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Date Posted: 02:44:12 06/25/08 Wed
Author: Phillip
Subject: Clinical Perspective - Taking a Child's Temperature with a Glass Thermometer Oral or Rectal

Using a glass thermometer to take a youngster's temperature requires a determination to be made as to whether or not to to take his(her) temperature orally or rectally. Consideration is taken on whether or not a child can hold a thermometer in his(her) mouth safely when his(her) temperature is taken orally. If any kind of doubt exists the Kidd's temperature is taken rectally. Clearly age is a consideration. Rectal temperatures are required across the board for youngsters ages 5 and 6.

However, some older kids also may be good candidates for have their temperature taken rectally as well. Here are a couple of examples. An 10 year old boy is determined to have below average intellectual capacity because he had to repeat the 5th grade will be invited to climb up onto the examination table have his temperature rectally. A 9 year old boy with that may appear to be constantly talking in the waiting room, which may indicate some sort of hyperactivity, would soon be seen lying face down in the "temperature room" (right off the waiting room) with his jeans and underwear pulled down to his knees with the remainder of a 5 inch thermometer protruding from between his cheeks (he might be saying "Why can't I have my temperature taken in my mouth like the other kids?"). For whatever reason, the vast majority of older kids getting their temperatures taken rectally seem to be boys.

A detailed example of taking a 9 y/o boys temperature rectally in a doctors office can be submitted if there is interest (posted here or contacting me by email)

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Replies:

[> Re: Clinical Perspective - Taking a Child's Temperature with a Glass Thermometer Oral or Rectal -- luvrectal, 05:26:23 06/25/08 Wed [1]

Please post the story of the nine year old boy and though rare please share stories of any older girls and their level of embarassment.


[ Edit | View ]

[> [> Re: Clinical Perspective - Taking a Child's Temperature with a Glass Thermometer Oral or Rectal -- Philip, 23:01:28 07/13/08 Sun [1]

>Please post the story of the nine year old boy and
>though rare please share stories of any older girls
>and their level of embarassment.

I have written an account. It is rather lengthly. Anyone else interested in the clinical application of a glass rectal thermometer on an older boy?


[ Edit | View ]

[> [> Re: Clinical Perspective - Taking a Child's Temperature with a Glass Thermometer Oral or Rectal -- Alex, 14:05:06 05/22/09 Fri [1]

>Please post the story of the nine year old boy and
>though rare please share stories of any older girls
>and their level of embarassment.


[ Edit | View ]

[> [> Re: Clinical Perspective - Taking a Child's Temperature with a Glass Thermometer Oral or Rectal -- Alex, 07:50:26 05/27/09 Wed [1]

>Please post the story of the nine year old boy and
>though rare please share stories of any older boys
>and their level of embarassment. Also please detail some of the ways you have dealt with umcooperative boys (of various ages) and how they were made to have their rectal temp(s) taken, how frequently their rectal temps were taken and what's the longest time they have been made to retain the thermometers in their rectums?


[ Edit | View ]

[> Rectal Temperature Story -- Docs Helper, 10:36:27 07/17/08 Thu [1]

Rectal Temperature Story

The Initial Visit.

In a community where many disadvantaged families reside, a no-fee medical evaluation and referral service is available to youngsters ages five to 12 of these families. When a new patient arrives, a basic medical history, taken by the front office worker, is documented as well as the patient's symptoms, if any. In addition, the young patient's vital signs are taken. This screening service allows the family to pay a reduced fee from a referred affiliated medical professional. A youngster's caretaker (be it a parent, extended family member, etc.) is encouraged to visit for any other health concern without paying for a doctor's visit. Also, young patients are welcomed for "checkups" or other health concerns. These visits can be as frequent as needed giving the caretaker's assurance that the youngster is in good health. As with any visit, the reason for the visit is documented and the youngster's vital signs are taken.

With the arrival of a high volume of "traffic", a full-time "attendant" takes vital signs, which includes measuring weight and height, and taking the youngster's temperature. Glass thermometers are used largely by tradition and for economic purposes, to take a patient's temperature. Because the instrument can break inside a youngster's mouth, either intentional or by accident, taking his temperature rectally is an option. Younger ones, that is, in the age groups of five to six are, by definition, unable to hold a glass thermometer in their mouths safely and therefore have their temperatures taken rectally across the board. For older youths, however, the decision to take their temperature rectally depends on their intellectual capacity and emotional health. An older youth that demonstrates a lack intellectual capacity (such as being held back a grade at school) or has a history of emotional deficits (such as having a hyperactive disorder) is designated to have his temperature rectally, being considered as if he were a five year old and treated as such. In addition, a youngster observed to display maturity or behavior that is uncharacteristic of a youth of a given age, a subjective decision is made to have his temperature taken rectally. Once designated to have his temperature taken rectally, he will continue to have it taken that way on all subsequent visits unless there has been a significant change in the condition that renders him to have his temperature taken rectally. For the young patient to get accustomed to having his temperature taken that way, the caretaker has the option, and is encouraged to, bring the youngster in for frequent "well" visits checkup every week or so until he gets accustomed to the experience, which may last couple of months or so.

Standard glass five inch thermometers are used for oral temperatures while modified five inch glass thermometers are used for rectal temperatures. Originally intended for veterinary use, these larger size rectal thermometer are ideal for taking rectal temperatures of older youngsters as it allows for deeper penetration (over an inch and a half) and yet serves as a reminder that it is in place as it projects perhaps an inch and a half projects from the young patients rear end. Note that the glass ring is removed from the other end and is sanded and polished to resemble standard glass thermometer It alxo has the characteristic white stripe along one side of the thermometer.

A youngster designated to have his temperature taken rectally has a red tag clipped to his chart. However, before a patient has his temperature taken rectally he is directed to use the restroom in order that he be clear for entry of the glass thermometer. All temperatures are taken in a large alcove adjacent to the waiting room. From the waiting room, a casual observer can see a row of five chairs against the wall on the right and a workstation on the wall on the left. In the middle of the alcove is a white 1950s examination table with white rolled paper on the black padded top. The back of the examination table faces the waiting room. This configuation provides the most efficient manner to take temperatures as several oral temperatures and one rectal temperature (on the examination table) can be taken simultaneously. Having no physical barrier between the waiting room and the "temperature room" enables free movement between the areas and further improves facilitating efficiency. With the youngster poisitioned face down on the on the examination with his trousers and underwear pulled down to his knees, he is considered to have sufficient privacy, as only his bare rear end is visible to anyone in eyesite of the examination table.

To be continued ...


[ Edit | View ]

[> [> Re: Rectal Temperature Story -- Tim, 13:29:06 07/17/08 Thu [1]

With the youngster poisitioned face down
>on the on the examination with his trousers and
>underwear pulled down to his knees, he is considered
>to have sufficient privacy, as only his bare rear end
>is visible to anyone in eyesite of the examination
>table.

That's wrong. Perhaps have a privacy curtain around the area as people in the waiting area should not be able to see any part of his bare rear end. Or, find a private room where the door can be shut.


[ Edit | View ]

[> [> [> Re: Rectal Temperature Story -- Docs Helper, 23:15:45 07/17/08 Thu [1]

>With the youngster poisitioned face down
>>on the on the examination with his trousers and
>>underwear pulled down to his knees, he is considered
>>to have sufficient privacy, as only his bare rear end
>>is visible to anyone in eyesite of the examination
>>table.
>
>That's wrong. Perhaps have a privacy curtain around
>the area as people in the waiting area should not be
>able to see any part of his bare rear end. Or, find a
>private room where the door can be shut.

