tag:blogger.com,1999:blog-7571658.post2586178923468194071..comments2024-03-24T20:02:50.012-07:00Comments on Bioethics Discussion Blog: Patient Modesty: Volume 83Maurice Bernstein, M.D.http://www.blogger.com/profile/07618638650784869923noreply@blogger.comBlogger183125tag:blogger.com,1999:blog-7571658.post-78788667547539238452018-02-04T10:19:18.208-08:002018-02-04T10:19:18.208-08:00As of February 4 2018, there will be no further Co...As of February 4 2018, there will be no further Comments posted on Volume 83. Please write your Comments now on <a href="http://bioethicsdiscussion.blogspot.com/2018/02/patient-modesty-volume-84.html" rel="nofollow">Volume 84</a>. ..Maurice. Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-91823560647142519572018-02-03T18:49:37.067-08:002018-02-03T18:49:37.067-08:00There are no education requirements for a medical ...There are no education requirements for a medical scribe. Years ago medical transcriptionists had some terminology training and their job would be to transcribe recorded reports from radiologists, surgeons etc. Today, when radiologists speak into a microphone a written report is made instantly, thus all transcriptionists lost their jobs due to this new technology. Very soon in the near future medical scribes will be a thing of the past as new voice recognition technology will post automatically to the EMR. Medical scribes often violate HIPAA despite the fact that they sign an agreement that will abide by the laws. Additionally, many scribes often make mistakes and remember all they are doing is documenting what the physician mentions about the patient. For example, ruq( right upper quadrant) pain x 2weeks, nausea, vomiting. No Murphy signs although patient guarded. Hello folks, how do you screw that up? Well they do.<br /><br />PTAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-60994978795460849852018-02-03T16:56:46.308-08:002018-02-03T16:56:46.308-08:00Biker -- Well courageous in my book. The theore...Biker -- Well courageous in my book. The theorem is both old and simple: Fear breeds respect. After your efforts, I say, QED. Oh and don't worry about an effect on quality of dermatological care such as it is. Mortality rates for melanoma now are the same as half century ago; only the cost of care has changed. REL<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-5446142870752656892018-02-03T13:18:00.307-08:002018-02-03T13:18:00.307-08:00This discussion about dermatology and scribes come...This discussion about dermatology and scribes comes at a fortuitous time for me. I will experience my first dermatology visit in about 2 weeks. The subject of scribes has got my attention. I have visited other medical specialists in my time, cardiologists, urologists, neurologists, and some more I can't think of right now. None of them have ever used scribes. What is it about dermatology that a scribe is needed? <br /><br />I used to fly gliders with a doctor who would use a pocket voice recorder when he examined his patients, and then either he or his assistant would transcribe his notes into the patient records. This seems more practical to me as it would eliminate the stress of an extra person in the exam room. My wife related her experience with a dermatology clinic. She said she was examined by a nurse practitioner and, as she called it, a note taker, who was using an iPad. The note taker I took to be a scribe. Both were female, but my wife said even at that she was uncomfortable with that second set of eyes and ears in the room.<br /><br />From what I can find on the web is that a scribe is basically a secretary with some training in medical terminology, human anatomy, and pharmaceutical terminology. Oh, and they have to have good typing skills. The scribe is not, from what I can find, a licensed clinical professional. I have seen the term "certified medical scribe" used so maybe there is some kind of formal training and certification. I will have to look into that further. But at this point in time I believe that a scribe is just a glorified secretary. What qualifies them to be present during an intimate exam of a patient of the opposite sex? Of course, we have to ask the question of male scribes being present with female patients, but I think we know the answer to that! Has the disrespect of male patients really reached a new low, or is there something that I don't understand? <br /><br />Mike 58flyerhttps://www.blogger.com/profile/05572295552265218310noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-69633072125937661652018-02-03T12:16:51.431-08:002018-02-03T12:16:51.431-08:00Nothing courageous REL, just an old guy that grew ...Nothing courageous REL, just an old guy that grew weary of being a 2nd class patient. As recently as a couple years ago I'd of quietly suffered through the presence of the scribe and LPN and I wouldn't have pushed