries at certain cervical levels (especially C3-C5) can impact the phrenic nerve, which innervates the diaphragm.
Diaphragm Weakness: Weakness in the diaphragm can lead to respiratory difficulties, particularly during exertion. This can be exacerbated by any cervical spine injury that affects the phrenic nerve.
Respiratory Muscle Dysfunction:..., etc"
Nobody cared! Needless negligence for decades. But if I came to them about difficulties urinating, or musing about hemorrhoids, rectal itching or rash, a whole hospital crew would swarm me to commence a zealous, thorough investigation!
TC
There is NO WAY I gave informed consent to a drug abuse test. I had to have been misled, tricked into believing that the urine I gave was for diagnosis of my migraine. (Though my nesia does compromise matters, but I demonstrated consistency im my values
That was a serious breach of ethics, & the nurse administering the test I handing me the urinal was complicit in the deception himself, demonstrating a strong motive to lie about telling me what it was for. No signature.
I've decided to sue in 90 days for 12k, I have a case on several levels.
The stuff about reform school is heatwrenching. Not only the use of unwilling children as teaching subjects, whichight have ended 30-50 years ago, nut the recent revelations of abuse o ER these last 30 years.
We were all fooled into believing those types of abuses were a thing of the past, a century old. But it hasn't stopped at all, & in spite of the lawsuits it's probably continuing because of a lack of criminalization & prosecutions. (same problem WE have now in getting justice & recourse. Civil suits don't stop rape or medical assault. . Nobody cares!
This issue isn't limited to juvenile detention, it extends to private psychiatric facilities such as the Privo Utah Tough Love facility that sexually abused Paris Hilton. I believe her. You give a male staff member or guard access to girls, the authority to call but strip searches & cavity searches, hell rape. People are born evil & do that.
You give a female staff authority over male inmates, she will go out of her way to totally humiliate
My doctor does say that she "cares" (on levels she's been stellar) & she apologized for her lack of responsiveness on the basis that she's overwhelmed in her doctoring. However, it's not resolved in my mind. We didn't give one another the boot today, I mo ologies her fur 45 straight minutes, leaving her no time to respond, so in fairness I'll have to pick this up next month where I left off.
I dou t she'll have much to say though. She should've defended me.
TC
The golden standard for spinal cord injury is an MRI as lesions are telltale markers. MRIs are not invasive with no loss of fignitym However, physicians will initially forego the MRI in favor of doing bulbocavernosus exams, am opportunity to say, grab a woman's clitoris who's another man's wife.
What more proof that the whole damn profession is endemically perverse, & under the false guise of "legitimate" exams, help themselves to a penis glans, clitoris, or rectum with a sense of entitlement!
TC
TC post part I 03/16/25
I can't find out anything about how the "clean catch"was administered, the hospital is ignoring me, & when I asked to speak to the attending ER nurses, they refused it. About the drug test I said that I was misled to believe that it was for diagnostic purposes,the ER nurse interjected that drug tests ARE for diagnostics. NO, people assume they're doing the usual urine tests such as kidney. The ER nurse on the phone yelled, "THATS THS DOCTOR"S DECISION NOT YOURS! Power trip!
Just a week & a half a go, I spoke to the ER Supervisor (the supermarket of that bitch telling me I have no say in my ER treatment). That supervisor had previously made it clear that I was walking, talking, advocating for myself & had the right to refuse any tests or treatment in including catheterization. I'm inclined to think otherwise that thered be a Mexican standoff, a refusal to discharge me & arrange the Uber ride until I gave the urine, or even swarmed by staff, sedated & catheterized.
Furtheore, the IV drugs they gave me probably contributed to the Ambien, Hydroxyzinee & tizanadine I already took to cause the temporary amnesia.
Again, except for positive opioid finding -- from the Norco I occasionally take-- everything was negative. When asked, I definitively assert "NO RECREATIONAL DRUGS", & from there, I won't allow my honesty, my honor, my integrity to be questioned, or I'll jump down their throat & have in the past, as I have at the clinic where a dictatorial doc, covery slipped in a hep C test with my blood panel. I won't accept "covert" . medical treatment. Full transparency is required
I'M A FREE MAN, NOT A PIECE OF CHATTEL, & WAS NOT CONVICTED OF DRUG USE OR POSSESSION, & NOT UNDERGOING SOME TYPE OF PROBATIONARY OBLIGATION LIKE A SCUMBAG DESERT RAT DRUGGY!
(DR B, I wish I could copy & paste aspects of my ER records to prove my words here about "No confusion, NO ALTERED MENTAL STATE". I want you to comment on this after I submit part 2, thanks)
TC
03/16/25 part 3 post by TC
Dr B, I've recounted many times, the story of how on 11/03/22, at an orthopedist first consult, I agreed on no genital exposure for a bilateral knee scope to be done at that Palm Springs facility. On about December 7, 2022, I quizzically noticed on MyChart a change of venue from the Palm Springs outpatient surgery facility to the main hospital at Rancho Mirage, but didn't inquire. It was a covert plan for an unecssary overnight stay I'd NEVER agree to. As I've documented, only on December 16th I was told of their manipulative plans for me, & I made many formal email complaints (ada, licensing board etc, sent cc to them) & threats to sue on Monday December 19, 2022.
By the end of the week, the MyChart 12/07/22 surgery scheduler entry announcing the change of venue was deleted completely, & the initial 11/03 MyChart entry was changed, saying that we both agreed to have the surgery done at EMC & to stay overnight in a hospital bed.
My PCP did her residency there, she ordered the knee MRIs in September 2022 _ followed with a referral to the orthopedic department. She was my attending physician throughout & had access to the EHRs, she said their alteration of my records came as no surprise, but she failed to turn the orthopedist & his staff over to the licensing board -- even though she says that altering records is a serious breach of ethics.
My question to you Dr B, is how is she innocent of complicity in this "serious breach of ethics"?
Who the fuck in your profession isn't dirty?
(I gave her a long diatribe about "Defensive Medicine", not ethics, being the driving force behind everything healthcare workers do. I questioned her short of badgering her, & she won't respond).
TC
TC, I am glad this bioethics blog itself has the properties and function and goals to be therapeutic to its visitors and writers. The goal of medical ethics is not only to display and understand the views of others but an opportunity for those who contribute here and those who do not to have a blog be clinically therapeutic. Isn't valid therapy a goal of medical ethics? ..Maurice.
You sound as evasive as my physician, & therapy is for weaklings & not my goal, as an innocent victim, vindication is, & if the guilty aren't punished, exposed for the unethical monsters they are, than 100% of my posts are wasted.
Again, my questions to you:
1) in failing to narc out my orthopedist for record tampering after the fact, isn't my PCP complicit in this breach of ethics.
2) what do you think of the ER doc's order, "nurse, urine sample now. Cath if needed!" The urine ostensibly for only a drug abuse screen, not the typical medical reasons. The records show no confusion, no altered state of mind, good vitals. I wasn't mistreated & degraded as a drug criminal, & that not used as a false pretext to sexually violate me..
I'm violently mad
TC
TC, you deserve a place for ventilation of your views and feelings..as do all
my visitors and contributors. This is important in the preservation of
patient dignity, yours or any of my visitors here. The purpose of this
blog is for presentation of issues but personal concern and ventilation
makes this blog not just for transfer to others of information but
also personally therapeutic. The final goal of the role of medicine is hopefully to provide personal therapy. If it doesn't it is not and denying patient dignity. ..Maurice.
Your evasiveness is incriminating in failing to validate my claim of ER mistreatment ' & my PCP being complicit in record tampering. You are doing with them & against me by tacet approval. I'm beginning to hate you as much as them.
It's either or, waa the covert drug test ' cath order ethical or not? Is failing to narc out a physician who tampered retroactively with my records a breach of ethics or not..your sounds ng line my former ucsb colleague here. You commit yourself with right, or you are evil
No, ventilating with resolution, harming the guilty back just teinfirces the narrative & exacerbates my powerlessness. What you're espousing here only takes us around in circles. As when Banterings was zealously offering means of protestt &letters complaints, I badgered him over & over to tell us how are the violators of patient dignity punished, harmed to regret their actions?
TC
I condone & advocate violence against Medical staff. They are rapists & need to be put to death.
TC
Though members of medical staff wrote to this blog
in the past and was "with them" in the very early
volumes of this ethics publication, for many reasons my attitude toward their views have become a view that they may be "thinking wrong about patients" and
I would urge them to return and learn from this blog thread and the views by you TC and others. Maybe you and others can encourage them to come here and learn and then express their views..hopefully understanding your and other's experience and views. I have changed since the beginning and that is why I
appreciate the views here expressed by you, TC and others. ..Maurice
They're too greedy making $$ & spending it. They DONT CARE, & the endemic sexual abuse in medicine is what brought them there. It's too much fun for them to consider stopping as long as criminal law permits it. We are "killjoys" in their perspective.
I've referred my PCP to this blog in emails & she made it clear, no more emails, it's not her concern & no time for this.
TC
Dr B, why can't you just come right out & say that based on the info I gave say that 1) I was recently mistreated at the ER 2) my PCP,as referring & attending physician having access to the EHR throughout that knee scope ordeal, was complicit in record tampering by not turning the EMC orthopedist staff to the licencing board for altering my records to avoid suits & disclplonati measures.
You may qualify things by saying "you weren't there" but can give an opinion based on what I've disclosed w/o defaming the guilty parties you do not know anyway.
I am profoundly disappointed that with such a limited group of blog participants here that are Trump supporters but me, & the omission of my fair & accurate post in Quora, maybe by Cat, was enough to scare me away fur good, if not with this insane, planned sexual assault with an uneeded catheter at an ER.
The scanty,sparse participFion here only shows what a minority we are,& that the rest of the population never turn down an opportunity to get naked in front of others -- as a 60ish Palm Springs man told me in the waiting room of my opthalmologist, when I complained about possible underwear removal for an eyelid lift that I need but declined. He told me that Dr Porn was his favorite medical fetish site.
Getting back to the political alienation here, I have contributed in such a matter that it's out there, meaning I've exposed the nude swimming thing with crazed old skuts line Anne Landers & Dear Abbey; I e exposed Hospital ER complicity in body drug searches on innocent, drugless motorists & tourists that amounted to many any vaginal & rectal probes repeated enemas, Colonoscopies, torturous treatment & having to defecate & urinate in front of mixed gender law enforcement, mixed gender medical staff; & in the case of the Jane For in Texas, relieving herself in an area where civilians & other patients could watch.
