Friday, October 13, 2006

So you want to make an appointment with me...

I understand it completely when female patients request to see me as opposed to one of my male colleagues. Personally, I would much rather see a female gynecologist (and I do) and a female PCP (I don't, but only because like many other "naughty" physicians, I actually don't have a PCP). I shudder at the thought of needing to see one of my male partners for any reason. Not because I think they are bad physicians (far from it), but the field of urology usually involves sensitive areas of your body. Should I ever (gasp!) get a kidney stone, I'm fully prepared to do my own stone surgery.

However, I have a few male patients who specifically request to see a female urologist, and over the years, I have figured out a few reasons why.

The Perv: self explanatory. These are the guys who creep you out as soon as you walk into the room. With each visit, they always have some excuse to show you their "goods", and they usually don't have any serious issues. It's always something like: "hey, I just happen to notice this little red spot at the tip of my penis. Can you have a look at it to make sure it's nothing serious?" or "Isn't it time for my prostate exam even though it's only been a month since you checked it?" I once had a patient at the VA who told me that the rectal exam felt "real good" when I performed it. Needless to say, I avoided seeing him after that.

The Traumatized: these patients have a history of physical or sexual abuse, often perpetrated by male figures, and they really cannot bear the idea of a physical exam by a male physician, let alone a urological exam. They feel mildly more reassured when they encounter a female doctor, but it's still extremely stressful for them. Try as I might, I can't really find anything humorous at all to say about these patients because abuse is never funny.

The Homophobe: these patients are repulsed by the idea of homosexuality. In fact, they are so suspicious of anything that could be even remotely interpreted as gay that they want a female physician to do their rectal exams. During the exam itself, they often utter things like "wow, that's a first" or "Take it easy doc, I'm not used to this". These patients often do not know how to use a suppository.

The Sensitive: these patients have the "nice guy" syndrome. They are usually metrosexual, meaning that they like fashion, interior designing and home decor, gourmet cooking, but surprisingly, they are also attracted to the opposite sex. The majority of their good friends are women, and they seem more comfortable around women in general.

The White Rabbit: These patients actually don't request me specifically, they just want to be seen ASAP by the first available physician (which oftentimes is me). They don't seem to be aware of the concept of Time Management and Planning, and are always running late but wanting to be seen now.

31 comments:

Jon Mikel said...

Nice post!

What will be the reasons of male patients who seek male urologists or female patients who seek male urologists?

Now that I have thought a lot according to specialization, I believe what like the most is urology, but when I say this to some people, they think that I have homosexual tendencies. Why is that?

I mean urology is not always about male patients, but also pediatric and female patients.

What is your kind advice about this?

Old MD Girl said...

Maybe they request you because they think a woman doctor will be better at listening to them. All the reasons don't HAVE to be because of some psychological issue.

Interesting how no one ever accuses women who want to be gynecologists of having homosexual tendancies.

always learning said...

the pervs are the worst. one of my co-residents had a female patient who came EVERY month to request a breast exam. monthly. and would make suggestive comments during and after. and at the VA you get the occasional lecherous old man... yuck!

Anonymous said...

very interesting post!

Can you post (or comment) about the demographic that visits you (or urologists in general)? I'm a med student interested in urology, but I'm also curious as to the age of people who visit... if you had to break it down by % age range, how would it go?

carla said...

Very interesting as always, keagirl. I wonder if you encounter patients who seem uncomfortable with you because you are a woman and would rather be seen by a male urologist?

this space intentionally left blank said...

Carla, I think that in a past blog she did address that. Occasionally a man will observe her gender and turn on his heel, unfortunately sometimes with an insensitive remark.

About the metrosexuals: I think you were just trying to say that these guys plain old don't like men very much. Fair enough. I mean, if you don't like men in any other area (friends, companions, even lovers - as you said, these guys are totally un-gay) then it only makes sense to not want to see one for medical services. Sort of like the way that I'm female and don't like other females a whole heck of a lot, so I don't go out of my way to select female physicians although when I'm assigned a doctor (like in an emergency or referral situation), I really don't give a rip about gender. I've never really understood the widespread fear of males as OB/GYNs that some women have (and I think most of them are not victims of any abuse) so to be honest, I don't respect that a lot but it's not my business so I have no real comment upon it when it comes to someone else's preference.