back as I did on that woman just walking into the room. Instead I'd of tried to make believe none of it embarrassed me. Bikerhttps://www.blogger.com/profile/14337739874615826612noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-75598104268086465822018-02-03T07:32:48.500-08:002018-02-03T07:32:48.500-08:00Biker ā Thank you for your courageous actions. I...Biker ā Thank you for your courageous actions. Iām especially pleased to hear about ecpressions in a loud voice. The eggshells effect you produced is, in my opinion, exactly where we need to be going. Best, RELAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-22121703246188795142018-02-03T05:15:52.530-08:002018-02-03T05:15:52.530-08:00Dr. Bernstein, yesterday was my first full skin ex...Dr. Bernstein, yesterday was my first full skin exam ever so I don't have any other frame of reference. My prior visit was supposed to have been a full skin exam but apparently the LNA bungled the instructions and I upset the apple cart saying I didn't want two female observers. <br /><br />Their protocol is that the LNA gives the patient a gown and says to undress to your level of comfort. The doctors take their cue whether to do a genital/rectal check based on whether you left your underwear on or not. That's what I was told by Patient Relations in my complaint resolution.<br /><br />Their protocol is also that a scribe and LNA (of which they only have females) will be present for the full exam. That's the part I got changed. Now a man can say no to their presence. As I was leaving yesterday my doctor was at a station in the hallway giving the scribe the input from my exam just as you described can be done. <br /><br />In any physical I have ever had with my PCP, the underwear stays on except for a brief lowering as you describe. That's also how it has been done with exams by urologists. PCP's and urologists have never had other staff present in the room for exams. Bikerhttps://www.blogger.com/profile/14337739874615826612noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-25028192957422808102018-02-02T21:12:42.454-08:002018-02-02T21:12:42.454-08:00Biker, I don't understand why you couldn't...Biker, I don't understand why you couldn't keep your underwear covering your genitals and buttocks which would be briefly lowered only at the time of the male genital and rectal exam and then immediately raised.<br />There is no rationale for totally undressing your genitals until their exam is to be undertaken. By the way, I don't see the need for a scribe in the room for a male genital exam. If the exam is normal the description is that one word, normal. If there is any abnormality found, the few words needed to describe can be added when the exam is concluded. ..Maurice.Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-78495933213542195182018-02-02T14:48:01.045-08:002018-02-02T14:48:01.045-08:00Here's the 3rd and final chapter of my dermato...Here's the 3rd and final chapter of my dermatology saga. Went for the follow-up appt., but with the Dept. Head rather than the Resident I had for the 1st appt. Their idea, not mine, but a welcome one. <br /><br />An MA brings me to the room, then an LPN comes in to take history and give me instructions. I get the correct instructions about undressing this time. When she is done I tell her that she and the scribe need to leave when it is time for the genital/rectal check. She thanks me for the reminder and says she already had that on the screen. <br /><br />Though I offered they only had to leave for the genital/rectal part the doctor comes in by himself. He was very polite, fully explained things to me, and he did a full exam, but I could tell he was walking on eggshells a bit. For sure he knew I was the one who complained to Patient Relations a month ago. I actually liked the guy and will see him again in a year unless there is reason to see him before then. <br /><br />The one thing that did go wrong, which alternatively is why he was walking on eggshells was a privacy breach by what I presume must have been the scribe. She apparently hadn't gotten word she wasn't coming into the room. I literally had just finished completely disrobing and was about to put on the gown when there is a knock on the door and she says "OK to come in". I say loud enough for her to hear "No, not yet". She apparently wasn't listening for my answer, opens the door and pulls back the curtain. I try to cover myself with the gown while yelling at her loud enough for everyone to hear "I said no, not yet". She hastily retreats while apologizing saying she didn't know I wasn't ready. I yell again "That's why I said no, not yet". I have no way of knowing who all heard me out in the hallway but anyone out there surely did, and this is a pretty busy place. <br /><br />Because I wanted to get a positive relationship with the doctor established