Besides the gang finger banging of innocent anesthetized OR victims, & have brought to light the medical school sexual exploitation of Juvenile detention children, taken by the bus load to medical schools & their bare asses strapped or paddled if they resisted. Proof positive of the utter lack of decency & moral compass amount fo yirs. Mo so dee their sense of entitlement to our privates in any facility fir no legitimate medical reason.
I've exposed the medical staff complicity of rape of hirlsy, covering up by injecting birth control meds, : the staff complicity of sexual abuse of teenagers in private psychiatric facilities.
Enough to change anyone's view of medical workers as untrustworthiness and & to be be hated as adversaries. They are. It out allies.
TC
I can't understand for the life in me the utterly sick & morbid interest that authority figures show in other people's privates & who use their authority to gain access to them.
Employers demands ng penis, vaginal, testicular & rectal exams for job physicals, when outside of sex workers in Nevada, these private parts are not primary function , not secondary, but tertiary function,as defined by the ADA. Physicians are complicit in this,& often initiate these exams without the employer specifying them.
Conservative schoolboards mandating boys only public nude swimming, & also mandating nude same gender showers, & scrotal herniated exams for sports participation. Now, PC liberal school boards implementing title IX to force in ocent girls to show their breasts, butts & "cooters" to boys pretending to be girls who are not , chicks with dicks so to speak. (One thing I'm in agreement with Trump here).
As pointed out time & again, one sets foot in any medical facility & one must surrender oneself to giving EVERYONE access to their privates, for no good medical reason, from MDs at the top, the RNs at the middle, & scribes, MAs & EVEN FUCKING SECURITY GUARDS!
I don't understand it,reform school guards & correctional officers reveling in strip cavity searches & taking it further to rape.
I look at porn & art (models are consensual) but I can be ER understand force or coercion, it's not in me.
When I ask attractive women out,I take NO firvam answer : it gorsx no further.
TC
Well, I'm happy to announce that the Office of Civil rights has gotten involved in my case. Ms. Thompson, an HHS investigator gave me the number of the hospital medical records office. I talked to a cooperative guy named Alex. I made it clear, if my records aren't amended & clarified, my next step would be a statement if disagreement, & it would become a civil rights matter.. He promised me that he'd send me the hospital petition to amend documents on Thursday. Nothing in my mailbox. Not only that, my calls to medical records now go to voicemail. All departments, risk Coordinator, ER supervisor & quality for not pickup, never respond to my inquiries, ,& I should've gotten a written report from Risk coordination, but nothing -- she wouldn't even take down my questions. She told me, & a rape counselor he helping me I wasn't catheterized, so what's the problem.
Because even medical records is now ignoring me, she has made this a civil rights matter & will give me a docket number tomorrow..
My problem is the "clean catch" how it was administered, in privacy? Cleaning my penis & midstream, really? By whom?
My problem with lack of INFORNED consent, meaning that they didn't tell me that the urine test is entirely for drug abuse screening, not the usual kind dney/diabetes stuff. I'd never consent to that!
BIG PROBLEM: that the Dr had the nerve to order a cath, risk a UTI JUST FOR A DRUG TEST TO PROVE MY CLAIMS OF NO DRUGS! I CANT FET OVER THIS. A birth right to my urethra for that?
There's one person here who implies I'm obstreperous, & urged me to be passive, let them do their job by helping themselves to my privates -- I guess as long as the catheterization nurse is male? NO! Never a catheter or a DRE. I draw the line: no exposure of sexual body parts for nonsexual maladies, & no passive spectatorship ifmy malady is a sexual part. Frankly I've decided I'll die before my hemorrhoid is treated,as a chaperone can't be avoided, & the male gastro guy will want to insert his finger & scope for internal hemorrhoids. NEVER. I was fooled in 1976 & won't be any doctors bitch again. . At 68 years, as my body is falling apart, I will not continue & be tethered to, dependent on those thriving to manipulate & take control of me. My PCP disappointed me, but is needed to prescribe Prednisone, sleep, & pain meds, to facilitate taking care of a few loose ends these next ten months: a "bucket list" so to speak. My body, my choice.
TC
Addendum, the OCR's retaliation case against the pain class clinic is more than a year old. Too slow for such a simple case. The investigator does seem sympathetic & dies what she can within her scope.
TC,
My husband and I also filed complaints with OCR over HIPAA violations and religious violations. They took the information and we thought they sounded positive. Some of the violations were dismissed by them via a letter about 2 plus years later. They basically said for the major HIPAA violation of broadcasting his PHI in a public hallway on a speakerphone not 1 but 3 times by a clergyman and nursing staff was not big enough for them to be interested in investigating. On the religious violation, as my husband did not want a clergyman around especially when he was naked and I had verbally told the clergyman to leave 3 times and he refused thus violating my right to religious (or lack of religion) freedom and also when I asked him to leave when the ------ doctor gave my husband's medical update, he refused thus violating my husband's right to medical privacy yet again. They sent a letter 5 years letter saying they would not investigate it either. OCR is only stories that make them heroes, make them money via fines when a compromise has been publicly discovered or both. Otherwise they are worthless IMO. Interesting enough that heathen clergyman wrote in his notes that "family was grateful for his presence" which does illustrate to me how much a man of the cloth will lie.
Dr. B., I also want to make a note that in a prior post, I omitted an vital word.
Mind works faster than the fingers. I meant to say "I do NOT condone violence." JR
Dr B, I looked for early volumes of this blog to see what doctors have to say for themselves, rationalizing their arrogance, so it's probably good that I couldn't find anything. I fucking HATE physicians!
An earlier volume (maybe 32 or 76) had a contributor, Rev. Fred to give you a timeline., & their make counterparts are FAGS!
Someone made it clear that nurses love the power to expose men! My first experiences with nurses starting in 1990 were shocking. I can't believe their nerve.
However, in that volume there was a post in which someone observed that men who are exhibitionists are that way because of bad early experiences, & he shot down the notion that men's brains are hardwired that way.
The caveat here is that in my fantasy world, I'm quite the submissive exhibitionist, so it should make for a great real life medical partnership to be undressed, objectified, etc etc. But in real life, I always expect them to respect my privacy, observe common decency (good luck there) but the improprieties I encounters trigger a fight or flight response. It's not pleasurable at all. I'm a poor real life exhibitionist!
The truth is, that on 09/21/21 I saw a female PCP for the first time just to get eye drops. I've told this story a thousand times, how she sent me home with a blood panel & snuck in Hep C & PSA tests, & an echocardiogram order. A totally arrogant hijacking of my health.
But at the time, I was harboring a secret concern about BPH urinary symptoms. At that visit there was a very young looking female with a mask & very attractive eyes , sitting with a laptop , all ears & no eye contact. I wasn't introduced to her, it felt like a great invasion of privacy, my first encounter with a scribe.
A "what if" scenario flashed through my mind. What if I brought to her attention my prostate issue. No question in my mind that with no screen in the room, the scribe would stay to watch & not leave the room.
Given that she was young, attractive & I was 65, I'd have no choice to make it a spectator sport for someone who would be totally unimpressed with looking at the sagging butt of an old fart
This potential manipulation was for me, a confrontation of a type of sexual violence! Now after this close encounter with an ER catheter, I seriously want to slit the throat of both of them, & and every nurse who's stepped over the line.
I can't live with the idea of someone expecting to catheterize me just for a fucking blood test. I want to harm her & can't stop obsessing over it.
I first came to this group knowing that I can't treat my inguinal neuralgia with dignity, & keep scribes & chaperines away. I will not tolerate them & will not tolerate the pain.
Do you all understand what I'm saying, what I will do! I have a bucket list over these next 8-9 months, then I will never have to worry about genital exposure again.
Back in 2021 I planned on having the inguinal neuralgia fixed as it has been in the past. I got a bad TPI that set me back (probably irreparably) & I did tolerate several unecssary assistant ambushes, including the pain doc who worked alone w/o am assistant, but failed to announce the end of the procedure, failed to give me the customary band-aid, & went to the door to bring his assistant to me to sign the release forms that I requested & she printed out.
Fixing the problem would be the last genital procedure, & I was, and am resolute that if I do much as got a hemorrhoid I'd take my life to avoid passive spectatorship. Female chaperones are SLUTS & their make counterparts are FAGS!
The inguinal neuralgia wasn't fixed, & I now have a hemmorhoid so you know where this is going, & it was a self betrayal to send a snapshot of my rectum to my PCP. After her recent betrayal, failing to call the hospital about my ER ordeal, & her complicity in altering those EMC orthopedist records, I hate, I hate ,I hate, & will never forgive, & will enact the ultimate gesture of contempt for people in less than a year.
TC
They commit sexual violence against us, OCR, the courts, no one protects us, they must be made to fear for their safety.. I'm 100% unapologetic in saying I'd honesty wouod enjoy immolating all my violators, as much as they enjoy humiliating men.
TC
I'll also declare that I've willingly taken drug tests for the Norco I take, I'm due in July for that, but I won't even go to my PCP & so much as let her assistant lay her filthy hand on me to take my blood pressure. Never again will i let a fucking slut or fag nurse touch me. My last in person visit was in January, & technically I have to come in person once per.year, but I'll be through with her by then. She dropped the ball & showed her true colors by sitting in her hands while so many associates of hers flattened me like a steam roller.
EMC ortho denying nlme MRI for my knee, guessing, saying it's gout-like, then referring me to rheumatology, who.also denied me a knee MRI (I said it was a running accident meniscus tear & I was right from the beginning)! & guessing off the top of his head that I have a dying miocitis thigh, llb(I alluded to exercise intolerance akin to miocitis, but told him I already tested negative, duh!)! then guessing I had a bad gallbladder &: sending me for a wasted ultrasound when I complained of the obvious radicular rib cage pain from my thorscic area all wrong guesses wasting Medicare $$ & my time.
Then a fat 48;yearold pain doc working out of her same Palm Desert office on Fred Waring Drive, looking me over like.a lollipop & smiling at me while I'm threatening suicide if the pain isn't fixed, then giving me an overzealous urology exam that no other prior pain doc ever did, & past the halfway point, her SLUT assistant ambushed me, hovering over me & staring downn.at my goodies with a smile. The fat pain doc recused herself after doing that &: sendimg for a needles scrotal ultrasound (big disaster with the abrasive Hispanic tech)
Then the Ortho EMC fiasco that I've described a million times, culminating in retroactive record tampering, in which as the referring physician she was complicit. She did her residency there & her loyalty is with her peers
Then ultimately this 02/19/25:ER drug test thing, & saying nothing to them, that after telling me the cath order bothered her too. Like Hell!
