tag:blogger.com,1999:blog-7571658.post5838060885240784939..comments2024-03-24T20:02:50.012-07:00Comments on Bioethics Discussion Blog: Patient Modesty: Volume 87Maurice Bernstein, M.D.http://www.blogger.com/profile/07618638650784869923noreply@blogger.comBlogger175125tag:blogger.com,1999:blog-7571658.post-52370697902222019812018-06-01T08:58:34.388-07:002018-06-01T08:58:34.388-07:00As of June 1 2018, NO FURTHER COMMENTS will be pos...As of June 1 2018, NO FURTHER COMMENTS will be posted on Volume 87. Comments can CONTINUE on <a href="http://bioethicsdiscussion.blogspot.com/2018/06/patient-modesty-volume-88.html" rel="nofollow">Volume 88</a>. ..Maurice.Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-24745910142898112222018-06-01T08:51:47.472-07:002018-06-01T08:51:47.472-07:00In his May 31st post, Biker in Vermont asks “How a...In his May 31st post, Biker in Vermont asks “How anyone who works in healthcare at any level does not inherently know that some men are not comfortable with opposite gender intimate exposure?” My suspicion is that, in fact, they know very well that many men are uncomfortable with such exposure but their pretension that they are oblivious to this fact is simply a compliance technique they use to convince patients to do what they want them to do. By acting clueless as to why a patient might refuse such care , they are simply trying to make the patient feel that he is some sort of strange outlier who is behaving inappropriately hoping that the patient will believe this and comply so as not to be thought of as an aberrant personality.<br />MG<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-16569749455526226282018-05-31T19:00:52.197-07:002018-05-31T19:00:52.197-07:00We have arrived at 173 postings on Volume 87 with ...We have arrived at 173 postings on Volume 87 with this posting--less than 1 month. I am in the process of preparing Volume 88 which most likely will be available for posting tomorrow. ..Maurice.Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-13552341151639688412018-05-31T14:45:29.326-07:002018-05-31T14:45:29.326-07:00Maurice
First you interrogate, then torture, ...Maurice<br /><br /> First you interrogate, then torture, then interrogate some more then torture. I know no one will believe me but<br />many patients in healthcare have been tortured, I’ve seen it happen. If you want the disgusting details Maurice<br />I will be happy to relay them here for every one to see, however, for my response now I’ll discuss unnecessary <br />questioning which really amounts to interrogation.<br /><br />Not very long ago a female nurse assisted a woman interrogate her husband recovering in post-op from the effects<br />of anesthesia. The woman wanted to know if her husband was having an affair and the nurse assisted her with the<br />interrogation. Propofol can be a useful truth serum as well as other narcotics just prior to becoming unconscious or<br />while coming back into consciousness.<br /><br />Many years ago just prior to having knee surgery the pre-op nurse wanted to know “ for the record” what were the<br />names of my siblings and what their occupations were. At the time I just wanted the surgery done but in retrospect,<br />I think “ what the hell does my knee surgery have to do with the occupations of my siblings”. In registration I listed<br />an emergency contact, provided my health insurance card etc. So why the unnecessary questions, they are not<br />medically RELEVANT! <br /><br />It’s because people in healthcare are nosey, they are into control and spend far too many hours watching medical <br />tv shows AFTER they have worked in healthcare all DAY. Who does that? The questionaires required at medical<br />facilities in my opinion goes too far. Personally, it’s no ones business what your SS number is, what your occupation<br />is, if you are married or single and realistically how many children you have. <br /><br />Aside from the 19 pages of information you already provide then you get further interrogation. I would suspect that<br />if a female chose a female gyn she wouldn’t suspect there to be a male medical student to examine her, furthermore<br />she refused the exam with him, would should she even be asked why? I would feel the same way if I went to my<br />Urologist and should he have a female med student there to do the exam and would be polite and just say, get the<br />F#&k out. This is exactly how you have to respond to crap like this any more.<br /><br />PT<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-46129889330620310292018-05-31T12:14:54.799-07:002018-05-31T12:14:54.799-07:00PT,
I love the waterboarding analogy!