I chose not to say anything to the him about it but I suspect he heard the exchange himself or knew of it before he came into the room. Word spreads fast with that sort of thing. Him being the Head of Dermatology likely means he isn't taking new patients, so if there is a silver lining to this saga it is that it caused me to jump to the front of the line so to speak and be put on his roster. <br /><br />A very small step in getting male modesty recognized but a step nonetheless. Men can now have full exams without female observers if they say that's what they want. Bikerhttps://www.blogger.com/profile/14337739874615826612noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-87982559688466816302018-02-01T16:03:26.901-08:002018-02-01T16:03:26.901-08:00Another KevinMD article touching on issues germane...Another KevinMD article touching on issues germane to this thread.<br /><br />https://www.kevinmd.com/blog/2018/01/metoo-moment-pediatrician.html<br /><br />EdAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-347937172226372662018-01-30T21:18:59.922-08:002018-01-30T21:18:59.922-08:00PT et al who are not registered and sign their wri...PT et al who are not registered and sign their writings with a pseudonym, on thinking back on what I last wrote I want to make it clear that I don't intend to limit publication of views on this blog because the writer is not registered. I just want you all to know that with every posting from you I am challenged to find the context of what is written to be consistent with views held in the past and that someone else has not taken your pseudonym submitting a different view.<br /><br />I may be paranoid since I do get plenty of spam messages which are easily identified and easily prevented from being posted. It is the all the other unregistered messages ending with that specific pseudonym that I have to take care that they are from the same writer. <br /><br /> If anyone can help me with this logistic issue of being a moderator, I certainly would appreciate your suggestion since my goal is to keep the narratives here free from attempts to disrupt valid communication. ..Maurice. p.s.- I think this is the first time I brought this issue of mine up.Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-11415308182582462852018-01-30T12:36:39.526-08:002018-01-30T12:36:39.526-08:00Greetings all,
I just got a "thank you"...Greetings all,<br /><br />I just got a "thank you" text from a friend up north of me had an infection that was not responding to oral AB, so he had to go in for IV ABs. By the time he got in his bed, it was 10PM (2nd shift). A male nurse. The gentleman was here on a visa from China. Gave him a gown, told him he could keep his underwear on. When he returned and asked about the gown, my friend said "this is not working." The nurse was OK with that.<br /><br />The other 2 shifts were female nurses, but felt sure that he could request a male nurse IF he had to have intimate care. The one female nurse commented about him wearing his clothes (sweat pants and tee shirt) and said "...as long as you don't have to go down for test. He politely corrected her and said "I would still be wearing them." <br /><br />A nurse came in with his meds and a student nurse behind her. He told the meds nurse that he was delusional because there was a person in the room who could not be real because after 5 minutes she would have introduced herself and said why she was there. According to him, she was very timid even as he tried to talk to her. He did give her the advice to introduce herself. Although not his intention, it was a rebuke of the meds nurse because she did not introduce her until after that. <br /><br />On the consent form, he crossed out and initialed the part about being photographed. The admissions person said nothing about it. He said one thing conspicuously missing from the patient rights part was the right to participate in his care. He did not right it in as it is a federal law. <br /><br />The male nurse could not get the infusion IV started, and after 2 painful sticks (which included poking and twisting), he asked how long he (the male nurse) had been doing it. He said a year, and would call for an IV nurse. The ER was so busy with flu patients, the male nurse said he was going to try again because the IV nurse would not be there for hours. My friend asked if there was anyone else who could do it, and another female nurse who was nursing only a little longer said she had a better success rate. My friend told her she had ONLY one shot at it. It was painfully successful.