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RE: Letting your kink include others nonconsensually - 10/25/2009 4:58:20 AM   
zephyroftheNorth


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quote:

ORIGINAL: tazzygirl

quote:

Please consider reporting him. He's gotten away with doing this to countless other people and it's a violation of their privacy and rights. Getting off on an unsuspecting party is wrong.

Edited to add something else.
The phrase "First do no harm" is a cornerstone in the medical community from the 1800's. Who is to say having unnecessary medication will lead to no harm? What if someone suffers some untoward consequence from Dr. Bowel Movements interest in laxatives? What if he hurts someone in order to get off? Having a laxative seems like a fairly safe thing to do but you can't guarantee anything as being 100% free of negative consequences.


Dr Bowel Movements?  Ever considered that a bad reaction from such a surgery is NO bowel movements?  Of course he would be fixated on that, just like an orthopedic surgeon would be fixated on respirations and blood pressure to check for signs of an embolism. 

He is following the standards of care.  I would be more concerned if he had told her... "Oh, ok, no problem, you dont have too then."  Which of course he wouldnt, and didnt, because then his license would be on the line.


Which would make sense if it weren't for a) the fact that she had already had both a bowel movement and normal bowel sounds and b) the comment about how lucky she was to be going home where she could have all the enemas she wanted. The norm with a medication which can cause constipation is to give a laxative plus stool softener orally unless the patient is vomiting too much to make giving those medications by mouth.


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RE: Letting your kink include others nonconsensually - 10/25/2009 9:51:18 AM   
tazzygirl


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Rectal is much more effective, the OP stated the surgery was emergent, and she was placed on dilaudid afterwards.

Standard of care includes suppositories.  The effects of the narcotics may not be felt right away.  But, ya know, when she possibly runs the risk of a bowel obstruction, and they have to go back in to correct, or she causes herself more damage by straining later down the road... the Dr will be free and clear because he did his duty and tried.

Dr's cant make us do anything, they can only cover their own asses when treatments are offered, and we patients are silly enough to decline something so simple.

quote:

the comment about how lucky she was to be going home where she could have all the enemas she wanted.

 
enemas are not always as safe as many may wish to believe.  many can, in fact, cause much more dangerous problems then they cure with long term use.
 
http://www.medicinenet.com/constipation/page4.htm

The norm with a medication which can cause constipation is to give a laxative plus stool softener orally unless the patient is vomiting too much to make giving those medications by mouth.

That norm isnt the standard of care for any hysterectomy i have taken care of, nor the one my mother just had for uterine cancer.  There are specific reasons why a rectal can be more beneficial.  i refer you again back to the link i posted here.

< Message edited by tazzygirl -- 10/25/2009 9:59:19 AM >


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RE: Letting your kink include others nonconsensually - 10/25/2009 10:12:09 AM   
CalifChick


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From: California
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quote:

ORIGINAL: tazzygirl

Dr's cant make us do anything, they can only cover their own asses when treatments are offered, and we patients are silly enough to decline something so simple


Now you're being insulting.  Why don't you just pat her on the head and say "take your medicine like a good little girl."

Any time any medical provider wants to do something and cannot give you ANY reason why, is the time in my book when you say NO.  Being an informed consumer regarding your own healthcare prevents problems, and blindly following whatever someone with a license says is the way you get into trouble.

I can't even believe we're all reading the same OP. 

Cali


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RE: Letting your kink include others nonconsensually - 10/25/2009 11:04:25 AM   
Drifa


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I really think the alarm bells were started off by the fact that the doctor could not or would not discuss the medical reasoning for the suppositories, nor would he discuss alternate treatments, nor would he even explain what it was that he was trying to treat. Laxatives weren't necessary because everything was moving along as it should! Had that not been the case, then yes, I would have agreed that steps might have been necessary to get the trains arriving on time.

The final red flag was the look on his face and tone in his voice when he did the five-minute "Aria to the Ecstasy that is Prune Juice", as I call the weird-ass discussion we had at check-out time. My Lady was there for that, and she felt he had some crazy laxative fetish thing going on - he made us BOTH uncomfortable. I really thought me might come in his pants right there as he exulted about how LUCKY I was to be going home where I could have all the prune juice and enemas I wanted at any time...

