2000 pro-RIC study based on elderly patient care

[christifav]

I apologize if this has already been posted, but I found this on the AAP website while looking for ammo to get Tricare to stop covering RIC.

http://pediatrics.aappublications.or...l/106/4/S1/954

My grandmother needed a lot of "undignified" care as she got older before she passed on, but none of it justified a lifetime of living with amputation.

[SammyJr]

What a sad article. I doubt that the authors would consider removing a baby girl's labia so that she might be easy to clean when she is 95 and in a nursing home's care. It just shows the anti-male genital bias inherent in American medicine.

The author needs to grow a thicker skin, anyway. Geriatric medicine isn't a walk in the park, for anyone concerned.

[ared1]

WTH?
1.

Good perineal-genital care for an uncircumcised male involves retracting the foreskin to expose the glans or head of the penis, washing and drying the glans, and replacing the foreskin. The procedure of being cleaned is emotionally difficult for the older uncircumcised patient. For the majority of older people who need this hygiene care performed because of a dementing illness the reactions range from personally disturbing to disruptive behavior. Frequently, the patient misinterprets the care and strikes out in terror, kicking and scratching caregivers, whether family or nursing staff.

OK, so what does good perineal-genital care for a female involve? WTH? How can you even think that the care involved justifies RIC?
For that matter, do all circumcised males comply with perineal-genital care with out the "emotional difficulty"??? WTF?

Sorry, I am so perplexed by the absurdity of this paper that decent educational responses escape me.

For the majority of older people who need this hygiene care performed because of a dementing illness the reactions range from personally disturbing to disruptive behavior.

Yes, and the "dementing illness" casues the patients, both male and female, to act out inapropriately. Throwing feces, sexually inapropriate behavior, the list goes on and on. These behaviors are a result of the dementia, not the care of the intact penis. I. Don't. Get. It.


Aha! Here is where the truth comes out..

I suggest it is time to look at the decisions of circumcision as a preventative health concern for the later years, with all pediatricians cognizant of how noncircumcision affects the elderly dependent male and his caregiver. I strongly urge my health care colleagues to include information from the gerontological perspective when providing information to parents contemplating circumcision

Oh, the caregiver? Ohhh, I see. We are to perform circumcision on all infants so the caregiver isn't affected by having to clean someones foreskin. Makes perfect sense. {strong sarcasm}
WOW.

[christifav]

Originally Posted by ared1

Aha! Here is where the truth comes out..

Oh, the caregiver? Ohhh, I see. We are to perform circumcision on all infants so the caregiver isn't affected by having to clean someones foreskin. Makes perfect sense. {strong sarcasm}
WOW.

Rarely is it about the boy involved. Always about his parents desires or his doctor's or his elderly caregivers. Seriously, if we want to make it easier on these people, why have children at all???

[kxsiven]

:

Where do these articles come from? These stupid people who write them?

FCOL, for some strange miracle here caregivers can take care of old men without circumcisions. No problems.

Just unbeliavable how far people go in their imagination just to get to cut babies.