Regional and local perception of privacy dictates what constitutes an acceptable level of privacy. By one community standards, for example, exposure of a youngster's bare rear end during a medical visit may be of no significance with regard to his privacy. Thus, for example, taking the youngster's temperature rectally in an open area, in the presence of casual observers, would be a non issue.

However, that being said, if it appears strong objections build over the content of this story, I will cease posting the succeeding segments and ask the moderator to delete segment(s) already posted.


[ Edit | View ]

[> [> [> [> Re: Rectal Temperature Story -- Tim, 11:09:33 07/18/08 Fri [1]

Regional and local perception of privacy dictates what constitutes an acceptable level of privacy. By one community standards, for example, exposure of a youngster's bare rear end during a medical visit may be of no significance with regard to his privacy. Thus, for example, taking the youngster's temperature rectally in an open area, in the presence of casual observers, would be a non issue.

Wrong. Federal and state law and patient rights standards dictates what is considered to be an acceptable level of privacy.And I find it hard to believe that that would be a non issue in this day and age.


[ Edit | View ]

[> [> [> [> [> Re: Rectal Temperature Story -- Fred, 15:42:18 07/18/08 Fri [1]

>Regional and local perception of privacy dictates what
>constitutes an acceptable level of privacy. By one
>community standards, for example, exposure of a
>youngster's bare rear end during a medical visit may
>be of no significance with regard to his privacy.
>Thus, for example, taking the youngster's temperature
>rectally in an open area, in the presence of casual
>observers, would be a non issue.
>
>Wrong. Federal and state law and patient rights
>standards dictates what is considered to be an
>acceptable level of privacy.And I find it hard to
>believe that that would be a non issue in this day and
>age.

I think that it is totally unnecessary to get all wound up over this story. Read it for what it really is, it's just a story, that may reflect past or present real events. For sure, there are enough accounts, going back to the 1950s of rectal temps being taken in common areas at doctors offices, clinics, etc., without regard to privacy. However, although the probability is highly remote, taking rectal temps in an open area could still be occurring somewhere.

It is likely that some readers find this type rectal temp story exciting and while others find it anything from boring to extremely offensive. Since this fetish obviously originates from childhood encounters with the rectal thermometer, it stands to reason that there would be some sort of excitement involving childhood memories. To keep these experiences active, stories are written about them in this element. It only takes common sense to figure out whether the story reflects real events or not.

From the tone of the above comments, I suspect that the writer finds the story offensive because it is in conflict with his own rectal temp fantasy. In this context, it's posting represents a threat to the commenter's fantasy.

I never heard of any federal and state legislation in effect that sets any patient privacy standards for medical exams, procedures, etc., other than the federal Privacy Act. That law enforces medical information records only. Any one else hear of anything like that?

On another note, isn't it kind of ironic that this fetish was created by the medical profession itself?


[ Edit | View ]

[> [> [> [> [> [> Re: Rectal Temperature Story -- Joe, 22:33:51 05/29/11 Sun [1]

>>Regional and local perception of privacy dictates what
>>constitutes an acceptable level of privacy. By one
>>community standards, for example, exposure of a
>>youngster's bare rear end during a medical visit may
>>be of no significance with regard to his privacy.
>>Thus, for example, taking the youngster's temperature
>>rectally in an open area, in the presence of casual
>>observers, would be a non issue.
>>
>>Wrong. Federal and state law and patient rights
>>standards dictates what is considered to be an
>>acceptable level of privacy.And I find it hard to
>>believe that that would be a non issue in this day and
>>age.
>
>I think that it is totally unnecessary to get all
>wound up over this story. Read it for what it really
>is, it's just a story, that may reflect past or
>present real events. For sure, there are enough
>accounts, going back to the 1950s of rectal temps
>being taken in common areas at doctors offices,
>clinics, etc., without regard to privacy. However,
>although the probability is highly remote, taking
>rectal temps in an open area could still be
>occurring somewhere.
>
>It is likely that some readers find this type rectal
>temp story exciting and while others find it anything
>from boring to extremely offensive. Since this
>fetish obviously originates from childhood encounters
>with the rectal thermometer, it stands to reason that
>there would be some sort of excitement involving
>childhood memories. To keep these experiences active,
>stories are written about them in this element. It
>only takes common sense to figure out whether the
>story reflects real events or not.
>
>From the tone of the above comments, I suspect that
>the writer finds the story offensive because it is in
>conflict with his own rectal temp fantasy. In this
>context, it's posting represents a threat to the
>commenter's fantasy.
>
>I never heard of any federal and state legislation in
>effect that sets any patient privacy standards for
>medical exams, procedures, etc., other than the
>federal Privacy Act. That law enforces medical
>information records only. Any one else hear of
>anything like that?
>
>On another note, isn't it kind of ironic that this
>fetish was created by the medical profession itself?

>If you had ever been there as a child you would have know 1st hand! In the early 1970's I had some surgery & while being admited to the hospital the nurse admitting me NEVER closed the curtian even though it was there & at the age of (5) one would have a certan amount of modisty. I told them I didn't want it taken that way ,my parents told them to not do it that way,they NEVER asked which way they ( my doctor or parents) wanted it done! My doctor had to write them a note on a precription pad telling to (not) take it that way. He was taking it axilary,I remember still being in diepers & having an oral temperature taken. The hospital I was admited to was a teaching hospital & they wanted to show the students how to take a rectal temperatue & didn't want to ask which way I was having it taken. The boy next to me (had) his temperature taken rectaly & he had a curtian & they didn't pull (it) when they took his temperature. He didn't object to having his taken that way.They wanted for me to see him having his taken that way I will have to say even at the age of (5)yrs old it (might) cause a child to have an orgazim(it did me) a child might not know what an orgazim is at the age of (5)yrs. But that (doesn't) stop them from having one ( just to show sutdents how to take an RT!) The nurse I told to take her own RT >told me< she had to show the student she brought in the room how to take an RT! Now think of a (5)yr old today! Would anyone see a (5)yr old & say that's the (only way) a (5)yr old (without) asking the parents standing in the room AND with a curtian right next to them to not close it tells me they knew what they were doing from the start!


[ Edit | View ]

[> [> Re: Rectal Temperature Story -- Dr. Bob (Meh), 08:36:51 12/15/08 Mon [1]

With the youngster poisitioned face down
on the on the examination with his trousers and
underwear pulled down to his knees, he is considered
to have sufficient privacy, as only his bare rear end
is visible to anyone in eyesite of the examination
table".

In my work with DwoB, there are frequently no issues with privacy as there are in the United States. While Americans are quite concerned with their children's (and their own) privacy, in many Third World countries, these issues are not frequent. I have personally taken rectal temperatures in front of other individuals (both adult and juvenile and male as well as female). The nudity issues so commonly causing the concern in the States is usually non-existant in these countries, so for example, taking a rectal temperature of an eight-year-old girl in front of several boys of (about) the same age is not considered to be an invasion of privacy. We are talking of countries where these children are frequently naked in public anyway, and for the sake of expedience we do what we need to do.
As for the irony of the "fetish" being caused by the medical profession, well, we didn't "cause" it... there are other mitigating circumstances involved in those cases, I believe.


