dnp2004

One of the most common mistakes, even make by experienced clinicians, is forgetting to hold the member closed for at least 4 minutes to allow the lidocaine to actually work effectively (numbing and opening strictures). At the facilities I ran the use of lidocaine was SOP. Even then I had to make sure my staff would not attempt to insert before the lidocaine had time to work (expect in emergencies). I found the proper use of lidocaine also tended to make insertion easier because many patients would not tense up nearly as much as they would when the plain lubricant was used.

Thimerosal should be a non-issue by now. No one ever established a link between thimerosal and autism. Talk about an urban myth.

I noticed that everyone seemed to miss this point that AGATHA PREVOST was making or perhaps it is an uncomfortable reality for many. So let me add a few sobering thoughts to this silly illegals debate. Yes, the Europeans were illegal immigrants to North America who took over by military force and what today would be called terrorism. So, the United States was founded on illegal activity against the Native Americans. What do some of you on this thread advocate, denying healthcare to uninsured Native Americans? Much of the southern and western United States was part of sovereign Mexican land. Conflict arose because people from the U.S. were illegally entering Mexican Territory and causing problems. They were in fact undocumented U.S. aliens entering Mexico. The United States illegally seized land from Mexico. So is in undocumented Mexican really an illegal alien? The only reason undocumented aliens can thrive in the United States is because people like you use them for cheap labor. If you were to remove all illegal aliens from the United States right now the economy would collapse. The same people who complain about aliens costing too much are the same people who hire them to: Work their farms Act as maids/servants in their homes Work construction Stock the shelves in retail stores Performing dangerous chemical and industrial cleanup Etc. I guess some people on this thread think undocumented people are good enough to work 80 hours a week at low wages but not good enough for medical treatment. Before everyone questions my loyalty and patriotism let me remind them I was born in the United States and served as military officer for 25 years.

Since this is an anonymous international forum, I am wondering how many practitioners on this forum would be okay with removing what they might consider "nonessential" tissue from a female infant, with lidocaine/xylocaine of course?

The foreskin is about as functionally necessary as the clitoral hood. So let's recap. If you were to give birth to a baby you would remove it's tonsils, adenoids, gall bladder and appendix. For a boy the foreskin would be removed. For a girl, is it correct to assume the clitoral hood would be removed as well?

You made my point precisely. Healthcare isn't all about trying to please the patient. In administration I did not make it my policy to hire based on gender, race, religion, nationality, ethnicity, etc... It is a free market of course and the patient always has the option to transfer to another facility. Once you allow too much choice staff scheduling can become a nightmare.

As long as they are polite why would you call a person who requests a nurse of a certain race/ethnicity/nationality an "********". Would you call a woman who requests a female caretaker, such a name? How about a man who requests only males to perform "intimate care", does that make him a sexist? We have been taught a nurse is a nurse regardless of race/ethnicity/nationality/gender. However, we have to remember patients are frequently uncomfortable around certain caregivers for various reasons. My point is a caregiver request based on race should not be looked on any differently than one based on gender.

No need to walk on eggshells about this or any other medical topic with your patient. My point earlier on this thread was that it can be difficult for a nurse to give "just the facts" when the physician or managers at the facility they work in have a very strong opinion one way or another. Take me for example. Early in my career I was terminated from my job because I did not try to convince parents to circumsise their children. It was all good in the end because they somehow forgot I was an attorney, I filed suite and well, the rest is history...

Yes, the patient can go somewhere else if they are not happy at a facility. Likewise, I can discharge them if they want to be transferred elsewhere. I have done that many times in the past.

Why is a care provider request based on race, any different than a request based on gender? Think about this, years ago when I was out of medical school, many male and even female patients did not want/trust female doctors. We had male orderlies that looked after the daily care of the male patients. In 2009 many female patients don't want/trust male doctors. Many facilities try to have male nurses perform intimate procedures on male patients whenever requested. We even have "female only" staffed clinics that hire only women. Once again for patient comfort. So is asking for "white only" staff in a respectful manner really that different than asking for "female/male only" staff if the patient is obviously only comfortable around Caucasians? How many of you would oblige the request? Do you think this is a racist request. How about if the request was for "male only" staff? I had patients tell me they did not want to be touched my a women doctor. Would you call these patients chauvinistic pigs as did most of my female coworkers at the time? Now if a female patient requests "female only" staff I am sure most, if not all of you would assign me over my male colleagues. It is about patient comfort/choice right? I don't think anyone on this forum would call her a misandrist would they? So why do racial requests bother everyone here so much? dnp2004

To me it is all about the care I receive the, gender, race, height, nationality, etc. is irrelevant.

if you son has a healthy foreskin why would you want him circumcised at all? i am an ob/gyn and only have had to perform four medically necessary circumcisions in my whole career. i'm in my 60's. i never have performed them based on parental requests. when i was overseas it was considered a cosmetic procedure that was forbidden unless it was to correct a disorder.

Sorry, I was speaking about theoretical cases. I find prosecutors and to a lessor extent judges, are the biggest problems in cases like these. I was also speaking about what should be done with an executioner who kills a person who is later discovered to be innocent. As with war criminals, you can't use the excuse "I was just following orders". It did not work during Nuremberg and it really should not work now.

I think these people should be compensated at least $1,000,000 per year of false incarceration. The prosecutor should be automatically disbarred. In the case of a false execution, the executioner should be charged with at least 2nd degree murder.

What if the guy only had a short time to appeal? He would have been "fried" a long time ago. In my State we had a very similar case where someone was released after serving 17 years. Everyone had been complain that the guy had too many appeals and that it was unfair to the family of the victim to delay execution. DNA cleared the guy! Apparently he was in a different town when the rape/murder happened! Someone else had going away with it for 17 years. Meanwhile this guy was on death row.