I have ref...PT,<br /><br />I love the <b>waterboarding</b> analogy!<br /><br /><b>I have referenced (<i>ad nauseum</i>) how what was once thought as compassionate healthcare has been determined to be torture by the UN and WHO. It was found that<a href="http://tbinternet.ohchr.org/Treaties/CAT/Shared%20Documents/USA/INT_CAT_CSS_USA_18525_E.pdf" rel="nofollow"> the treatment of intersexed individuals in healthcare amounts to torture</a>.</b><br /><br /><br /><br />JF,<br /><br />When I say <b>employer</b>, I mean the healthcare system that the physician (or other provider) is employed by. Very few physicians have their own practice anymore. <br /><br /><br /><br /><br />Maurice,<br /><br />Asking "why" is a useless IMHO. As I have stated before, one of my undergrad degrees is counseling. One of the first things that one learns is you never ask "why". <br /><br />This was a case that we studied as to the reasons that "why" does not get the true information being sought.<br /><br /><b><a href="https://www.upi.com/Archives/1995/09/15/Exec-jailed-in-gruesome-wife-slaying/8885811137600/" rel="nofollow">On August 29, 1995, a 40-year old upper class insurance executive killed his wife and mutilate her body.</a> When asked by police "why" he did it, he responded <a href="http://www.celebrateboston.com/crime/burnt-ziti-murder.htm" rel="nofollow">that he argued with his wife and killed her over a pan of burnt ziti</a>.</b><br /><br />Obviously, the burnt ziti was NOT the reason "why," it was the <b>TRIGGER</b> that set him off. Their marriage had been under a lot of strain from the demands of his job, and the couple was not getting along at the time. <br /><br />Beyond that, when I refuse to answer such questions, I simply say <b>Because it is my RIGHT not to answer, AND I am under no obligation to answer.</b><br /><br />I can tell you providers are not happy with that answer. They will say that I need to understand the situation for informed refusal. Invoking one's rights is not evidence of incompetence. <br /><br />Other answers are:<br /><br />-- It is not relevant. <br />-- None of your business.<br />-- Some irrelevant answer. (<i>i.e. Do you have sex with men, women, or both? My answer is "47" to that question.</i>)<br />-- I do not know, or never thought about it.<br />-- Let me get back to you. (<i>i.e. Deferred.</i>)<br />-- Part of my religious beliefs (or other belief system).<br /><br /><br />I hope that you can see the folly of "why".<br /><br /><br /><br />-- Banterings<br /><br /><br /><br /><br /><br /><br /><br /><br />A. Banteringshttps://www.blogger.com/profile/05026455474056909739noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-6631232057296323522018-05-31T10:11:09.942-07:002018-05-31T10:11:09.942-07:00I'm still in the camp as one who would welcome...I'm still in the camp as one who would welcome being politely asked why. Not accusatory or threatening, but in a genuine I want to understand better manner. I see it as an opportunity to help the healthcare staff involved better understand where some of us are coming from.<br /><br />While I don't understand how anyone who works in healthcare at any level does not inherently know that some men are not comfortable with opposite gender intimate exposure, many apparently are that oblivious. They are aware of female modesty even if they sometimes ignore it, but for men they act surprised that it is even possible. <br /><br />To Dr. Bernstein and any other healthcare worker here, have you any idea how so many healthcare personnel come to be so oblivious? How was it possible that the Dermatology Resident automatically assumed there must be something wrong with my genitalia if I wasn't comfortable being observed by a female scribe and female LPN up close and personal? <br /><br />Given the widespread nature of obliviousness, medical schools, nursing schools, and medical tech, CNA, and MA training programs all need to incorporate patient modesty into their curriculum. Just teaching them to be polite misses the point. <br /><br /> Bikerhttps://www.blogger.com/profile/14337739874615826612noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-79865372433686957302018-05-31T08:43:17.324-07:002018-05-31T08:43:17.324-07:00PT, the student or physician asking "why"...PT, the student or physician asking "why" the patient rejected the request is not the start of the usual definition of "interrogation". It is simply providing the patient the opportunity to, if desired by the patient, have the medical student or physician better understand the patient's request. The response by the patient provides education to the one asking "why", nothing further. Such education may be important in any further relationship with the patient or education which may apply to future experience with other patients. The patient is not being treated as a criminal suspect and the patient has the right to avoid responding or terminating the relationship.