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|As family physicians I would be willing to lead a study giving informed consent to parents [I'll show you mine at 2 days if you'll show me yours at 2 days], and ask the average parent to choose which technique they would prefer. If we did a true informed consent about the medical benefits versus risks, they would probably choose neither. However using the standard consent, I imagine there would be a statistically significant preference for the nonPlastibell methods.|
If the chips are down, the buffalo is empty.
On another board, someone posted a physician's blog discussion comparing the benefits/risks of Plastibell, Gomco, and Mogen circumcision methods. One of the doctors made a very telling comment that I think all of us benefit from reading:
This quote blatantly states what we've suspected all along: Doctors are knowingly witholding vital information from parents because they know if they told the whole truth it would greatly influence their choice, and most would choose not to circumcise.
Awhile back, I found the standard consent form for our local hospital's birth center:
It shares a single page with the HepB consent.
About the foreskin: It's the "covering that surrounds the end of the penis."
Reasons it's done: Customs, religious conviction, tradition, or "unusual tightness of the foreskin" (phimosis) which they admit "cannot be diagnosed at birth".
Risks: Hemorrhage, infection, trauma, scar tissue.
(Uh, trauma and scar tissue are GUARENTEED, aren't they?)
That's it. Sign on the dotted line if you've discussed it with your doctor and you want the procedure performed on your son. No doubt in many cases this is the ONLY information many parents are provided. Is there any other surgery where so little information is volunteered, and patients (or guardians) are supposed to ASK for the basics? It's so unethical it's ridiculous. Is it any wonder this practice continues?
Here's an example of true, Informed Consent from ICGI for comparison.
|I was somewhere the other day, I can't remember where it was, signing a consent form. I was trying to read it and the guy kept interrupting me and paraphrasing what was in the document. He continually tried to prevent me from "wasting my time" since what was in the document he had already explained. I had to tell him to shut up and leave. He just didn't get why I would want to actually read the legal document I was signing. It was like a personal slight to him or something that I didnt' just trust his word. I wish I could remember where I was.|
There's some pretty good comments from consumers at the end of it all.
Sure brought the discussion to a close fast. We've just learned of
another Plasti-bell death in Canada, I'll be posting more on that in the next
few days once we figure out how to handle the matter with the press.
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