Good observation, oldmdgirl. I think that women are accused of perversion or homosexual tendencies far less often than men are, and thus female gyn/obs are seen as just being old-fashioned helpers of other women, in the vein of time-immemorial midwifery. Male gyn/OBs, unfortunately, are sometimes suspected of going into that specialty so they can inspect the "goods" all day long (ludicrous, I know - ahem, in most cases. There's gotta be a pervert every here and there, right?) And as for your observation: You are probably right that many people believe a woman will be a better listener, although I've found that to be no more reliable than a crapshoot. Plenty of women can be dismissive and brusque while there are men who will sit there all day listening and chatting till you cut him off with some excuse and leave.

keagirl said...

I think the people who perceive male urologists as having homosexual tendencies are quite ignorant of what urologists actually do. There exists the whole field of pediatric urology and female urology, the latter being about 70% of my practice. My age demographics is very widely spread. I will see kids and teenagers all the way to the oldest population. Kidney stones affects all age groups, and that's a large part of a urology practice.

The whole reason why I went into urology was because of this huge diversity, and the fact that most of my patients are "healthier" and I can "fix" their problems with surgery (incontinence, stones, cancer etc...). I have a post I'm working on about the reason why I chose urology.

I have really not encountered any "gay" prejudices/fears (not that there is anything wrong with being gay), amongst urologists and our other medical colleagues, or even from the general public. I guess I just don't see that at all.

And yes, I have PLENTY of male patients who don't want to see me because I'm a woman.

carla said...

Recently I have (for professional rather than medical reasons) been speaking with a large number of specialists in female urology, and each and every one of them has been male. (Though I often thought of this blog as I was working my way down the list.)

Anonymous said...

Thanks. Do you know of any gay urologists / have you encountered any throughout your training?

Artemis said...

Hi -- found you through Grand Rounds this week. Great post; I'm a NNNeurologist (NNNN emphasized for a point...) -- when people hear what I do ("What branch of medicine do you practice?" "I'm in Neurology" is too often misinterpreted as "I'm iNNN UUUrology"), I get a "look" and the question "Why would you choose THAT field?" My answer is always "I think the brain is an amazing ..." and never get to finish as the look of incredulity changes to comprehension with an accompanying "Oh! NNNeurology! With an 'N'!"

My one close encounter with a urology patient came many years ago -- I walked into an examination room. Pacing, obviously nervous, was an 18 year-old male, whose first question was "Are YOU the doctor?" When I assured him that I was and gently questioned why he was there, he stammered out "I have a ... v-v-v-ein...down there", pointing to his genital region. I quickly excused myself, called the referring doc and questioned the possibility of a varicocele; this was confirmed by the office. I went back into the exam room and told the patient he was in the wrong place; he RAN down the hallway and out the door like a shot...I haven't thought about this for years! Thanks for indulging me :)
A

jk said...

I'm male and I have to agree with old md girl. Different people have different preferences and that's OK. My friend prefers his doctors "male and grey haired". I generally prefer female doctors.

Personally, I have had better luck over the years with female doctors. _On average_, they tend to listen better, have a better grasp of the concept of "pain bad", and seem better at looking at my problem instead of focusing in on particular symptoms.

That is on average. I have a great male dentist who really gets all the above concepts. And I had a female vet who was .... way out there. (OK those aren't doctors, but they are doctor like so I think the example holds.)

Generally, when picking a doctor, you don't really have a lot of information to go on unless you are lucky enough to know someone who went to him or her. And happened to mention it to you. (I went to a horrible urologist for a while until it got to the point where it was worth going through all the testing again to change doctors. After changing doctors, I discovered that a tow or three people I knew had went to him and had similar bad experiences.) If only there was an Angie's List for doctors.

So, in the absense other information (which is unfortunately unlikely), I would choose a female urologist over a male urologist where one available. But I would also understand where someone else would prefer a male. Or not care either way.

Of course what I would really prefer is one whoes area is interest is somewhere near my problem area. You would have thought that the Urology department of a major university hospital would have been able to do this, but that's another rant. :>)

Anonymous said...

