Well, I think we should give you a *do-over*....comeon you can do it.:)
Posted on 11/02/2012 11:14:12 PM PDT by Slings and Arrows
When I was the director of undergraduate medical education for OB/GYN at a Midwestern university (a state school), it came to my attention that a medical student was refusing to have anything to do with contraception as it was against her religion.
So I spoke with her. I explained that over the course of her career she would undoubtedly see people from all walks of life with a myriad of religious and or personal practices. I explained that medical care is not about fulfilling any personal need beyond the need to help.
I gave the example of a doctor who is a Jehovah’s Witness. Refusing to order a blood transfusion would be both unethical and malpractice.
I had an OB/GYN who practiced the same religion discuss how he felt that he could prescribe contraception and still honor his Church.
None of this mattered. In her eyes prescribing contraception was an affront to her religion.
“What if you don’t council a patient about condoms and she gets HIV?” I asked.
No answer.
“Do you think it’s ethical for a woman to take time out of her day to come for a well-woman exam and not leave with the contraception that she wants and needs?”
Silence.
“What if that woman leaves your office without birth control, gets pregnant, and is then beaten to death by her partner as pregnancy puts her at increased risk for domestic violence related homicide?” I persisted.
“My patients will know I won’t prescribe birth control or discuss condoms. They will get the Creighton method,” she said.
“How? Will you have a sign? Will your receptionist tell every patient who calls?” I asked.
If the answer had been, “I realize my personal belief system puts me at odds odds with the standard of care so I’m headed for pathology,” I would have commended her for her insight and given her a passing grade with a note about her contraception issues on her transcript.
But she responded that she was going to be a family doctor.
I spoke with the Chief of OB/GYN and the Dean of the Medical School. They agreed that refusing to be involved in any way with contraceptive or safe sex counseling should result in a failing grade on the clinical component of the rotation.
They agreed, that is until she lawyered up. A public fight about teaching contraception would just be too much, you know?
Shortly thereafter I resigned as the director of medical education for OB/GYN and left for a different state.
If a doctor can refuse to discuss contraception, essentially proselytizing to patients, then we should not be surprised that some pharmacists will refuse to dispense it and be protected by the law.
Ask yourself, do you want your own health care provider to consider their own religious or personal beliefs first before offering you medical care? If so, then everything is up for grabs. Everything. From blood transfusions and addiction medicine to fertility therapies and weight loss therapies because it all depends on how you interpret any given scripture.
The only religion that my patients see me practice is medicine. Anything else, in my opinion, is malpractice.
Jennifer Gunter is an obstetrician-gynecologist and author of The Preemie Primer. She blogs at her self-titled site, Dr. Jen Gunter.
Psssst! (Whispering) If you want in on the ground floor, just one word: plastics yarrow! *<];-')
Bless you.
*serious*
The Natural Medicines Comprehensive Database has no data on the effectiveness of yarrow. Sounds like an opportunity for a study. (A bit out of my scope of practice, though.)
/*serious*
Yarrow makes a pretty good tea, especially for congestion. Grew up using it. (We were pooooooor and backwoods)
At one time it was also used in beer, in lieu of hops.
Yarrow (Achillea Millefolium)
Effects: The herb has a cholagogue effect (stimluates bile flow) due to the guaianolide and germacranolide content. The flavenoid content exerts a spasmolytic efffect, while the proazulene fraction has an anti-edema and anti-inflammatory effect. The effect probably results from the interaction of the various structured bonds with the chamazulene and flavenoids. Yarrow has similar effects to those observed in chamomile flowers since some of their components are identical.
Note: the sespuiterpene lactone, alpha-peroxyachfolid may cause skin dermititus.
Compounds: volatile oil (.2-1%) chamazulene, camphor, beta-pinene
What was your source, please?
Only the well heeled can buy the high margin goods like cialis...symbicort...retin-a.....androgel....etc
My best pal owns pharmacies...they line up for oxy...hydro....alprazalam
Its just how it is
Legit scripts....you sell
Course now DEA. Nazis....they are not your pal as a pharmacist.....dole out dope
So you run out... they go to walgreens....monthly pain pill allotments per distributor
Which gives chains an advantage
The government could ruin a wet dream with Sofia Vergara...
Aging pop....in pain....spoiled menboys.....anxious if wifey will let them drive the Prius
God bless u....we need u.....but be patient
U will get played.... and tire of it
The PDR for Herbal Medicines. It’s 858 pages on herbal medicine. Same company that publishes the well known PDR.
I keep it next to my desk and use it often. A fabulous resource that includes:
Plant description
Trade Names
Action and Pharmacology
Compounds
Effects
Indications & Usage
Contraindications
Precautions & Adverse Reactions
Dosage
Modes of Administration
Storage Recommendations
Extensive Literature and Journal Article References
My Herbal PDR copy is a few years old. I need to get a new one. My wife is an MD psychiatrist so I usually bounce my thoughts off her when I get into pharmacology over my head.
“What was your source, please?”
Just off the top of my head! LOL
What if that woman leaves your office without birth control, gets pregnant, and is then beaten to death by her partner as pregnancy puts her at increased risk for domestic violence related homicide?” I persisted
(This is how stupid liberals are) This is false arguement!!
“What if a women leaves your office WITH birth control, her husband finds out and thinks she is having an affair and kills her because of it..”