<br /><br />In no way is medical history taking or physical examination a legal or illegal interrogation or "strip search". It is a shame on the medical system that by actions or inactions of their professionals, the public was directed to such a conclusion. ..Maurice.Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-3350862236165539562018-05-31T06:48:34.980-07:002018-05-31T06:48:34.980-07:00I don't know for sure but I think he means tha...I don't know for sure but I think he means that we shouldn't have to tell them that its embarrassing or humiliating to us. For some people acknowledging the feeling, increases the feeling. I think whether or not we are ok with witnesses should be asked on our paperwork, a check list. There will be plenty of patients ok with it. Even opposite sex.JFnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-49318114778939829552018-05-30T22:51:54.161-07:002018-05-30T22:51:54.161-07:00Employer as in doctor? The doctors are the ones re...Employer as in doctor? The doctors are the ones requiring/ allowing the extra people violating the modesty concerns.JFnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-16237880063234441822018-05-30T21:26:47.823-07:002018-05-30T21:26:47.823-07:00Maurice
I never thought that in the proc...Maurice<br /><br /> I never thought that in the process of paying for services of any kind that I may be interrogated. That’s a new one<br />on me, can I plead the 5th and will they provide me an attorney if I can’t afford one. I can just see this now going down<br />with risk management that a patient was interrogated simply asking for privacy, respectful care and same gender care.<br /><br /> I joined the military during the Vietnam war and during my group full nude physical exam there were non medical<br />female observers. I’m not surprised that later I learned that this was actually used as a torture technique on Muslim<br />suspected terrorists, so waterboarding is not too far from that. It just sickens me what healthcare has become considering<br />the costs. <br /><br /> Yes I’m with Banterings that I’m beyond disgusted with healthcare, all the fake ramblings with core values, ethics,<br />patient-centered care, makes the average patient want to puke. What’s the point of having people in bioethics in the first<br />place when basic rules are never followed. Yep, I thought I knew it all and read it all until I learned that patient’s will be<br />interrogated. I didn’t know medical staff were taught techniques of interrogation.<br /><br />PTAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-39132710577620321922018-05-30T21:02:50.761-07:002018-05-30T21:02:50.761-07:00PT, "Water Boarding", that is a bit out ...PT, "Water Boarding", that is a bit out of context for a discussion regarding a simple "why" question to the patient. The "why" is only to obtain insight into the past experience or current concerns. Nothing more..nothing threatening. All personal questions asked the patient and all the acts performed during the physical exam is not for the personal benefit of the physician. It is to accomplish a goal of diagnosis and appropriate treatment. The only exception would be for the medical student from year 1 to year 4. Yes, in the case of the medical student the underlying benefit is for the student and every patient should be so informed as part of the introduction disclosure to the patient by the student. Our students know this is their initial disclosure to the patient.<br /><br />"Why" as applied to a patient's refusal to explain or to allow an action is of interest to the physician as part of "understanding" the patient and not anything sinister. ..Maurice. <br /><br />Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-76143963920985596512018-05-30T16:56:22.431-07:002018-05-30T16:56:22.431-07:00Dr. Bernstein, I'd be OK being asked "why...Dr. Bernstein, I'd be OK being asked "why" if it was done in a genuine trying to understand manner. I would not be OK if it was done in an accusatory or threatening manner. It is all in the delivery. <br /><br />Given the hostility some female staff have towards male patients who dare to ask for same gender care, we cannot automatically assume they'd set aside their hostility in an attempt to understand where the patient is coming from. Whether physicians/residents/medical students would be better asking the "why" question than nurses/techs/CNA's/MA's I don't know. The dermatology resident I tried expressing my concern to last autumn was not receptive at all. Nor was the LPN I tried talking to, or the scheduler, or the Head of Dermatology. It was only Patient Relations that was willing to discuss my concern with me. <br /><br />It would be good if appropriately phrased and appropriately delivered "why" questions did take hold because then finally the issue would at least be acknowledged. Bikerhttps://www.blogger.com/profile/14337739874615826612noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-40039253355112296802018-05-30T15:14:49.259-07:002018-05-30T15:14:49.259-07:00Maurice
