Equinox_93 3,112 Views
Joined Jan 10, '09.
Posts: 583 (40% Liked)
Why does this topic seemingly remove rationality? You don't surgically remove healthy, functional tissue for no reason. It's so simple.
Honestly I would stay only because me becoming a nurse is to help others in time of need. Me being a nurse is not all about the money, even though the pay isn't always bad from what I hear (student here). I would help others because if I was in that situation I would want the same.
There is a big problem with this and I read and a few people hit it on the head. My family is #1 and my job #2. I will stay back and do what I need to do. If I got sick then it's in God's hands. My family the government couldn't tell me what to do with that. I love my country so much but I love my family more. If that was taken then what can I say that is what my 2nd ammendment is for and I stand behind that too.
Looks, circumcised looks better.
Yeah but he might just want to get laid......
Male circumcision could significantly reduce the burden of HIV, study suggests.
Yeah but he might want to get laid......
If any girl rejects my son because of his foreskin, she is probably not the kind I'd want for him anyway.
If any girl rejects my son because of his foreskin, she is probably not the kind I'd want for him anyway.
we have circs done a lot in our hospital. i think, personally, i would want my son to be circumcised only if i knew the ob had a good reputation for making the procedure as quick and painless as possible, because i have seen way to many residents doing a job gone wrong.
You can find paper after paper of peer reviewed, published, scientific studies that support both. Several have shown a lower incidence of HIV infection in areas of Africa for men who are circumscised.
Thats why it's a personal choice, and parents make many choices for their children who are not yet competent to make thier own. I am sure glad mine was done as an infant when I don't remember it. I would certainly have wanted it done as a teen (90% of my peers were cut), but would not likely have choosen to go thru the painful procedure.
BTW I have assisted with a few and the babies get a local (most doctors these days) and they Don't always scream, nor do we feel that we have been Maimed. The first TWO i was present for had no screaming, just a little boy sucking on my gloved finger.
It surprises me how militant some of these voices seem, and they seem to be almost exclusively women. maybe they can let the men police this almost exclusively male issue. I dont know of any support groups for men who feel they are maimed, or deformed by having been circumscised, nor do I know of any male, personal or professional knowledge, that has any issues with being cut (although I am sure I will hear of several any second now)
"I don't know the specific name of the medication the doctors used to numb, but I know it works, because I watched one little boy sleep through his circumcision!"
It is called lidocaine--and it only REDUCES the pain..
"In summary, analgesia is safe and effective in REDUCING the procedural pain associated with circumcision " (emphasis added)
EFFECT OF NEONATAL CIRCUMCISION ON PAIN RESPONSE
THE LANCET, Volume 349 Number 9052: Pages 599-603, March 1, 1997.
Meritcare (Internet) states that "Besides anesthesia, securing your child in the padded restraint chair and giving him a sugar-dipped pacifier can help reduce his level of stress (and yours). Used together, these methods can decrease discomfort by more than 50%."
None of the studied interventions completely eliminated the pain response to circumcision
As for when it is used, what didn't you understand about the rate of usage I posted above.
Sleep through it?
HARM CAUSED BY CIRCUMCISION
The increasing doubts about Jewish circumcision are based on the understanding that it causes harm. Anatomical, neurochemical, physiological, and behavioral studies confirm what mothers already know: infants feel pain. Drs. Anand and Hickey, in a comprehensive review of recent medical literature on newborn pain, conclude that newborn responses to pain are "similar to but greater than those in adult subjects."11 This study is accepted by virtually all medical authorities and is often cited in the literature whenever there is a discussion of infant pain. As a surgical procedure, circumcision has been described as "among the most painful performed in neonatal medicine."12 Studies of infant responses show that the pain of circumcision is not like that of a mere pin prick. It is severe and overwhelming.
The relationship between infant pain and vocal response needs explanation. The cry may be reduced by the effect of anesthetics given to the mother during labor.13 These anesthetics enter the infant's body and, according to pediatrician T. Berry Brazelton, it can take over a week to leave.14 Other factors can also account for minimal vocal response. Justin Call, infant psychologist and professor-in-chief of child and adolescent psychology at the University of California, reports that "sometimes babies who are being circumcised . . . . lapse into a semi-coma."15 Tonya Brooks, president of the International Association for Childbirth at Home and a midwife, observes, "In four of the nine circumcisions that I have seen, the baby didn't cry. He just seemed to be suddenly in a state of shock!"16 Studies demonstrate that even though an infant may not cry during circumcision, the stress hormone level in the blood still increases dramatically, and medical researchers consider this change to be the most reliable indicator of pain response.17 Therefore, lack of crying does not mean that the infant feels no pain. It could mean that he is withdrawing from unbearable pain.
PAIN, STRESS AND RISKS
Until recently it was believed babies felt no pain due to their immature nervous systems. Studies however, indicate that babies experience physical and psychological stress both during the circumcision and for hours thereafter. The procedure is undeniably painful. Some babies cease to cry or lapse into a deep sleep or coma which is how they are able to cope with the traumatic experience.