[ Edit | View ]

[> [> Re: Rectal Temperature Story -- Alex, 14:17:06 05/22/09 Fri [1]

>Rectal Temperature Story
>
>The Initial Visit.
>
>In a community where many disadvantaged families
>reside, a no-fee medical evaluation and referral
>service is available to youngsters ages five to 12 of
>these families. When a new patient arrives, a basic
>medical history, taken by the front office worker, is
>documented as well as the patient's symptoms, if any.
>In addition, the young patient's vital signs are
>taken. This screening service allows the family to
>pay a reduced fee from a referred affiliated medical
>professional. A youngster's caretaker (be it a
>parent, extended family member, etc.) is encouraged to
>visit for any other health concern without paying for
>a doctor's visit. Also, young patients are welcomed
>for "checkups" or other health concerns. These visits
>can be as frequent as needed giving the caretaker's
>assurance that the youngster is in good health. As
>with any visit, the reason for the visit is
>documented and the youngster's vital signs are taken.
>
>With the arrival of a high volume of "traffic", a
>full-time "attendant" takes vital signs, which
>includes measuring weight and height, and taking the
>youngster's temperature. Glass thermometers are used
>largely by tradition and for economic purposes, to
>take a patient's temperature. Because the instrument
>can break inside a youngster's mouth, either
>intentional or by accident, taking his temperature
>rectally is an option. Younger ones, that is, in the
>age groups of five to six are, by definition, unable
>to hold a glass thermometer in their mouths safely and
>therefore have their temperatures taken rectally
>across the board. For older youths, however, the
>decision to take their temperature rectally depends on
>their intellectual capacity and emotional health. An
>older youth that demonstrates a lack intellectual
>capacity (such as being held back a grade at school)
>or has a history of emotional deficits (such as having
>a hyperactive disorder) is designated to have his
>temperature rectally, being considered as if he were a
>five year old and treated as such. In addition, a
>youngster observed to display maturity or behavior
>that is uncharacteristic of a youth of a given age, a
>subjective decision is made to have his temperature
>taken rectally. Once designated to have his
>temperature taken rectally, he will continue to have
>it taken that way on all subsequent visits unless
>there has been a significant change in the condition
>that renders him to have his temperature taken
>rectally. For the young patient to get accustomed to
>having his temperature taken that way, the caretaker
>has the option, and is encouraged to, bring the
>youngster in for frequent "well" visits checkup every
>week or so until he gets accustomed to the experience,
>which may last couple of months or so.
>
>Standard glass five inch thermometers are used for
>oral temperatures while modified five inch glass
>thermometers are used for rectal temperatures.
>Originally intended for veterinary use, these larger
>size rectal thermometer are ideal for taking rectal
>temperatures of older youngsters as it allows for
>deeper penetration (over an inch and a half) and yet
>serves as a reminder that it is in place as it
>projects perhaps an inch and a half projects from the
>young patients rear end. Note that the glass ring is
>removed from the other end and is sanded and polished
>to resemble standard glass thermometer It alxo has
>the characteristic white stripe along one side of the
>thermometer.
>
>A youngster designated to have his temperature taken
>rectally has a red tag clipped to his chart. However,
>before a patient has his temperature taken rectally he
>is directed to use the restroom in order that he be
>clear for entry of the glass thermometer. All
>temperatures are taken in a large alcove adjacent to
>the waiting room. From the waiting room, a casual
>observer can see a row of five chairs against the wall
>on the right and a workstation on the wall on the
>left. In the middle of the alcove is a white 1950s
>examination table with white rolled paper on the black
>padded top. The back of the examination table faces
>the waiting room. This configuation provides the most
>efficient manner to take temperatures as several oral
>temperatures and one rectal temperature (on the
>examination table) can be taken simultaneously.
>Having no physical barrier between the waiting room
>and the "temperature room" enables free movement
>between the areas and further improves facilitating
>efficiency. With the youngster poisitioned face down
>on the on the examination with his trousers and
>underwear pulled down to his knees, he is considered
>to have sufficient privacy, as only his bare rear end
>is visible to anyone in eyesite of the examination
>table.
>
>To be continued ...


[ Edit | View ]

[> [> [> Re: Rectal Temperature Story -- Alex, 14:18:24 05/22/09 Fri [1]

>>Rectal Temperature Story
>>
>>The Initial Visit.
>>
>>In a community where many disadvantaged families
>>reside, a no-fee medical evaluation and referral
>>service is available to youngsters ages five to 12 of
>>these families. When a new patient arrives, a basic
>>medical history, taken by the front office worker, is
>>documented as well as the patient's symptoms, if any.
>>In addition, the young patient's vital signs are
>>taken. This screening service allows the family to
>>pay a reduced fee from a referred affiliated medical
>>professional. A youngster's caretaker (be it a
>>parent, extended family member, etc.) is encouraged to
>>visit for any other health concern without paying for
>>a doctor's visit. Also, young patients are welcomed
>>for "checkups" or other health concerns. These visits
>>can be as frequent as needed giving the caretaker's
>>assurance that the youngster is in good health. As
>>with any visit, the reason for the visit is
>>documented and the youngster's vital signs are taken.
>>
>>With the arrival of a high volume of "traffic", a
>>full-time "attendant" takes vital signs, which
>>includes measuring weight and height, and taking the
>>youngster's temperature. Glass thermometers are used
>>largely by tradition and for economic purposes, to
>>take a patient's temperature. Because the instrument
>>can break inside a youngster's mouth, either
>>intentional or by accident, taking his temperature
>>rectally is an option. Younger ones, that is, in the
>>age groups of five to six are, by definition, unable
>>to hold a glass thermometer in their mouths safely and
>>therefore have their temperatures taken rectally
>>across the board. For older youths, however, the
>>decision to take their temperature rectally depends on
>>their intellectual capacity and emotional health. An
>>older youth that demonstrates a lack intellectual
>>capacity (such as being held back a grade at school)
>>or has a history of emotional deficits (such as having
>>a hyperactive disorder) is designated to have his
>>temperature rectally, being considered as if he were a
>>five year old and treated as such. In addition, a
>>youngster observed to display maturity or behavior
>>that is uncharacteristic of a youth of a given age, a
>>subjective decision is made to have his temperature
>>taken rectally. Once designated to have his
>>temperature taken rectally, he will continue to have
>>it taken that way on all subsequent visits unless
>>there has been a significant change in the condition
>>that renders him to have his temperature taken
>>rectally. For the young patient to get accustomed to
>>having his temperature taken that way, the caretaker
>>has the option, and is encouraged to, bring the
>>youngster in for frequent "well" visits checkup every
>>week or so until he gets accustomed to the experience,
>>which may last couple of months or so.
>>
>>Standard glass five inch thermometers are used for
>>oral temperatures while modified five inch glass
>>thermometers are used for rectal temperatures.
>>Originally intended for veterinary use, these larger
>>size rectal thermometer are ideal for taking rectal
>>temperatures of older youngsters as it allows for
>>deeper penetration (over an inch and a half) and yet
>>serves as a reminder that it is in place as it
>>projects perhaps an inch and a half projects from the
>>young patients rear end. Note that the glass ring is
>>removed from the other end and is sanded and polished
>>to resemble standard glass thermometer It alxo has
>>the characteristic white stripe along one side of the
>>thermometer.
>>
>>A youngster designated to have his temperature taken
>>rectally has a red tag clipped to his chart. However,
>>before a patient has his temperature taken rectally he
>>is directed to use the restroom in order that he be
>>clear for entry of the glass thermometer. All
>>temperatures are taken in a large alcove adjacent to
>>the waiting room. From the waiting room, a casual
>>observer can see a row of five chairs against the wall
>>on the right and a workstation on the wall on the
>>left. In the middle of the alcove is a white 1950s
>>examination table with white rolled paper on the black
>>padded top. The back of the examination table faces
>>the waiting room. This configuation provides the most
>>efficient manner to take temperatures as several oral
>>temperatures and one rectal temperature (on the
>>examination table) can be taken simultaneously.
>>Having no physical barrier between the waiting room
>>and the "temperature room" enables free movement
>>between the areas and further improves facilitating
>>efficiency. With the youngster poisitioned face down
>>on the on the examination with his trousers and
>>underwear pulled down to his knees, he is considered
>>to have sufficient privacy, as only his bare rear end
>>is visible to anyone in eyesite of the examination
>>table.
>>
>>To be continued ...


