By John Trainer, M.D.
Read more from Dr. Trainer at FB.com/Jet3MD or his practice profile.
Imagine a conversation in the doctors' lounge...
Surgeon: Hey, can you do a surgical clearance for me?
Consultant: Tell me about the case.
S: Well the lawyers are all in a tizzy, because he can’t consent. They wanna make sure all the Ts are crossed and all.
C: And he can’t consent because…?
S: Well he can’t talk. Not even sure he knows English. I only admitted him yesterday. It’s okay though, he has a medical surrogate -- two in fact. They're both on board.
C: What’s his medical status like?
S: Among other things, patients like him have trouble clotting their blood. I didn’t do any labs, but I gave him some vitamin K. Y’know to shore that up.
C: I see…
S: And he just had a massive body fluid exposure. And even though the source was really tested and tested, I gave him a vaccine against Hep B. Just for good measure.
C: Okaaay…
S: Well he’s been through a lot. Yesterday his lungs were full of fluid…
C: (surprised) WHAT?
S: It’s okay. His lungs were replaced by extracorporeal support. For about 40 weeks. He weaned okay after his intra-cardiac shunt was fixed.
C: (concerned) Again, WHAT!?!
S: (moving on) So, um, the surrogates are in a hurry for me to discharge the patient. Can you get up there kinda quick?
C: What’s the hurry? Is this some kinda urgent procedure?
S: Umm, no. It’s mostly elective. Even considered cosmetic. But the CDC just said it can prevent problems in approximately 16 to18 years.
C: (interrupting now) And you need to do this today because…?
S: Well if we don’t do it today, the insurance company won’t pay for it. And that would make the surrogates mad. Then they would have to pay for it.
C: (walking away, shaking his head)
Original post on Facebook
Related Resources:
Medical Professionals for Genital Autonomy: www.FB.com/IntactCare
Brief comment on the proposed guidelines concerning male circumcision to be issued by the CDC: https://www.academia.edu/9603843/Brief_comment_on_the_proposed_guidelines_concerning_male_circumcision_to_be_issued_by_the_CDC
The Culture Behind the CDC's New Proposal (Dr. Carmack): http://www.savingsons.org/2015/04/the-culture-behind-cdcs-new-proposal.html
CDC Response Campaign: https://www.facebook.com/events/290589301151865/
CDC 'Got Ethics?' Photo Campaign: https://www.facebook.com/events/369510376550319/
Respond directly to the CDC at: http://www.regulations.gov/#!documentDetail;D=CDC-2014-0012-0001
Responses to the AAP (whose 2012 statement is overwhelmingly similar to the CDC's proposed statement) - bottom of page: http://www.drmomma.org/2012/08/aap-circumcision-policy-statement.html
Read more from Dr. Trainer at FB.com/Jet3MD or his practice profile.
Imagine a conversation in the doctors' lounge...
Surgeon: Hey, can you do a surgical clearance for me?
Consultant: Tell me about the case.
S: Well the lawyers are all in a tizzy, because he can’t consent. They wanna make sure all the Ts are crossed and all.
C: And he can’t consent because…?
S: Well he can’t talk. Not even sure he knows English. I only admitted him yesterday. It’s okay though, he has a medical surrogate -- two in fact. They're both on board.
C: What’s his medical status like?
S: Among other things, patients like him have trouble clotting their blood. I didn’t do any labs, but I gave him some vitamin K. Y’know to shore that up.
C: I see…
S: And he just had a massive body fluid exposure. And even though the source was really tested and tested, I gave him a vaccine against Hep B. Just for good measure.
C: Okaaay…
S: Well he’s been through a lot. Yesterday his lungs were full of fluid…
C: (surprised) WHAT?
S: It’s okay. His lungs were replaced by extracorporeal support. For about 40 weeks. He weaned okay after his intra-cardiac shunt was fixed.
C: (concerned) Again, WHAT!?!
S: (moving on) So, um, the surrogates are in a hurry for me to discharge the patient. Can you get up there kinda quick?
C: What’s the hurry? Is this some kinda urgent procedure?
S: Umm, no. It’s mostly elective. Even considered cosmetic. But the CDC just said it can prevent problems in approximately 16 to18 years.
C: (interrupting now) And you need to do this today because…?
S: Well if we don’t do it today, the insurance company won’t pay for it. And that would make the surrogates mad. Then they would have to pay for it.
C: (walking away, shaking his head)
Original post on Facebook
Related Resources:
Medical Professionals for Genital Autonomy: www.FB.com/IntactCare
Brief comment on the proposed guidelines concerning male circumcision to be issued by the CDC: https://www.academia.edu/9603843/Brief_comment_on_the_proposed_guidelines_concerning_male_circumcision_to_be_issued_by_the_CDC
The Culture Behind the CDC's New Proposal (Dr. Carmack): http://www.savingsons.org/2015/04/the-culture-behind-cdcs-new-proposal.html
CDC Response Campaign: https://www.facebook.com/events/290589301151865/
CDC 'Got Ethics?' Photo Campaign: https://www.facebook.com/events/369510376550319/
Respond directly to the CDC at: http://www.regulations.gov/#!documentDetail;D=CDC-2014-0012-0001
Responses to the AAP (whose 2012 statement is overwhelmingly similar to the CDC's proposed statement) - bottom of page: http://www.drmomma.org/2012/08/aap-circumcision-policy-statement.html
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