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Subject: Small Town Doctor


Author:
Kelly
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Date Posted: Monday, August 03, 2009, 04:26: pm

Does anyone know of any doctors that still use glass thermometers? I am am new in this small town and taking my an 8.75 year old son to a GP to get ready for school. I was told that his office still uses the old time glass thermometers. I think that the doctor is never going to retire but has no need to modernize.

The thermometer thing came up in the interview with the medical assistant and I said problem is that he is ADD and I doubt that he cannot hold a thermometer in his mouth more than a minute. Any longer there might be a safety concern. When I brought up the issue of his ADD, the medical assistant said that if temperature cannot be taken one way it would be taken the other way. It occurred to me after the visit that there is an examination table right there I thin for that purpose.

I could care less but I don't know how he would take it. There is still time to back out of it but it would mean traveling and hour to see another doctor.

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Replies:
[> Subject: Re: Small Town Doctor


Author:
Jean
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Date Posted: Tuesday, August 04, 2009, 04:11: pm

I wouldn't drive an hour just to avoid having any of my kids to avoid a rectal temperature with a glass thermometer or otherwise. It happened all the time when I was growing up (in my mid 60s now). Like you seem to imply, if i get your right, not any privacy. He will just have to bear with it for the several minutes it happens and deal with the embarrassment later. Is he the kind of kid that would make a loud fuss about it?

The only thing that has changed is technology and attitude. Nothing else. So they are using old technology and old attitude.

Let me know how it goes.

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[> [> Subject: Re: Small Town Doctor


Author:
Stacy
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Date Posted: Sunday, March 11, 2012, 08:04: pm

I live in Alabama and both my daughters 5 and 8 get their temperatures taken rectally with glass/mercury thermometers when I take them to see the doctor here.My 8 year old Jessica complains about it every time she has to get her temperature taken that way but the doctor says that it's much more accurate and he doesn't start taking anyone's temperature orally until they are at least 10.I'm fine with that,so Jessica's just going to have to put up with it for another year and a half.

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[> Subject: Re: Small Town Doctor


Author:
Richard
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Date Posted: Wednesday, August 05, 2009, 07:07: pm

Kelly,
If you haven't taken your son to get examined, you need to ask the doctor directly if perhaps an ear reading would be more appropriate. Your son is not ill, and really does not need a thermometer up his rectum to have his temperature taken. How old is your son?
And yes, Kelyy there probably are numerous physicians (GPs/Pediatricians) who still 1st take rectal readings and some probably still use glass-mercury thermometers. If you're not aware, they are probably the most accurate thermometers(RECTAL-glass mercury) to use to obtain a real temperature. Do kids like it done that way? Most likely, not, but it's your call as a parent to see your son's health concerns be taken care of. Good luck.

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[> Subject: Re: Small Town Doctor


Author:
Jacob
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Date Posted: Wednesday, August 05, 2009, 07:35: pm

The reason enemas fell out of favor by doctors is the psychological damage they did to the individual. The same can be said for rectal temperatures. It just created to many mental problems for the child. You can use this forum, and the E & S forum, as an example of what I am talking about. The fact that enemas and rectal temperatures have become a raging fetish, for those people who post on these forums, speaks volumes.

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[> Subject: Re: Small Town Doctor


Author:
Kelly
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Date Posted: Thursday, August 06, 2009, 04:17: am

It's not like I have a lot of money and I don't got no health insurance. I don't. I just got off my second job and its very, very late. This doctor voluntarily has a sliding scale so that I don't have to hardly pay anything for any services and besides it is very convenient. The only thing that worries me is that he is way past his prime, by a few decades. But he does have experience. He works on some kind of condensed schedule to allow him a lot of time off but his medical assistant is there all the time. He is the one who will take Jason's weight and temperature tomorrow and again when he sees the doctor. At least he is thorough.

As far him taking Jason's in his behind, I am told that it is best for him cause it is safe, accurate and more comfortable.

With such a small operation, I think I can understand the setup there why the temperature room, for lack of better words, and the larger waiting room are joined as one room. It might sound strange, but I thought I would see a 1957 issue of Time magazine sitting on the coffee table when I sat down. It is one of those things that Jason will have to accept when it comes time for him everytime he getshis temperature taken taken there. I am kind of curious to see how it all it turns out. If he is lucky the waiting room won't be too crowded.

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[> [> Subject: Re: Small Town Doctor


Author:
Richard
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Date Posted: Thursday, August 06, 2009, 07:27: pm

Kelly,
If you're concerned about your son having his temperature taken, and I'm, assuming rectally, contact this doctor, ask him to do it orally , un derarm or by ear. If this doctor, as you describe him, is past his prime, you might want to look elsewhere, though I empathize with your monetary situation.
Kelly, do you take Jason's temperature rectally? If you don't, and your son is not experienced with this method, two things might occur. Being ignorant of the procedure, he may accept it. If, on the other hand, he's aware and sufferes from the anxieties, embarrassment and humiliation of this, he might well very loudly and demonstratively object to it.

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[> Subject: Re: Small Town Doctor


Author:
Kelly
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Date Posted: Thursday, August 06, 2009, 04:19: pm

Going to the doctors office for the initial review of Jason's health. Some paperwork and I assume weight, height, blood pressure maybe, and his temperature. I am nervous about it only that it will be something new to the both of us.

