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
7 comments
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7 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.
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