Showing posts with label medical. Show all posts
Showing posts with label medical. Show all posts

Thursday, September 16, 2010

The Problem is Bigger Than That

[trigger warning: explicit descriptions of medical procedures and childbirth. If this will upset you, please visit the otter instead.]

There's been a lot of talk lately about trauma women in labor experience at the hands of medical professionals, a/k/a "birth rape"* The stories are horrific, but, in my opinion, developed after ten long years at the mercy of medical professionals, this ruckus totally misses the point.

The problem isn't that women in labor are uniquely in a position to be victimized by medical professionals. The victims of such medical professionals are not uniquely women in labor. In other words, you don't have to be a woman in labor to be victimized by a medical professional. You simply have to be in a room with certain medical professionals.

Case in point: a friend of mine needed a lumbar puncture (spinal tap) in order to tell if he had Multiple Sclerosis or Lyme Disease. These two diseases can cause similar symptoms and similar MRI results, but have vastly different treatments, so distinguishing between the two is necessary. My friend is a large man, so he needed to have the lumbar puncture done at the hospital by a doctor.

Before the procedure began, the nurse told the doctor that the needle they had was too large, they needed to get another. "Too bad," snapped the doctor. He had a schedule to keep, he had a golf game to get to. Waiting for someone to get the correct needle would take too long, so, before my friend could object, doctor forced the needle into my friend's spine. When I say "forced", I mean forced.

I could hear him scream from down the hall.

Then, to add insult to injury, the doctor refused to draw enough cerebral spinal fluid to allow for
two tests. "We've got enough to test for MS, what more do we need?" he said.

That's right. This doctor tortured a man so as not delay a golf game and didn't even get the damn test done.

My friend still doesn't know what is wrong with him and he's likely to die without knowing, because he's not going back for another lumbar puncture.

That is exactly the same arrogance that leads to this:


The quickest example I can come up with is the time a doula friend of mine heard the OB say while a VBAC mom was pushing (pretty much under his breath, I don’t even think the mom heard this): “It’s the LEAST you can do for your VBAC” and he put one end of the scissors in her vagina and one in her anus and cut her a 4th degree episiotomy. No fetal distress, no reason beyond what I guess was his irritation at not just doing a repeat cesarean?

The problem isn't women and it isn't birth. It's doctors. It's doctors who think that eight years of medical school and a fancy title give them rights over other people's bodies.

I have had many, many tests and procedures performed on me in the last ten years. Every time the test was done by a technician, I received a description of the test beforehand, was told what level of discomfort or pain to expect and invited to speak up if I needed to during the test. The man who gave me my first nerve conduction study had done it to himself twice just to see what his patients would be experiencing. (NCS involves repeated electric shocks to test how the nerves conduct electricity.)

Teh Hubby once took three hours to complete an MRI because the technician allowed him to stop and calm down in between cycles. MRIs should take 40 minutes or so, but she was unfailingly kind the entire time. Not once did she display the slightest irritation.

Every test or procedure performed by a doctor came with exactly the same concern I feel for the potato I slice for dinner. Once, I demanded that a doctor stop a test (that can be stopped at any time, which I know because a technician had allowed me to stop the test the previous time I had it done) and he laughed at me.

What needs to be done is not tell women what they can do to stop abuses during labor. We need to talk to the doctors, before they ever see a patient. We need to remind them that it's not their body, it's not their choice, and they won't have to live with it afterwards. We need to remind them that abuse is abuse is abuse, and we need to start prosecuting accordingly.

For everyone.


*NOT my term. I think it's inappropriate at best to use the word "rape" that way.

Wednesday, February 4, 2009

The Very Definition of Irony

tradition, traditional, octuplets, ethics, ethical, medical, prop 8, religion, religious, conservative, christian, ivf, embryo

The bigotsphere has been running around like my dog with a bag over his head (see above) concerning the woman who underwent IVF resulting in octuplets, even though she already had 6 children and was single.



At first, it was "look at this brave warrior for life who refused selective abortions". Then, "oh wait, she's single . . . that's bad."(see the comments section in the very same post. these people will turn on you like rabid wolverines on meth.) Now that the media is questioning the ethics of implanting that many embryos into a single woman who already has 6 children, it's "how dare you deny some poor woman a medical procedure?"



First of all, this isn't really our business, now is it? I think it is unethical to implant that many embryos into anyone because of the very real medical dangers involved. Also, the only reason anyone ever implants that many embryos is because they think most of them won't take- this is reasonable in the case of an infertile woman, especially an older, infertile woman.* The woman in question here was not older, and, given that she had 6 children already, 2 of them twins, she was certainly not infertile.



In this case, IVF was not a "medical procedure" we had no business denying her. It was entirely unecessary. Clearly, all she had to do in order to get pregnant was have sex. IVF is a very necessary procedure for a lot of women: women who can't get pregnant the old fashioned way. To compare their very real need for IVF, and their tremendous suffering if they are denied it, to this other woman's . . . well, who knows, but she sure didn't need IVF . . . is offensive.



In conclusion, for people to celebrate this woman while simultaneously castigating and mocking her is, well, this time it is irony.



Enjoy.



*Doctors who practice IVF still don't implant that many embryos as a general rule, because even in the case of an infertile woman close to menopause, you're still risking high order multiples. Btw, if you are currently struggling with infertility, I wish you all the best, and I repeat: IVF is a necessary medical procedure for you.

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