The medical assistant said that in time he will get adjusted to it, but it can be hurried up with a compression of free visits now while he is well, whatever that means. I would rather get it done and over with.

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[> Subject: Re: Small Town Doctor


Author:
Kelly
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Date Posted: Friday, August 07, 2009, 09:56: am

Yesterday was the big day for Jason. I would like to post an accounting of Jason's experience but I am not sure that it is appropriate here. If anyone would like to hear about it let please let me know and how much detail you would like to hear. I can say this much that having his temperature that way is for his benefit because his cooperation is not needed after he lies down on the examination table on his tummy.

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[> [> Subject: Re: Small Town Doctor


Author:
Betty
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Date Posted: Friday, August 07, 2009, 12:33: pm

Did Jason get an enema? Have you ever given Jason an enema and how did he take his enemas?

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[> [> [> Subject: Re: Small Town Doctor


Author:
Kelly
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Date Posted: Saturday, August 08, 2009, 01:49: am

Thank you for the inquiry. The purpose of the visit was a well visit and to assemble paperwork to document that he is a healthy kid and that he has all of his inoculations.

There is a strict rule that every patient has a temperature taken. The medical assistant, the MA as he is called, determined that Jason have his temperature taken rectally. I don't think that Jason knew for sure what was in store for him but there were 2 boys and a girl sitting in chairs directly facing the examination table and an empty chair and no sooner after he got to the imaginary "temperature room" instead of being told to sit down in the last chair like the other kids he was told to hop up on the examination table and after sitting down got told to unbuckle his belt, unbutton, unzip and so forth. He looked uncomfortable when the MA told him to get his legs up on the table and lie down "on your tummy."

No sooner when he was settled down when the MA told Jason he was going to take his temperature the other way as he called it and it was amazing how he hooked his jeans and underwear on each side and back and forth tugged them down past his bottom and then down to his knees. Jason's fas was bright red by then. I couldn't help but notice the definite change between the natural color in his behind to that of his tanned back and legs that his behind really stands out. He complained that it was unfair that the others got it in their mouths and he didn't. No matter what he said while the MA got the thermometers ready, I don't think anything he said could change the guy's mind because I think the he was determined to take Jason's temperature in his "rear end".

He proceeded to take Jason's temperature. It is late now and I will continue to provide more detail later.

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[> [> [> [> Subject: Re: Small Town Doctor


Author:
Medical Assistant (MA) Check
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Date Posted: Saturday, August 08, 2009, 10:46: am

The Medical Assistant (MA) is a homosexual and that is why he took a rectal temperature. You have to watch out, because of this, that Jacob does not also become a homosexual. There is a 50% chance now that Jacob will be gay.

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[> [> [> [> [> Subject: Re: Small Town Doctor


Author:
Kelly
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Date Posted: Saturday, August 08, 2009, 02:56: pm

I don't know about that. I don't want to know about that. This is a close knit community and although I am still an outsider I do know that he is considered a respected citizen.

I called around and found out that he has had some girlfriends and has one now. His current girlfriend hangs around the doctors office a lot and I saw her. I have been there twice for followups and I think she volunteers there and I think she like to help him with the taking temperatures.

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[> [> [> [> [> [> Subject: Re: Small Town Doctor


Author:
Girlfriend Check
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Date Posted: Saturday, August 08, 2009, 06:00: pm

The girlfriend is a "front" to cover up for his homosexuality. The girlfriend is his "trophy" to show off to the public and his patients. All males get a rectal temp and, if the male is the Medical Assistant's type, he will also get a deep prostate exam. If a male does not get a prostate exam, it means that patient is not his type, so don't worry about it.

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[> [> [> [> [> Subject: Kelly,Has Jason learned his lesson yet?


Author:
Denise R.N.
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Date Posted: Thursday, April 26, 2012, 07:21: pm

I do realize that this is an old post that I'm responding to but I can't help to wonder how your son's doctor visits are going now close to 3 years later.I worked in a pediatric practice out in Dayton Ohio during the 1960s that had the same kind of set up as the office you took him to.Anyhow,although the normal cut off age was 8 years old for taking a child's temperature rectally,I was by no means shy about directing an older boy or girl to the table for a rectal if they were loud,boisterous or just overall naughty in the way they conducted themselves in the waiting room.To this day I have no regrets about putting them on display and humiliating them like that.If an 11 or 12 year old boy or girl was up on that table,everyone in the office got to watch and knew that child deserved the treatment they were getting.Most of the time that same boy or girl was much better behaved at their next scheduled visit.I think you should keep going to that office with the table for all to see as an just to remind him to behave himself.

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[> [> [> [> [> [> Subject: Re: Kelly,Has Jason learned his lesson yet?


Author:
John Betten MD Omaha, Ne
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Date Posted: Saturday, May 05, 2012, 12:26: pm

I agree with Denise, anytime a child comes in my office, they better act their age or my staff has been trained to treat the patient the same way with the parent consent. Same for any and all injections, They usually can be adminstered via arm, buttocks, or thigh. I have given a 17 year old girl a tenatus shot in the bottom because she wouldn't cooperate with the nurse.