<br /><br />He also noted that there were other nurses and people in other positions that were foreign nationals, but not many. This goes to an argument that I have had with many other physicians that threaten "If we all quit, what will the country do?" My response is that there are already staffing companies bringing in physicians and nurses to make up for staffing shortfalls or during strikes. <br /><br />He is at a "Big Healthcare Corporation" hospital that is apparently already doing this. Couple this with the recent discussions about immigration and the common sense consensus that the country should be bringing in immigrants with skills that benefit the country (as opposed to violent criminals), and you can see how this creates an atmosphere where power is shifting more and more to the patient.<br /><br />He is still there and will be updating me on how things progress. I will update everyone here.<br /><br /><br />-- Banterings<br /><br /><br />A. Banteringshttps://www.blogger.com/profile/05026455474056909739noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-79779164781139106882018-01-29T20:45:43.830-08:002018-01-29T20:45:43.830-08:00Oops! I meant pseudonym in my last sentence. ..Mau...Oops! I meant pseudonym in my last sentence. ..Maurice.Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-84710365214131352822018-01-29T19:07:09.265-08:002018-01-29T19:07:09.265-08:00I just want to put in my 2 cents about an ongoing ...I just want to put in my 2 cents about an ongoing issue for me as moderator who first has to approve for publication all comments written on my blog. I wish all those commenting would register with Google such as A. Banterings and Biker from Vermont. I always feel responsible and must be alert when I get a posting where the text ends simply with a name or initials and is not registered with Google blogspot to feel confident that what was written was actually written by that very person with that name or initials. Registering does not require presenting the program with any further information about yourself. But it will make my attempt to present valid comments much easier. I appreciate all your comment activity but I want to make what you read here text which represents the opinion of the writer whose acronym ends the text. ..Maurice. Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-11921547811652658162018-01-29T17:12:25.935-08:002018-01-29T17:12:25.935-08:00Maurice
Thanks for asking. I've been on 10mg...Maurice<br /><br /><br />Thanks for asking. I've been on 10mg lisinopril po X1 daily. I have several months ago saw posts about her entering politics but I'd like to mention perhaps the comment that she has made was the most interesting. She said " I have suffered professional". Now I guess everyone can draw their own conclusions as to what she meant by that.<br /><br />JF<br /><br />Sadly, crowd dynamics enter into these situations but it should be mentioned that all the articles I've read mentioned this had been going on for over 10 years. Now I can't even begin to imagine the kind of a culture that plays out this long in a medical center. <br /><br />PT<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-60932860881181088382018-01-29T06:17:32.966-08:002018-01-29T06:17:32.966-08:00People are often cowards when it means going again...People are often cowards when it means going against the crowd. I've been guilty of keeping quiet myself, when I shoukd have been getting in someone's face. With her being a doctor, there may have been some intimidation going on and the staff felt unsafe telling her anything. What I wonder is there anyway for us to force the issue? I think she should be made accountable. JFnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-63960723134370581602018-01-28T07:01:00.976-08:002018-01-28T07:01:00.976-08:00Sparks apparently retired about a year and a half ...Sparks apparently retired about a year and a half ago so at least we can be assured she isn't sexually assaulting male patients anymore. <br />http://www.grantcountybeat.com/news/news-articles/28722-grmc-board-of-trustees-hears-the-positive-side-of-some-negative-news<br /><br />What bothers me more than Sparks herself (I won't dignify her status by calling her Dr.) is the OR staff and mgt. of the hospital that looked the other way and/or joined in the laughter while male patients were sexually assaulted. The ensuing publicity was such that people in the community could choose to not have her as a doctor, but here we are years later and anyone going to that hospital has no way of knowing if those nurses, techs, and even other doctors that went along with her "exams" are still there. Clearly those others either share Sparks' perversions or they have no moral base. <br /><br />This is what makes many of us cautious. The medical world does not police its own. What are the odds that any hospital would dig deeper into an applicant's background that had previously worked at the Gila Regional Medical Center? Or Denver Health of body bag penis fame? Or the Univ. of Pittsburgh Medical Center that had the cell phone circus in the OR taking pictures of some guy's