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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
wildestranger 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?
(no subject) - wildestranger on March 26th, 2010 10:58 pm (UTC) (Expand)
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.
(Deleted comment)
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.
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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(no subject) - scoradh on March 26th, 2010 10:57 pm (UTC) (Expand)
(no subject) - spark_of_chaos on March 29th, 2010 07:31 pm (UTC) (Expand)
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.
(no subject) - lizardspots on March 26th, 2010 11:08 pm (UTC) (Expand)
(no subject) - scoradh on March 26th, 2010 11:10 pm (UTC) (Expand)
(no subject) - lizardspots on March 26th, 2010 11:15 pm (UTC) (Expand)
(no subject) - scoradh on March 26th, 2010 11:18 pm (UTC) (Expand)
(no subject) - lizardspots on March 26th, 2010 11:23 pm (UTC) (Expand)
(no subject) - scoradh on March 26th, 2010 11:34 pm (UTC) (Expand)
(no subject) - lizardspots on March 27th, 2010 12:56 pm (UTC) (Expand)
(no subject) - dubhartach on March 27th, 2010 03:26 pm (UTC) (Expand)
irony - (Anonymous) on April 7th, 2010 02:41 pm (UTC) (Expand)
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.
(no subject) - serenia on March 30th, 2010 03:26 am (UTC) (Expand)
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!
(no subject) - hatoyona on March 29th, 2010 08:30 pm (UTC) (Expand)
(no subject) - hatoyona on April 2nd, 2010 04:35 pm (UTC) (Expand)