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[> [> [> [> [> [> Subject: Re: Kelly,Has Jason learned his lesson yet?


Author:
Martin
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Date Posted: Monday, September 17, 2012, 03:54: am

I know of one youth clinic that still used the glass thermometer for taking temperatures about 3 months ago. It is kind of run down but the costs are reasonable. The low standard of living in which the community where the clinic sits may have something to do with a lack of concern by the parents.

I visited my cousin who has an 8 year old son who got a rectal temprature on a table right in front me at home, I found out that's how he gets his temperature taken in the clinc as well. He had a caugh but the reason for the rectal temp was because he could not be trusted to keep a glass thermometer having to do with his intellectual capacity (probably a little less than average).

I took him there the next day while his mom was at work. He was not the only one to get a rectal temp either because I saw it done to some kids, 2 boys and a girl, about his age or a little older. They all put up a fuss but the MA did a good job at proceeding as though they did not say anything. Then again for followup visits.

I think there is a mindset that says that it does not matter if a kid, where he has to have his/her backside uncovered for some reason because overall it is in his best interest. The important thing is that the patient gets a temperature reading. I did ask why they still used glass thermometers and the response was they have been using them for a long time and had no reason to change. The MA was satisfied with continuing using the instrument. It is too bad I could not stayed there longer.

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[> [> [> [> Subject: Jason was molested


Author:
Rebecca
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Date Posted: Monday, July 23, 2012, 02:14: pm

Kelly you're completely wrong for letting him take your son's temperature that way.Especially in front of strangers who get to watch for their own sick pleasure.He's going have life long problems and perhaps even sexual identity issues because of what you have put him through.I hope you're happy with your decision to allow them to sexually molest your son right in front of everyone like that.I know how traumatic this really is.I went to a doctor's office that was very similar and was forced to get my temperature taken rectally until after I turned 12 and put on display for everyone who was in the office.This practice is outdated and inhumane.

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[> Subject: Re: Small Town Doctor


Author:
Snow
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Date Posted: Sunday, August 09, 2009, 04:57: am

Seems to me there should at least be a privacy screen in place. Also, if the doctor is not always there, why can't these MA conducted exams be done in the exam room?

That said, generations before us grewup with RTs and turned out well adjusted and as normal as any person can be.

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[> [> Subject: Re: Small Town Doctor


Author:
Kelly
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Date Posted: Sunday, August 09, 2009, 11:30: am

I guess each one is different about privacy for taking rectal temperatures and whether anyone cares about it or not. Doesn't seem to be a big deal here except for the kid on the examination table.

On thing for sure, I see the reason for taking it that way.

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[> Subject: Re: Small Town Doctor


Author:
HEY ALL
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Date Posted: Sunday, August 09, 2009, 10:39: am

THEY USE DIGITAL THERMOMITORS THESE DAYS....GLASS HAS BEEN OUT FOR YEARS, AND THERE IS NO NEED FOR A RECTAL TEMP WITH MODERN TECHNOLOGY UNLESS YOU ARE IN A THIRD WORLD LOCATION, OR LOVE THE FANTASY OF THIS STUFF.

JESUS CHRIST, WHAT'S WRONG WITH YOU IDIOTS!

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[> [> Subject: Re: Small Town Doctor


Author:
EXACTLY
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Date Posted: Sunday, August 09, 2009, 07:54: pm

JUST MY POINT KEITH....GLASS THERMO'S ARE FILED WITH MERCURY AND THAT IS A HAZARD WITHIN ITSELF...SO YES...YOU HAVE TO HOLD THEM IN PLACE SO THEY WILL NOT BREAK.

THAT IS WHY GLASS ONES ARE OUT.

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[> Subject: Re: Small Town Doctor


Author:
Keith
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Date Posted: Sunday, August 09, 2009, 02:06: pm

Who cares what technology is used to take a kid's temperatures? Electronic thermometers are very speedy and accurate, and there is little chance of a mishap regardless of the competence of the patient.

The glass thermometer produces the same results but takes about three minutes to register, which in combination with the material that constitutes it, must be held responsibly in a kid's mouth. There is no doubt that when using a glass thermometer there that some kids, especially in the age of attention deficit disorders and hyperactivity, an oral temperature may not be the correct choice for taking a temperature with a glass thermometer. For whatever reason there is for insisting on using a glass thermometer, the preferred alternative is to take it rectally because, as said before, nothing is required of the kid but to relax and remain passive.

That being said, for those that have no preference on what technology is used, the electronic thermometer would be the best choice for the reasons stated earlier. The vast majority of caretakers would prefer to used electronic thermometers while a few with traditional tendencies favor glass thermometers seem to be very handy using taking a glass rectal thermometer to take a kid's temperature.

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[> Subject: Re: Small Town Doctor


Author:
Thomas R
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Date Posted: Sunday, August 09, 2009, 03:39: pm

-when I was a young child-rt were the norm-and in the small community where I live at now-rt is still performed on younger children-until the age of 18--the newer technology is not trusted-and the glass thermometer's are still plentiful here-the doctor and nurse's knowledge is not questioned-thus we are respecting the countless year's of their medical experience-the rt procedure is a harmless one-and it does not make the male to become a homosexual-that is a complete fallacy-rt is the most accurate method to measure a body core temp-this has been stated in numerous medical journal's-just lay down on your stomach and relax-accept the rt and let the dr and nurse's do their job's-the dr and nurse's are trying to help get you better.