I disagree with you, that is not a necess...Maurice<br /><br />I disagree with you, that is not a necessary part of history taking. As you know for many years patients have been asked<br />many questions that have finally been deemed inappropriate. I could cite many of those questions but looking further into<br />this matter this unnecessary questioning could lead to attempted bullying by physicians, nurses etc. Would it be appropriate<br />to ask every mammography clinic patient why do you feel so enabled that you know well you are being given an exam that<br />will not include a male tech?<br /><br />Perhaps the patient practices a Muslim religion and does not want staff to know this, perhaps the patient has a history of sexual <br />assault. Perhaps the patient has had too many instances where their privacy was not respected. I believe that any further kind<br />of questioning could lead to an interrogative atmosphere that would only degrade what any trust that patient had by putting them<br />on the defensive. I’ll just say that there is a very fine line when it comes to bullying a patient by nursing staff and hospitals with<br />the patient satisfaction scores being in consideration of reimbursement by Medicare I thinks it would be a rocky road to venture<br />down.<br /><br />It’s interesting that hospitals have core values and now they want to embrace the concept of patient-centered care but now you<br />want to interrogate the patient’s. What’s next? Water Boarding?<br /><br />PTAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-70172833593996856342018-05-30T14:03:55.404-07:002018-05-30T14:03:55.404-07:00PT, I wrote in my last posting "The students ...PT, I wrote in my last posting "The students are instructed to obey the patient's requests rejecting the student though it is permissible to ask 'why' but then follow the patient's request." This fits with the team concept "with" in the patient-doctor relationship. The relationship once established is two sided.<br /><br /> Asking the patient "why?", if the patient responds, may provide information regarding the patient's previous experiences which may be helpful in better understanding the patient and so improve any further interaction, if the patient agrees to continue but with limitations. <br /><br />By the way, this concept of the value of "why?" asked by a med student or later as a physician can apply in history taking particularly when a patient refuses to answer questions about sexual or drug history which are important components of the patient's past history. Asking "why" may provide information that can lead to clues to the current disease. But, yes, it is the patient's prerogative and right not to explain the "why?" ..Maurice. <br /><br />Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-12777454420018441372018-05-30T13:34:44.384-07:002018-05-30T13:34:44.384-07:00Maurice,
I am disgusted with our healthcare syste...Maurice,<br /><br />I am disgusted with our healthcare system. I am at the point now, "I am the customer, do the job that I am paying you to do, OR I am going to complain to your employer.<br /><br /><br />-- BanteringsA. Banteringshttps://www.blogger.com/profile/05026455474056909739noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-5589846251635702092018-05-30T13:06:30.543-07:002018-05-30T13:06:30.543-07:00Many year ago I read a blog regarding why there ar...Many year ago I read a blog regarding why there are no male mammographers, why males are excluded from working in areas of <br />healthcare such as L&D, and why female nurses only want female nurses taking care of them. A male nurse responded and said,<br />“ female nurses, female cna’s, female techs and female physicians don’t want to be treated like they treat their male patients”.<br /><br />PTAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-79343760109444034892018-05-30T10:34:11.154-07:002018-05-30T10:34:11.154-07:00I thought you all would be interested in reading t...I thought you all would be interested in reading this article by a male nurse about how he does not want any female nurses or doctors himself, <br /><b><a href="http://confessionsofamalenurse.com/post/92690440874/when-a-male-patient-refuses-a-female-nurse" rel="nofollow">Confessions of a Male Nurse</a></b>.<br /><br />MistyMedical Patient Modestyhttp://www.patientmodesty.orgnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-73555741447847600602018-05-30T10:08:13.845-07:002018-05-30T10:08:13.845-07:00Maurice