I'm a week out of surgery now and getting along fine with mostly ibuprofen and just one Vicodin in the morning when I first wake up and everything is saying "OW". Throughout this whole process, there has been no constipation, nor any laxatives. I can't complain about the surgical results, which seem to be good.

But I do plan on discussing my discomfort with the hospital's ethics committee, my regular OB/GYN and GP, and possibly with the state medical association. He may not be indulging a kink - but if not, his patient communication techniques SERIOUSLY need work. And while I don't care if the man has a suppository/laxative fetish, I *DO* care that he not inflict it on non-consenting people under his medical care if that's so.  Whether it was him being weird or not, the way he approached it made me really uncomfortable.

Sometimes my vanilla friends just don't understand what the difference is between to the kind of kink I enjoy as a submissive masochist and spousal abuse. This really kind of illustrates the difference. If My Lady had for whatever reason decided I needed a laxative suppository, then that is exactly what I would have submitted to. But it would have been my choice to consent to that, my choice to submit to her and her desires. 

This doctor just ordered that I would take the suppositories, refused to discuss the treatment, then when I refused the treatment ordered the nurses to attempt to talk me into taking the dang things... an order that made the nurses unhappy enough that every one said something to me along the lines of, "I really think this is stupid, but the doctor explicitly left orders in the chart that each nurse was to attempt to get you to take these suppositories. I know you have refused them, but I am required to try to talk you into them, which I have just done and am charting for the record."  The internal medicine specialist who was also attending on the case commented that the suppositories were Doctor T's own little quirk - he was really eye rolling and dismissive about it. The reaction of the other local medical professionals involved in my care further reinforces my belief that this was WEIRD, not the medical standard of care, and pushing their boundaries also.





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RE: Letting your kink include others nonconsensually - 10/25/2009 11:28:59 AM   
barelynangel


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I have a question for the OP, your initial post and the subsequent one speak of how you demanded this explanation and that explanation from the Doctor , it appears you spoke to the nurses and the intern, and speak of unethical, rape, taking advantage of, all because of YOUR knowledge of BDSM, yet at any time did you bother to tell the doctor you were uncomfortable with his pushing something so hard you, because of your knowlegde of BDSM, are starting to think he has a fetish that he is taking advantage of his patients?  I mean straight out ask him per your own knowledge of BDSM?

If not, why not?

You do also realize that the nurses also have a responsibility to the patients and don't "just follow orders" and so you had a nurse and intern imply to you things about this doctor and NEITHER of them took you seriously enough or the doctors instructions seriously enough negatively in being upset that they got a patent advocate for you?  

I have no issue with people saying no to medical treatment, what bothers me so much is this thread title regarding unconsensuality --- and it seems the OP's very knowledge of BDSM may be pulling the doctor into BDSM unconsensually and then to use words like rape and taking advantage of etc.   The OP has no clue if the doctor knows of BDSM or has an actual fetish etc, but she seems to have and others seems to have no issue with thrusting the doctor into the BDSM sect. 

You could have 1) requested a patient advocate, 2) requested a second opinion about treatment, 3) asked to speak with someone in charge.  You still can, call the hospital and request a patient advocate. 

But instead you come online and concepts like unethical, rape, nonconsensuallity etc.which i think stems from YOUR knowledge of BDSM and this concept to me shouldn't be haphazardly unconsensually applied to people when you don't know for sure its where they are coming from.  Maybe he is doing something that he shouldn't be, BUT are you absolutely sure its within the concept of BDSM and he is aware of same etc.

So are you sure you aren't letting your knowledge of kink include this doctor unconsensually in a concept that you actively are a part of?  This unconsensuality goes both ways, and many times people's KNOWLEDGE of BDSM because they choose to identify with it and live it, unconsensually label things they see others doing as same and thereby including those people unconsensually into BDSM.