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[> [> Subject: Re: Small Town Doctor


Author:
Stan
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Date Posted: Saturday, August 22, 2009, 03:36: am

What country are you from Thomas R. At least in the U.S. that is ridiculous. And nurses don't care about helping people, they only care about their paychecks and the "power" they feel by dominating their helpless patients.

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[> [> Subject: Re: Small Town Doctor


Author:
Thomas R to Stan
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Date Posted: Friday, September 25, 2009, 08:26: pm

I am from the USA, Mr. Stan, and your comment saying ridiculous to my comment, is bad judgement. If you are a doctor/nurse hater, then I am curious as to where you get your physical's performed? Maybe some backlot where it's a quick cash payment, then you take the crook's word that your health is good? Again, bad judgement on your part, but it's your life. And the part about "nurses don't care about helping people, they only care about their paychecks and the "power" they feel by dominating their helpless patients" is a useless tone to rant. Maybe you just haven't found the right doctor for the procedure's you need. There are many to choose from. Doctor's and lawyer's practically rule the yellow page's of the phonebook)-I have been going to a great doctor for many year's. I have outstanding health and a flawless background of any bad visit's. So good luck on your search, and happy health to you from a small town resident.

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[> [> Subject: Re: Small Town Doctor


Author:
Dr. Jay
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Date Posted: Friday, March 19, 2010, 10:30: pm

Never ever, even in the 50's and 60's, did any physician require rectal temps on "children" up to age 18! Generally by age 6 an oral reading was deemed appropriate.

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[> Subject: Re: Small Town Doctor


Author:
Norman
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Date Posted: Monday, August 10, 2009, 11:18: am

The glass thermometer has been used for ages. I read on a news flash not too long ago about a new fill media will be used to replace mercury in glass fever thermometers that is non-toxic to the environment and patient. It is different from the ones currently out there. The thermometer is supposed to be competitively priced with the cheap electronic thermometers and its appearance is similar to the traditional mercury fill thermometers, with a white line along one side, triangular in cross section, and tapered tip at the non-entry end. So as not to be confused with the mercury fill thermometer as these thermometers too have a silver colored fill media they are longer and have uniform thickness, I think they said 5.X long and a lot thicker than the common fever thermometer. Oral and rectal versions are available. According to the pictures that I saw in a link the oral has a long tip and the rectal has a stubby tip. There was a thought that local health departments and environmental agencies would offer to swap out each old thermometer with both an oral and rectal version of the thermometer. There will be separate Fahrenheit and Centigrade types for easier reading but no combinations.

The main disadvantage is that one physical property of the new fill media is that it is inferior to mercury in that these new thermometers take I believe 4.5 minutes orally to register as opposed to no longer than 2 or 3 minutes for a mercury fill thermometer. In connection to this thread, I cannot imagine certain kids being able to sit down and holding a glass object in their mouths that long without taking it out, or worse having a mishap. The rectal temperature would eliminate that possibility as well as taking it orally with an electronic thermometer. In the case where an oral temperature is not an option with the new thermometer, the the alternative means of taking a temperature would be up to the parent or physician. I would think that the physician would take the easy way out and continue using the $1K electronic thermometer as opposed to the $3 glass thermometer in any situation except as a backup. It remains to be seen if there is a market for these new thermometers in the home taking into account that some older youngsters would be required, just as their 5 year old counterparts, to have their temperatures taken rectally. Parental (or other caretaker) preference would dictate the choice thermometer technology to use.

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[> [> Subject: Re: Small Town Doctor


Author:
Tim
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Date Posted: Friday, August 14, 2009, 04:53: am

Lets not all turn into nutheads here. A glass thermometer in the butt may be a drop more accurate then in the ear, the mouth, or the forehead....but really....

Ive spoken to many doctors and hospital workers about this and all of the forms of temperature taking are adequate.

I suppose if you do it to your kids up the butt, it's cause of tradition. The same tradition that guides religion.

If your kid's temperature is 101 instead of 100, so what? And if you take their temoperature by ear and it reads 100, you can THEN decide to do them up the butt. But i see no reason why to start with the butt temp first.

Its just tradition and as older people die off and younger people come of age, we won't see too much temperature taking in the butt.

My personal feeling is, you can stick any item up my butt you want, but your not jabbing it with a 2 inch needle!!!!

Dont get me wrong, if I was on a desert island and the only medicine that existed was in shot form, sure....Id let ya jab me as I scream bloody murder.

But fortunately we are past the tribal lifestyle and we have other alternatives.

I once had blood poisoning and my vains turned bright red. I looked like a new Star Trek character. I went to my doc and he gave me some antibiotic pills and said, take these. He knew better then to tell me to bend over...lol. If he had, I woulda said "you first.' LOL

Needless to say, in 2 days it was over and I lived happily ever after with no residual aching butt....lol

This guy is not hunting his own food. He's buying it at a supermarket at the crazy self serve that never shuts up.