OKay, I've had that bit of a browse I mentioned 'n now I'm outa here, nothing personal it's just if I HAVE to talk to a urologist that's fine, but as a blog buddy... I don't think so.
Love your work though.

Anonymous said...

I happen to be a morbidly obese woman with an obstruction issue I'm being seen about right now. I am now in the hands of a competent male urologist who for once doesn't see fit to take up three-quarters of the consult time talking about my weight. (My PCP and I are handling it just fine.) Why do I only have this issue with male specialists? And I have to second JK's "pain bad" thing. Men think I have to be tough or something as they rip a dressing off. I'm just dreading my appointment this afternoon to have my nephrostomy checked.

Anonymous said...

I just have to chime in. I am a male, who may fall into your ‘Metro-Sexual’ category but I do not think I fit that neatly into it or any one of your four particular stereotypes. My reason for choosing a female Dr for each visit I schedule is quite clear.

I have had a few illnesses over the last 6-7 years so I have seen several doctors from my current internist PCP to my new endocrinologist. Therefore, I do not think I am being bigoted, weird, metro-sexual, or anything like that as much as I am being practical and demanding of my provider. My reason for choosing female doctors is simple. They are better then male doctors. Period/Paragraph. If we need to argue, then read on.

Of all the doctors I have seen, my female doctors spend more time with me, take better care of me, take more aggressive care with managing my pains, and show much more compassion for my real aches and pains both psychological and physical. They ask questions male doctors simply do not ask. When I say my arm hurts they ask real questions and guess what? They actually LISTEN to my response. The male doctors I have seen, for the most part, think they know the problem before I finish my sentence. I can’t tell you how many times I’ve been cut off mid sentence or even mid paragraph by a male doctor who knew my problem before I ever told him all the symptoms.

Of course there are exceptions to the rule as with all rules. But the overwhelming preponderance of evidence and experience from my visits with both male and female doctors has made me a female doctor only patient unless it is unavoidable.

OK. Now the hate mail can come. But I request proof of being wrong or close minded before I would ever admit I am wrong and change my ways.

It is awkward on occasion. But it is also well worth any humility I have to get the best attentive care possible. My wife agrees with me. We see the same PCP.

Need an example? About 6 years ago I was diagnosed with sleep apnea and depression. By the way, both were already suspected by my PCP due to her diligence in asking questions that my previous male PCP did not ask. My internist and primary care physician, a female doctor, told me more about the sleep apnea then the ‘sleep doctor’ who was male and supposedly a specialist. The male doctor spent 6 minutes with me before prescribing the sleep study. Yes. I timed it. My primary care physician, the female spent 10 minutes discussing the problem and how I could deal with it. And she also gave me all kinds of web sites and resources to look into. My original male PCP would never have taken that extra time to give me those resources. So argue all you want. For me, first hand experience with about 9 different doctors says I will only be seeing female doctors for the rest of my life. Oh yea, one more thing… My dentist is a female as well. She’s awesome! I never feel a thing when she has to numb me up.

Thanks,
Bill
PS: I’m not a weirdo just down to earth.

Anonymous said...

I am a 44 yr old male and have for the past 6 yrs preferred a female GP over Male. I have the same reasons as mentioned before. Female Physicians usually have better listening skills and try to treat the reason you came and ask many times if there are other problems. I have had appointments for one specific illness and do not even consider other minor things that may need attention. For example I was diagnosed for skin cancer while being treated for a sinus infection after my female GP asked if I had other concerns. This reminded me of the spot on my hand that was slightly bothersom but not painful. She suggested that we perform a biopsy which led to surgery at a good time before it spread. My experiences with male doctors is that when you walk in you are prescribed something and excused with little or no consultation.

Anonymous said...

I also am a male that prefers a female PCP because in the past my male docs have spent little to no time with me and normally do not seem to care as much as female docs do. The worst female doc has been 10 times better than the best male doc. So fo rme if I have a choice, I prefer female PCP docs. If I need to see a specialist, then I have no issues with whom I am sent to, until I run into an issue. At that point it doesn't matter what sex is seeing me I will say something and get another specialist. Period.

