१२ फेब्रुवारी, २००८

"Her first creation... was a 'vaginal vault' made of a cardboard toilet-paper roll, Play-Doh and a badminton shuttlecock..."

"She has also constructed a scrotum using two wood balls linked by a rubber band (vas deferens) and suspended in an extra-large condom filled with oil and peanut butter."

It's not another art show. This is a serious medical project: Designing anatomical models to train doctors to get over their prudishness so they can examine body parts properly:
[Dr. Carla Pugh] often buys penises at adult “novelty” shops, though they are all erect and circumcised, and sometimes welds on rubber tubing used for synthetic intestines when a foreskin is needed....

“We need permission to fail in a safe environment,” [Dr. Richard M. Satava] said. “Aviation has used simulators since 1955 that are now almost indistinguishable from flying real airplanes and have achieved a remarkable safety record. It’s time that health care followed.”

The models need not be particularly high-tech. “A very sophisticated simulator would be too much for a student,” he said. “For simple tasks like a pelvic exam, a simple simulator like Carla’s is actually preferable. You don’t teach a teenager to drive in a million-dollar Ferrari.”

२९ टिप्पण्या:

Roger J. म्हणाले...

This may fall in the "too much information" category.

Bob म्हणाले...

Shuttlecock is one of those words that Beavis and Butthead would snicker over. For bonus points, what's the proper name of the badminton racket?

Bob म्हणाले...

Ya think that the "vaginal vault" is similar to Al Gore's Social Security "Lockbox?"

AllenS म्हणाले...

Has the art of papier-mache been lost?

MadisonMan म्हणाले...

I haven't noticed any squeamishness on the part of my doctors -- so is this more a problem for female patients then? Or do I just have unshameable doctors?

I also think it's interesting that the comments have a joking tone. Is that to mask something?

अनामित म्हणाले...

I had hoped that at this stage of the so-called "sexual-revolution" we had, as a society, moved beyond this self-destructive prudery.

Ob-Gyn's and GP's should be working on technique by now and not puritanism.

Where are the women here? Anybody besides me witness the birthing process? NOW that is objective...

ricpic म्हणाले...

Why substitute simulators for real guinea pigs? Isn't that what poor patients are for?

Ann Althouse म्हणाले...

They have to hide whatever squeamishness they may feel. The problem manifests itself in the quality of the examination.

I have certainly noticed a difference between a female and a male gynecologist. Males seem to be unnecessarily rough out of a need to demonstrate that it's purely professional. That's how I interpret it anyway.

AllenS म्हणाले...

Perhaps you need to choose a gynecologist on the size of his mustache. Size does matter, apparently.

save_the_rustbelt म्हणाले...

No wonder nurses think medical students are such knuckleheads.

Luckily a year of internship and 3 years of residency cure it (when a patient has a fecal impaction at 3:00 am the nurses will invite the resident on call to get involved, so as to cure the squeamishness problem and because many residents are arrogant little SOBs).

As my wife (an RN) says about the male parts "after you see the first thousand or so it gets kinda routine."

Bob म्हणाले...
ही टिप्पणी लेखकाना हलविली आहे.
Bob म्हणाले...

Ann Althouse: I have certainly noticed a difference between a female and a male gynecologist. Males seem to be unnecessarily rough out of a need to demonstrate that it's purely professional. That's how I interpret it anyway.

I've noticed the same phenomenon among barbers, back when I had enough hair to justify visiting one.

rhhardin म्हणाले...

Some campus feminist group sent Limbaugh a chocolate vagina (must be part for the whole, in modern naming terminology; vulva sounds vulgar) that they distribute.

The amusing part wasn't that but that Rush got calls telling him he was holding it upside down.

I imagine this is a medical training problem that you want to remedy early.

rhhardin म्हणाले...

Today's sociological reference : ``Behavior in Private Places : Sustaining Definitions of Reality in Gynecological Examinations'' Joan P. Emerson, 1970.

rhhardin म्हणाले...

con't, Behavior in Private Places, here it is online (.pdf)

Patricia म्हणाले...