Hes also trying every alternative before he takes it in the butt..LOL

But if it floats ya boat to stick a thermometer up my rear, knock yaself out.....LOL

Tim

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[> [> Subject: Re: Small Town Doctor


Author:
Trish
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Date Posted: Saturday, August 15, 2009, 11:34: am

I think that using glass thermometers to take kids temperatures gives medical person who likes to take kids temperature in their behind a plausible reason for taking certain kids temps rectally. I think there are girls too that would get a thrill out of taking kids temperatures in their butts including me and I like guys. So I think that it is unfair to label the MA guy as a gay without knowing his circumstance. Too bad I took a different career path but it pays a lot better and has better hours. Besides I don't think that glass thermometers are used much anymore anyway in clinics. If they were still used, that might be a different story.

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[> [> Subject: Re: Small Town Doctor


Author:
Karen
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Date Posted: Sunday, August 16, 2009, 10:30: am

I think Trish is right. Whatever causes it, it is a thrill to take or watch a rectal temp being taken, boy or girl. It has been a quite a few years now, but can remember being over my one girlfriends house when I was about 11 to about 13 on weekends and watching her younger brother have his temp taken in his bottom was the highlight of the weekend. Of course it did not happen every weekend, but when it did it was sure thrilling to watch.

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[> [> [> Subject: Re: Small Town Doctor


Author:
Stan
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Date Posted: Saturday, August 22, 2009, 03:45: am

Trish and Karen - it's pretty disgusting to hear about your love of watching children suffer, like they're some kind of sideshow or even possibly for your own sexual pleasure. What a great parent/medical "professional" you are.

Renee - I can see maybe up to the age of 6 but never after that.

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[> [> [> Subject: Re: Small Town Doctor


Author:
Sue (UK)
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Date Posted: Tuesday, August 23, 2011, 10:20: am

Like it or not, this "voyeristic interest" is something you're stuck with if you were raised in a bottom-obssessed medic-ocratic family, as I was!
And I think we should stop fretting about it - after all, what we're talking about here is nothing whatsoever to do with sex, is it?

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[> [> Subject: Re: Small Town Doctor


Author:
Renee
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Date Posted: Monday, August 17, 2009, 10:41: am

Trish I think that you would love working at my doctors office. The doctor in my community has such great stature that no one questions his practice of still using glass thermometers. He is a GP that has redirected toward taking kids exclusively as patients. He gives the poor patients a lot of breaks and free sample prescription meds.

Rectal temps are a lot more common with glass thermometers and the electric kind. They are used on virtually al 5 year olds and most 6 year olds. For the rest of them up to the age of 10 or 11 it depends on the patient. One thing for sure is that if the doctor wont see a patient without a temperature reading no matter. Whether or not a patient has the capability to take an oral temperature is arbitrary. It is a comforting to know that there is no possibility of a thermometer mishap in a kids mouth when the thermometer is safely held in place in their behinds for those three minutes. They dislike submitting to it and they let you know with their mouths unoccupied. Their complaints are acknowledged but but it does not change anything.

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[> [> Subject: Re: Small Town Doctor


Author:
Kate Cooper (EXCITED!)
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Date Posted: Wednesday, February 15, 2012, 12:15: pm

Please take a look at my casting call for small town doctors; it's a great opportunity!






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**********
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Please email us your story, pictures of yourself and current contact information to:
SmallTownDoctor@gmail.com

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[> Subject: Re: Small Town Doctor


Author:
Richard
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Date Posted: Tuesday, August 18, 2009, 02:50: pm

It's not an issue so much as to the type thermometer used for rectal readings. The glass thermometer, because of its accuracy, and coupled with the rectal route has been considered the "gold standard" of temperature taking. In years since the 40s, 50s and 60s, and perhaps later, the rectal method, though not completely discarded, probably isn't used as often or as frequently as was the case in years gone by. No doubt, there are most certainly cases/circumstances where the rectal temperature method, if needed, is done, but very likely with a probe type thermometer or digital. Glass rectal thermometers? May, in some settings still be used, but, the concerns over mercury, may have changed the type thermometers doctors and medical facilities use.
As for Kelly's concerns, I wonder if it was a concern because of the mercury issue or because of the route used (supposedly the rectal route).

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[> [> Subject: Re: Small Town Doctor


Author:
Kelly
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Date Posted: Wednesday, August 19, 2009, 11:07: am

I see using a glass thermometer to be a holdover from an earlier age in this doctors office. Since the transition was never made to electronic thermometers there is not shock for his patients to experience. From what I gather, kids today have more attention and hyperactive disorders which directs them toward the examination table rather than a chair to get their temperatures taken, and those that have school problems, a temperature in their mouths is not allowed.

With the new thermometers that was talked about, the glass thermometers might might not ever go completely away. No matter what kind of glass thermometer is used to take a youngster's temperature in his behind, I know for sure that it is secure in there and especially it is comforting when there is a doubt about him having an accident taking it in his mouth. Too bad the patients don't appreciate it as well. What really matters to the MA, whether it is a guy or girl, is that not only does he/she takes that part of his/her work seriously but finds it to be very gratifying as well. I know I would.