They are all the same & are tethered to the "good 'ol boy' system. Morally bankrupt &:evil, not defending their patients when harned by their peers
While I'm being politically incorrect, I also will emphatically state that now white people are a minority in CA & it's bad being ambushed by a nurse of any race, but it's a little more sullying to be ambushed & subjugated by a Hispanic. Not my medfet fantasies, not on my agenda, not the country I grew up in (sounding like Pat Buchanan) I never thought I'd be subjected to this shit.
TC
JR PT 1 I have to hand it to you in your defense of me against Biker's baslessattack on me & a groveling, brown-nosing defense of God-complexed, evil doing doctors & nurses. Biker is very measured & subtle in his words (maintaining guide of politeness, credibility & rationality, but he's a born passive-aggressor to the core. His single agenda is same sex nurses, & for those operating out of that narrow male-nursing agenda, he doesn't care about someone outside that scope, having to fight for his own dignity & autonomy.-- and fight I will, as I would commit ER violence to male and female nurses in the face of a catheter. No apologies.
He focuses on my "anger" (self-admitted rage!) which is really a displaced, judgemental observation. The issue is why am I angry, & it's rooted in being insanely & perpetually victimized! I'll elaborate.
I live in a vintage trailer which I'll never put in a crowded trailer park. I need total quiet & isolation. I rented on a relatively quiet property from 2021-2023 I was paying $300 per month, but It's illegal to live in according to county codes. However, of my landlady owned the trailer, it would be legal to do Airb&b rentals. Heartless laws.
In that sparse residential area, at the old fire station next to the community center, they had biweekly rock concerts lasting 9 hours at a time. My trailer became a helmhoz resonator: "boom boom boom...." I could not stand it, & it was in violation of county code PC415. I warned the community center that I'd press charges, get a restraining & sue for emotional distres. (Part 2 will be next)
TC
For TC's therapeutic ventilation, which I offer to all writers or so-far only readers
here, I allow therapeutic commentary here. But the approach to commentary the writings of others should be aimed at being therapeutic.
As I have written here in the past, over the years of publication of this topic, the postings here was therapeutic and attitude changing for me too. In the distant past I was 100 percent in agreeing with the medical professional views and directives but rather quickly I realized that the medical profession''s views and behaviors with their patients should be reconsidered. Patients were indeed
teaching their medical professionals important defects in the professional thinking and behavior with their patients. And all this was a basis for the maintenance of patient dignity. ..Maurice.
decades). The manager had a 71 year old woman helping her, ,a former Yellowstone park ranger.
The retired park ranger said that my situation made her fighting mad, that I can't legally live in my trailer, but greedf Airbnb rentals in similar trailers are somehow legal.
There it is in a nutshell! Appropriate moral rage on .my behalf, instead of putting the honus on me, asking, "did you get the help you need?", as if there's something magical about talk therapy & psychotropic drugs. No, it was SSI being not enough to live on, & insanely draconian laws that favor wealthy people. I'm driven to suicide by evil external forces, & somehow it morphs into to an internal "mental health" issue? That's blaming the victim, that Yellowstone ranger was a rare beacon of sanity.
Uike the 71 year old park ranger, Biker sits astride & criticizes my anger, & does t address the victimization I've exoerienced that made me mad. I'm not an aggressive person who wants control of others, but it's a fight, a war so to speak, to maintain autonomy & a modicum of dignity, not having to live in tyranny of the landlords or doctors kicking me around like an object, a piece of chattel.
His narrow dignity agenda is male nurses, male nurses, etc.. Be has actively invalidated My dignity agenda is 2 rules. 1) No exposure of sexual parts of my body for procedures in nin-sexual 2) essential staff only, no passive spectatorship fur intimate exams/procedure. It's not asking much, but because I think differently abitt intimate care, Biker & people like Biker will politely attack, with an unexplainable, driving compulsion to invalidate, invalidate, invalidate. That's precisely how passive-aggressors operate.
TC
To JR part 3
Please note, for me it was *different strokes" & that I never criticized, or started a pissing contest with Biker over "same sex nurses" until he openly attacked me, raising "objections" to my "anger" & recently defended the degrading behavior of the BCH ER staff that out of line tricking me into a drug test, & ordering a catheter.
As for "anger" issues? Most of us are here because we've been sexually abused in medical settings -- sexual humiliation for nurses' entertainment is low level sexual abuse. If not angry in the face of sexual abuse? There is something wrong with you. Your lack of true moral outrage is scary, & should not advocate passivity in the face of sexual abuse.
Is this China, where women are put to death for fending off an active rape attempt by killing the rapist? Close, US prisoners raped in showers are 1st degree murderes if they thwart rape by killing them.
If you look at my posts it's obvious I'm a VICTIM of sexual abuse, & only in medical settings. And Biker expends energy trying to invalidate me?
TC
TC,
For the record, I don't agree with Biker in the exposure issue but he does have the right to his opinion no matter how wrong I think it is. For me, unnecessary exposure is just that rather it is done in same sex setting or not. I don't feel that I should be unnecessarily naked in the presence of other women any more than I should be unnecessarily naked in front of men. Also, I do not know the sexual orientation of the medical providers to say that female workers aren't getting some sort of sexual thrill from a naked female patient. I am not sure what makes it okay to be unnecessarily and forced exposure in front of the same sex? However, I can see it being okay if you have consented and the others are also naked like in a locker room situation as the playing field is more level. The other disagreement is that I don't feel like I have to surrender my bodily dignity in an ER situation. As I said in an earlier post, there was a doctor who wrote an article questioning why patients are so unnecessarily exposed during emergency treatments and why so many unnecessary staff members fill the room only to be spectators? I guess they never get tired of seeing naked bodies. This doctor said he wondered what the patient would have thought had they known but yet he stood and did nothing. ln my husband's case, he knew but was physically unable to prevent due to the drugs they gave him to paralyze him. He said he felt like a war captive that had been bound and gagged. If you are in a car accident and there is blood all over, most likely they need to see all your body to access but that does not mean open curtains complete with audience members of cops and whoever else is in the vicinity.
As for your anger, I do understand because I became raged filled over what happened to my husband. He, on the other hand, just kept it in and it slips out every now and then. Anger is part of the grieving process and I don't think we will ever stop grieving over the harm they inflicted. The anger that I have is why I still do the weekly radio broadcast exposing medical harm. It is clear that many of us here on this blog have Medical PTSD and that will never go away. It may dim from time to time but it usually will reappear especially from medical encounters. JR
Dr. B.,
Back when I started venting, you did indeed have a different opinion. I will once again say that you being in the position you are in could reach out to your fellow medical community members and invite them to this blog. Better yet, talk with us. Silence doesn't create solutions but dialogue does. However, I realize most in the medical community believe that sexual abuse of a patient via unnecessary exposure is not a big deal. And I agree to them it isn't but patients may have another view and it is their body it is happening to.
I also believe that broken trust as what happened to TC in the unconsented for drug test is another huge issue. Violations like that do not go away or fade in time. It was personal. I have read article after article where medical staff believe all patients lie about certain things like alcohol and drug use. If they needed a drug test, they should have given informed consent--pure and simple. The amazing thing is although they feel entitled to believe patients are liars, they don't understand why so many patients believe they are also liars. They also do not understand why people like me have the view that while they are educated in medical matters, it is my decision and my decision alone as to what is done to my body and by whom. I wish I could find a panel of medical experts brave enough to have a valid discussion but as of yet, I have found very few. Can you answer why most do not want to change how they interact with patients? JR
Dr Maurice Bernstein, I presented a 3 part message to JR as a sorr of "thank you" to her for defending me in my ER travails .
In part 2 I recounted in detail how after I filed foal complaints about
illegal neighborhood rock concerts, they in turn, reported to land use county code enforcement that I violate zoning by living on a 5 acre compound in a trailer
I was given 39 days to get out, & living on less than $1200 in 2023, the deadline was totally unrealistic to find a comparable place.
On 05/31 I was carted out of my place nearly dead from an overdose of BP meds.
After a brief 5150, I see a new Labor Day ine for myself to find an affordable quiet place.
My point being the extreme victimhood of a system that kicks poor people when they're down. The inequality of Airbnb trailer rentals being legal, but a poor schmuck can't live in his own trailer outside if a noisy, crowded trailer park
Why did you out that & make that post 100% incoherent?
The gist of sharing this is that many people relegated this, in their minds, as TC should "get help" this is a MH crisis.
NO! Look at the insanity behind what others did to me. No talk therapy or pay holyropuc drug is magical (even the 5150 phycologist deemed my issues as "situational, no psychological symptoms".
Who the hell wouldn't be furious? To sit aside and criticize my anger as if it's a bad, separate entity, is a "blame the victim" approach.
Don't blame the reactions, look at the case/effect relationship of the aggressive actions that initiate the problems.
And in medical settings, it's always God-complexed doctors & nurses that throw that first proverbial punch
Proof of that is this that this blog wouldn't exist if the medical professionals didn't leave us in a state of victimhood
TC
TC wrote:
"And in medical settings, it's always God-complexed doctors & nurses that throw that first proverbial punch
Proof of that is this that this blog wouldn't exist if the medical professionals didn't leave us in a state of victimhood "
To which I fully agree. I didn't, at this fopics first publications but as I have previously stated "I changed my mind" and tried to get
feedback to the issues here by physicians or others in the medical profession but that has not happened. Can't TC and others here directly promote the visiting here by the professionals and presenting their agreement or argument regarding the view of medicine in these days. We need "the other side" of this professional concepts and behaviors. ..Maurice.
Thanks for validating Dr B. My PCP has no interest in my "dignity" bullshit. She is more than respectful herself, & you would NEVER see her cross the line, never would she "disrespect" boundaries. (On so many levels she's a gem, but my present problem with her is that her EMC associates, a pain doc at her former office, & others including the BCH ER staff) have flattened me like a sreamroller & she has sat on her hands ' said nothing to them. Again, the EMC ortho dept. retroactively changed my records, & she "coulda , woulda' blown the whistle on them to the licensing board & she didn't.
But she's not going to come here as she has a career & a life. I did know an administrator at my old clinic who gave me her cell phone number, as we commiserated about our medical problems and our frustrations with doctors. Ironically she &I share that same PCP that she recommended.
I don't see professionals wanting to come here to rationalized there domineering gbehavior towards patients.
TC
https://www.themarshallproject.org/2016/10/03/when-the-cops-take-your-urine-by-force
I don't think anyone in their right mind would argue that these types of court decisions going against both the 4th amendment & basic dignity isn't conservative. Conservative decisions by conservative judges, turning out so ueyy into a police state.