If you are still this uncomfortable, call the hospital and request a patient advocate, get a copy of your medical records to verify there is no medical explanation of why he was pushing this, and see what options you have.  There MAY BE other complaints about this doctor, or there may not.  But before you start saying things like unethical, rape, taking advantage of, BDSM etc why not do the due diligence prior to labeling a doctor with such things - because you have knowledge of BDSM.

angel

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RE: Letting your kink include others nonconsensually - 10/25/2009 11:54:40 AM   
angelikaJ


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quote:

ORIGINAL: tazzygirl

Dr's cant make us do anything, they can only cover their own asses when treatments are offered, and we patients are silly enough to decline something so simple.

quote:

the comment about how lucky she was to be going home where she could have all the enemas she wanted.

 
enemas are not always as safe as many may wish to believe.  many can, in fact, cause much more dangerous problems then they cure with long term use.
 
http://www.medicinenet.com/constipation/page4.htm



She asked him the medical reason why and he was unable to give her one.
He may not have been kinky...that is true, but he should have been able to answer her question.

And since enemas can cause "dangerous problems", why would he mention them?


I am wondering if it is possible that the reason the Dr. in question pushed the supposititories is simply because patients tend to lie about stuff like moving their bowels since that is a requirement for going home.
Constipation is a common issue with both abdominal surgery and narcotic pain relievers.
It may be his standard procedure for making certain the patients under his watch are good to go (no pun intended)... and perhaps he has not come up with a tactful way to phrase " Because my experience has been that most patients lie and I don't want you back here with an obstructed bowel." ..or something like that.

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RE: Letting your kink include others nonconsensually - 10/25/2009 11:56:48 AM   
Acer49


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quote:

ORIGINAL: Toppingfrmbottom

report him to the medical board?


Regardless of his true motives, the fact remains that suppositories were required and it is up to him as to what form her perfers to dispense. At best, the only thing his actions maybe called is insensitiive, hardly a case of mal practice

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RE: Letting your kink include others nonconsensually - 10/25/2009 12:03:07 PM   
barelynangel


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angelikaJ,

I was also thinking along the same lines or previously negative results when he didn't push same and the patient either didn't take anything or took oral and came back and tried to blame him for NOT pushing what he felt was right and many times nurses and other doctors even don't know a doctors' been sued or such.  So it may appear to interns or nurses who aren't aware of why he does what he does, thinking its quirky etc. 

Many times doctors ARE damned if they do or damned if they don't.  Honesty goes a long way in medical care, even if it is something as saying -- umm doc, you seem as if you have a BDSM fetish here and its making me really uncomfortable, so could you send another doctor to me so i can get a second opinion.

I mean if i am going to think that badly about the guy who is my doctor - i.e., unethical, rape, taking advantage of people etc., i sure the hell am not going to allow him to continue being my doctor without having my being uncomfortable addressed and his dictates reviewed..

angel 

< Message edited by barelynangel -- 10/25/2009 12:07:44 PM >


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RE: Letting your kink include others nonconsensually - 10/25/2009 12:03:12 PM   
CalifChick


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Detectable bowel sounds and the patient's report that they moved their bowels should be sufficient to show that it was NOT "required".  And if they are going to treat all patients as liars, then they have bigger issues. 

Hell, all it takes is an instruction to "don't flush" and the nurse can verify the patient is not a liar.

I can't even begin to imagine the uproar on my postpartum wing if all of us c-section moms had suppositories pushed on us when they weren't needed.  Hell hath no fury mixed with raging hormones... yeah, that would have been fun.

Cali


_____________________________

AKA "The Undisputed Goddess of Sarcasm", "Big Bad Cali" and "Yum Bum". Advisor to the Subbie Mafia, founding member of the W.A.C. and the Judgmental Bitches Brigade, member of the Clan of the Scarlet O'Hair-a's and Team Troll

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RE: Letting your kink include others nonconsensually - 10/25/2009 12:06:41 PM   
Acer49


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quote:

ORIGINAL: Drifa

So, I had to have emergency surgery. That all worked OK and I'm much better. However, my doctor weirded me out totally, and I am kinky myself and pretty laid back about kink.