Stupid Doctor.............
I can honestly say with 100% scientific accuracy that Xanax likely saved her life. Ativan did the rest. BENZO's to persons with legitimate need work great. There are several causes for anxiety including Neurological Damage and that is where the so called safer medications such as antidepressants can kill you and a lot of doctors will not even recognize what is happening. Most doctors treat Phobic Anxiety or emotional anxiety. They don't look for other causes a lot of times.
My wife is a quadriplegic. With that comes motor and sensory damage. I have life long sensory processing disorders originating in the Inner Ear and the portion of the brain the Inner Ear works with. Antidepressants specifially Zoloft and Trazodone put her into an Adverse Reaction called Serotonin Syndrome. Six Doctors including a Level one hospital ER in Knoxville and another ER both missed it. I diagnosed it a few days later by doing a search of her two antidepresant meds +adverse reaction. If she had not also been on Xanax with it would have likely killed her. During the episode which lasted five days she developed two brain bleeders as well and partial amnesia before it was over. BENZO's are the couter acting drug to Serotonin Syndrome.
Due to my neurological impairment I am a likely one for this to happen to as well. I have had onset of it before and tossed the meds. It took me two years to get a doctor to stop writing me antidepressants and give me Xanax.
The key to Xanax is low but consistent dosages. A half mg 3-4 times a day will suffice even for a 250 pound man. Without them? I have seizures. No the Xanax doesn't cause the seizures I had them before taking Xanax even the first time. The Xanax slows my sensory system and controls my Myoclonic Seizure Activity triggered by auditory and visual stimulation.
Slings and Arrows here is some advice for any males taking SSRI's. Any reduction in bladder flow the patient should call the doctor or better yet go to an ER. They can trigger a response called Dysreflexia. That is basically shock. It is a term usually used in describing persons such as quadriplegics who can not wiz. But it can also occur form a healthy patient taking a medication like Paxil. Been there, done that, wore Folley for two weeks. I was lucky because I knew what was happening to me due to caring for my wife and got my butt to the ER.
Post 53 PING FYI
>>The only religion that my patients see me practice is medicine.<<
and
>>. I explained that medical care is not about fulfilling any personal need beyond the need to help.<<
Actually, that’s not correct. Medicine is not a religion. And the attempt to practice “values-free” medicine will fail because, strictly adhered to, it only obscures the values the practitioner has.
There are physicians who will amputate healthy limbs to suit their patients. What religion are they practicing? There are physicians who will provide lethal drugs and treatments to patients who want to end their lives, while others refuse to do so. Are both groups practicing the “religion” of medicine? Are both fulfilling the “need to help”? How shall we decide?
The author makes one minor argument which needs to be addressed: “What if you don’t prescribe artificial contraceptives, the patient gets pregnant, so her ‘partner’ beats her to death?”
What if a man with a broken arm is treated and healed and then beats his partner to death? Is that the physician’s fault too?
More to the purpose and since the sociological data suggests that the incidence of abortion and single parenting varies directly with artificial contraceptive use, and since “the pill” is carcinogenic, AND since a number of physicians write oral contraceptive and ampicillin without informing their patients of the interaction, is the writing physician responsible for abortion, single parent homes, cancer, and pregnancy?
PART of the problem is that an ethical decision is not a matter of “feeling.” “Feelings” aren’t right or wrong; they just are. The “feelings” of Catholic (I assume) OB/Gyn who writes the pill for contraception are irrelevant. But his THINKING is either sound or unsound.
The suggested “need to help” can as validly lead to refusing to prescribe “the pill” as it can to prescribing it. Thoughtful physicians should think about what REAL help is. The question may be a little more difficult than this physician suggests.
Well, I think we should give you a *do-over*....comeon you can do it.:)
You stupid,dumb-a*s doctor, your student knew more than you. Your student knew that doctors treat diseases and illnesses.
Having a penis inserted in your vagina and semen aquirting out of it IS SUPPOSED TO PRODUCE BABIES DURING A WOMAN’S FERTILE PERIOD. That the natural law!
And being pregnant and delivering that baby is NOT A DISEASE OR ILLNESS.
Just treat the diseases and illnesses and we’ll all be fine. No, it’s not the job of a doctor to deconstruct the natural law. Let’s leave that to leftist politicians.
So were supposed to think that the issue of a woman living with a jerk who's willing to kill her can be "fixed" by rendering her ovaries and uterus non-functional? As if he won't just find some other reason to kill her? And *we're* the irrational ones?
Refusal to discuss contraception is so far from proselytizing that I question the sincerity of the entire article. This girl strikes me as a petty tyrant who loves the power that her MD gives her over those she sees as lesser people. I would not want physicians or anyone else in my life who had so little regard for their own personal values that they would act in violation of their religious beliefs simply because they were told to - none of the historical precedents in which people checked their values at the office door and blindly followed orders turned out well. I have no moral objection to contraception, but I would far rather have the "medical student was refusing to have anything to do with contraception as it was against her religion" as my (or my daughter's) physician than the self-righteous petty tyrant who thinks her opinions should override the moral beliefs of others.
It’s one thing to point to and discuss their medical and lawful options with patients, but another thing completely to practice abortion as delayed contraception — particularly at or immediately after normal delivery. To whom then is one a moral humanist?
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