[ Edit | View ]

[> [> [> [> Re: Rectal Temperature Story -- Alex, 14:19:31 05/22/09 Fri [1]

>>>Rectal Temperature Story
>>>
>>>The Initial Visit.
>>>
>>>In a community where many disadvantaged families
>>>reside, a no-fee medical evaluation and referral
>>>service is available to youngsters ages five to 12 of
>>>these families. When a new patient arrives, a basic
>>>medical history, taken by the front office worker, is
>>>documented as well as the patient's symptoms, if
>any.
>>>In addition, the young patient's vital signs are
>>>taken. This screening service allows the family to
>>>pay a reduced fee from a referred affiliated medical
>>>professional. A youngster's caretaker (be it a
>>>parent, extended family member, etc.) is encouraged
>to
>>>visit for any other health concern without paying for
>>>a doctor's visit. Also, young patients are welcomed
>>>for "checkups" or other health concerns. These
>visits
>>>can be as frequent as needed giving the caretaker's
>>>assurance that the youngster is in good health. As
>>>with any visit, the reason for the visit is
>>>documented and the youngster's vital signs are taken.
>>>
>>>With the arrival of a high volume of "traffic", a
>>>full-time "attendant" takes vital signs, which
>>>includes measuring weight and height, and taking the
>>>youngster's temperature. Glass thermometers are used
>>>largely by tradition and for economic purposes, to
>>>take a patient's temperature. Because the instrument
>>>can break inside a youngster's mouth, either
>>>intentional or by accident, taking his temperature
>>>rectally is an option. Younger ones, that is, in the
>>>age groups of five to six are, by definition, unable
>>>to hold a glass thermometer in their mouths safely
>and
>>>therefore have their temperatures taken rectally
>>>across the board. For older youths, however, the
>>>decision to take their temperature rectally depends
>on
>>>their intellectual capacity and emotional health.
>An
>>>older youth that demonstrates a lack intellectual
>>>capacity (such as being held back a grade at school)
>>>or has a history of emotional deficits (such as
>having
>>>a hyperactive disorder) is designated to have his
>>>temperature rectally, being considered as if he were
>a
>>>five year old and treated as such. In addition, a
>>>youngster observed to display maturity or behavior
>>>that is uncharacteristic of a youth of a given age, a
>>>subjective decision is made to have his temperature
>>>taken rectally. Once designated to have his
>>>temperature taken rectally, he will continue to have
>>>it taken that way on all subsequent visits unless
>>>there has been a significant change in the condition
>>>that renders him to have his temperature taken
>>>rectally. For the young patient to get accustomed to
>>>having his temperature taken that way, the caretaker
>>>has the option, and is encouraged to, bring the
>>>youngster in for frequent "well" visits checkup every
>>>week or so until he gets accustomed to the
>experience,
>>>which may last couple of months or so.
>>>
>>>Standard glass five inch thermometers are used for
>>>oral temperatures while modified five inch glass
>>>thermometers are used for rectal temperatures.
>>>Originally intended for veterinary use, these larger
>>>size rectal thermometer are ideal for taking rectal
>>>temperatures of older youngsters as it allows for
>>>deeper penetration (over an inch and a half) and yet
>>>serves as a reminder that it is in place as it
>>>projects perhaps an inch and a half projects from the
>>>young patients rear end. Note that the glass ring is
>>>removed from the other end and is sanded and polished
>>>to resemble standard glass thermometer It alxo has
>>>the characteristic white stripe along one side of the
>>>thermometer.
>>>
>>>A youngster designated to have his temperature taken
>>>rectally has a red tag clipped to his chart.
>However,
>>>before a patient has his temperature taken rectally
>he
>>>is directed to use the restroom in order that he be
>>>clear for entry of the glass thermometer. All
>>>temperatures are taken in a large alcove adjacent to
>>>the waiting room. From the waiting room, a casual
>>>observer can see a row of five chairs against the
>wall
>>>on the right and a workstation on the wall on the
>>>left. In the middle of the alcove is a white 1950s
>>>examination table with white rolled paper on the
>black
>>>padded top. The back of the examination table faces
>>>the waiting room. This configuation provides the
>most
>>>efficient manner to take temperatures as several oral
>>>temperatures and one rectal temperature (on the
>>>examination table) can be taken simultaneously.
>>>Having no physical barrier between the waiting room
>>>and the "temperature room" enables free movement
>>>between the areas and further improves facilitating
>>>efficiency. With the youngster poisitioned face down
>>>on the on the examination with his trousers and
>>>underwear pulled down to his knees, he is considered
>>>to have sufficient privacy, as only his bare rear end
>>>is visible to anyone in eyesite of the examination
>>>table.
>>>
>>>To be continued ...


[ Edit | View ]

[> [> [> [> [> Re: Rectal Temperature Story -- Alex, 14:20:34 05/22/09 Fri [1]