He started up wanting to give me Dulcolax suppositories. I asked why? I was passing gas and having normal movements, why did I need the suppository. He got all red and stammered something about stimulating the bowel. I told him "Doctor, you are surely aware that Dulcolax comes in an oral form. I'll take it orally if you insist I need it." He could not manage to give me an explanation of his medical reasoning. Next, he wrote instructions that each of the nurses was supposed to try and talk me into taking his suppositories.

Incredulous after the first nurse told me that she didn't think I needed the suppository, but that her written instructions require that she try to talk me into taking it anyway, I asked the doctor the next day what was up with the suppository instruction? I informed him that INSTEAD of trying to get the nurses to coerce me into it, perhaps instead HE could explain his medical reasoning as to why I needed this. And furthermore, I asked him to explain why it had to be the suppository version of this drug when a perfectly good version of the same stuff is available and works the same way.

Dulcolax is the exact same stuff as Fleet's, Correctol, and Carter's Little Pills. The pill form take overnight to work, the enema or suppository version works in 15-30 minutes.

As I expected, however, this man, who is a gynecological oncologist and therefore has had at least 8 years of medical education in there along the way, could not explain or even come close to explaining WHY he wanted me to not only take a laxative when stuff was moving just fine through the system, and why it had to be a SUPPOSITORY.  He did blush and stammer and stop making good eye contact. And sure enough, the next nurse that came by had further instructions to try to talk me into taking the suppositories.

This was weird enough that I mentioned it to the internal medicine specialist. He told me, conspiratorially, that this was one of Dr. T's "weird quirks", and that I was right to refuse it if I wanted to refuse it. Several of the nurses, when I refused it, said something along the lines of the doctor having a "suppository fetish".  I did continue refusing to take the suppositories, with the agreement and support of my Lady, who is the only person whose instructions I follow.

This morning, as I was being discharged Doctor Suppository launched off into telling me how wonderful it was that I could go home, where I could now have all the prune juice and enemas that I wanted. And wouldn't that be special? This was the first time I'd ever seen a True Believer sermonizing on a topic that they BELEEEVED!!! in like this. I thought he was going to come in his pants.

I think what creeped me out so bad was the fact that this was kind of coercive. Many middle aged women would NEVER consider refusing a treatment, or even in asking a medical professional to explain a treatment. My mom was a doctor, my sister went to medical school, and I knew darned well that this wasn't kosher from when he started with it. Then continuing with a medically unjustified request for me to get these suppositories via the nurses, after I had made it incredibly clear that not just no, but HELL NO, I was not having any suppositories.

I'm all for this guy having a suppository kink and practicing it with CONSENTING, fully-informed adults. NOT with patients in the hospital for an emergency ovariohysterectomy due to torsion and gangrene of one ovary. NOT with a patient who has had enough synthetic heroin to befuddle a small elephant. And NOT after being told, repeatedly NO.

I am so mad.



Why did you wait so long if you were uncomfortable? Simply cahnge doctors? My doctor knows that if I was not totally convinced that a preceedure, course of tratment or perscription drugs are necessary, it is not going to happen.


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RE: Letting your kink include others nonconsensually - 10/25/2009 1:25:50 PM   
tazzygirl


Posts: 37833
Joined: 10/12/2007
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quote:

ORIGINAL: CalifChick

quote:

ORIGINAL: tazzygirl

Dr's cant make us do anything, they can only cover their own asses when treatments are offered, and we patients are silly enough to decline something so simple


Now you're being insulting.  Why don't you just pat her on the head and say "take your medicine like a good little girl."

Any time any medical provider wants to do something and cannot give you ANY reason why, is the time in my book when you say NO.  Being an informed consumer regarding your own healthcare prevents problems, and blindly following whatever someone with a license says is the way you get into trouble.

I can't even believe we're all reading the same OP. 

Cali



And i blame the nurses as well for feeding into her fears.  Its standard procedure, one she has the RIGHT to deny.  But dont fall back and say... report the Dr... he was merely doing his job and covering his ass.

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
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Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

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RE: Letting your kink include others nonconsensually - 10/25/2009 1:46:06 PM   
tazzygirl


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quote:

ORIGINAL: CalifChick

Detectable bowel sounds and the patient's report that they moved their bowels should be sufficient to show that it was NOT "required".  And if they are going to treat all patients as liars, then they have bigger issues. 