Just had my physical, I could tell she did not want to look under my gown, nor did I feel comfortable with her looking at me. However it is her job and not a hobby to check for a possible re occuring hernia. I was extremly nervous of her reaction to my trimmed pubic hair. To my surprise there was no comment or facial response when she saw little to no hair there. That was reassuring to me and I then felt better because she did not say anything negative about my choice of 'hair styles'.

I am glad to have a proffessional PCP!

Tom said...

I recently had my prostate removed because of cancer, so I've had lots of experience with urologists in recent months.

My comment here is in response to your focus on your own gender, at least in this one blog entry, and your questions about why men might choose you to be their doctor.

Could it be that they trust you, or they've heard good things about you? Strange thought, but maybe not ALL of your male patients look to you as a woman first and doctor second.

Last summer at the end of a urologic exam with my (former) urologist, I mentioned that I was concerned about the frequency of my need to urinate. He asked "How often?" When I replied that I didn't know exactly since I hadn't kept count, he dismissed my concern with the remark, "Don't worry about it. It's not uncommon in men your age," and told me to come back in a year. (I was 47 at the time.) He seemed so sure, I accepted what he said, at least for the moment.

The following week I had an unrelated routine exam with my PCP, who happens to be a woman. (She is Black. Do you ever ask yourself why your Black patients would choose to see a White doctor? I'm assuming, of course that you're White because of the cartoon in your profile.) When I presented my PCP (an internist) with the same complaint, she responded with the same question as my urologist -- "How often?" When I gave her the same answer, she told me to begin keeping a voiding diary and come back with a better answer.

Excellent idea, I thought, and I did. When I returned to her a few weeks later, she agreed that I was urinating too often, which she speculated could be BPH, but it could be "something else." She said she didn't find any abnormality on rectal exam (nor had the urologist). She advised me to go for urodynamic testing, which she said was beyond her expertise.

Rather than going back to the guy who had brushed aside my complaint a few weeks earlier, I went to a different urologist in town (a male doctor whose female PA assists with much of his clinical work.) This doctor advised me to have a prostate biopsy, based on what he said were a series of PSA levels that were high for my age (most recent was 2.7). The PA performed the biopsy and it came back positive for cancer.

My point is that if I had simply listened to the urologist that I'd been seeing for several years, I would still have cancer today and not know it. I wouldn't have been due for another PSA test there until this spring or summer.

I'm grateful to my female PCP, and also the female urologic PA, for their excellent care. My PCP took my concern seriously and persisted with her questions. The PA evidently knew what she was doing since she found the cancer!

While I was at Sloan-Kettering last month I didn't encounter any female urologists, though I'm sure there are some there. But the female PAs, NPs, and RNs who worked with me were excellent -- as my male surgeon also was.

My point is, patients should make sure they are taken care of, and not focus on the gender of the doctor, but look for an inquisitive, trustworthy, and skilled clinician. His or her willingness to listen and be respectful is critical, but it might be a woman, or it might be a man, Black, White, Asian, or other.

I enjoy your blog, but I have to say that the apparent assumption that your male patients must have some weird or perverse reason for choosing you as a urologist over a one who has a penis between his legs is either narcissistic, or perhaps you fail to give yourself enough credit for the quality of care you provide. One or the other.

Could it be they're just looking for a good doctor and are hoping you're it?

Anonymous said...

I totally agree with the opinion above of patients choosing quality doctors and completely disregard gender,race or age.

Jamie said...

Four years ago I got heavily involved in the medical/industrial complex after getting hit by a truck while riding a motorcycle. I spent 55 days in our local level 1 trauma center (which is staffed by some of the best people in the world) and walked out sans my left leg below the knee. In that 55 days and the next year when I had to go in for more surgery I rapidly formed the impression that female doctors listen better than male doctors and that a lot of male doctors are insensitive, arrogant pricks (no urology pun intended).

Example 1: I had a male resident tell me one morning, before my amputation, when it looked as if the surgeries I had gone through were going to save my leg, that if it didn't work out I could always get an amputation and with a prosthesis would be up around and playing golf in a few years. I don't know if he was trying to cheer me up or what, if he was it failed miserably, all I could think about for the rest of the day was the possibility of losing my leg (which I was trying not to dwell upon) and ending up having to play golf (thank God that never happened, a prosthesis is bad enough, but a prosthesis, plaid pants and weird shoes? Too much to bear).