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[> [> Subject: Re: Small Town Doctor


Author:
Cynthia
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Date Posted: Saturday, March 10, 2012, 06:58: pm

I'm a babysitter and I am going to be using the two glass thermometers supplied by the woman I'll be babysitting for.She told me that she doesn't trust the digital ones.She has a boy who's 9 and a daughter who's 7 and told me to take her boy's temperature rectally but that her daughter is mature enough so she gets her's taken orally. Then she called him into the room so that she could show me how to do it.He blushed profusely when she told him to pull down his pants and lay down on his tummy as she was lubricating the thermometer but he did as he was told.Then she came over and spread his cheeks really wide so I could see his cute little asshole puckering as she shoved the thermometer in.There was less than half the thermometer sticking out and I couldn't help but to smile because it looked so cool!I'm going to be starting next week and I'll probably take his temperature on my first day.Her motto is better safe than sorry and told me not to hesitate taking either one of their temperatures if I even have a vague suspicion of a fever.

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[> Subject: Re: Small Town Doctor


Author:
Richard
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Date Posted: Wednesday, August 19, 2009, 05:29: pm

After your initial post-some believability. As you progressed it appeared you're a fake, possibly a male enjoying a thrill or possibly a female doing likewise. It just all seems to be falling apart. Your latest response regarding "shock" of an electronic thermometr unit being employed is nonsense. Who would this procedure be "comforting" for? Most kids don't care for this. And lastly, if the caregivers you refer to are "gratified" because they're taking a young boy or girl's rectal temperature...they need to get out of the business of healthcare.
But, I don't think you're the Mother of this imaginary son, but rather someone who, well, has had some success in pulling posters in on your fetish/fantasy.

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[> [> Subject: Re: Small Town Doctor


Author:
Daryl
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Date Posted: Wednesday, August 19, 2009, 10:03: pm

I found this forum from a link. Just looking. The thing that I don't understand, and don't take this personally, but why does the forum exist? This board and other medical discussion boards are established to present medical fantasies, whether it be presented as a factual discussion (like using square needles) or an accounting of a real life situation.

I would not take any of these discussion very seriously, unless of course, you want to do so. But don't be offended if it appears to you that a testimonial is fiction, because after all it is assumed to be fiction.

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[> Subject: Re: Small Town Doctor


Author:
Leroy
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Date Posted: Saturday, August 22, 2009, 04:04: am

Kelly, I think he is a little too old for an RT. It wouldn't be so bad if he didn't have to have an audience. Not only is he forced to flash other non-medical workers but also kids, girls his own age. He was obviously upset that he had to have it taken rectally because other kids his age don't, which is bad enough for his self-esteem. But to have it done right in front of those same kids must be traumatic. The little girl especially will not only tease him and brag to her friends that she saw his bum and maybe more, but now everyone will know that he is considered less mature than the other kids his age. How could you do that to him? What kind of parent are you?

Obviously the MA couldn't care less about his psychological well-being or his self-esteem, but you as his mother should care. How could you put him through that? At the very least you should demand it be done in privacy. I think you failed as a mother and totally let your son down. I hope for your son's sake that you never let it happen again.

Also remember that you as his parent have the final decision. That MA sounds like a real ass and you shouldn't let him FORCE your son, or you to do anything. Speak up! He's an MA for Christ's sake! MA's aren't even required by law to get any medical education.

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[> [> Subject: Re: Small Town Doctor


Author:
Ed
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Date Posted: Saturday, August 22, 2009, 11:37: am

The liberal use of the glass rectal thermometer to take kids temperatures was considered normal 50 years ago at many doctors offices, clinics, especially at military service clinics: rectal temperatures were taken in plain view of the waiting room, a mix of a rectal and multiple oral temperatures were taken concurrently in the same confined area, glass thermometers were the only available thermometers available, etc. There were cutoff ages where rectal temperatures were required, usually at the age of 5 or 6, yet some older ones were selected for rectal temps for reasons like colds, drinking cold liquids, and other reasons. Since adult were given consideration of privacy and kids were not, it could be assumed that the unmasking of a kids behind and either taking a temperature rectally or given a shot in plain view of an common area, that privacy was a non-issue for kids.

It was obvious that many nurses were biased toward taking kids temperatures rectally and when an opportunity presented itself, the nurse would be pleased to perform the task. Suffice it to say that the experience has had a lifetime effect on the kids that experienced it either as patients getting their temperatures taken and/or observing kids having their temperatures taken.

By the way, the same can be said of childhood enemas, suppositories, shots, physicals, etc. The difference between these medical procedures and taking temperatures rectally with glass thermometers, is that the other procedures are still used extensively and will continue to affect kids growing up, creating an assortment of medical fetishes. With the very few doctors offices and clinics that still use glass thermometers (especially with those that have limited privacy), it can be expected that this fetish will come to an end (at least in the North American continent).

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[> [> Subject: Re: Small Town Doctor


Author:
Jaden
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Date Posted: Tuesday, August 25, 2009, 05:41: am

Thank God we are more civilized now in America (in most places).