Hell, all it takes is an instruction to "don't flush" and the nurse can verify the patient is not a liar.

I can't even begin to imagine the uproar on my postpartum wing if all of us c-section moms had suppositories pushed on us when they weren't needed.  Hell hath no fury mixed with raging hormones... yeah, that would have been fun.

Cali



On the post partum floors i worked on, for c-section patients, suppositories were often ordered.  What the OP had wasnt just that simple.

Adominal surgery patients also have heavy narcotics that most c-section patients dont get these days.  So there is really no comparison.  With Dilaudid, a common side effect is constipation.  With a hysterectomy, and she made it sound like it was a total, then you cannot push to have your bowels moved.  1 + 1 = bad results.  The presence of bowel sounds does not mean an obstruction would not be forming, or present.

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

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RE: Letting your kink include others nonconsensually - 10/25/2009 2:09:44 PM   
tazzygirl


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quote:

But I do plan on discussing my discomfort with the hospital's ethics committee, my regular OB/GYN and GP, and possibly with the state medical association. He may not be indulging a kink - but if not, his patient communication techniques SERIOUSLY need work. And while I don't care if the man has a suppository/laxative fetish, I *DO* care that he not inflict it on non-consenting people under his medical care if that's so.  Whether it was him being weird or not, the way he approached it made me really uncomfortable.

Sometimes my vanilla friends just don't understand what the difference is between to the kind of kink I enjoy as a submissive masochist and spousal abuse. This really kind of illustrates the difference. If My Lady had for whatever reason decided I needed a laxative suppository, then that is exactly what I would have submitted to. But it would have been my choice to consent to that, my choice to submit to her and her desires. 

This doctor just ordered that I would take the suppositories, refused to discuss the treatment, then when I refused the treatment ordered the nurses to attempt to talk me into taking the dang things... an order that made the nurses unhappy enough that every one said something to me along the lines of, "I really think this is stupid, but the doctor explicitly left orders in the chart that each nurse was to attempt to get you to take these suppositories. I know you have refused them, but I am required to try to talk you into them, which I have just done and am charting for the record."  The internal medicine specialist who was also attending on the case commented that the suppositories were Doctor T's own little quirk - he was really eye rolling and dismissive about it. The reaction of the other local medical professionals involved in my care further reinforces my belief that this was WEIRD, not the medical standard of care, and pushing their boundaries also.


I worked with an OB/GYN who used to demand his patients sign consent forms for epidurals for delivery... and if they refused his treatment plan, he would refuse to deliver.

It is totally your right to make any complaints you wish.  When you do so, they will ask for supporting information, check charts, talk to nurses and other staff members.  I doubt it will go farther than that, though.  I worked Labor and Delivery units for 9 years.  We often had the women who needed "special care" after a hysterectomy.  High narcotics and abdominal pain, its really his call as to what he desires to order, and unless he goes against standards of care, not much will happen.

Im glad you are doing much better and healing nicely.  Those types of surgeries can be a bitch to get through!

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to Drifa)
Profile   Post #: 33
RE: Letting your kink include others nonconsensually - 10/25/2009 3:39:29 PM   
CalifChick


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Doing his job?  At the very least, he did not obtain "informed consent" (and I'm not talking about the reams of stuff you sign when you get there).  He ordered a medication for her and refused to give her an explanation why WHEN SHE ASKED.  And no other medical personnel gave her a reason why. 

Cali


_____________________________

AKA "The Undisputed Goddess of Sarcasm", "Big Bad Cali" and "Yum Bum". Advisor to the Subbie Mafia, founding member of the W.A.C. and the Judgmental Bitches Brigade, member of the Clan of the Scarlet O'Hair-a's and Team Troll

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Profile   Post #: 34
RE: Letting your kink include others nonconsensually - 10/25/2009 3:41:35 PM   
tazzygirl


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Obviously, as a nurse, i know why.  Doesnt it interest you that the nurses she had, had no clue why?

