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| No. 70 | 
Feb 21, 2005, 04:34 PM
We only have one ped does circs in the hospital, and most parents don't ask about it. As we have at least 50% hispanic population, I don't think even 40% of the babies are circed.
Anyone remember the story from at least 30 or 40 years ago about twins being circed, the doc was using something new to cauterize, and bungled the job on one baby. I think the doc severed the end of his penis. To make matter worse, the parents were talked into castrating the baby and raising him as a girl.
As an adult, the boy decided he was really male, and later wrote a book.
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Feb 21, 2005, 04:45 PM
Originally Posted by Mimi2RN We only have one ped does circs in the hospital, and most parents don't ask about it. As we have at least 50% hispanic population, I don't think even 40% of the babies are circed.
Anyone remember the story from at least 30 or 40 years ago about twins being circed, the doc was using something new to cauterize, and bungled the job on one baby. I think the doc severed the end of his penis. To make matter worse, the parents were talked into castrating the baby and raising him as a girl.
As an adult, the boy decided he was really male, and later wrote a book.
That was just in the news last year. Sadly, the victim committed suicide last year. Source: http://www.cbc.ca/news/background/reimer/ | | No. 72 |
Feb 21, 2005, 05:07 PM
Updated
Feb 21, 2005 at 05:11 PM by Spidey's mom
Originally Posted by Mimi2RN We only have one ped does circs in the hospital, and most parents don't ask about it. As we have at least 50% hispanic population, I don't think even 40% of the babies are circed.
Anyone remember the story from at least 30 or 40 years ago about twins being circed, the doc was using something new to cauterize, and bungled the job on one baby. I think the doc severed the end of his penis. To make matter worse, the parents were talked into castrating the baby and raising him as a girl.
As an adult, the boy decided he was really male, and later wrote a book.
I read that book. Sadly, as noted, both he and his brother killed themselves. If you read the book, the doctor who took care of their psychological needs was and is a very sick man. The man who ended up being raised as a girl ended up very angry at the doctor who made he and his brother do very weird things during their sessions with him. Dr. Money should be removed from his positon at John's Hopkins and thoroughly discredited - but there he sits. 
I've read the book over a couple of times . .. he forgave his parents in the end but it would have been better if he had been raised the sex he was.
It is a good book but very sad.
steph
| | No. 73 |
Feb 21, 2005, 05:26 PM
Steph, do you remember the title of the book? I haven't read it yet, and I could add it to my stack to read while I'm off sick.
Mimi
| | No. 74 |
Feb 21, 2005, 05:29 PM
Originally Posted by Mimi2RN Steph, do you remember the title of the book? I haven't read it yet, and I could add it to my stack to read while I'm off sick.
Mimi
Yeah, it is sitting right here . .. "As Nature Made Him: The Boy Who Was Raised As A Girl" by John Colapinto.
steph
| | No. 75 |
Feb 21, 2005, 07:39 PM
Originally Posted by jwk And this is amazingly unethical. The standard of care is the same, insurance or no insurance. Did you (if you worked here) or anyone else at that hospital have the cojones to report this? It's called advocating for your patient. By being silent, you're complicit in the act.
Jeez, give me a break here, I was just telling the story of a circ gone bad!!! I was doing my very first rotation as a junior nursing student, it was the second day of clinical, and I was petrified. We hadn't yet learned about circumcision in class yet, and all I was doing was helping soothe the baby during the procedure. I had no clue what was normal! Only when I commented about the baby being in pain as they examined him did the docs informed me that he had no insurance so they didn't use EMLA on him. I did point it out to my instructor that I thought it was totally wrong to provide pain relief to some infants but not others, so yes I did report it to someone. It was an absolute pit of a hospital, and I haven't set a foot in there since my clinicals ended.
| | No. 76 |
Feb 21, 2005, 07:51 PM
Originally Posted by Gompers Jeez, give me a break here, I was just telling the story of a circ gone bad!!! I was doing my very first rotation as a junior nursing student, it was the second day of clinical, and I was petrified. We hadn't yet learned about circumcision in class yet, and all I was doing was helping soothe the baby during the procedure. I had no clue what was normal! Only when I commented about the baby being in pain as they examined him did the docs informed me that he had no insurance so they didn't use EMLA on him. I did point it out to my instructor that I thought it was totally wrong to provide pain relief to some infants but not others, so yes I did report it to someone. It was an absolute pit of a hospital, and I haven't set a foot in there since my clinicals ended.
Lighten up - you did the right thing! You spoke up!. The surgeon is the one who was unethical, not you. Hopefully someone further up the line took notice. Funny that a nursing student on their 2nd day of clinical notices the problem that everyone else is ignoring.
| | No. 77 |
Feb 21, 2005, 07:56 PM
JWK, are you a nurse? Originally Posted by jwk Close but no cigar - your original stat was regarding the mortality rate from infant circs compared to penile cancer. This statement from the AAP doesn't address that.
That would leave out about 98% of the work that plastic surgeons do every day.
I think the main point is that it's up to the parents to decide what is or is not appropriate in this situation - not you, not the RN in the nursery, not me. Whether you agree with it or not, it's a perfectly legal procedure nationwide, and I'd guess you'd have a hard time restricting it.
And this is amazingly unethical. The standard of care is the same, insurance or no insurance. Did you (if you worked here) or anyone else at that hospital have the cojones to report this? It's called advocating for your patient. By being silent, you're complicit in the act. | | No. 78 |
Feb 21, 2005, 08:05 PM
Originally Posted by jwk Lighten up - you did the right thing! You spoke up!. The surgeon is the one who was unethical, not you. Hopefully someone further up the line took notice. Funny that a nursing student on their 2nd day of clinical notices the problem that everyone else is ignoring.
I don't need to lighten up because I wasn't overreacting. Your post was pretty harsh. Did you (if you worked here) or anyone else at that hospital have the cojones to report this? It's called advocating for your patient. By being silent, you're complicit in the act. | | No. 79 |
Feb 21, 2005, 08:30 PM
Originally Posted by Gompers I don't need to lighten up because I wasn't overreacting. Your post was pretty harsh.
You answered the question - I asked if you or anyone else reported it. You reported it. You did the right thing.
I'll stand by my opinion that those who ignore sub-standard unethical care are just as complicit as those actually providing that care. It doesn't matter if it's a jerk that doesn't use anesthesia on non-insured patients (a lawyer would have a field day with that one) or a surgeon who is a risk to their patients just by stepping in the OR or a whole group of screwups in a Florida hospital that amputated the wrong leg on a patient.
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