Example #2: A few weeks after that I had two male surgeons come in to do a dressing change and take some tissue samples from my leg (this was when things were starting to go bad, I had mold infections and bacterial infections in my leg). The two surgeons took the dressing down and while they were there decided to debride a bunch of infected tissue off of my leg. This was incredibly painful I asked for painkillers and they said that it would only be a few minutes and would get some for me when they were done. Well, about 30 minutes later they got done and walked out of my room, leaving my infected leg open to the air and telling me that they would send a nurse in to change the dressing and give me some painkillers. I took the surgeons at their word So and another 30 minutes or so, timing the interval by the procession of sitcom re-runs on the TV, figuring that the nurses know about what's going and that they're having a busy day. Finally things started to hurt too bad and at the risk of being a pain in the ass I ring the nurse's station and ask about the dressing change. One of the nurses comes in, sees me lying there, white as a sheet with my infected leg open to the air and then goes and gets the head nurse and about 80mg of oxycontin. The surgeons had forgotten to tell the nurses that I needed a dressing change and painkillers. The nurses changed the dressings all the while muttering about the attitude of surgeons.

Example #3: I'm back in the hospital the next year, I've had a complication, a bone spur has started growing at the end my fibula and is trying to push its way out of my stump. I go in for surgery, the surgeon (who is a man and one of the most wonderful human beings I've ever met) finds a complication, the spur has grown in and around the blood vessels feeding my stump. So the surgery is complicated and I'm facing the very real possibility of losing my knee, which would really suck. My surgeon stayed around until 9PM or so when I woke up to explain the complications to me and then the next day flew to Walter Reed to work on guys coming back from Iraq (he's a great guy). The next morning one of the residents/interns, whatever you call the doctors-in-training who wake your ass up at 5AM after you've been trying all night to sleep, comes in and looks at my chart. He tells me that he noticed the complications and asks me if I've ever considered just going above knee, in his words I could be "...one and done". The utter insensitivity of having someone with two perfectly healthy legs who had no idea what he was saying and no idea what I was facing floored me. It is one of the most painful and depressing memories I have of being hospitalized.

After these experiences I'm of the opinion that a lot of male doctors need nothing more than a good swift kick in the balls. Interestingly enough I never felt that way about the male nurses who worked on me, they were great guys, not a shred of arrogance in any of them, just the male doctors. I've had good male doctors, my PCP is very good and so was my last physiatrist. But if I have a choice I'm going to go with a female doctor just because I figure they'll listen and they won't pull the kind of shit that male doctors have pulled on me.

James186282 said...

Hi:

I don't know where I fit in there. How about a new one - Overt reverse sexism? I've had all male Doctors with one exception. Seeing my old Male Doctors was an experience *But not a good one. She is easily 1000x better as a Doctor. Smarter, listens to my concerns and addresses them. Has a computer based system called Mychart. Returns phone calls and Mychart emails. Turned my poor health around etc. My male docs mostly talked about Golf and hated me interrupting them to say why I'm there. ;-) Am I painting all men with a broad brush? Probably I've only maybe a dozen male Doctors but
the experience has been pretty much the same with each one. Poor!

The Uroligist who did my Vasectomy had a broken cauterizer that shocked the heck out of me and when I complained he said "Humm it never did that before. Well we don't have a spare so Nurse? Hold his head down." I had a surgeon who got me started on the sleepy meds and as I drifted off to sleep he was told my name and joked that I was the patient there for a sex change. Really funny huh? I nearly choked trying to yell "No, not me!" And the Surgeon who was having me sign the permission thing and I read my percentage of chance of death for the first time. When I asked him why he never mentioned this he just mumbled that we talked about it in his office *NO we did not. Or how about the time I saw my wifes "doc" who after seeing me once got my wife freaked out about my heath that she thought I was on deaths door. And he didn't know enough to say anything and sure as hell should not have been talking to her with out my permission. Oh, I could go on but.