>>>>Rectal Temperature Story
>>>>
>>>>The Initial Visit.
>>>>
>>>>In a community where many disadvantaged families
>>>>reside, a no-fee medical evaluation and referral
>>>>service is available to youngsters ages five to 12
>of
>>>>these families. When a new patient arrives, a basic
>>>>medical history, taken by the front office worker,
>is
>>>>documented as well as the patient's symptoms, if
>>any.
>>>>In addition, the young patient's vital signs are
>>>>taken. This screening service allows the family to
>>>>pay a reduced fee from a referred affiliated medical
>>>>professional. A youngster's caretaker (be it a
>>>>parent, extended family member, etc.) is encouraged
>>to
>>>>visit for any other health concern without paying
>for
>>>>a doctor's visit. Also, young patients are welcomed
>>>>for "checkups" or other health concerns. These
>>visits
>>>>can be as frequent as needed giving the caretaker's
>>>>assurance that the youngster is in good health. As
>>>>with any visit, the reason for the visit is
>>>>documented and the youngster's vital signs are
>taken.
>>>>
>>>>With the arrival of a high volume of "traffic", a
>>>>full-time "attendant" takes vital signs, which
>>>>includes measuring weight and height, and taking the
>>>>youngster's temperature. Glass thermometers are
>used
>>>>largely by tradition and for economic purposes, to
>>>>take a patient's temperature. Because the
>instrument
>>>>can break inside a youngster's mouth, either
>>>>intentional or by accident, taking his temperature
>>>>rectally is an option. Younger ones, that is, in
>the
>>>>age groups of five to six are, by definition, unable
>>>>to hold a glass thermometer in their mouths safely
>>and
>>>>therefore have their temperatures taken rectally
>>>>across the board. For older youths, however, the
>>>>decision to take their temperature rectally depends
>>on
>>>>their intellectual capacity and emotional health.
>>An
>>>>older youth that demonstrates a lack intellectual
>>>>capacity (such as being held back a grade at
>school)
>>>>or has a history of emotional deficits (such as
>>having
>>>>a hyperactive disorder) is designated to have his
>>>>temperature rectally, being considered as if he were
>>a
>>>>five year old and treated as such. In addition, a
>>>>youngster observed to display maturity or behavior
>>>>that is uncharacteristic of a youth of a given age,
>a
>>>>subjective decision is made to have his temperature
>>>>taken rectally. Once designated to have his
>>>>temperature taken rectally, he will continue to have
>>>>it taken that way on all subsequent visits unless
>>>>there has been a significant change in the
>condition
>>>>that renders him to have his temperature taken
>>>>rectally. For the young patient to get accustomed
>to
>>>>having his temperature taken that way, the caretaker
>>>>has the option, and is encouraged to, bring the
>>>>youngster in for frequent "well" visits checkup
>every
>>>>week or so until he gets accustomed to the
>>experience,
>>>>which may last couple of months or so.
>>>>
>>>>Standard glass five inch thermometers are used for
>>>>oral temperatures while modified five inch glass
>>>>thermometers are used for rectal temperatures.
>>>>Originally intended for veterinary use, these larger
>>>>size rectal thermometer are ideal for taking rectal
>>>>temperatures of older youngsters as it allows for
>>>>deeper penetration (over an inch and a half) and yet
>>>>serves as a reminder that it is in place as it
>>>>projects perhaps an inch and a half projects from
>the
>>>>young patients rear end. Note that the glass ring
>is
>>>>removed from the other end and is sanded and
>polished
>>>>to resemble standard glass thermometer It alxo has
>>>>the characteristic white stripe along one side of
>the
>>>>thermometer.
>>>>
>>>>A youngster designated to have his temperature taken
>>>>rectally has a red tag clipped to his chart.
>>However,
>>>>before a patient has his temperature taken rectally
>>he
>>>>is directed to use the restroom in order that he be
>>>>clear for entry of the glass thermometer. All
>>>>temperatures are taken in a large alcove adjacent to
>>>>the waiting room. From the waiting room, a casual
>>>>observer can see a row of five chairs against the
>>wall
>>>>on the right and a workstation on the wall on the
>>>>left. In the middle of the alcove is a white 1950s
>>>>examination table with white rolled paper on the
>>black
>>>>padded top. The back of the examination table faces
>>>>the waiting room. This configuation provides the
>>most
>>>>efficient manner to take temperatures as several
>oral
>>>>temperatures and one rectal temperature (on the
>>>>examination table) can be taken simultaneously.
>>>>Having no physical barrier between the waiting room
>>>>and the "temperature room" enables free movement
>>>>between the areas and further improves facilitating
>>>>efficiency. With the youngster poisitioned face
>down
>>>>on the on the examination with his trousers and
>>>>underwear pulled down to his knees, he is considered
>>>>to have sufficient privacy, as only his bare rear
>end
>>>>is visible to anyone in eyesite of the examination
>>>>table.
>>>>
>>>>To be continued ...


[ Edit | View ]

[> [> [> [> [> [> Re: Rectal Temperature Story -- Alex, 14:21:59 05/22/09 Fri [1]

>>>>>Rectal Temperature Story
>>>>>
>>>>>The Initial Visit.
>>>>>
>>>>>In a community where many disadvantaged families
>>>>>reside, a no-fee medical evaluation and referral
>>>>>service is available to youngsters ages five to 12
>>of
>>>>>these families. When a new patient arrives, a
>basic
>>>>>medical history, taken by the front office worker,
>>is
>>>>>documented as well as the patient's symptoms, if
>>>any.
>>>>>In addition, the young patient's vital signs are
>>>>>taken. This screening service allows the family to
>>>>>pay a reduced fee from a referred affiliated
>medical
>>>>>professional. A youngster's caretaker (be it a
>>>>>parent, extended family member, etc.) is encouraged
>>>to
>>>>>visit for any other health concern without paying
>>for
>>>>>a doctor's visit. Also, young patients are
>welcomed
>>>>>for "checkups" or other health concerns. These
>>>visits
>>>>>can be as frequent as needed giving the
>caretaker's
>>>>>assurance that the youngster is in good health. As
>>>>>with any visit, the reason for the visit is
>>>>>documented and the youngster's vital signs are
>>taken.
>>>>>
>>>>>With the arrival of a high volume of "traffic", a
>>>>>full-time "attendant" takes vital signs, which
>>>>>includes measuring weight and height, and taking
>the
>>>>>youngster's temperature. Glass thermometers are
>>used
>>>>>largely by tradition and for economic purposes, to
>>>>>take a patient's temperature. Because the
>>instrument
>>>>>can break inside a youngster's mouth, either
>>>>>intentional or by accident, taking his temperature
>>>>>rectally is an option. Younger ones, that is, in
>>the
>>>>>age groups of five to six are, by definition,
>unable
>>>>>to hold a glass thermometer in their mouths safely
>>>and
>>>>>therefore have their temperatures taken rectally
>>>>>across the board. For older youths, however, the
>>>>>decision to take their temperature rectally depends
>>>on
>>>>>their intellectual capacity and emotional health.
>>>An
>>>>>older youth that demonstrates a lack intellectual
>>>>>capacity (such as being held back a grade at
>>school)
>>>>>or has a history of emotional deficits (such as
>>>having
>>>>>a hyperactive disorder) is designated to have his
>>>>>temperature rectally, being considered as if he
>were
>>>a
>>>>>five year old and treated as such. In addition, a
>>>>>youngster observed to display maturity or behavior
>>>>>that is uncharacteristic of a youth of a given age,
>>a
>>>>>subjective decision is made to have his temperature
>>>>>taken rectally. Once designated to have his
>>>>>temperature taken rectally, he will continue to
>have
>>>>>it taken that way on all subsequent visits unless
>>>>>there has been a significant change in the
>>condition
>>>>>that renders him to have his temperature taken
>>>>>rectally. For the young patient to get accustomed
>>to
>>>>>having his temperature taken that way, the
>caretaker
>>>>>has the option, and is encouraged to, bring the
>>>>>youngster in for frequent "well" visits checkup
>>every
>>>>>week or so until he gets accustomed to the
>>>experience,
>>>>>which may last couple of months or so.
>>>>>
>>>>>Standard glass five inch thermometers are used for
>>>>>oral temperatures while modified five inch glass
>>>>>thermometers are used for rectal temperatures.
>>>>>Originally intended for veterinary use, these
>larger
>>>>>size rectal thermometer are ideal for taking rectal
>>>>>temperatures of older youngsters as it allows for
>>>>>deeper penetration (over an inch and a half) and
>yet
>>>>>serves as a reminder that it is in place as it
>>>>>projects perhaps an inch and a half projects from
>>the
>>>>>young patients rear end. Note that the glass ring
>>is
>>>>>removed from the other end and is sanded and
>>polished
>>>>>to resemble standard glass thermometer It alxo has
>>>>>the characteristic white stripe along one side of
>>the
>>>>>thermometer.
>>>>>
>>>>>A youngster designated to have his temperature
>taken
>>>>>rectally has a red tag clipped to his chart.
>>>However,
>>>>>before a patient has his temperature taken rectally
>>>he
>>>>>is directed to use the restroom in order that he be
>>>>>clear for entry of the glass thermometer. All
>>>>>temperatures are taken in a large alcove adjacent
>to
>>>>>the waiting room. From the waiting room, a casual
>>>>>observer can see a row of five chairs against the
>>>wall
>>>>>on the right and a workstation on the wall on the
>>>>>left. In the middle of the alcove is a white 1950s
>>>>>examination table with white rolled paper on the
>>>black
>>>>>padded top. The back of the examination table
>faces
>>>>>the waiting room. This configuation provides the
>>>most
>>>>>efficient manner to take temperatures as several
>>oral
>>>>>temperatures and one rectal temperature (on the
>>>>>examination table) can be taken simultaneously.
>>>>>Having no physical barrier between the waiting room
>>>>>and the "temperature room" enables free movement
>>>>>between the areas and further improves facilitating
>>>>>efficiency. With the youngster poisitioned face
>>down
>>>>>on the on the examination with his trousers and
>>>>>underwear pulled down to his knees, he is
>considered
>>>>>to have sufficient privacy, as only his bare rear
>>end
>>>>>is visible to anyone in eyesite of the examination
>>>>>table.
>>>>>
>>>>>To be continued ...