This is exactly my point in reminding people here that the civil & criminal courts work against these patient autonomy issues.
I also say that hospital workers are not forced to comply with search warrants. They choose to thumb their noses at their hypicratic oaths, & are nothing but power hungry , greedy, medical whores!
TC
(Ps Dr B, I think it's niuave to expect medical whores to comment here. Maybe if you pay them, or offer to let them strip one of us they'll come out if the woodwork!)
Doctor Mo I copied & pasted in my patient portal this very comment if yours, requesting the participatiin of medical pros. She will not take the bait as she's very attentive to sick patients. Again, "the other side" means rationalizations & gaslighting. My doc will not disagree with most of us, she will not try to rationalize unethical behavior, & doesn't engarme in it herself.
She could be more proactive in confronting unethical the providers who have harmed me, but her answer would be she's not even one doing the harm herself.
TC
While I'm here, this is kind of stream of consciousness. But I keep tabs on medical sex abuse, & I distinctly remember reading an article about Headstart sending in NPs & PAs into a Tulsa Oklahoma preschool, to literally strip named, & then slamdunk brown skinned, minority three to four year old children on a teacher's desk, strictly to do just genital exams. Specifically genital exams.
It was very controversial, the kids were profoundly traumatized, crying, pleasing for mercy, begging to be left alone as I did when my FAG pediatrician pawed at my private . Their parents never consulted , never agreed to that.
Headstart is supposed to be about math, English , history & learning, but they are steeped in the business of genital exams for their own same.
Proof positive of this claim? I became chummy with the Director of Adult Health & Disease Control at my old Federally Funded clinic in Yucca Valley. (she even gave me her personal cell phone number & texted me about her back pain & travails with doctors who operate with "no sense of urgency" & such.
Discussing with her my ",modesty"
reservations concerning genital exposure in medical settings, she asked "why" (they always ask why? Why should I want that?) Well, for one thing exposure usually unecssary, but I elaborated in my history of being abused in medical settings.
In that conversation, she did confess that she did genital exams on little kids for Headstart. Jesus Christ I wish she didn't tell me that. I wanted to tell her that Iif she, or someone like her had done that to me at 3 or 4, I'd spend the rest of my life wishing her Hell on earth .
I couldn't say that because I needed an ally at that corrupt, self serving clinic.
Word association for me: "medical professionals" "CHILD MOLESTERS!"
That's what I called the EMC surgery scheduler that surreptitiously planned an overnight stay for a bilateral knee scope.
It struck me that the orthopedists promise of no underwear removal wouldn't be honored. That with the surgery requiring a general anesthesia, instead of the spinal as I wanted, & with both knee scopes taking about 3 hours, & particularly with the IV drip staying in my arm as I'm wheeled to a hospital bed, that my running shorts, underwear, whatever would be removed & I would be catheterized. I AM ABSOLUTELY SURE OF THAT NOW. They covertly arranged an overnight stay, they'll just as easily covertly expose me while I'm helplessly anesthetized
Good thing I figured it out!
That 12/16/22 Friday I was informed of their manipulative plans, I blew up, & with nobody to fix the problem over the weekend, I called & called the surgery scheduler & could only leave vehement messages. I said stuff line "whenever I see a person wearing scrubs, I feel sexually threatened, a person wanting to strip me against my will, & I want to kill them I self defense. I called her a child molester on her voice mailed as well. I still nean if & look at them that way. It's them or me, line in the ER catheterization order.
It's WARTIME!
TC
While I'm ranting I also want to point out that I went to an unaffordable local therapist to try to deal with these issues of genital exposure for knee scopes, & particularly chaperones, to me it's SEXUAL VIOLENCE in it's intrinsically humiliatimg nature, worthy of suicide to rid myself of that filthy, cross to bear. A real life or death crisis to die for. I will NEVER be put on display like a piece of meat for any passive scribe, MA no one ever again.
The first free (Lutheran) therapist said "NO CRISIS HERE, it's all about perception". Alienating, callous dismissal. This is to die for. She had less of a grasp on phych diagnostics than I. I informed her that "Type A Personalities like me, were formerly lumped together with OCD, but no longer looked at as a mental illness. She had NO IDEA was confused, clueless & thumbing through her Psych PDF to find
The second Lutheran therapist was a kindly morbidly obese black woman. She listened, then asked me to email her all of those improprieties I experienced. She hadpotential. She also asked me to let her know I was alright after my 04/03/24 knee scope & I did. She said she'd take 94/10 off, but failed to read my massuve email (hours to prepare) claimed to have no knowledge of it. , set 04/17/24 for an appointment, but was a no call no show. She told her supervisor I was having the knee scope that very 04/17 day. How was that possible, I mean how fucking stupid, incompetent & clueless can you get?
Then I was told the unaffordable was joining the Lutheran therapy.
She was completely different, I was trying to give my life story & trying to put it in context with the chaperone stuff. She kept interrupting me & injecting herself into my monologue it was a type of narcissism that Ive seen in therapists before driven by almost a type of a Messiah complex
I warned her over the phone, to sit back, take in my monologue about my history & restrain from interjecting until she understands the issue I'm its entirety
The last appointment I gave a little musical background in the context of a failed career & a failed hopeless & life. She interrupts asking randomly "what's your favorite instrument?" Time was running short, I had to speak about matter on My terms. She then asked "What di you think if the saxophone?"
How stupid can people get? She was 100% inappropriate, & compulsibrly clutching at straws to validate her role as a therapist, But she was totally disruptive, totally tactless & counterproductive. She did precisely what I warned her not to do. She failed to listen, something therapist seem incapable of. I had only two good therapists (out of eleven) & they were good primarily because they actually listened .
This in what I'm talking about, as it was & is a life or death crisis, & don't let this lapse, this delay, this "bucket list" interval fool you.
One salient point here is that on 02/19/25 my PCP told the ER staff that I have "refused" local therapy, & that is the essence of what happened. Local therapists proved to be irresponsible, they proved to be incompetent &:poved to be dumber than a sack of bricks . And why put this in the context of crippling migraines. She also said I have *grandiosity" issues. No doubt, I do because I terned that myself She backpeddled (her usual MO) claiming she didn't think she used that term, claimed it was out of context & pointed out they couldn't spell her name right.
This was her opportunity to put it "in context" & she just simply wouldn't do it.
Grandiosity was my description of anyone banking on an orchestral conducting career, but she virtually denied saying that. Where'd it come from in those ER medical records? And why, but to somehow discredit me? Why not inform the ER staff by long history of being a magnet fur medical sexual misconduct? That I've talked about to her incessantly .
TC
https://www.medpagetoday.com/opinion/second-opinions/114791?xid=nl_secondopinion_2025-03-25&mh=e2fb8558baa36501b834c3e708542fb7&zdee=gAAAAABm4u34U6VGs2WyeYGmXh5bHoUjlq8xB6zDhdQIdo7Hf_ECaJngSSoAdtJET5lB4VoBs8bFL6uPMVrPV3n1NterqPwULIpmamC5-gfqfCzA1qckXuw%3D&utm_source=Sailthru&utm_medium=email&utm_campaign=SecondOpinions_032525
The above article demonstrates to me that in almost every aspect of medical care, the medical community's judgment is skewed. This author wrote about nepotism being a problem but the govt. is focusing on making DEI bad. However, what I walked away with from reading this article is entirely different.
Apparently, this scenario happened a few years back and the author is still not enlightened yet about the huge red flag is this story. To me, it is that a non-medical, non-licensed individual was allowed to participate in a surgery procedure and that during the entirety she had been complaining, lecturing incorrectly about techniques and telling them to speed it up. This person ended up yanking the suction tool out of the hands of the real medical student and do it herself even she had clearly demonstrated she had a lot of incorrect information. The attending allowed it and she was this girl's mother. Where is patient safety? Why did this author not mention this? If this author had not been trying to be politically correct, we would have never learned about an unlicensed, non-medical person disrupting an OR and actually participating in a procedure. Totally mind blowing this was not the lead in the story.
This also reminds me of the story 59flyer told about his hospital visit from a female doctor with her granddaughter in tow while about to uncover his genitals in front of this young girl. Of course, 59 flyers stopped her but it should have never came to that.
Why is their judgment so skewed? Why do they have different sets of values/standards? Why do they believe they are the supreme being and we, the patient, are owned by them allowing them to do whatever they want during our time in their facility which I might add they are being paid for their service to us. Is this what most med schools are teaching? I also want to point out both of the offending doctors were females so where is the compassion and such that females are supposed to bring to medical care at?
I read this article also and had the same thoughts. Nepotism versus DEI was apparently the only real concern of this medical student and no real concern about the patients safety privacy or dignity. This to me shows a true lack of training from the medical schools when the concern is all about me not the patient. The priority should always be the patient first not who should have the greatest advantage securing a medical position. That young daughter of the resident performing the procedure might have just as well been someone pulled in off the street. I read all the comments made about article and some good questions were asked. One was she wasn’t aware that the young woman was the daughter of the surgeon until she referred to her as mom at the end of the procedure? Is this the amount of awareness and control they have over who enters an operating room? I would have assumed that the licensed individuals that were assigned to this procedure would have been fully aware of the students in attendance and what their role would be. For all of the control that they demand and expect from the patient and then another article appears to be added To the volumes of evidence that the medical world is out of control and is self-centered, not patient centered.
Dr B, I don't know about the therapeutic value of ranting & venting as you encourage.
Back in 2022 I tried to recount details to my landlady of a toxic rental situation that drove me to nearly die of inflicted carbon monoxide poisoning, less than two years prior.
She interrupted me, & said stop, by repeating that story you are reinforcing the narrative & just perpetuating the negativity. She was speaking to me as if I were a naive, impressionable teenager with his whole life ahead of him, rather than a 66 year old realist (with a dead parrot, & not a cynic) essentially looking in the rear view mirror at a completely ruined life with nothing appealing to look forward to.
That said, Dr B, I must say that with my attempts to write a detailed "intent to sue BCH & the attending ER doctor in 90 days, trying to write letters of implant to the Dept of Health, the licensing boards & TV's dental board while preparing my 05/05/25 court apperence for dental malpractice, & these countless plaintiff posts on your blog, the emotional toll is overwhelming. This is making my landlady's case of the "reinforcing the negative narrative"..
