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26 March 2010 @ 02:15 pm
frof at the mouf  
I educated about three separate groups on the idea of 'male privilege' today. It is extra-annoying because I have an imperfect understanding of the concept myself, but I tried to explain it in two terms:

1. As a white person, you don't (or very rarely, and possibly in South Africa) get racially discriminated against. Therefore you have privilege.

2. If you can make jokes about something - for example, "Women should stay in the kitchen," "Women's only role in life is to have babies," "We should never have let the women's lib movement happen" - but the group you're joking about hasn't the same recourse to making jokes of equal importance, you're privileged.

I'm probably getting it wrong, but I'm also incoherent with rage. We did group presentations yesterday and one of the topics was 'elective' Caesarean section. My stance was that no obstetrician has the right to decide what is done with a woman's uterus (although obviously, you can urge them in a certain direction based on sound medical reasoning). This was the kind of shit I got in return. My tutor suggested I become a medico-legal barrister, which, WHAT.

On a lighter note, I have cut down my list of career choices to internal medicine or paediatrics. Internal medicine, however, covers a LOT of subspecialities. It's probably unlikely that anyone here has resources for careers in medicine, but you MIGHT have something on ... general careers advice? If so, please link.

In conclusion: JOHNNY WEIR! That is all.
Current Mood: infuriatedinfuriated
pale pubescent beast: cattle prod/kabeykwildestranger on March 26th, 2010 02:20 pm (UTC)
Choose rheumatology! Because arthritis needs a cure, and the fact that people suffering from it are twice as likely to be female means it gets less funding. Also, I would write you all the porn in the world if you did. :)
every Starbucks should have a polar bear: jillicons: japanese beautyscoradh on March 26th, 2010 10:21 pm (UTC)
lol, I was actually considering it! Mainly because when I was on the team we started rounds at half nine and the consultant bought us breakfast every morning in the fancy coffee shop. But in fairness it's an exciting speciality on one hand - do you know we can now CURE ankylosing spondylosis if caught early?! - and serious, because the mortality for some diseases is worse than many types of cancer.

There's also a Sports Medicine masters I could do and I might end up working with dancers, which for some reason I've always wanted to...

So, do you write skating RPS? :D? :D?
pale pubescent beastwildestranger on March 26th, 2010 10:58 pm (UTC)
Skating RPS is full of Americans, whom I cannot write. However, if you cure arthritis, I will learn. :)
Merit: FMAmeritjubet on March 26th, 2010 02:53 pm (UTC)
I've been reading about 'elective' C-sections of late, the rates are far too high in many countries and the first arguments that I heard were that "the wimmiz don't want to go through the pain of labour", despite you know, the cutting aspect of getting a C-section. Bah.

So many people aren't aware of the privilege they have.
every Starbucks should have a polar bear: jillicons: lobster bb!scoradh on March 26th, 2010 10:25 pm (UTC)
The rates are lowest in the Netherlands, where there's a lot of home births. The rates of perinatal mortality are highest ... in the Netherlands.

The WHO suggests that CS rates should be between 5-15%. In Cork they're at 25%. Most doctors would agree that 15% is unrealistic especially in the Western world.
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every Starbucks should have a polar bear: collapsingnight; sadfacescoradh on March 26th, 2010 10:30 pm (UTC)
The argument one dude made was likening it to people who refuse to wear bike helmets and then get into car collision accidents. I know that's not the same but I didn't have the words to explain WHY, and also I was incoherent with rage by this point.
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spark_of_chaosspark_of_chaos on March 26th, 2010 05:42 pm (UTC)
Well, unless there is firm medical reasoning behind the C-section, why would an ob advise it? I mean, lol, unless there's a medical reason it costs more, involves more work for the doc and requires more post-care!

There's a curious lie circulating about, though - that getting the C-section is an easy painless way out - and I know many girls who want to go that way because it would be faster, require no sweat and no vaginal damage. I've read magazine articles that hint at such BS, and I haven't heard an ob trying to persuade a woman to have a C-section, but I *have* heard at least a couple of women persuading obs.

Didn't you like gastro before or am I mistaken? What happened to that? Else, what about cardio? I'm doing my cardio rotation right now and I love it to tiny little bits. That's intelligent work, yeah. *And* you are highly unlikely to run out of patients... :D
every Starbucks should have a polar bear: jillicons: blue star handsscoradh on March 26th, 2010 10:41 pm (UTC)
Well, unless there is firm medical reasoning behind the C-section, why would an ob advise it?