I love this quote from the end of the article:

“That’s America,” he continued. “Canada got the French. Australia got the convicts. We got the Puritans and we never got over it.”

One wonders what America would be like had we gotten the French, or the convicts, etc.

अनामित म्हणाले...

Ann,

Don't you fear the day when your doctor won't even operate on your privates because she is a Muslim? And because that's not culturally allowed?

Or, she won't wash her hands up to the elbows, because showing that much skin could get her arrested by the sharia-ites?

Already happening in Britian.

Peter V. Bella म्हणाले...

Slim999 said...
Ann,

Don't you fear the day when your doctor won't even operate on your privates because she is a Muslim? And because that's not culturally allowed?

Or, she won't wash her hands up to the elbows, because showing that much skin could get her arrested by the sharia-ites?

Already happening in Britian.



And we want to be advanced like the Brits and have Universal Health Care?

KCFleming म्हणाले...

Males seem to be unnecessarily rough out of a need to demonstrate that it's purely professional.

True, but only partly. Older women do not seem to mind having males doctors, but younger women request female MDs more and more.

From my side, I don't care. Women doctors and PAs that I work with try to avoid the pelvic exam (and female patients in general) because of the demand and increased time needed to see these patients. Hence there are shortages and longer waits to see a female provider.

Men are happy to abdicate this exam because among younger women there is always the risk you will be accused of assault ...even if you have an assistant with you.

Anyway, this is what happens when you treat men as unnecessary. Why learn this if it only gets you in trouble? Let women do all the exams. They are the Puritans here, by the way, not the guys.

former law student म्हणाले...

What surprises me: Why no market for the uncut rubber dong? I see a niche opportunity for the porntrepreneur.

Ralph L म्हणाले...

fls, it's expensive to produce, easily damaged, and difficult to clean, just like the real thing.

I never thought of my parts as a Ferrari.

SGT Ted म्हणाले...

Now that I am over 40, I prefer a female examiner with slender fingers.

But I usually get the ex-NBA player or dairyman.

*cough*

Ralph L म्हणाले...

I had a woman doctor do my first rectal in '85. I thought she was spacey, but she actually saved my life. She sent me to a dermatologist because I had so many moles, so I knew the warning signs when I got melanoma six years later.

Fen म्हणाले...

As my wife (an RN) says about the male parts "after you see the first thousand or so it gets kinda routine."

I remember my first day working ER security for a hospital. Man came in unconscious, head nurse had to knead the man's penis to get it hard so she could insert the catheter.

From an outsider perspective, it looked like she was giving him a hand job, and I felt sorry for her loss of dignity [and his]. Geez was I naive.

Ralph L म्हणाले...

insert the catheter.
It never occurred to me before that inserting it in a soft one would be next to impossible. Remind me to knock myself unconscious if I ever need one.

Was it part of your job to watch, to see that he wasn't molested? This cop kept watching the ER doc and nurse pull a nail from my foot and scrub it raw--and I wasn't handcuffed, honest.

Tibore म्हणाले...

"[Dr. Carla Pugh] often buys penises at adult “novelty” shops..."

You know, if you think about it, they can get all they need at the adult "novelty" shops...

Including the nurses outfits. ;)

Tibore म्हणाले...

"I never thought of my parts as a Ferrari."

As long as your partner doesn't call it a Yugo, you're all still good. :D

------
She: "What, Tibore? A Ferrari? High maintenance, high speed, gets there too quick? Eff that, I'll go look for a pickup-truck..."

Me: :-(

Tibore म्हणाले...

"... insert the catheter."

What? Your alter ego's got to be what to take a catheter??

Jesus... screw being unconscious, remind me to never go to the hospital!!!

theobromophile म्हणाले...

Ann Althouse: I have certainly noticed a difference between a female and a male gynecologist. Males seem to be unnecessarily rough out of a need to demonstrate that it's purely professional. That's how I interpret it anyway.

Either that, or they don't quite understand how delicate that area is. I imagine that, after seeing the first few hundred babies delivered, they would be under the impression that women are made out of titanium.