I referred to my "bucket list" of fixing my place up & watching movies but I'm totally consumed by this state of "victimhood". Dentists, doctors & facilities do what they want, smsll claims suits & complaint letters ultimately backfire, proving we have no recourse & I can't live with that
Put another way, according to Thom Hartman, the liberal talk show host (also a psychotherapist) prior to talk therapy there was hypnotism that he claims was very effective in 19th century Europe. The the book "Trilby" came out, which was the story of Svengali, & that turned the public against hypnotism.
Even Freud's hypnotherapy business faltered, forcing him to reinvent himself, inventing psychoanalysis, which according to Hartman, just turns people into cranks.
Hartmann has explained this in the context of "getting over" trauma. My counterargument is that if people harm you, there's nothing stopping you from people harming you over again. No getting over anything once you're vulnerable & experience brings to light that inescapable reality.
Though psychology & medicine are complete turnoffs for me, & no desire to call in to argue my philosophy with him. I'd never get on the air anyway.
TC
Jeff, I agree. In the OR report, was it mentioned that the attending's daughter being unlicensed and also no medical schooling had been allowed to participate in the procedure? I was told by both CMS and the hospital the MRs including the Operative Report was a true accounting of what happens. I also thought that during the 1st time-out that all staff is introduced and their roles explained. Did the patient know and consent for the idea of someone literally "playing doctor" on them. It is amazing that not one of the comments mentioned this glaring issue but then again, they rarely attack one of the medical mafia members. This articles does firmly cement into my mind that we are but experiments--lab rats-for them. I believe that medical school does teach the owner/slave relationship. JR
Expanding on the article I posted, the medical community seems to believe that DEI is the current cause to run with. Again, there is little or not thought of patient safety in the pursuit of DEI. Nepotism also endangers patient safety. The medical field is a place where we should have only the best and brightest without regards to DEI or nepotism. We should nurture all young people to become the best they can be but that needs to be done starting at birth and not made at the last moment.
Recently, I got into a discussion which rapidly turned heated as some cannot discuss but rather yell and name call when facts fail them. It was in a patient safety group of all places where they were championing a video of a nurse who said that because mortality rates for Black women and I added infants are higher than for White women, she gave better and more compassionate care to them. I argued the nurse should be giving her best care to all and leave her personal judgment (biases) out of the care delivery system. I said that education and care should be improved before they ever come to the L&D. In other words, education of all students (including males) during middle school and high school on how to prevent pregnancy, care during pregnancy, and what it means to care for an infant, etc. should be mandatory. We also should seek to provide pre-natal care to those who cannot otherwise get it so we don't have adverse events happening during L&D and beyond. No, I was wrong. This nurse had the best solution which is completely deranged. My husband was the victim of a nurse who decided during a MeToo time to deliver her definition of social justice and I completely believe medical personnel should leave their personal biases at the door even more than their unreasonable belief we, the patients, must leave our personal dignity at the door. Because my point of view was reasonable the nutcase couldn't argue beyond name calling, the post was closed. It is sad when so-called patient advocates cannot see beyond the end of their self-righteous noses and could cause Black mortality rates to stay as they are or grow but also in the process being okay with not all being given the best care possible.
As far as DEI and nepotism, both are very harmful to patient safety no matter who the patient is. However, I have read so many articles where patients of certain groups want only medical staff of the same characteristics giving medical care to them. For instance, many Black people polled said a Black doctor would be more understanding of them. Also, during the past 50 or so years, the sexual make-up of doctors in the OB-GYN field has shifted to be in 2024 only 20% to be male residents in OB-GYN field https://jcgo.org . Women tend to want women doctors. However, the flip side if you are White and want a White doctor, you are said to be racist. If you are male and want male staff, you are sexist. How they defend this twisted logic is beyond me but they do. This is just food for thought. JR
In Duck Duck Go AI, I looked up the last name of that BU medical school urologist that tricked me into that not indicated prostate exam (like the recent drug test) & AI recognized his name & gave the first name John, retired at 74 in 2002. He looked 55 but was 48
I asked AI ifvthere were any sexual misconduct complaints as with his serial master associate, Marcos Ramos, but from that point AI played dumb & warned me to rain objective & seek help with (get this) medical professionals or administrators.
Yeah, Ill go to the administrator I'm threatening yo sue & else tgat doctor who wanted to cath me. They'll help. Duh!
TC
I've sent links here about a BUMC associate of that perv urologist did nothing but workman's comp exams, in which ALL his male & female victims endured DREs & "roving fingers" on victimsat having carpal tunnel syndrome & broken fingers sthe threat of telling insurance companies they were faking their injuries, & he made good on his threads, & denying claims of patient who stood up to him.
Duck fuck go, artificial intelligence wrote that Marcos Ramos made many contributions & mentioned nothing of his rotting away in prison for taping a female patient & sexual battery of 34 others.
Tell me that artificial intelligence isn't programmed with a very conservative l, pro corporate bias?
Sociologist Theadore Adorno layed it all out in his book, the Authoritian Personality that gave absolute insight into how Hitler took power in which Brownshirts (Blackshurts in Italy) managed to turn against its own citizens , peers & harm them to submit to Naxzi ideology.
The Authoritarian personality (the many followers having far greater an inpact than the leaders) os an epidemic far more prevalent & destructive than Covid.
It obvious here when Biker called me out to invalidate, pooh-pooh my plaintiff claims that the ER violated basic 'patient autonomy rights' principles that this blog has evolved to stand for. r had to come to my aid. Thank you JR, in spite of our political fifferences , your understanding of the shear onesidedness of these patient/provider dynamics is spit in.
I've sent links here about a BUMC associate of that perv urologist did nothing but workman's comp exams, in which ALL his male & female victims endured DREs & "roving fingers" on victimsat having carpal tunnel syndrome & broken fingers sthe threat of telling insurance companies they were faking their injuries, & he made good on his threads, & denying claims of patient who stood up to him.
Duck fuck go, artificial intelligence wrote that Marcos Ramos made many contributions & mentioned nothing of his rotting away in prison for taping a female patient & sexual battery of 34 others.
Tell me that artificial intelligence isn't programmed with a very conservative l, pro corporate bias?
Sociologist Theadore Adorno layed it all out in his book, the Authoritian Personality that gave absolute insight into how Hitler took power in which Brownshirts (Blackshurts in Italy) managed to turn against its own citizens , peers & harm them to submit to Naxzi ideology.
The Authoritarian personality (the many followers having far greater an inpact than the leaders) os an epidemic far more prevalent & destructive than Covid.
It obvious here when Biker called me out to invalidate, pooh-pooh my plaintiff claims that the ER violated basic 'patient autonomy rights' principles that this blog has evolved to stand for. r had to come to my aid. Thank you JR, in spite of our political fifferences , your understanding of the shear onesidedness of these patient/provider dynamics is spit in.
SPOT ON, not spot on dammit. That was TC above & TC here
https://neurolaunch.com/the-authoritarian-personality/
TC
In the context if the "authoritarian mindset" it must come into play with as the common person doesn't see the inherent arrogance & immorality behind mandatory TSA genital patdowns, mandatory nude "posture photos" in American universities 1870-1980,mandatory nude swimming 1920-1980 & why people don't rise up & fight it.
That, in a society in which you can't sunbath nude in your own backyard w/o being arested. In our society, nudity is indecent, untill a dictattorial authority figure forces you to strip for them. Think about that.
I'm trying to have these issues ironed out with my physician, who flies to Italy & Arizona & I guess doesn't mind the TSA patdowns, & thinks differently & even posts photos of her buttcheeks in thong bikinis on Facebook — not that tberexsnygjing wrong woth that.
I don't like what she writes about me, I think my so called dignity & privacy issues with other docs (not her) is at the root if it, implying I'm obsteperous & saying outright I'm combative. When I call her on it she is he is evasive, backpeddles & denies what she put in writing, them saying in taking her out of context.
Last year I came in person with a very hard distended area bulge below my right rubs, she dismissed as a natural asymmetry in my physique but it hurt so much, probably ridacular from my thoracic areas. But it was funny, I threw my shirt off & she seemed afraid to touch me & didn't touch it, maybe because all my bitching about office improprieties elsewhere, & she's afraid of a false accusation. That means she doesn't agree with my complaints about other doctors.
Now that abdiminal area is killing me. We are doing an ultrasound covering appendix, kidneys & gallbladder again & the results will be negative, neaning its my back. I can't even stand w/o the thoracic & lumbar areas going into spasms & the opposing abdominal oblique & rincage going into sympathetic spasns. Its unbearable,, & although there are pain treatments oriented strictly for the limbars, but even ny PCP admits nothing can be done about the thoracic pain wrapping around my stomach & ribs. I cant stand & get anything done, unles I overload my system with Prednisone, Gabapentin & & Norco & Tylenol, which I avoid. I'm lucky she prescribes it though.
We are wondering to what extent all this stinging crippling neuropathy pain on my legs & below my knees is 100% knee arthritis or centered in the lumbar l1 to S1.
I do have a 06/25 nurology visit with a you g NP from India that I haven't cancelled yet. With the stinging pain working ip my leg I anticipate a cremasterric reflex exam & a possibly even savral reflex.
I don't know, there's an old saying "if you know your gonna get raped & there nothing you can do about it, dit back & enjoy it. At least it's with a young woman, but I think i'll just cancel it, as I've given up & will just continue until the next anniversary of my parrot's death in winter.
TC
I must say that Social Security has been very successful for 90 years has operated on a 1% overhead with less than 1% fraud (people getting accidental overpayments).
Conservative have hated Social Security since its inception & wanted to privatize it, & can you imagine JP Morgan & Chase operating it at 1% overhead?
They have been in breaking Social Security to say "its broken & we must privatize it"!
They are laying everybody off & closing offices, so when peoples checks, & bank deposit fail to come in, they have no one yo call & now recourse.
Musk's Doge psychopathic goons are doing it already, dismantling at a rate in which even surprises me .
I predicted Social Security & Medicare would go.
Ill never get acknowledged for that, you guys will believe the rationalizations & believing the "blame the victim" stories.
People are already missing their checks & will wond up in the street, maybe even me before my deadline of my parrot's 13th death anniversary. Well I'm in uttetractsble pain.
TC
My PCP prescribed 90 of hydroxizine, a first generation antihistamine, like benadryl, & somehow my pharmacy (a major chain) changed it to up into 30 days, probably to get more $1:60 copats.
This actually might be Wellcare & Musk's first shot across the bow. But thank goodness they are privatized & working for medicare so I can sue — but I'm also suing medical people, dentists pharmacies & such up the yinyang in Small Claims Court, & with judges being inherently conservative, all my cases will backfire. Again, as one pointed out here about all the courts evenly stacked with dems & reps, but dems have abandoned working class & have sold out long ago to corporations, Activist the conservative Supreme Court actually makiing laws all the lower courts must follow & that's somehow even-Steven?