The article you presented regarding AMA J...Maurice<br /><br />The article you presented regarding AMA Journal of ethics to me seems flawed. Whereby the medical student was committed in patient-centered care he was confused as to why the female patient denied his presence for the examination. I’ll mention that the concept of <br />patient-centered care is composed of 8 principles, one of them being respect for patients preferences. The medical student was not<br />entitled to an explanation from anyone. I’ll take that further and this applies to all healthcare workers, nurses, techs, cna’s etc.<br /><br />If a patient expresses their preference on gender care that’s it. Patients are not required to give a PhD dissertation as to why they<br />prefer same gender care. Why should the medical student seem confused if he is indeed committed to patient centered care. It<br />is my opinion that asking a patient why they prefer same gender care be considered inappropriate question. <br /><br />PTAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-49491253776543278322018-05-30T05:57:33.652-07:002018-05-30T05:57:33.652-07:00One gynecologist that I went to.one time shared hi...One gynecologist that I went to.one time shared his office with a woman who had a desk job. He didn't have to round up a chaperone because she was in the room already. She wasn't coming and going from the room or invading my privacy. But if a problem would have come up. Patient saying "Stop" or "Let me up" she would have been aware of it. Why couldn't doctors have 2 offices like that? One with a man working at a desk. The other, a woman working at a desk. Nobody seeing the patients junk except the one person who does the exam. JFnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-59580453013367154532018-05-30T03:46:10.183-07:002018-05-30T03:46:10.183-07:00That study that AB in NW posted is typical of just...That study that AB in NW posted is typical of just about every study I have seen. How such intelligent people can be so astoundingly clueless is amazing. Do they really think patients don't care who else is in the room as an active participant or observer? That the gender of these others is just as important to the dynamic as the gender of the physician?<br />Bikerhttps://www.blogger.com/profile/14337739874615826612noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-6389694530300956112018-05-29T21:41:50.333-07:002018-05-29T21:41:50.333-07:00I agree with AB in NW that based on the discussion...I agree with AB in NW that based on the discussion in the article presented failed to study the complexity of current medical care system from receptionists, various office assistants, nursing staff in offices, clinics and hospitals and then all the other folks of one gender or another who are present and/or interact with each patient beyond the physician within all the environments patients enter. <br /><br />Actually, gender concordance is an issue that also affects medical student-patient interaction. This is an area of occurrence primarily in the third and fourth years of patient interaction and responsibility but even can be present in the first and second years when students are history taking and performing physical exams on real patients (not simply standardized actor-patients).<br />The students are instructed to obey the patient's requests rejecting the student though it is permissible to ask "why" but then follow the patient's request.<br /><br />Here in the <a href="http://journalofethics.ama-assn.org/2017/04/ecas2-1704.html" rel="nofollow">AMA Journal of Ethics</a> regarding Gender Concordance oriented toward medical student education. ..Maurice. Maurice Bernstein, M.D.https://www.blogger.com/profile/07618638650784869923noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-33366265254675375042018-05-29T17:05:36.078-07:002018-05-29T17:05:36.078-07:00Doctors working with patients is certainly prefera...Doctors working with patients is certainly preferable, and my guess is that it comes a bit more naturally with younger doctors who come into the profession with different cultural sensitivities. At least this has been my observation.