Re: The Circumcision Discussion
Here are a few quotes from
Firstyearstudent's post, about which I'd like to comment:
1.".....people who think circ with anesthetic is a-okay but think circ without is an evil. The baby will get over the pain and probably even any trauma caused by the experience.
2."The circumcision, however, is permanent. If I had to make a theoretical choice to have my son undergo the pain of a unanesthtetized circumcision and get to magically keep his foreskin, or have his foreskin magically disappear without any pain or even his knowledge, I'd pick the former!"
3.".....if I was a man, I don't think I would have wanted my parents to circumcise me. I'd rather make up my own mind about it based on facts and my own....."
4.".......think I would have wanted my parents to circumcise me. I'd rather make up my own mind about it based on facts and my own preferences, not theirs. Circ can be performed at any time in a person's life........"
5.".....men seem to enjoy sex as much as uncircumcized men, I suppose...."
4."........removing it can be painless and provide a small medical benefit or a cultural benefit, so why not do it on a baby......"
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I want to preface my comments with the wish that no one take the viewpoint that I'm diss'g the poster. It's the view/opinion that irks me (not to a considerably angry amount). Also, it seems to me that student nurses need to look at how they arrive at their opinions and whether that is an accurate way to look at reasons for their decisions.
In #1 quote, it is assumed that those in favor of circs explain that by thinking that pain is fleeting, memory of trauma can be lost, and anaesthesia makes anything a-okay. WOW! The saying that one should "walk a mile in {another's} shoes......" to know what they think/experience, and parental decisions/options are colored by the presence of pain. If that was true, splinters and or ticks might stay under kids' skin forever, rather than being pulled out, and they'd "never forgive" their parents for deciding to have anything done for them that caused pain or didn't (would that mean that bulging kiddie eardrums would be left alone, to burst - usually in the middle of the night?) I am in favor of using EMLA patches an hour before blood draws on children!
#2. I hope you meant the "latter". Incidently a pathologist once gifted me with a foreskin enclosed in acrylic (no idea whose it was), like a coin, when he found out that I'm Jewish (sigh/sob). That would be one way of keeping it as a momento.
#3 &4. It really is impossible to "second" guess anyone else's feelings/opinion correctly. That is why it's so important that we, as nurses never give our own sense of what we'd feel if we were in their situation.
We're not, and
it interferes with another person's ability to process their own experience, if we do that!
Their experience is theirs, not ours and we can't ethically make a guess that could divert them from their own feelings.
#5. A middle aged man I knew (yes, carnally) who was uncircumcised let me know that he was sure that his arousal was quicker and sensation much more heightened than those men who'd been circ'd could possibly have. Interestingly, circ'd guys have never said anything about having less sensation than anyone else. Again, "walking in someone else's shoes" is inherently impossible. I sure didn't notice anything very different about my reaction or theirs, to the sex.
#5. If medical decisions are made on a "why not" basis, there is a strong possibility that they're wrong. The exception may be when appendectomy is done with other unrelated surgery, or my personal bias regarding prophylactic mastectomies and oophorectomies. Luckily I don't make or counsel anyone to have those. I do have to "bite my tongue", when attending a patient recovering from a mastectomy, about my opinion that prophylactic mastectmy of the other breast and bilat. oophorectomies are more curative. I made the latter decision after mine, and feel much safer - but at the time I had the surgeries (1978 & 1986), lumpectomies with radiation and or chemo wasn't an option.
Again, the above comments are being made in the spirit of sharing based on evidence, experience, and a keen desire to teach.
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