And last. If I (cough) ahh... had to talk about "male" problems. Testicular Atrophy, Impotence, lack of sex drive etc I just could not imagine telling another man that I was a "failure." Talking to a woman about private male stuff is (a little) easier. And on the DRE exams which I don't care for in the least bit - I'm happy that my Doctor at least has smaller hands.

And while I don't think I'm homophobic being probed, squeezed and examined by another man is just a bit "yuck" Its not great to be scoped out my my female MD but its a little bit easier.

Michael said...

Around 1994, I was training in Tae Kwon Do. One night before a tournament, I had already packed up my gear and one of the instructors asked me to watch some lower belts who were sparring. I wasn't thinking very well, I suppose, and showed them errors in their technique. While I was training one, another - a female police officer actually - kicked me in the groin out of nowhere. Naturally, I was in a lot of pain, but I fought the matches the next day and forgot about it. A while later, my urination was painful and frequent. I only noticed this when I went out with coworkers to drink pitchers of beer and I had to piss four times more often than they did. I really didn't know what was wrong, but I imagine if you are a urologist, you have known since just after I started the story.

I had a stricture of the urethra and I still do. I had surgery to cut away the excess tissue and I have to self-catheterize once a month. It was a big deal at first - it isn't any longer.

In any case, I was referred to the urologist by the insurance company and knew nothing more. Imagine my surprise when there was a woman - an African-American woman - interviewing me and she was the doctor. I swear I thought it was the nurse and I was really ashamed later because she was a great doctor and did awesome surgery - everything works great and I couldn't be more pleased.

The first time I was examined I got an erection. At the time (in my thirties) I would get an erection if the wind blew just right. I apologized, but she laughed it off, saying it was common enough - it only happened once with me though. Over the years, she helped me in a lot of ways. She prescribed medicine for my genital herpes (Zovirax?) which is not fortunately in remission (is it possible the l-lysine and red marine algae did what modern medicine could not or am I just not getting stressed out?), explained to me that erectile dysfunction was not just getting an erection but being able to maintain one satisfactorily throughout the sex act (it would mush out after a while - the other side of the premature ejaculation coin?) and that I should not be embarrassed to ask for medicine for that if I needed it (and I did and yes it works).

Anyway, my HMO eventually changed and I was left stranded. I got another urologist to follow-up my case (a man this time) and found him to be very bright and I was surprisingly comfortable talking to him about my problems. I saw him for a year (two visits), but my PCP agreed to write my scripts so I didn't need my urologist anymore - I didn't have any other issues - the stricture is just a maintenance thing at this point.

So now I do have an issue and made an appointment with a urologist. The urologist that could see me first was a woman and that isn't a problem for me, but when I found this site (I was looking up information about my problem) I was surprised to find these shallow categorizations of patients. It gave me pause for thought. I don't think I'm metrosexual. I guess I am perverted, but I share these healthy perversions with my wife. I must be a homophobe or a latent homosexual who fears getting an erection when a man examines them.

Makes sense. All is clear.

I hope the doctor I see tomorrow sees me as an _individual_ who is there to have a problem solved.

Anonymous said...

what?!! A female urologist not wanting to be examined by a male gyno? The height of hypocrisy. I think all male gynos and all female urologist should see doctors themselves of the opposite sex to sensitise themselves for their own patients.
Also I found your comment about not wanted to be examined by your colleagues very disturbing. Why are doctors mature enough for the general public but not mature enough for you? After all, you preach to patients that examining ones genitals is done purely professionally but you dread/avoid the idea of your colleagues examining you?

Anonymous said...

Frankly, I don't really believe the original poster is a physician at all, and certainly not a Urolgical specialist.

The comments above suggest significant incongruence between practice ethics and practice intent.

If by some rare chance the person is a licensed medical doctor, she should give back her degree and her license!

Anonymous said...

Interesting post. I have to say that it's a bit shallow to lump patients into categories like that. Humans are complex and don't fit nicely into contrived labels.

Personally, I chose a female urologist for a number of reasons, primarily though because I just don't trust males period. It doesn't help that one male urologist abused me, but I'm not scarred for life. That also ties into the homophobe category, although I have a certain curiosity about the gay lifestyle. And that also ties into the whole Metro thing, although I don't get pedicures.