They don't. In general vag delivery is recommended, but MY point was that if a woman wants a CS and there are no 'medical' reasons for it, the doctor doesn't have the right to refuse her - although s/he can refer her on. There are no 'medical' reasons for cosmetic surgery either but it tends to happen in quite a regular fashion. I use inverted commas because psychiatric, psychosexual and body image reasons are always pooh-poohed by doctors and aren't regarded as 'medical.'

OH MAN I HATE GASTRO. Of all int med specialities it's the one I'd avoid like the plague - and geris, too. Get to consultant level only to spend all your time stuffing tubes down people's throats? No thanks!
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every Starbucks should have a polar bear: halowrites: majestic catscoradh on March 26th, 2010 10:57 pm (UTC)
VBAC is a fairly high risk birth and certainly if she decided on a second CS she should have got it. Emergency CS is a far more dangerous situation than elective. The point, anyway, was that the tutor asked the girls what they would choose, and I and one other girl went for CS. I know from a strictly objective POV that vag delivery is better, but having seen a lot of both from the wrong end - and also without the delight of getting a baby out of it - I would rather have surrogacy than either, and CS over vag.

Then again I'm quite unlikely to have kids OR go into O&G, so the question is kind of moot. I just don't like women's rights being disregarded, especially by a man who will NEVER give birth. D:
spark_of_chaosspark_of_chaos on March 29th, 2010 07:31 pm (UTC)
Well, strictly speaking, they aren't medical - which doesn't make them any less important for the mother. Which, in turn, is why the mother can say, no, I want a C-section, and have it regardless of the doctor's opinion. But the way I see it, the doc *should* give his/her honest opinion about what is better - here c-sections are like an epidemic fostered by all sorts of beauty-mags and private clinics.

One thing I'm learning from reading other med students' journals is that medicine really varies from country to country - the problems and the predominating public opinions are just different.

I obviously remembered wrong :D I shudder at respiratory worst of all but yeah, gastro is not on my personal top 3, so.
Dr Leezardlizardspots on March 26th, 2010 06:31 pm (UTC)

Royal College of Physicians has some good info about internal medicine sub-specialties, with (I think) info about UK training.
every Starbucks should have a polar bear: jillicons: japanese beautyscoradh on March 26th, 2010 10:45 pm (UTC)
Sigh. I wish I was like you and got that Eureka moment with some - any - speciality. It seems to happen a lot in obs (three in my group). I just want to make SpR in three years, I don't really care what IN, which is so wrong.
Dr Leezard: Sherlock: deduce his caselizardspots on March 26th, 2010 11:08 pm (UTC)
Aww, I guess it must be difficult when the cerebral side of medicine appeals to you most - too many subspecialties to choose from! Hopefully something will spark your interest in foundation and core med. :)
every Starbucks should have a polar bear: Fooish girl in chainsscoradh on March 26th, 2010 11:10 pm (UTC)
For a minute I was like '... foundation WHAT?' We only do one year of internship - although hour-wise it probably adds up to two, lol. Basically yes, I'm hoping actual practice will yield an option for THE REST OF MY LIFE OMG.
Dr Leezardlizardspots on March 26th, 2010 11:15 pm (UTC)
*facepalm* I'm sorry, I thought you followed the UK training scheme! My bad. Aack that means you only have like one year to choose a career path *flails on your behalf* Was the Royal College site useful?
every Starbucks should have a polar bear: jillicons: i'm so high i could eat a stascoradh on March 26th, 2010 11:18 pm (UTC)
In fairness, if I'm pretty sure it's int med then I have two years during my SHO (house officer? I'm not sure what you call them :D) scheme to pick. But paediatrics is still on the table and that's a completely different SHO scheme, so...

Yes! I'm keen on working in the UK in future. But what I really want is someone to say, "Hmm, you are well suited to THIS speciality." Which is ridic, because the idea of forcing people like that is awful. It's a wait-and-see situation, but I'm impatient!
Dr Leezard: Medic: Coke X-Raylizardspots on March 26th, 2010 11:23 pm (UTC)
There's a book called "So You Want To Be A Brain Surgeon?" which has really thorough info about every medical sub-specialty in the UK, with summaries about what kind of work is involved, what kind of person the career might appeal to, the salary, the on-call hours, the competition etc. It's pretty awesome if you're really stuck.