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to CalifChick)
Profile   Post #: 35
RE: Letting your kink include others nonconsensually - 10/25/2009 3:45:37 PM   
CalifChick


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From: California
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Well, I believe there was no reason.  If someone ordered anything resembling a laxative for me, and I was already pooping, I would tell them they were insane, but if they wanted to order it as prescription on discharge, I would use it if needed.  And if they could not give me a logical reason WHY I needed it NOW, then I would call both the charge nurse and a patient advocate and demand answers.

To me, it is like someone waking you up to give you a sleeping pill.  Used to be done, but not done anymore because it is ILLOGICAL (at least, it's not done around here).

Cali


_____________________________

AKA "The Undisputed Goddess of Sarcasm", "Big Bad Cali" and "Yum Bum". Advisor to the Subbie Mafia, founding member of the W.A.C. and the Judgmental Bitches Brigade, member of the Clan of the Scarlet O'Hair-a's and Team Troll

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RE: Letting your kink include others nonconsensually - 10/25/2009 3:55:48 PM   
tazzygirl


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Its not illogical.  Its to prevent further trauma.

quote:

• m) Avoid aspirin and dairy foods during the post hysterectomy time because dairy products will not help you with constipation. The pain medicine you will be taking during the post hysterectomy time will tend to make you constipated.



http://www.safemenopausesolutions.com/post-hysterectomy.html

Constipation, even weeks later, isnt unheard of, and is considered a normal result of the operation.  He prefers suppositories, she did not and said no.  He left Dr's orders for the nurses to encourage her to follow his plan of care.

My whole point is, its not against standard of care, which is the first thing any complaint will discover.  Nurses are the teachers in the hospitals.  Sounds like she got a group who didnt do their job well.



_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to CalifChick)
Profile   Post #: 37
RE: Letting your kink include others nonconsensually - 10/25/2009 4:12:36 PM   
zephyroftheNorth


Posts: 8159
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From: The Great Frozen North
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quote:

ORIGINAL: tazzygirl

Its not illogical.  Its to prevent further trauma.

quote:

• m) Avoid aspirin and dairy foods during the post hysterectomy time because dairy products will not help you with constipation. The pain medicine you will be taking during the post hysterectomy time will tend to make you constipated.



http://www.safemenopausesolutions.com/post-hysterectomy.html

Constipation, even weeks later, isnt unheard of, and is considered a normal result of the operation.  He prefers suppositories, she did not and said no.  He left Dr's orders for the nurses to encourage her to follow his plan of care.

My whole point is, its not against standard of care, which is the first thing any complaint will discover.  Nurses are the teachers in the hospitals.  Sounds like she got a group who didnt do their job well.




Okay fine, then send her home with a prescription for a laxative and stool softener. Please explain his highly inappropriate comments regarding prunes and enemias then.


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(in reply to tazzygirl)
Profile   Post #: 38
RE: Letting your kink include others nonconsensually - 10/25/2009 4:24:19 PM   
tazzygirl


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All i can suggest there is that he may have had a recent bad experience with another patient who was noncompliant with care and ended back up in the hospital as a result.

I really cannot say, nor can the OP.  He was competent enough to perform her surgery, she seems to indicate she is healing well.  he took all the extensive training that is required to specialize in the field of gynecological oncology, which is highly specialized.

That OB/GYN that i mentioned in a previous post, the one that forced his patients to sign the epidural permission forms before delivery.... his bedside manner wasnt worth shit.  BUT, if i had to have gyn surgery, i would hunt him down and beg him to operate.  Technically, he is that good, regardless of his attitude.  I would need a surgeon... hiring him to do what he does well.

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(in reply to zephyroftheNorth)
Profile   Post #: 39
RE: Letting your kink include others nonconsensually - 10/25/2009 4:33:34 PM   
zephyroftheNorth


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But come ON Tazzy...telling her how lucky she is that she'd be able to have all the enemas she wants? That's just squicky at best. I also thing that if your gut tells you there is something weird going on there probably is...and a bad bedside manner is different than inappropriate behaviour....confirmed by the staff.


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(in reply to tazzygirl)
Profile   Post #: 40
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