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[> [> [> Subject: Re: Small Town Doctor


Author:
THIS Guy
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Date Posted: Wednesday, September 23, 2009, 07:19: pm

Civilized Jaden?...It's not a question of civilty at all. It's uniquely a question of EFFECIENCY, DEPENDABILITY and PRACTICALTY. Can't you recognise a capitalistic profiteering imposed endeavour when you see one. Those digital thermometers are expensive, useless pieces of crap; many among which end up in the garbage polluting our environment. Besides, try to loosen up and have a little kinky fun in your life...and I don't necessarily mean go molest some kid somewhere either... And as far as your little prejudicial comment goes...get real and get properly educated and informed before making such ignorant assumptions over people abroad. BTW, IMHO; that's not God's way I'm quite sure of that.

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[> [> Subject: To this guy


Author:
Tim
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Date Posted: Thursday, September 24, 2009, 02:45: am

I dont think Jaden's comment was prejudicial. I think he meant, that medicine in America has advanced to a point where we understand the affects of certain situations. He made no mention of America vs. Abroad. So I'm confused where your anger comes from. And if you want to compare our Country with many in Europe, look at their teeth???? Not prejudice....factual.

Next....I don't hink Digital Thermometers are useless or inaccurate. All of our hospitals use them and I havent known anyones temperature to be that off from a digital reading. The same holds true for an ear thermometer. I also doubt that disgarded thermometers are the reason for Global Warming.....lol

I assume you drive car. Perhaps blame your own self for contributing to pollution. Your car tailpipe sends poisonous Carbon Monoxide in their air every second. Perhaps worry about that before digital thermometers.

Lastly, digital thermometers are no more expensive then Mercury ones. If we go back to when they only had glass thermometers, they were expensive. In additon, Mercury is a very poisonous substance. If a glass thermometer ever cracked in your butt, you'd have a real life and death issue; especially if it happened to a Todler. Digital is not only faster, but much much safer.....

I rest my case your honor.....

:>) Tim

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[> [> [> Subject: The more you try, the less I believe...


Author:
THIS Guy
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Date Posted: Thursday, September 24, 2009, 09:01: pm

I don't believe in male nurses...they're called ORDERLIES...A rose by any other name is NOT a rose; and furthermore, I don't use a car more than I have to; I'm VERY wary about that...and today's glass thermometer's DON'T have mercury in them any more but it is advisable that they be used cautiously in any case. Stop trying to justify the unjustifiable by trying to push standard issues on people; any wise and rational individual can easily see through the haze of brainwashed capitalists. It's not anger as much as frustration to be a bystander witnessing so much ignorance, hypocrisy and deception all over. So much going on, so little to believe in. Yours is no exception... as sure as cancer is not a disease, but a carefully contrived and pre-arranged social murder weapon. Case closed your dishonor! (I'm really sorry if I've offended you in any way, but I just can't stand the vicious insideousness of the legally criminal free-for-all going on these days when entire families can be snuffed out like candles by the mere whim of a few influencial hate blind socialites...)

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[> [> [> [> Subject: Re: The more you try, the less I believe...


Author:
Tim
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Date Posted: Thursday, September 24, 2009, 10:54: pm

Hi THIS Guy,
No I dont get offended, ever. What people say is merely a representation of that they're about. It has very little to do with me or anyone else.

I do think that Capitalism doesnt work and greed takes over. However, I have yet to find a form of government that works any better, have you?

Tim

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[> [> [> [> [> Subject: Awareness is a start...


Author:
THIS Guy
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Date Posted: Friday, September 25, 2009, 10:18: am

Hi Tim! I'm glad you're not offended by my rants. It's good to see that you're at least aware of things as they are, and that's a damn good start towards a better day for all. Now if everyone would make that conscious effort, at least there would be hope for consideration of a more humanitarian and benevolent alternative form of government. You can also do good with money, but somehow human nature with its obsession with power is for some reason inclined to do just the opposite. Cheers!

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[> [> Subject: Re: Small Town Doctor


Author:
Ed
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Date Posted: Tuesday, September 29, 2009, 01:13: pm

Both digital and mercury thermometers are made by capitalists. So what's the difference.

As far as digital thermometers verses mercury filled glass thermometers are concerned, putting the toxicity aside if one is dropped and breaks, it is a matter of preference.

It is obvious that digital thermometers are at least as accurate and produce fast results. Plus, there is virtually no chance of a mishap with one in a child's mouth since the components cannot break with misuse.

As far as expense is concerned, it is true that a digital thermometer for home use is about the same cost as a glass one (if one can be found). However, a clinical digital thermometer can cost over a $1K. I can see why a more seasoned physician would think that glass thermometers always worked before so why change. Especially if their staff does not mind using them.

Glass thermometers are reliable and the concern over a mishap occurs when a youngster's temperature is taken orally. A rectal temperature solves that problem when a glass thermometer is used and the attendant is pleased to know that the glass rectal thermometer is secure with the thermometer in place. Obviously, to repeatedly taking youngsters temperatures several times a day requires that the attendant also find the job satisfying.

So it takes a doctor that continues to use glass thermometers and staff members to value them as well.

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[> [> [> Subject: Re: Small Town Doctor


Author:
THIS Guy
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Date Posted: Friday, October 02, 2009, 07:34: am

What are you talking about ED? Glass thermometers are much more effective than any other. If you don't know the facts, don't comment as if you do.