There's also this site: http://www.med-ed.virginia.edu/specialties/ which allows you to fill in a personality/interests questionnaire and it'll tell you what specialty you might be most suited to. Obviously not a fail-safe method to choose, and it's American so maybe not 100% relevant, but might be fun to try nonetheless? :)
every Starbucks should have a polar bear: collapsing night blue paintscoradh on March 26th, 2010 11:34 pm (UTC)
THAT IS PERFECT. It's exactly what I'm looking for! And someone was talking about that questionnaire, but I couldn't find it anywhere. It's so useful to have another medical person around. ;D

I'll let you know what it tells me! If it's anaesthesia I may have to write them a stern note.
Dr Leezard: Medic: Surgery is sexylizardspots on March 27th, 2010 12:56 pm (UTC)
LOL I will keep my fingers crossed that anaesthesia is not on your list.
DubhArtach: B5 - what do you want?dubhartach on March 27th, 2010 03:26 pm (UTC)
I did it out of interest (Emergency Medicine Consultant, it's a bit late for me to be told I'm not suited) and got orthopaedics first ... but EM sceond. Interestingly respiratory was the nearest GIM speciality to the top, and the only one I could ever see myself doing.

My paediatric reg best friend just got paeds as his 23 choice though - I agree with him that the questions are not leading to paeds as an outcome.

I wanted to be a psychiatrist right up until my 1st SHO job, then realised what I liked best was being oncall, the variation and the unexpected.

(Anonymous) on April 7th, 2010 02:41 pm (UTC)
lol I decided to try it and just spent a good 3osecs laughing at the initial question and its choice of answers... http://www.med-ed.virginia.edu/specialties/QuestionList.cfm haha

Serenia: Punk Catserenia on March 27th, 2010 04:25 am (UTC)
My response to "Women should stay in the kitchen" and such lines - "Shouldn't you be catching a mammoth or something? Ugg, oog, urgh. Off you go!"

Everything I read and heard when I was pregnant was about how elective caesarean is bad, and doctors are against it, and they want to make it illegal, etc. Then, when I was in labour in the maternity ward, whimpering with pain, a doctor walzted in to the girl in the bed next to mine, who was happily chatting to her folks (mine were told when they rang up that I was asleep - WTF?), and said "Oh, you're young, it's your first baby, you'll have a horribly long labour. Would you like a caeser? It'll be quicker and easier."
every Starbucks should have a polar bearscoradh on March 29th, 2010 02:47 pm (UTC)
Haha, I like that response! Most modern men would be about as capable of catching a mammoth as I am at cooking.

In fairness, we don't let mothers labour too long in the second stage as it increases the risk of foetal distress and maybe even death. I don't like all this anti-CS stuff, though. Sometimes it's necessary and then you have to battle all this prejudice to get what's best for your patient.
Sereniaserenia on March 30th, 2010 03:26 am (UTC)
Tell that to the woman in my unit who went 36 hours before they realised the baby wasn't going to fit, and then they gave her a caesar!

I do think they're necessary, and certainly if the mother or baby is at risk, then it's the best option, but I don't agree with the people who go for it because they see it as an easy way out.
Plus they'd miss out on that amazing moment of connectedness when the baby actually comes out. I don't know if every woman gets that, but when Elizabeth was born, I had this instant of feeling connected to every mother in the world, and it felt like I'd done it before. Money couldn't buy that feeling!
mrsquizzicalmrsquizzical on March 27th, 2010 10:13 am (UTC)
oh i'd like to tell them about my 2 "elective" c/sections. also about the obstetrician who offered (without having looked me in the eye the entire appt) to 'take care of things while i am in there' (hysterectomy). my rage. let me show you my rage.


also, well done. we are learning each day about these things, and unfortunately there are many who are not wanting to learn.

basically they suck. but good for you, bb.
every Starbucks should have a polar bear: Disney: Little Mermaid bathscoradh on March 29th, 2010 02:48 pm (UTC)
Oh man, hysts in CS are only last resort for major bleeding! Some people ask for tube clipping while they're there, but ... I was in outpatients and the consultant was advising against it. Man.

Thank you, sweetheart!
peripatetic extemporizationshatoyona on March 28th, 2010 02:53 pm (UTC)
A medico-legal barrister sounds so important! :) Also ooh paediatrics! Babies! Or like, little children!
every Starbucks should have a polar bear: halowrites: metal birdscoradh on March 29th, 2010 02:49 pm (UTC)
I got to dress and feed a newborn baby last night! It was so much fun! And he looked like ET!
peripatetic extemporizationshatoyona on March 29th, 2010 08:30 pm (UTC)
Cute! So cute! Your life sounds awesome. :)
peripatetic extemporizationshatoyona on April 2nd, 2010 04:35 pm (UTC)
That's awesime! Babies! Also did he look like ET because of the clothes or because he just looked like ET? Because if the latter that is so sad :)