genitalia? And so forth any of the other hospital based sex scandals? Staff rarely gets more than a slap on the hand and then sent back to work. It is as if the only problem medical centers have with this kind of behavior is the media getting wind of it causing bad publicity. <br /><br />The real question before us is why does the medical world tolerate disrespectful and undignified treatment, if not worse, of patients so long as the patient is unawares that it is happening? Bikerhttps://www.blogger.com/profile/14337739874615826612noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-43263292554815776762018-01-27T23:43:59.489-08:002018-01-27T23:43:59.489-08:00I attempted to find the NIH comments/voting page c...I attempted to find the NIH comments/voting page concerning same gender care and had no luck. "Page not found" was all I could get. I am not extremely tech savy but I can copy and paste. When I did, it still came back not found. Has the site been taken down already? I would really like to post my comments/views, if its allowed. IT may well be a fault of mine but I am concerned enough to ask. DBD.B.noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-66280582642225352882018-01-27T22:25:13.306-08:002018-01-27T22:25:13.306-08:00PT, here is a news item I found which should even ...PT, here is a news item I found which should even irritate you more:<br /><br />http://www.scsun-news.com/story/news/politics/2016/06/27/sparks-elected-national-democratic-delegate/86443290/<br />From Silver City Sun-News<br />June 27 2016: <br /><br /><b><br />SILVER CITY ā Silver City author and surgeon Twana Sparks was elected as a national Democratic delegate at the Congressional District 2 post-primary convention in June. She was raised and educated in New Mexico, and has been practicing medicine since 1985.<br /><br />A pledged Bernie Sanders delegate, she says, "I've never done anything political but vote until this point in my life, but an honest, compassionate, intelligent presidential candidate is a rare find, so I got involved."</b><br /><br />And where is a mention in the article about her "unprofessional behavior" in the past? Nowhere.<br /><br />The article ends with <b> "Sparks lives in Silver City with her spouse, Martha, and two Chihuahuas. With other supporters, she opened the Silver City for Bernie Campaign office in September 2015 and it has been staffed daily since."</b><br /><br />I can see where PT could get his blood pressure elevated? By the way, PT have you had it recently checked?? ..Maurice.<br /><br /><br />Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-29703811379108237042018-01-27T21:47:20.407-08:002018-01-27T21:47:20.407-08:00In no way do I condone the criminal behavior of Dr...In no way do I condone the criminal behavior of Dr Nassar, however, I believe he was made an example of after hearing the testimony and watching the court proceedings. After allowing over 100 of these Olympians come into the court room and confront their accuser. I use the word Olympians since that is what they were referred to. They may call them Olympians but they swing from monkey bars for a living after all, I have more respect for the packagers and distributors of Hostess Ho Ho's.<br /><br />Additionally, while surfing Yahoo over the past 3 years I now recall that the girls swing from monkey bars also posed almost nude with their pictures displayed on Yahoo. I should have complained about sexual harassment. While we have Dr Nassar serving serious prison time and everyone calling for the departure of the top executives to step down I'll ask who stepped down at Gila Bend medical center since everyone there knew about Dr Twana Sparks exams. No one stepped down, she didn't lose her job nor go to prison. She molested more male patients over 10 years I'm sure than Dr Nassar molested. These patients of Dr Sparks were poor, hardworking people in the community. Yet they were never identifiied thus not bring the opportunity to heard in heard in court.<br /><br />PT<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-15011677784235501452018-01-27T11:35:42.962-08:002018-01-27T11:35:42.962-08:00This here isn't about modesty especially but i...This here isn't about modesty especially but is a concern anyway. Whenever the people in supervision positions are bullying the staff under them, problems get hidden. One time the nursing home where I worked got a new administrator. She told are nurses to write us up. We asked her what specifically was the concern and she got huffy and said she trusted our nurses. One certain nurse kept write up papers on her med cart. She so relentlessly nit picked and hartassed that we had no time to get our showers done. That was the one thing that escaped her notice. She stood outside the breakroom the whole break period with her med cart. For two years our residents