Medical dignity matters? Think of the consistent rulings allowing correctional officers to not only cross gender strip search, but utterly degrade & humiate women, forcing them to ritualistically remove their tampons in c/o training exercises, while male c/o's scream in their faces like bootcamp drill seargents that they're "filthy bitches & smell like death!" That was held up in courts.
Women treated like Hell, denied tampons, denied healthcare, in jail. NM sexworkers literally caged & roasted in the desert sun?. So with the horrendous, ONGOING torture & abuse going on in Rikers, & in privatized prisons all over the US, including in that Louisiana violent facility with ICE detainines (3 dea this month) & US courts ruling against basic human rights, like this is now a 3rd world country — and it is, the happiness index statistics show it: from birth mortality, to infant mortality to suicide, homicide, etc. . So please put "same gender nursing" in perspective here. "Justice for all"even includes the incarcerated, girls women & even men, who don't deserve sexual abuse, rape as an instotitiinalized punishment for their crimes. Isn't this a microcosmic reflection of our struggles with endemic sexusl abuse in medicine?
As far as Small Claims court is concerned, Judge's are lawyers, not altruistic & lacking liberal compassion, & as we all know about lawyers' inherent greed that's supported by our present administration's phychopathy, now going far beyond sociopathy.
TC
Views regarding medical/surgical service behavior may not be necessarily
different between each writer from a different geographic and morphologic environment in the USA: west coast vs north-east coast. Both writers may be
expressing views that are not in reality a contradiction of each other writer's views. It is the different expressions based on geographic environmental morphologic affects. ..Maurice.
I see the validity of your inquiry there, & not to diberately change subjects, taking a lesson from the neocons about useful rhetoric & framing the issue with succinct, careful terminology:
"modesty" is no good, & frankly, neither is "underwear removal" or "unececessary genital exposure". For me "forced sexual exposure" in medical settings is clear, & says it all yo any bystander. That's how I'll frame it from now in. I urge the same.
TC
A question for the participants of this blog.
As part of my therapy, I have been trying to accept the premise that not all nurses engage in male body shaming as seen on AllNurses or in Facebook posts as well as the experiences of individuals who contribute to this blog.
I got curious about the number of nurses working in the US. The number is over 5 million which does not count CNA's or MA's. There are probably less than a thousand individual nurses contributing the disturbing content on AllNurses, Facebook, Reddit, Quora, etc. Using 10,000 as an sample number results in a calculation of .2% bad apples.
Does this make anyone feel safer or do you think the number I used is way low and that the number or percentage of nurses not respecting dignity or modesty is much higher and many simply do not contribute to these blogs?
My quest to volunteer at a local hospital has not been successful as of yet. I really wanted to volunteer either for ER, Surgery, or the Floor so I might be able to observe speech and behavior in person. For all of the talk of over worked nurses they do not seem to be in any hurry to bring me on. I have talked to nurses and CNA's working the floor asking if there are any jobs that do not require medical training that take them away from patient care. Some do not want to talk much (in fear of management?) and others seemed really touched that I would want to help them out. It has been eight weeks since I applied and several weeks since I completed the background check information. I was given a hard-copy of a powerpoint presentation on how to comply with the requirements of HIPAA and Protected Health Information (PHI).
I am really hoping that I do not experience the kind of behavior that has affected so many people on this blog which might help me feel better should I have to receive intimate care from female medical staff. Of course, I will continue to fight for my modesty and dignity and do my best to secure male medical staff for sensitive procedures and/or do things myself, such as catheter removal.
Thoughts
EM
Em it is so difficult to place everyone’s difficulties with the medical interactions we have into a neat little box. What I mean by that is we each have our own version of what constitutes disrespectful care and what we consider a violation of personal space. I would venture to say that the actual amount of bad actors providing medical care is very low. In most cases what feels like a violation to the patient is merely a medical worker performing their duty and through the desensitization process that they all must go through removing your gown and exposing you becomes as common place as removing the covering off a dish before you throw it in the microwave. This is where the problem begins! It would require them to constantly maintain an awareness of the personhood of what they are exposing and the individual sensitivities that the patient may have. The Industry typically only pushes and promotes them to be task oriented which pushes aside empathy and compassion and it is up to the individual medical staff to maintain a level of respect that every patient deserves. While they maintain that they are gender neutral that logic hits a brick wall because they aren’t considering the other side of the equation and that would be the patient. Me personally I do not want any female tending to me for anything below the belt. There are other male patients that only want females touching them intimately which highlights, the fact that all of this in one way or another is seen through a sexual lens. No matter how professional let’s say a nurse presents herself for me she doesn’t cease to be a woman. The only way any of this gets resolved is with patient Choice and with 90% of the medical work force being female I don’t see anything changing so we will continue to hear things like don’t be silly we see this all the time. And God forbid if in the midst of all this you end up with a bad apple and believe me they are out there because I’ve had a few.
If a medical staff member exposes the genitals/breasts of a patient unnecessarily then IMO that makes them a bad apple for whatever reason it was done. Sexual abuse is a serious issue which is what unnecessary exposure is. For me, I don't want to be unnecessarily exposed by any medical provider. I don't care if they are in it for sexual pleasure or just because they don't care, I will not tolerate unnecessary exposure. Sadly, I know that far too many (probably the majority of medical care) will be handing out unnecessary exposure. In an industry (nursing) that is make up of more women than men, I am not surprised there is so much disrespectful care as it is a myth that women are more caring and nurturing than men especially in today's world where women are taught that men are bad even toxic. I also know from working in female dominated school systems that women can be more vindicative and actually feel entitled to inflict harm under the guise if no one is aware then it is okay.
I have told this story before but when I was younger I shadowed in the x-ray department for a day. During that day, I was witness to many if not all patients especially older male patients being unnecessarily exposed. No comments were made by the staff but rather they did it just as a matter of routine. I would look away because I felt it was a violation of the patient but at that time I did not challenge them. In my old age of today, I would challenge them. JR
JR again agree with your persistent assertion that unnecessary exposure is sexual abuse, & much can be moved forward by getting rid of that.
I would've been more accepting about necessary exposure if I didn't have to worry about things like passive spectatorship & underwear removal for surgery on extremities. Or, my genitals handled & completely shaved for an operation, they're still doing that? It elevates the chance if infection, my urigust shaved with a high tech electric razor, just the area he cut fur the scrotal exploration & the vericosele incision while I was asleep. Not much shaving needed, & I would be notified fur any nurse to shave rve area as others recount.
During my 2cnd recent suicide attempt I wasn't happy about 1) their saving my life &2) wasn't happy about being waking up with my clothes cut off & catheterized & being in the ER with an open doir. But unlike the 1st one, when I ripped out a fokey, this time it was a straight cath, & the nurse was very respectful about pulling it out after I told her uofrint I have "issues" about exposure. . (It wasn't ger fault that I was there or catheterized, but I still resent their idea that I must be saved from myself, sent yo a facility for a 5150, & forced to just do it over (& I will). Maybe they were aware of my past complaints & the write-up the CDPH gave them?
During my 5150 I was respectfully put into a 3 arrmed gown that wrapped around my whole body. Later I showered & got a clean gown, but forgot how to put it on, which arm guys first! . A young nurse was eager to help, & again, after I told her I had "modesty" issues, she said she's stand close & not look. I dropped the towel & was naked in front of her for a couple if secbds, & she put it in in a flash. It was reasonable & I had no problem with it.
TC
There's also hospital gown pants or you could put on two gowns. One covering the front and the other covering the back JF
This one wrapped around the whole body (3 arms & one arm going through twice) & it worked ok until they got me some clothes.
But its not hyperbole to say I am not grateful for the ER "saving me", cutting off my clothes & catheterizing me. I've said it before that id take my life to avoid a surgery requiring catheterization
If the medical world cared more all this would be occasionally talked about at staff meetings. JF
Part 1
Im.going in person to pick up a 01/08/25 ambien e-script sent to a local RitteAid, that on 01/15 I drove miles to puck up (in good faith) that it would be ready. To this they deny getting it. This has been an 8 year battle with them, & that escript that I've asked for 20 times & shouldn't have to go in person to pickup, is small claims court evidence in my suit againstbthat pharmacy for health obstructionism, bad faith & NED.
Last week I texted my physician in the portal to let her know that in light of bloodwork being due in November that the 02/19/25 complete blood panel done at the ER will have to suffice as my last. She totally misread it saying its only needed once per year. Condescending bitch! I was telkungvher that ER blood panel would have to suffIce as my last EVER! She has NO IDEA the gravity of that event: an integrity 0insulting drug *abuse* test; followed by a near sexual assault via a catheter.
She doesn't grasp the concept of "LAST blood test, or LAST EVER opiate drug test (legitimate, for her Norcoscriors) in July. Its good she thinks I'm bluffing when I state that I won't live with this neuropathy pain below the knees )like fire ants are eating them & the left foot has a neuropathy pain akin to diabetes). I cannot stand it, won't live with it, won't have implant surgery-- good tissue destroyed to access the bad — the way I develop scar tissue. I've had open 3-4" incision surgeries & they were disasterous.
The stomach & rib neuropathy pain hurts so much I cant breath, even though the thoracic MRI doesn't show the same severity of the lower lumbars. Of course I'm staggering now from the chronic scistica, & the cervical is the worst, as it causes the mgraines. Again, never a laminectomy or such. (& I'm through & won't fightvwith them about genital exposure in the operating table. Ill die first)
TC
Part 2
I got an official administrational letter from the hospital about that02/19/25 ER ordeal, & they more or less intmatted that it was the government that "mandates" ER drug test (showing their hand that it wasn't about medical diagnosis/treaemt in my best interest, but even with the memory loss, I'm 100% sure I gave the urine sample in good faith that it was medical, not drug abuse test which would be initiated me).
The letter reiterated what the ER supervisor told me over the phone, I was lucid & advocating for myself, that they couldn't force anything but they also insisted that I had the right to refuse any test, catheterization or treatment. That said, why the catheterization order in response to my refusal, obviously they wouldn't take no for an answer.
However, when I called the ER trying to talk to the attending nurses that they refused to get, I told the nurse that I was disgruntled about the bad faith they committed by trocking me into a non-medical urine test, & the bitch went off, "A DRUG TEST IS MEDICAL & ITS THE DOCTOR WHO DECIDES, NOT YOU!