Some babies are so severely traumatized by the experience that they fall into a semicomatose state. Some circumcisers still pretend that these babies are just falling asleep! Nothing could be further from the truth. No one falls asleep when his sex organs are being cut with a knife. Because he is tied down, a baby has no way to escape, no matter how much he thrashes. Going into a comalike state is one way for the baby to distance himself from his agony, but it has dangerous consequences for the brain, as you will read below.
"They are most likely NOT crying because they are in pain. The initial poke of the injection causes some discomfort. The nurses I watched all had a pacifier with sugar water ready because glucose (sugar) is shown to have an analgesic effect on infants."
I can't believe medical people are still trying to use this tired old rationale.
993; 270: 850-53 [Benni F et. al] Their study confirmed the permanent psychological damage inflicted on infants subjected to unanesthetised penile reduction surgery. The severe and unalleviable pain of circumcision permanently alters the neural pathways in an adverse fashion. From JAMA 1988; 259: 1507-11 [Stang HJ, et. al] They found that an injection of lignocaine hydrochloride reduced the plasma cortisol concentration slightly, but left the babies with a concentration of 331nmol/L, whereas a content infant at rest has a plasma cortisol concentration of 28-138 nmol/L. Sadly, the Benni group found that EMLA (lignocaine/prilocaine local anesthetic cream) could only reduce the circumcised child's heartbeat from 180 to 160 beats a minute. No infant's heart should beat at 160 beats a minute, nor should his plasma cortisol concentration be 331 nmol/L. These rates are consistent with torture. With or without anesthetic circumcision will cause psychoneural damage.
Note: the change in the heartbeat rate is 60 bpm.
The above values includes this increase. Therefore the delta rate of 60 must be added to ANY resting rate to determine the absolute values. Then the comparison of rates can be done with other procedures.
PEDIATRICS, Volume 71 Number 1, Pages 36-40,
Physiologic Stress Reduction by a Local
Anesthetic During Newborn Circumcision
Paul S. Williamson, MD, FAAFP, and Marvel L. Williamson, RN, MSN
Although most neonatal and childhood circumcisions are performed with no anaesthesia , the complicated innervation of the penis explains why a dorsal penile nerve block provides incomplete pain relief for neonatal male circumcision [37,38].
Likewise, a penile ring block cannot block the visceral afferent fibres from the cavernosal nerve nor the posterior scrotal somatosensory branches of the perineal nerve . A eutectic mixture of local anaesthetic cream (EMLA) does not relieve the pain associated with circumcision because of the complexity of penile innervation and the multiple layers that would have to be penetrated by the topical cream in the newborn penis . Amazingly, some modern urology textbooks even recommend wine as an anaesthetic for newborn circumcision .
"Pain and its Effects in the Human Neonate and Fetus." By K.J.S. Anand & P.R. Hickey. New England Journal of Medicine, November 19, 1987. Page 1325 states: "Most recently the motor responses of 124 healthy full-term neonates to a pinprick in the leg were reported to be flexion and adduction of the upper and lower limbs associated with grimacing, crying, or both, and these responses were subsequently quantified. Similar responses have also been documented in very premature neonates, and in a recent study, Fitzgerald et al. found that premature neonates (<30 weeks) not only had lower thresholds for a flexor response but also had increased sensitization after repeated stimulation." Page 1325 states: "In other studies of the cry response to painful procedures, neonates were found to be more sensitive to pain than older infants (those 3 to 12 months old)…" This article uses the obstetric method of counting from the last menstrual period, as evidenced by the chart on page 1322, which uses a gestation of 40 weeks for pregnancy. Two weeks must be subtracted to provide the actual time since fertilization.
"Symptom Management: Acute Pain, Chapter 3 - Pain in Preverbal Children." United States National Institutes of Health, Publication Number 94-2421. June 1994.
Accessed at http://www.nih.gov/ninr/research/vol6/preverbal.pdf in September of 2002. Page 2 cites one possible reason why younger humans are more sensitive to pain: "Serotonin (5HT) is a biogenic amine transmitter that serves an important role in pain modulation. … Serotonin levels in the young infants are low and may limit the effectiveness of the endogenous pain control mechanisms (Fitzgerald 1991b)."
Nurses just by their training/experience know how to prioritize. If a nurse has dependents (young children, elderly) at home who need care (and spouse cannot provide), then the nurse will most likely stay with his/her family, otherwise I believe most nurses will try to provide nursing care where it is needed.
Nursing is not a vocation (although there obviously are still who think it is), but a profession-people go into this field for many different reasons, come from various different walks of life and have a variety of home situations.
In a pandemic, hospitals will do whatever they can to have adequate nursing staff-Unfortunately, possibly even with job/license threats. Before there is a pandemic, is the time that the hospitals should be planning how to meet high patient numbers/limited nurses-this should be part of their Pandemic Planning. They can predict that a certain percentage of their staff will not show up or will have family needs-they already should have plans in place to work with nurses in other fields.(Most do not). Hospital nurses should be demanding that these plans be in place-They are the ones who will bear the brunt of poor planning by the hospitals.
I'll probably get a lot of flack, telling you this.........
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