[ Edit | View ]

[> [> [> [> [> [> [> Re: Rectal Temperature Story -- Alex, 14:23:38 05/22/09 Fri [1]

>>>>>>Rectal Temperature Story
>>>>>>
>>>>>>The Initial Visit.
>>>>>>
>>>>>>In a community where many disadvantaged families
>>>>>>reside, a no-fee medical evaluation and referral
>>>>>>service is available to youngsters ages five to 12
>>>of
>>>>>>these families. When a new patient arrives, a
>>basic
>>>>>>medical history, taken by the front office worker,
>>>is
>>>>>>documented as well as the patient's symptoms, if
>>>>any.
>>>>>>In addition, the young patient's vital signs are
>>>>>>taken. This screening service allows the family
>to
>>>>>>pay a reduced fee from a referred affiliated
>>medical
>>>>>>professional. A youngster's caretaker (be it a
>>>>>>parent, extended family member, etc.) is
>encouraged
>>>>to
>>>>>>visit for any other health concern without paying
>>>for
>>>>>>a doctor's visit. Also, young patients are
>>welcomed
>>>>>>for "checkups" or other health concerns. These
>>>>visits
>>>>>>can be as frequent as needed giving the
>>caretaker's
>>>>>>assurance that the youngster is in good health.
>As
>>>>>>with any visit, the reason for the visit is
>>>>>>documented and the youngster's vital signs are
>>>taken.
>>>>>>
>>>>>>With the arrival of a high volume of "traffic", a
>>>>>>full-time "attendant" takes vital signs, which
>>>>>>includes measuring weight and height, and taking
>>the
>>>>>>youngster's temperature. Glass thermometers are
>>>used
>>>>>>largely by tradition and for economic purposes, to
>>>>>>take a patient's temperature. Because the
>>>instrument
>>>>>>can break inside a youngster's mouth, either
>>>>>>intentional or by accident, taking his temperature
>>>>>>rectally is an option. Younger ones, that is, in
>>>the
>>>>>>age groups of five to six are, by definition,
>>unable
>>>>>>to hold a glass thermometer in their mouths safely
>>>>and
>>>>>>therefore have their temperatures taken rectally
>>>>>>across the board. For older youths, however, the
>>>>>>decision to take their temperature rectally
>depends
>>>>on
>>>>>>their intellectual capacity and emotional health.
>
>>>>An
>>>>>>older youth that demonstrates a lack intellectual
>>>>>>capacity (such as being held back a grade at
>>>school)
>>>>>>or has a history of emotional deficits (such as
>>>>having
>>>>>>a hyperactive disorder) is designated to have his
>>>>>>temperature rectally, being considered as if he
>>were
>>>>a
>>>>>>five year old and treated as such. In addition, a
>>>>>>youngster observed to display maturity or behavior
>>>>>>that is uncharacteristic of a youth of a given
>age,
>>>a
>>>>>>subjective decision is made to have his
>temperature
>>>>>>taken rectally. Once designated to have his
>>>>>>temperature taken rectally, he will continue to
>>have
>>>>>>it taken that way on all subsequent visits unless
>>>>>>there has been a significant change in the
>>>condition
>>>>>>that renders him to have his temperature taken
>>>>>>rectally. For the young patient to get accustomed
>>>to
>>>>>>having his temperature taken that way, the
>>caretaker
>>>>>>has the option, and is encouraged to, bring the
>>>>>>youngster in for frequent "well" visits checkup
>>>every
>>>>>>week or so until he gets accustomed to the
>>>>experience,
>>>>>>which may last couple of months or so.
>>>>>>
>>>>>>Standard glass five inch thermometers are used for
>>>>>>oral temperatures while modified five inch glass
>>>>>>thermometers are used for rectal temperatures.
>>>>>>Originally intended for veterinary use, these
>>larger
>>>>>>size rectal thermometer are ideal for taking
>rectal
>>>>>>temperatures of older youngsters as it allows for
>>>>>>deeper penetration (over an inch and a half) and
>>yet
>>>>>>serves as a reminder that it is in place as it
>>>>>>projects perhaps an inch and a half projects from
>>>the
>>>>>>young patients rear end. Note that the glass ring
>>>is
>>>>>>removed from the other end and is sanded and
>>>polished
>>>>>>to resemble standard glass thermometer It alxo
>has
>>>>>>the characteristic white stripe along one side of
>>>the
>>>>>>thermometer.
>>>>>>
>>>>>>A youngster designated to have his temperature
>>taken
>>>>>>rectally has a red tag clipped to his chart.
>>>>However,
>>>>>>before a patient has his temperature taken
>rectally
>>>>he
>>>>>>is directed to use the restroom in order that he
>be
>>>>>>clear for entry of the glass thermometer. All
>>>>>>temperatures are taken in a large alcove adjacent
>>to
>>>>>>the waiting room. From the waiting room, a casual
>>>>>>observer can see a row of five chairs against the
>>>>wall
>>>>>>on the right and a workstation on the wall on the
>>>>>>left. In the middle of the alcove is a white
>1950s
>>>>>>examination table with white rolled paper on the
>>>>black
>>>>>>padded top. The back of the examination table
>>faces
>>>>>>the waiting room. This configuation provides the
>>>>most
>>>>>>efficient manner to take temperatures as several
>>>oral
>>>>>>temperatures and one rectal temperature (on the
>>>>>>examination table) can be taken simultaneously.
>>>>>>Having no physical barrier between the waiting
>room
>>>>>>and the "temperature room" enables free movement
>>>>>>between the areas and further improves
>facilitating
>>>>>>efficiency. With the youngster poisitioned face
>>>down
>>>>>>on the on the examination with his trousers and
>>>>>>underwear pulled down to his knees, he is
>>considered
>>>>>>to have sufficient privacy, as only his bare rear
>>>end
>>>>>>is visible to anyone in eyesite of the examination
>>>>>>table.
>>>>>>
>>>>>>To be continued ...