So I can refuse, but I cant. The woman on the phone was a hands on ER worker, & that's what I would've had to contend with. Please keeping mind that the order read, "nurse, urine same NOW, cath if needed". That is a very domineereing, resolute order, not a request.
What would've happened had I refused? The attending same gender male nurse would've been put in charge, the female maybe a chaperone, & he would tell me that I "must be catheterized" as he would be reaching & grabbing at the elastic band of my athletic shorts — the whole thing to deceptively make it look like I teally had no choice, as on a similar level he had none with the order, & his status would be compromised without getting the catheter sample.
I doubt if he'd politely ask to have access to my privates, as I came home with EKG stickers on my torso, & I doubt if they got explicit permission to roll up my sweatshirt for that either.
He would've wound out spitting out teeth, as the play for my privates does constitute a sexual assault. I would've been swarmed & subdued with a versed, &to justify all this, the electronic health record (finished & signed after the fact at discharge) & the scenario would have been fabricated to justify "implied consent" & read that I was confused & exhibiting drug abuse symptims. Id also be handcuffed practically naked to the gurney & arrested for hitting him
Best case scenario? My refusal to urinate into a urinal — & I would had I known & urinated in the toilet telling them to "kiss my ass" about the drug test. They would've refused to discharge me & arrange my return home transportation.
The letter I got stipulated that cathererizariin is just another way of extracting the urine. Yeah, to him just another part of the human body, & theirs to have full access to with a sense of entlement.
TC
Part 3
My PCP is upset at my attacks n her, & I admit that are insulting. She's asking why I blame her for what others did? Because of her lack of moral.outrage that she won't own up to. She won't talk coherently about EMC's tampering of my medical records & her responsibility to narc them out to the licensing board. She asks what do I expect, & I tell her to report them, &she says nothing & just evades. She also denies things that she's written about me in black & white.Typical, stereotypical female evasivemess.
I don't think she believes I'm a sexually abused patient, my experiences are often looked at as "par for the course" in mainstream.medcine.
She did read me the riot act about my criticisms directed towards her, & told me to limit my communication to my maladiies & meds.
I haven't even submitted my petition to ammemd my records, & my 90 day notice to sue. My 12k lawsuit will be laughed out if court because of the pervading authoritarian mindset that even Biker demonstrated in his attack on me. Let the ER staff do any fucking thing they want to me, they're the experts. Even small claims court judges are curruptly conservative & pro-corporate. I've never been more suucidal. I can't live with this! Last year I sought counseling & they wouldn't listen .
The basis of my suit is NED & sexual assault, by Duck duck Go AI definition:
Yes, a threat to molest someone can legally constitute sexual assault, as it involves the intent to cause fear of unwanted sexual contact. Sexual assault laws vary by jurisdiction, but generally, any unwanted sexual advance or threat can be classified as sexual assault.
Similarly, threatening to perform an unwanted medical procedure, such as an ER catheterization, without consent can also be considered a form of sexual assault or battery, depending on the circumstances and local laws. Consent is a crucial element in both sexual and medical contexts, and any action taken without consent can lead to legal consequences. If you or someone you know is facing such a situation, it is important to seek legal advice or support from professionals who can provide guidance based on the specific circumstances
TC
You all wouldn't send a choir boy back for more rape, with the expectation that he won't do anything & everything to prevent it. Why do it to an abused patient?
Dr B, no NH "pathology" here as the suggested last year Right us right & wrong us wrong
.
TC
Correction: not a suicidal note here (per se ) now "so glad to have the intestinal fortitude to off myself..., etc
(further down the road.) But the day one has to worry. About cystoscopues is rvs runs to just and it!
I really struggle here with spell correction & cateracts & also wrote NO LIMIT to the misery our creator has for us.
My vision is horrible & all I wanted to do is stick around until next February w/o getting in a car accident.
I might consider cataract surgery, but NEVER in a hospital or surgery center. If I ever enter a hospital, I will have a long butcher knife ready to defend myself from sexual assaults. I have a right to use deadly force against rapists, & that's anyone who's in the medical profession. RAPISTS!
SO I will go tibistdndibky a vision clinic, but never a surgery center or hospital. I am ni faggot & won't remove an article if clothing, or put in a gown.
Never again will anybody touch me, or look at me. Never again. NEVER!
I breath sleep & eat HATE!
Tc
Ill never forgive my PCP for nitvioenly condemning that ER doc for the catheter order. I've lambbasted her in about 20 messages, statinb how I'm her endemic medical training , sexual violationscars jyst business as usual.
I have started I'm all alone, not a singkecfriend, ally, or advocate. The authoritarian mindsetnis such that everyone supports thatvcatgeterizatuon order, everyone would argue that the sexual assaujtvis for my "own good".
Even my PCP said that she "Wasntvtgers" giving some wiggle room to guvevthar ducyir the benefit of.the doubt. A "professional courtesy" from one doc to another, & which my wellbeing is destroyed.
This was the last steaw. I wasn't cathed, but to go or a damn migraine & have to fear a sexual encroachment is just so surreal.
My PCP is nearkyvas guilty as the ER dc. They arecall products of the same educational brainwashing that makes genital contact a way if kfe. They like doing things like catherizations & people like me are killjoys to them.
I really believe that my PCP would do the same as that ER doc, & enjoy violating me if she could. The difference is that she is patronizing & a good business soman. But I see through her.
Her failure to openly condemn that ER CUNT should be till her dying day.
I hate her!
TC
As a physician I know that patient ventilation of emotions and as experienced as a patient is therapeutic for the writer and can be a valid therapeutic ventilation even for some readers. However, specific names of individual
physicians, nursing staff or institutions must not be given without their
own specific responses here to this blog subject. ..Maurice
Venting is important but just venting to other patients isn't good enough. It's actually patronizing to think it could be. Why should Medicine be allowed to refuse to listen ? Even the surveys limit what can be said. JF
JF, I have to kind of disagree that "venting to other patients isn't good enough. It's actually patronizing to think it could be." While yes, it does not change the world, to some like myself, it really helped to know others had suffered abuses and were working on their solutions to survive them. It made me and my husband who read this to feel we were not alone. Before I did so much research, we just sat quietly wondering if he was the lone victim but come to find out---no he was not. TC has a lot of anger and since he is still actively seeking medical treatment, it seems that with most every medical encounter they inflict harm on top of the harm he is already burdened with having. I had a lot of anger while on the other hand, my husband just internalized all the abuse. However, he has over the years he has begun to vocalize his negative thoughts which I feel is good. As far as the medical world be able to refuse to listen, it is because they hold most of the cards. They have the solidarity, the money, and thus the power. If harmed patients were ever to come together then things would probably change. As it stands now, we have no voice in the big scheme of things. Politicians of both parties are bought and paid for by the medical mafia to keep the status quo. Medicine was corporatized and it's business reach is so far and wide. I believe with all the hatred directed towards machoism that for male patients, things will only worsen as so many women feel they are entitled to punish male patients for all the years of abuse womankind suffered. There was an opinion piece that Cindy & I discussed written by Chloe Nazra abt how it is not discrimination for female patients to want same gender doctors but yet there was no mention of the same for men. This in itself should be alarming but is not to most except to some men because many others are so busy covering up their feelings of secretly wanting same gender care they act like huge flirts even sexually harassing their caregivers. This type of behavior makes the female caregiver even more likely to abuse a male she sense she can harm/punish. As for the surveys, they are a huge waste of patient time. Is it as important if your meatloaf was tasteless if you had been sexually abused? JR
I still cant believe that doctor would send a stranger, a nurse to me (particularly a gay or even gal) to displace or remove my athletic shorts, expose me, touch me down there, penetrate my urethra in pain, risk a UTI, & with the assumption & expectation that its somehow OK, when I need no help down there, & just for a drug urine sample.
(And Biker, desensitized to such stuff himself, had had the filthy
gall to endorse that ungodly concept imposed on me in my situation .
I still cannot believe it, it makes me sick, literally nauseaus.
No good in the world, my PCP doesn't care, she's trained to be desensitized, that salacious medical stuff is their life's blood!
I cant forgive this. I don't monitor my prostats, & they'd not hesitate to dart & sedate me like a wild animal to force a DRE on me that they'd dnkoy. Then they'd pat themselves on the back for their feigned altruism.
I just finished the "run on* 90 day notice to sue for 12K letter, that's pregnant with relevant meaning, but so long & detailed it appears too tangential. It won't change anything or vindicate me. Those ER predators will continue harming dozens of suspected drug "abusers" per week, enjoy violating them, & get away with it.
TC
Dr B, I sent you a bcc copy of that 90 day notice to sue the hospital. You may read & comment to me or anyone here.
TC
I know that male patients are treated worse than female patients generally speaking but females get mistreated also. What I was trying to say is somehow it has to get communicated to those in charge that we have this problem and that it's a BIG issue for many patients. Patients pay plenty of money but the way things are set up with the insurance it's seems to them we're just nothing important.Why should there be any chaperone unless the patient specifically requests one? It's like proving you're not abusing the patient by abusing the patient. And it was actually bad apples who set things up the way they are. If what has been written by women sexually abused by g necologists are true and doctors were accused for decades before the doctors got convícted ? That means not only did chaperones protect the docs from false accusations but they also protected them from true accusations. Nurses don't get chaperones and CNAs don't get them. Doctors should only use them at patient request. JF
(100% agreed w/JF)
In my detailed, scathing 90 day notification to sue over that arrogantly unnecessary catheter order, I wrote that the foundation of the ER doctor's sense of dntitlemeng to my penis, her "right of Way" to my urethra, is in the 100+ year old tradition of GANG-FINGERBANGING anesthetized OR victims.
I wrote that she pribabkyvlearned them that way, & I fg up some dirt:
She graduated in 1990 from George Washington University medical school & I inquired about that in Duck Duck Go Artificial Intelligence all in quotations below, but I still couldn't find any tangible, sources per se: but below in quotes:
"New
Did George Washington University Medical School Students learn their vaginal & rectal exams on unconsenting anesthethetized OR patients in the 80s?
.
GPT-4o mini
Yes, it has been reported that in the 1980s, medical students at George Washington University Medical School learned vaginal and rectal examinations on anesthetized patients without their consent. This practice raised significant ethical concerns and led to discussions about informed consent and the rights of patients in medical education. The issue highlighted the importance of ensuring that medical training respects patient autonomy and consent. In response to such controversies, many medical schools have since revised their training practices to prioritize ethical standards and patient rights.
What is the source of these reports?
.