FInally, I am a sexual being. I don't have a fetish for female urologists, but fantasy is a constant for most males, so that includes urologists, postal workers, school teachers, whatever. I'm also not creepy and have good manners, so that wouldn't be an issue.

What I have to wonder is the flipside. Female urologists have no sexual curiosity whatsoever towards their patients? What if he is attractive? If not, is it because you're professional, jaded, or numb? Or a combination of all?

So, again. It's just not that cut and dried. At least for me, it's not.

Anonymous said...

I also am stuck by the hypocrisy of providers who only go to same gender or have special accomidation for thier modesty when they are paitents, can they not see how wrong it is to say they are professional's all the lines, either they are liars, or they feel all thier colleauges are creeps and they are the lone "professional". Do as I say....
My brother went through a long series of surgeries that began with cancer and the removal of a kidney, testicle, and lymp nodes, it moved to the suture line herniating and a mesh having to be installed, from there to a staph infection, he is not only my brother he is my busines partner, over 18 months they opened him 3 times including leaving him open over 6 weeks while they battled the staph. He saw many many doctors and specialist both male and female, I can tell you from what I saw and what he said there are good and bad in both genders, one of the most insensitive comments I heard was from a female wound specialist, if a male had made it he would have been in deep trouble, it was made to another female nurse as if he wasn't even present. Injecting humor in losing a testicle may seem appropriate to that female provider...but to him it was humiliating especially laying there exposed to the provider and other nurse. I have a male PCP and would not trade him for anything, he is not only very through, he is very concerned about the emotional side of issues as well as the physical. He is in his 60's and I dread the day he retires.
The medical experience is very individual one, sexism can come in many forms...just as you should not eliminate a female provider due to her gender, you are missing some great Dr's by generalizing all male providers

Anonymous said...

I once read a study about psychologically damaged providers and the effects upon practice.

It seems most female medical students are damaged emotionally, and to a lesser but significant degree, sexually.

One wonders why a female physician would choose the urology residency in the first place, and the motivation of their proctors to guide the female physician toward the urology residency program.

The original write clearly appears to demonstrate hostility overtly.

For one, as a male, I would certainly not want her for my care provider now knowing her emotional limitations. My experience with one female practitioner is they all are probably intimidated by their male patients.

However, I do also suspect their erotic fantasy life is overly active and they are highly masturbatory.

Anonymous said...

I don't believe she is a urologist
either. I think she is a female
prison guard with some very serious
penis envy issues.

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Bryan said...

No man should ever let a female do a rectal or phallic exam on them. If you do, you are emasculating yourself or get some kind of wierd turn on . let's face it. Men invented medicine and are generally more knowledgeable and aggressive than females. Men...stick with men and be healthier!!

Anonymous said...

I agree Brian. Besides All female
nurses are perverts and unprofessional. That goes for
female physicians as well!

Anonymous said...

I can agree with the assessment here I read and rarely post here, but at the age of 8 i was forced to masturbate a grown man. It was supposed to be our secret, I wasn't supposed to tell anyone about it.

Of I were to say anything my Mother would be alone and angry at me for causing the loss of her boyfriend so I was told.

I see a female urologist because I cannot stand a man touching me or even looking at me.

I have been known to spike in blood pressure when a nurse practitioner or a physicians assistant has to do a physical, I have requested a female numerous times and sometimes its just not possible at clinics.

It is tough because you don't want people to think you are a perv though I know a few family practitioners I have tried refused to do any physical even though I had a painful throb in my left testicle.

I am glad there are other female doctor's who can understand the long term trauma of abuse and the effects that carry's with ot throughout life.

Thank you for giving some of us an out from experiencing anxiety and rage at a time of increased concern and fear.

The pain I had was looked at through an ultra sound unfortunately the tech was a man, laying exposed on that table caused an extreme amount of stress but my Urologist personally stayed in the room.

I dont know about most men but I have never been or felt normal in identifying my body image since that happened, to be disrobed in front of another person is stressful it is a place of vulnerability, a place that is often only communicated in the unknown regions of a persons private thoughts.

So again Thank you and God bless.