[ Edit | View ]

[> [> [> Re: Rectal Temperature Story -- jaime, 21:01:57 09/23/09 Wed [1]

>>feels good
Temperature Story
>>
>>The Initial Visit.
>>
>>In a community where many disadvantaged families
>>reside, a no-fee medical evaluation and referral
>>service is available to youngsters ages five to 12 of
>>these families. When a new patient arrives, a basic
>>medical history, taken by the front office worker, is
>>documented as well as the patient's symptoms, if any.
>>In addition, the young patient's vital signs are
>>taken. This screening service allows the family to
>>pay a reduced fee from a referred affiliated medical
>>professional. A youngster's caretaker (be it a
>>parent, extended family member, etc.) is encouraged to
>>visit for any other health concern without paying for
>>a doctor's visit. Also, young patients are welcomed
>>for "checkups" or other health concerns. These visits
>>can be as frequent as needed giving the caretaker's
>>assurance that the youngster is in good health. As
>>with any visit, the reason for the visit is
>>documented and the youngster's vital signs are taken.
>>
>>With the arrival of a high volume of "traffic", a
>>full-time "attendant" takes vital signs, which
>>includes measuring weight and height, and taking the
>>youngster's temperature. Glass thermometers are used
>>largely by tradition and for economic purposes, to
>>take a patient's temperature. Because the instrument
>>can break inside a youngster's mouth, either
>>intentional or by accident, taking his temperature
>>rectally is an option. Younger ones, that is, in the
>>age groups of five to six are, by definition, unable
>>to hold a glass thermometer in their mouths safely and
>>therefore have their temperatures taken rectally
>>across the board. For older youths, however, the
>>decision to take their temperature rectally depends on
>>their intellectual capacity and emotional health. An
>>older youth that demonstrates a lack intellectual
>>capacity (such as being held back a grade at school)
>>or has a history of emotional deficits (such as having
>>a hyperactive disorder) is designated to have his
>>temperature rectally, being considered as if he were a
>>five year old and treated as such. In addition, a
>>youngster observed to display maturity or behavior
>>that is uncharacteristic of a youth of a given age, a
>>subjective decision is made to have his temperature
>>taken rectally. Once designated to have his
>>temperature taken rectally, he will continue to have
>>it taken that way on all subsequent visits unless
>>there has been a significant change in the condition
>>that renders him to have his temperature taken
>>rectally. For the young patient to get accustomed to
>>having his temperature taken that way, the caretaker
>>has the option, and is encouraged to, bring the
>>youngster in for frequent "well" visits checkup every
>>week or so until he gets accustomed to the experience,
>>which may last couple of months or so.
>>
>>Standard glass five inch thermometers are used for
>>oral temperatures while modified five inch glass
>>thermometers are used for rectal temperatures.
>>Originally intended for veterinary use, these larger
>>size rectal thermometer are ideal for taking rectal
>>temperatures of older youngsters as it allows for
>>deeper penetration (over an inch and a half) and yet
>>serves as a reminder that it is in place as it
>>projects perhaps an inch and a half projects from the
>>young patients rear end. Note that the glass ring is
>>removed from the other end and is sanded and polished
>>to resemble standard glass thermometer It alxo has
>>the characteristic white stripe along one side of the
>>thermometer.
>>
>>A youngster designated to have his temperature taken
>>rectally has a red tag clipped to his chart. However,
>>before a patient has his temperature taken rectally he
>>is directed to use the restroom in order that he be
>>clear for entry of the glass thermometer. All
>>temperatures are taken in a large alcove adjacent to
>>the waiting room. From the waiting room, a casual
>>observer can see a row of five chairs against the wall
>>on the right and a workstation on the wall on the
>>left. In the middle of the alcove is a white 1950s
>>examination table with white rolled paper on the black
>>padded top. The back of the examination table faces
>>the waiting room. This configuation provides the most
>>efficient manner to take temperatures as several oral
>>temperatures and one rectal temperature (on the
>>examination table) can be taken simultaneously.
>>Having no physical barrier between the waiting room
>>and the "temperature room" enables free movement
>>between the areas and further improves facilitating
>>efficiency. With the youngster poisitioned face down
>>on the on the examination with his trousers and
>>underwear pulled down to his knees, he is considered
>>to have sufficient privacy, as only his bare rear end
>>is visible to anyone in eyesite of the examination
>>table.
>>
>>To be continued ...


[ Edit | View ]

[> Rectal Temperature Story - Continued -- Docs Helper, 21:51:25 07/25/08 Fri [1]

A steady stream of patients flowed into the "temperature room" during the day. The attendant, known at "the Temspter" or just called "Tempster", always wearing a white lab coat, typically takes both oral and rectal temperatures concurrently throughout the day. Although taking an oral temperature is straight forward, taking a rectal temperature involves a more elaborate process. To demonstrate this point, an example of a youngster who had temperature taken rectally follows.

Kyle, a nine year old boy, arrived accompanied by his aunt, his temporary caretaker. Sally, the 34 year old blonde patient specialist, professionally dressed in a pants suit, called Kyle and his aunt to the consultation desk. She noticed that the boy walked toward her was somewhat tall for his age, but his tanned but slim features suggested that he might be physically active. Certainly he spent a lot of time outside. He was wearing jeans and a t-shirt. The patient specialist measured his weight and height and asked that he sit down while she interviewed his aunt about his medical history. As the boys turned away, Sally's eyes darted towards the boy’s bottom and focused in on it until he sat down. Her attention changed to collecting whatever medical history Kyle’s aunt could provide as he sat in the waiting room reading a comic book. With very little medical history was available about the quiet boy, and no meaningful information about his intellectual capacity, and the fact that he was reading less intellectually stimulating literature, Sally arbitrarily decided that, by default, Kyle could not be trusted hold a glass thermometer in his mouth safely and was therefore designated to have his temperature taken rectally and a red tag was permanently affixed to his chart indicating this status. His aunt, already familiar with the practice through an acquaintance seemed very content with this outcome. Sally escorted Kyle to the restroom and instructed him on using it. Being a new a patient, he was not told that the trip to the restroom was in preparation for having his temperature taken rectally by providing clear entry for the glass rectal thermometer. A few minutes later he exited the restroom. As he approached his aunt sitting in the waiting room, Sally’s eyes were again fixed on his backside. Perhaps she was imagining what his bare rear end looked like. She turned her head away and smiled as they boy sat down next to his aunt. Sally placed Kyle's chart in the Tempster's "In" box. With the examination table only a few feet from her desk, she would soon have an unobstructed view of Kyle’s bare rear end as he lay on the examination table, and really see if his rear end actually matched her expectation. She suspended patient interviews and gazed at the examination table.