GPT-4o mini
The reports regarding the practice of medical students performing vaginal and rectal exams on anesthetized patients without consent at George Washington University Medical School primarily come from investigative journalism and academic discussions surrounding medical ethics. One notable source is a 1993 article published in the New England Journal of Medicine by Dr. Michael Swango, which discussed the ethical implications of such practices in medical education. Additionally, various news articles and reports have covered the topic over the year..,"
If I could find real article sources it could be admisdable in court. But this explains her peverse sense of entitlement.
I haven't left my place in 13 days, & I do expectca letter of dismissal at the PO from my PCP. I told her I can't forgive the fact that she's sat astride on her hands while s pain doctor (sharing her sane Palm Desert Office) committed a genital exam improppriety followed by an unannounced Chaperone ambush 2/3rds of tveceay thtough; her orthopedic & rheumatology associates (at EMC where she did her residency) totally screwed with me & changed the records, but then this? This ER encroachment on my penis & urethra for just a migraine? This hasn't motivated her to finally submit written dissent to the hospital on my behalf. I cant forgive it.
TC
O would advise all here to do the same, take your abusing fics to small claims court to publiclyvtake those rvil-doets to task. Make them feel your presence!
TC
Wow, it’s really been a very long time since I last posted here, but I’m still at it. I’m glad you good folks are continuing the fight!
Last week I was feeling really crappy and things weren’t getting better. I finally went to the ER where I stayed for 24 hours. I was finally diagnosed as having gallstones (which I already knew), but they did not present as expected. In any event, I was scheduled for surgery.
The pre-op nurse (female) gave me a gown and told me to take off everything in preparation for the surgery. I informed her that it was my intention to wear my underwear during the procedure. Of course she said that’s not allowed. I explained to her that I would not be laying in the OR with my junk on display for all those present. I called for the surgeon (male) and informed him of my choice. “No problem”, he said, “I’m not working in that area.” I was so proud of my physician and the follow-up attendants who respected my wishes and did not hassle me when I objected to “following the norm.”
Having my wife “on board” and overseeing things was also incredibly helpful, too. I am happy to report, the operation was apparently a success! All the best to you good people!
@ Starboy , I'm impressed, as it was a. ordeal for me to do d a place to scope my knee wearing athletic shorts. I did, but..., t
Was your galladfer operation done arthroscopically?
I think this is the way to do it, rather than I auiri g at the preop visit, to wait until the last mi ute, & put them in a position where they will be out thousands if dollars if you walk out.
TV
Yes, the surgery was laparoscopic. It was not my intention, but as you say, perhaps we should “ambush“ the medical staff at the last minute, too, With our intention to maintain modesty during the procedure. In any event, this time it worked!
Well, last year, after calling around, I found a surgery center & an orthopedic surgeon to do my knee scope w/o OR table sexual body part exposure .
As we were setting the surgery date, the orthioedist warned me that when I'm under the anesthesia, they would remove my undergarments, & put it back on in recovery, he told me he saw it at that surgery center all the time.
Ici fri ted the manager, who adamantly denied it. Somehow it came out that I live alone, & she expressed concerns about my being "taken care of" (a damn knee scope isn't a heart transplant) & I told her I would chose a spinal anedtgesia — at which point she said rve problem with a spinal is that she couldn't discharge me until I voided my bladder. I had it done a spinal for a scope before & after, fasted for many hours before, & urinated after getting home, & no one elsewhrre harrased me about peeing, & I can just imagine those surruptious, underwear removing pervs trying to watch me pee or fodceca catheter on me before 5pm closing time.
After that confrontation & disclosure I live alone, that perverted bitch "redirected" me to a hospital where they'd force underwear removal & hold me overnight!
It happened before where rve surgery scgefumer talked the surgeon into holding me overnight because I live alone & had scheduled a bilateral scope. No wY I'm going to surrender my autonomy, to people who gravitate towards medicine because they'rebirn control freaks. A d jyst fur a knee scope. That particular hospital changed rve is irds to assert I agreed to it from.the start, after I filed many formal complaints & threatened to sue.
The punch line is that the dealays could've been a windfall. The loss of menidcus is a death sentence, & has caused horrible arthritis, & the way I throw around scar tissue, I will not have knee implants. I've had small 2.5-3" incision open surgery twice & regret it. They don't emphasize how cutting through good tissue to access the bad, destroys the good tissue
TC
Starboard how do you know once asleep your wishes were granted? How did your wife advocate for you as well? Cat
First, I believe in the general "good" of human beings! I know that there are those among us who will lie, steal, hurt and obfuscate at every opportunity. However, I believe MOST do not!
If I had not believed the surgeon to be a man of integrity, I would not have allowed him to operate on me. I found our conversations to be compassionate, earnest and patient-centered. He SAID he would not have my underwear removed, and I believed him. However, I do have a follow-up appointment with him on Thursday when I will thank him for his cooperation in this regard and ask him if leaving on my underwear caused any issues for him or anyone else during the surgery.
My wife's advocacy for my decision was to support MY decision and to witness both conversations with the surgeon AND the nurse that 1. underwear was to be kept ON, 2. no Foley would be used. (I am a follower of Ronald Reagan: "TRUST, but VERIFY.")
Cat, I guess I actually don’t—as of yet. I have lived for more than 3/4 of a century trusting people, until I have a reason to NOT trust them. I also know that there are some among us who will cheat, lie, steal and hurt us, if they get the opportunity. I believe when you personally speak to MOST people, you get a sense as to their character. When I spoke with my surgeon, he appeared sincere, empathetic, and gave me a feeling that he was a man of integrity and a physician who was patient-centered. If I had had any doubts, he would have never been given the chance to do my surgery!
One might ask the question, “how do you know”, in many varied situations. How do I know the doctor honored my underwear directive?—He said he would! How do you know your spouse/significant other is faithful to you?—He/she said they would. How do we know the sun will rise in the east tomorrow morning?—It always does! Until such time I have reason to doubt someone’s veracity, I will trust them.
That said, at my follow-up appointment with my surgeon on Thursday, it is my plan to thank him for honoring my modesty accommodation, and to ask him if my choice to leave on my underwear caused him any problems or difficulties for my surgery. (Ronald Reagan’s: Trust, but verify!”)
In response to your question about my wife…She advocated for me by first supporting my modesty needs and wishes. Secondly, she provided physical witness to my clear instructions to both the doctor AND the surgical nurse to be sure all the members of the “team” were aware of my choice. She is VERY bright and would make an excellent witness, should that be needed in the future. Until proven otherwise, I am at peace that things went as according to my directive. I will let you know if I should find out otherwise, and then you can cheer me on at the trial !.
I must say I am the opposite, that my recent ER experience demonstrated that people, particularly medical people, are NO GOOD! I am a liberal & assert that 45 years of Reaganomics has destroyed the country.. New deal economics was "win win" for most. I don't understand how people couldn't see through Reagon (& to be even handed, Clinton & Obama were "laissez faire" economic sellouts like Reagan)! ironically I firmly agree with conservative philosopher Thomas Hobbes, who said (basically) that people are evil WILL harm you & it's not mutual goodwill protecting you, it's of the consequences. Doctors get away with murder (literally & figuratively) because they have legal immunity
It seems that in these "modesty" groups (& "modesty" is a misnomer actually,) but there isn't a single liberal here who will come forward. Is it that liberals are that weak that they allow doctors & nurses to use them as door mats & it's OK with them?
More on that later.
TC
Starboy
Congratulations on successfully standing up for yourself and having the surgery in a manner that is most comfortable to you.
I have been taking the extra precaution of using a temporary fabric glue on the waistband of my underwear. It is obvious when the waistband is pulled away from the skin.
It is strange that doctors need chaperones but nurses who perform many intimate procedures do not. I think most men do not want or need chaperones.
EM
Correction, "it's FEAR of the consequences" keeping 'the other' from harming us.
TC
EM, Thanks for your support for my decision during my recent surgery. Your idea of using a fabric glue is a great idea--what a great suggestion.
You are quite correct about most men NOT WANTING a chaperone for intimate procedures. In fact, many men will forego a valid and needed procedure just to avoid an extra set of eyes on them. I feel anyone who wishes a chaperone should have access to one (acceptable to the patient). However, those of us who don't shouldn't have one forced upon us. I have taken up this cause with several members of our state legislature and found them all in agreement with my position. One senator actually filed a bill to this effect (but that takes some time.)
I might be needing moral support in the near future. I recently got a PSA blood test reading of 6.7. It had been 2.6 a few months ago. Anything over 4.0 starts looking suspicious but as important is the "acceleration" of change. A change of 1 in a short period is suspicious for prostate cancer. I am hoping the 6.7 was an anomaly and I repeated the blood test at the urologists this morning. I will find out next week. Hoping for the best.
EM
Hi EM, 3 things can cause elevated PSA levels. Prostatitis, BPH and Cancer. The doctor needs to figure out which one it is. A man's chance of getting prostate cancer in his lifetime is about 1 in 8, about the same as a woman's change of getting breast cancer. However a man's chance of having BPH is 50% by age 60 and 70% by age 70 and 80% by age 80. So its far more likely you have BPH. BPH is not cancer.
You will probably be referred to a urologist for a biopsy. The problem with standard biopsies is they are like playing blindfolded darts. The doctor will take 12 samples using a grid pattern hoping to hit a cancer spot if its even there. A much smarter and modern way of doing it is getting a 3T (Tesla) MRI done first. This will tell the doctor 2 things, if there are signs of malignancies in your prostate and exactly where they are located. If no malignancies, then no biopsy needed. If there are malignancies now the doctors knows where to aim the biopsy needle. This is called a fusion biopsy.
Case in point: During my annual wellness check at age 66 my PCP tells me my PSA is 5.7 and refers me to a urologist. Urologist redoes the PSA a month later and its 6.8. He wants to do a biopsy. I had done my homework and I say hey wait a minute, I want a MRI done first. I get the results and no indication of malignancy however my prostate is 180ml (about 4x larger than normal) so I have BPH. We decide no biopsy needed at this time. Just continue to monitor PSA every 6 months (simple blood test) for any sudden increase in PSA indicating increase activity. Maybe another MRI in 2-3 years.
@EM, hang in there! A PSA is only one of many other indicators of concern. There are several factors that can skew PSA results, such a BPH. age, prostatitis, and a host of other medications you might be taking.
You are wise to take another test to validate (or hopefully NOT) your most recent results. We'll be thinking about you and hoping for an encouraging report!
Thanks for the words of support.
If it comes to needing a biopsy, I will definitely do a MRI or other technology to map suspicious areas. Not doing the rectal biopsy into random area.
EM
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