<br /><br />Extending that "with" approach to modesty and gender issues is quite a leap though, and it includes the whole array of healthcare workers. This includes the clerical staff that we must make gender based requests with or modesty based questions about the procedure to. Often the table has been set before we ever get to interact with the doctor or nurses or techs that will do the procedure. If the medical world wants to adopt a "with" approach, they need to do so at all levels of the system. <br /><br />The problem is that healthcare only defines dignity from the perspective of what each healthcare worker feels it is. What the patient thinks is not part of the equation, thus they are not working "with" the patient in this regard. Some male patients might feel their dignity had been preserved if the female CNA helping him shower was polite and maintained a proper gameface. Others would find it demeaning to have a women help them shower no matter how polite and professional acting she was, yet in both cases the CNA will have declared the patient's dignity was preserved because she gets to make that decision without the patient's input. <br /><br />Is the healthcare system ready to include dignity as defined by the patient as part of working with patients? My guess is not yet. They would say dignity is a primary component to working with patients, but only if they are the sole arbiters of what is dignified. Bikerhttps://www.blogger.com/profile/14337739874615826612noreply@blogger.comtag:blogger.com,1999:blog-7571658.post-3355821981753778602018-05-29T16:56:05.537-07:002018-05-29T16:56:05.537-07:00The ENTIRE healthcare industry needs to close its ...The ENTIRE healthcare industry needs to close its doors for one day just like Starbucks is doing and have <br />sensitivity training although it’s not about race but rather respecting patient’s rights. Healthcare is and has<br />always been Anti-male, the services are geared for female patients, female employees.<br /><br />PTAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-41051562222447459002018-05-29T16:00:53.020-07:002018-05-29T16:00:53.020-07:00Another deeply flawed study published today. https...Another deeply flawed study published today. https://www.medscape.com/viewarticle/452213_4<br /><br />I have no doubt there are gender preferences. But we all know that for male patients the dynamics are more complicated. What all these studies fail to control for is the presence of others in the exam room, i.e., chaperones and scribes. Until they control for the others in the room for genital and rectal exams (and subsequent office tests/procedures) they have executed a poorly designed research project and their conclusions cannot be used to address gender issues in medicine. In addition, the article seemed focused on women only. Sigh... - AB in NW.<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7571658.post-28775929730250128032018-05-29T15:20:06.712-07:002018-05-29T15:20:06.712-07:00Good Day:
Patient autonomy is a good thing.
Und...Good Day:<br /><br />Patient autonomy is a good thing. <br /><br />Under our current healthcare system, it could also cause even more men to walk away from needed care unless, there is as Dany spoke about, a fundamental shift in culture within the entire medical community.<br /><br />In order for patient autonomy to work for everyone, it is vitally important that the medical community fix the gender imbalance they have created throughout the system. <br /><br />The people are out there. The system just needs to hire them.<br /><br />Back in the old days nurses and techs were mostly female. These women joined the service, applied their craft, and over time, rose up through the ranks to become hiring managers where today, they do what they have to (meaning hiring only female employees), to keep their rank and file happy and on their side.<br /><br />If patient autonomy is to have any chance at working, hiring managers everywhere be thee male or female will have to be instructed that the good ole days are gone. Today with such a diversity of patients the system needs both men and women on staff if they are to meet the demands of the people they take care of. <br /><br />If they don’t listen and change hiring practices on their own, then its time for hiring quotas to be put into place.<br /><br />When it comes to hiring, the buddy system is over. Patient autonomy will not work properly until and unless the gender scales are balanced first.<br /><br />If the scales aren’t balanced, men who would go forward with critical testing may decide it’s more important to them to keep their dignity and privacy intact. The reason they are making that decision is because the system isn’t truly male friendly.<br /><br />Medicine MUST be gender friendly at ALL times to BOTH sexes or they have failed in their mission and more people will die that didn’t have to.<br /><br />When one is taking their journey down the yellow brick road towards their emerald city it would be comforting to know there won’t be any surprises along the trip from wicked witches.<br /><br />One last thing any new healthcare system MUST HAVE is transparency. Something the current system woefully lacks. NO more brushing things under the rug because it may be bad PR. Too Bad. Stop hiding things from the public you are supposed to take care of.<br /><br />Regards,<br />NTTNTThttps://www.blogger.com/profile/16277382808413575689noreply@blogger.com