With the examination table unoccupied, and fresh paper on its surface, Tempster picked up the chart with the red tag fastened to it and briefly scanned it: a boy, none years old, new patient. He took no time at all to call out Kyle's name, and just after the boy stood up, he momentarily turned with his back facing Tempster. After getting a glimpse of Kyle’s full rear end, Tempster, being passionate about taking youngsters temperatures rectally, said to himself "Nice. Very nice. This ought to be an exciting experience." Tempster called out to both Kyle and his aunt and said “Come on over here, please." They approached the stocky bald man with a goatee standing at his workstation. Just as Kyle entered the alcove, the man motioned him to get up onto the examination table as he said "How about getting up here and sit yourself down." Complying with the command, the boy stepped on a stool and pivoted himself around and sat on the examination table with his legs hanging off to the side. Tempster picked up two other charts and called out for two other boys, one age eight, Bryan, and the other one age ten, Gary, and gestured to them to sit down in chairs against the wall. Just as they both sat down, the Tempster said to them "I'll get your temperatures in after I get Kyle here started." Kyle sat still and seemed little apprehensive. Meanwhile, Kyle's aunt, standing a couple of feet off the side from the end of the table, waited in in anticipation of the events to follow. Tempster continued as though she was not there and instructed the Kyle to "unbuckle your belt and unbutton and unzip your jeans please." The boy seemed puzzled as he first unbuckled he belt and then looked down and unbuttoned his jeans and stretched a little to unzip his jeans. His jeans loose around his waist revealed his jockey underwear. No sooner than he finished unloosing his jeans, Tempster said to the boy "Now get you legs up on the table and lie down." Probably thinking that he was getting some sort of examination, Kyle lifted his legs up on the examination table and was lying on his back with his upper body propped on his elbows. However, as soon as he got into that position, Tempster said to him firmly "Now rollover on your tummy please" and proceeded to enforce the order by assisting the boy as he awkwardly shifted himself into the desired position. Tempster further refined the boy’s position by having his upper body was supported by his elbows and his legs pressed together. Tempster shifted himself so that he was directly next to the boy's back side. Without saying a word, Tempster placed a hand on each side of his jeans, and proceeded to pull down the boy’s jeans and underwear, tugging down each side one at a time, first producing a view of the boy's hips. Seconds later cleavage separating his cheeks appeared. As more of the boy’s rear end was uncovered, the cleavage transformed into a dark crevice separating the two firm cheeks. The boy’s jeans and underwear continued to be drawn down until his entire rear end became visible. Tempster continued pulling Kyle's jeans and underwear further down until they were wadded up just above his knees.

As Kyle laid on the examination table, with his full, opaque rear end contrasting with his tanned lower back and thighs, the characteristic line separating his cheeks and thighs, and the sides of his cheeks concaving inward, he easily caught the interest from casual observers, young and old alike, in the waiting room as well as the two boys staring directly at it from the side. Looking back, he could see curious onlookers whispering to each others. He also saw Sally, looking directly at him, grinning as if he was a source of amusement for her. Realizing that his bare rear end became the center of attention in the examination room, his face turned red as embarrassment overwhelmed him. His embarrassment intensified as Bryan, the eight year old boy sitting down pointing to Kyle’s bare bottom, asked Tempster "Hey mister, why does he have his pants down?" Tempster responded, "He's going to get his temperature taken in his behind real soon." The boy responded, "Oh, why don't he get it in his mouth like us?" The Tempster returned, "You know why a five year old kid gets his temperatures taken in his behind? It is because he might bite on the thermometer and break it in his mouth. That is why Kyle here gets his temperature taken in his behind just like a five year old.” The boy's face turned red, finally facing the fact that he, unlike the other kids there, will have his temperature taken in his "butt" instead of his mouth. With his jeans and underwear no longer covering his rear end, there was no protection for his cheeks from being pulled apart and a glass rectal thermometer from entering through his anal opening and lodged in his rear end for several minutes.

To be continued ...


[ Edit | View ]

[> Re: Clinical Perspective - Taking a Child's Temperature with a Glass Thermometer Oral or Rectal -- Raymond, 09:45:46 12/29/08 Mon [1]

It may be said that there are many isolated areas in the country that may be thought of as if they were "third world countries." It happened to me only a couple of years ago when I forgot it on a camping trip because I forgot to bring a medication on a camping trip. There were only one two doctors in the nearby town, and only one was a general practice doctor. I called in hoping to make an appointment and was to my relief, able to get squeezed in.

When I got there I saw was a double-wide trailer that had a gravel parking lot and there was no sign. It was outside of town on a dirt road. But there were cars, I mean some beat up cars, parked outside it. When I entered, there were several kid patients and no adult patients. It turned out because so many kids are seen there that adults tended to go to the internal medicine doctor. I felt uncomfortable at first, like a fish out of water, wanting to cancel and go to the other doctor, but felt compelled to stay and just get my prescription and leave. The only adults there were parents and other caretakers.

Temperatures, weight, and height were taken in a room just off the interior main waiting room. That is, there was small waiting room, like a reception room, for the general public, and a large waiting room behind it. I figured it was set up that way to contain the germs. A female receptionist worked in the entry waiting room and a male medical assistant worked in the real waiting room. Right after I entered the main waiting room, I was asked to come into a cubby area and he took my weight and height and sit down. There was an examination table right in front of me. Next thing I knew he was shaking down a glass thermometer and told me to open up and he put it in. I was surprised that temperatures were taken with glass thermometers. You see something different every day.

Just then he called out a boy's name and asked him to come in. He got his weight and height, and he directed him to get up on an examination table directly in front of me and sit down (instead of sitting on a chair next to me). To my amazement, the boy was prodded to unloosen his trouser, jeans I think, and the next things I know he was told to lie down on the table, and after that, rollover on his tummy. He wasted no time in tugging his trousers and underwear all the way down to his knees. His bare rear end (very white compared to his darker back and thighs) was in plain view of the folks in the waiting room. It did draw attention to the other kids there, which caused the boy to look back to see who was there looking. He expressed his displeasure about it and it did not seem to change the events that followed.

I watched with excitement as the medical assistant took the thermometer out of the glass container, shook it down, applied KY jelly from tube to the thermometer, and his cheeks were spread wide open and inserted the thermometer into his rear end. His mouth went wide open as it entered and he exclaimed it was cold. Other kids watched with excitement and their remarks were not appreciated by him. He was red faced and did not like them seeing that and watching the thermometer sticking out and made it clear as he fussed at him. He continued to complain about having it taken there instead of his mouth like the other kids. His complaints were deferred and he seemed to only draw attention to himself even more. He could see grins and there was giggling as well.

Another boy, a little younger than him, came up and greeted him and asked him how he was doing but he did not take his eyes off of his behind. Uncomfortably he said the something like, how come he is having your temperature taken in his butt than in his mouth like me. The medical assistant said that his is not ready to have it taken in his mouth yet and has to have it taken in his "behind." I found out that the 10 year old was a special needs kid with some sort of learning difficulty, and that a rectal temperature was appropriate in his case.

It was only a couple of minutes when I had the thermometer removed and checked and he stuck it in my mouth again. A minute later the thermometer was out. As I was standing up he did the same thing to the boy and we saw the thermometer inserted with some amazement. He again showed his displeasure when the other boy chuckled when the the boy protested as the thermometer entered again.

It was a long wait to see the doctor and got chummy with the medical assistant and conversed with him while he was doing his work, which included taking more rectal temperatures. I found out later that girls are taken in back to have it done and hung about until he got back with those patients. I was wondering why only boys got rectal temperatures, though it seemed that boys were picked on for that more than girls.

I got my prescription and left. That experience left me with an fascination with rectal temperatures. I have come to find that nothing has changed at that place since then with regard to taking temperatures with glass thermometers. More on that later.


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