didn't get showers on our shift except on that nurses day off. There is a difference between strict and bullying. Also at the same nursing home, it was shift change and one of the patients was in severe pain. The charge nurse was a total bully and every single CNA was afraid to approach the nurse to ask for help for the patient. That was 2nd and 3ed shift CNA's and none of us could approach her.JFnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-26657043767922478852018-01-25T20:50:45.372-08:002018-01-25T20:50:45.372-08:00First, we are at 162 Comments on Volume 83 and ama...First, we are at 162 Comments on Volume 83 and amazingly, the population of comments has developed in a period of just 1 month! And if you scan through the comments you see that there has been a lot of constructive discourse..which does make me happy. In view of past failure of publication by Google's blogspot.com when the numbers get too high, maybe over 200, we will soon (maybe 180) move on to another Volume. I realize, switching to a new Volume affects continuity accomplished through simple scrolling but I don't want to lose comments as I have had experience in the past.<br /><br />Now, I want to apologize for delay in posting those who wrote here today. It is because I was teaching the abdominal exam to two separate groups of six first year medical students. A long day for me. They were examining each other and yes, attention to patient modesty was high on my agenda. Also communication with the patient as the exam proceeds is essential. One of the rules I teach them is whatever technique they are using: auscultation, palpation or percussion they should remember they know where their hands or stethoscope is on the abdomen so they shouldn't stare at the abdomen and their hands but look at the patient for signs of discomfort. An important lesson in communication. Does your doctor on examination pay attention to you or their hands or equipment? This all part of the important nuances for an effective and patient attentive examination. Except for learning to take the vital signs a couple months ago, today was the first more intimate contact learning with a human body. This is where much of what has been discussed here begins within medical education. I hope they learn and remember the importance of looking at and listening to the patient as they "lay on hands". ..Maurice. Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-47000898764780530002018-01-25T15:00:34.661-08:002018-01-25T15:00:34.661-08:00Sexual abuse should be treated the same. Regardles...Sexual abuse should be treated the same. Regardless if it's a woman doing it or a.man. or whether the victims are male or female. Maybe she'll humiliatite the wrong guy and she'll find herself laying beside the street with her knee caps broken and cracked ribs and her dress ripped off.JFnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-38766892275239716192018-01-25T13:50:49.065-08:002018-01-25T13:50:49.065-08:00Hello,
At last some hospitals are recognizing pat...Hello,<br /><br />At last some hospitals are recognizing patients' need for modesty / dignity, at least relative to hospital gowns. Please see https://www.statnews.com/2018/01/25/hospital-gowns-design/?utm_source=STAT+Newsletters&utm_campaign=901dbd8c85-Daily_Recap&utm_medium=email&utm_term=0_8cab1d7961-901dbd8c85-149726657 <br /><br />ReginaldAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-38956729309402429962018-01-25T13:49:25.605-08:002018-01-25T13:49:25.605-08:00Sorry Biker. I hope I didn't come across as ga...Sorry Biker. I hope I didn't come across as gay bashing because I'm not against gays. I agree its often a dignity thing. It would be just as upsetting for many patients for a care giver to be repelled at the sight of their body. I'd be one of those patients. Until I learned that my religious beliefs said we shouldn't go to the opposite sex for intimate care, it didn't matter to me whether it was a woman or man doing that kind of check up. It's the extra person I object to. Even then I just object if they are witnessing from the foot end of the exam table. Mostly I never go to those kind of check ups unless there's symptoms. PT. I don't wanna get into a debate about the male staff and whether or not they are gay or straight. Let everybody draw their own conclusions about that. What you said about nursing home staff sexually abusing elderly seems crazy to me. I'm not saying that someone somewhere didn't do what you said. But it's not a typical thing. 80 to 90 year olds just don't seem sexually attractive to me and the people I have worked with.There have been rare exceptions. One male house keeper was going in ladies rooms and was seen looking at them naked. It was immediately turned in and he was immediately terminated. A bogus reason was given for the termination however. JFnoreply@blogger.com