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[> [> [> [> Subject: Re: Small Town Doctor


Author:
Ed
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Date Posted: Saturday, October 03, 2009, 03:34: am

It does not matter which on is more effective than the other. What does matter is what one has a greater comfort level. For glass thermometers, it is a familiar icon that appeals to those it served in their younger years.

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[> [> [> Subject: Re: Small Town Doctor


Author:
Membership
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Date Posted: Friday, October 02, 2009, 09:18: pm

"THIS Guy" does not have both oars in the water.

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[> Subject: Re: Small Town Doctor


Author:
Wanda
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Date Posted: Sunday, March 21, 2010, 11:37: am

I also serve in a small town doctors office where the transition to electric type thermometers were never made. The doctor is semi-retired and has a younger doctor (age 51) working with him. This general practice offices is only 1 of 2 within reachable in this area. Although the thermometers have not change, the fees here also have not either. The other practice in another town has a more contemporary staff with more modern medical equipment, including thermometers. Usually better off families end up going there. There is also a centrally located but out of the way adult community based health clinic where most disadvantaged adults and the same for children up to toddler age. Unfortunately, that leaves a big gap in the youth area.

There has not been much said about the old Mercury thermometers and the environment around here and there are containment procedures for collection of broken thermometer material. Fortunately, such incidents are uncommon because I am extremely careful in handing glass thermometers. That is cleaning, disinfecting, storing, preparing (shaking down), etc.

Rectal temps can be part of the package when visiting here. For some it is temporary because of age (age 6 is the max limit) or medical condition such as a chest or head cold. Older patients that are considered incapable of safely maintaining a thermometer in their mouths are accommodated by taking their temps rectally.

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[> [> Subject: Re: Small Town Doctor


Author:
Marcus
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Date Posted: Sunday, March 21, 2010, 02:02: pm

I would volunteer to have you take my temp rectally. It is the way I take it at home.

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[> [> [> Subject: Re: Small Town Doctor


Author:
Tim
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Date Posted: Sunday, March 21, 2010, 05:12: pm

I last saw a glass thermometer in a medical office in the late 90's. The doctor was a gp who ran a family practice. I was surprised to see it even then, as most practices had the digitals already. I guess that the transition didn't automatically happen everywhere. I wouldn't want to risk the mercury exposure. From a patient's point of view, I would be appalled if asked to remove my pants for a rectal temp. I would walk out the door. What I do in the privacy of my home is for fantasy and enjoyment. I won't allow it to be taken that way by a doctor or nurse. Now, if I were unconscious, I wouldn't care.

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[> Subject: Re: Small Town Doctor


Author:
Gina
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Date Posted: Tuesday, March 23, 2010, 01:17: am

What exactly is an 8.75 year old son?

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[> [> Subject: Re: Small Town Doctor


Author:
numbers to Gina
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Date Posted: Tuesday, March 23, 2010, 11:54: am

it means in 3 months he will be 9 years old.

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[> [> [> Subject: Re: Small Town Doctor


Author:
Cindi
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Date Posted: Saturday, March 27, 2010, 05:44: pm

In small communities, there is often a lack of decent medical facilities, because the fact is that the majority of doctors are in the profession to make megabucks. It's the rare individual that will spend time and money on medical school, and consider working in a rural area as a reward. These small towns have a tendency to be economically depressed, and don't have conveniently located hospitals, with cutting-edge technology. If you live near a large city, then you can be better assured of receiving decent treatment. This can be critical in a life-threatening situation. If I knew that a doctor wasn't up to date on their knowledge, elderly, and in failing health, or had an antiquated practice, I would think twice. It might be best to drive several miles, or better yet, move away. You don't have to accept second best when it comes to your body.

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[> [> [> [> Subject: Re: Small Town Doctor


Author:
To Cindi
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Date Posted: Sunday, March 28, 2010, 05:47: am

I disagree that there is a lack of DECENT medical facilities. There may be a hospital with no cardiologist or neurologist, but that doesn't mean that it is not a decent facility. A hospital is expensive to run. If the community cannot support a cardiollogist, there won't be one. doctors have bills too, and most Americans feel they shouldn't have to pay anything for healthcare. I have patients who ask me to write prescriptions for tylenol so medicaid will pay for it so they don't have to. My patients who pay their own premiums have to buy their own tylenol, but medicaid patients pay for nothing - no office visit copay, no mediations, no nothing. We should all have access to health insurance, but we should all have to pay for it too.

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[> [> [> [> [> Subject: Re: Small Town Doctor


Author:
Cindi
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Date Posted: Sunday, March 28, 2010, 11:22: am

You write prescriptions for tylenol? I thought that was sold over the counter. Anyway, the healthcare issue isn't going to go away. Fact is that the Republicans are selfish,greedy, and want nothing for anyone who is deserving. Only the wealthy and powerful should enjoy life, according to them. My belief is that as working Americans, our tax dollars should be paying for our services, including healthcare. It isn't entitlement, we've earned it, and we should have received it decades ago. Do you think that it's fair for a patient, through no fault of their own, to be sick or injured, then to be punished again, by losing their home, and/or being placed in a lifelong financial hell because some arrogant, greedy doctor feels entitled to earn millions of dollars? That attititude has destroyed this country. It's high time that justice and equitable fairness prevail. How can we build a system that works for the public good, when a few demogogues want the whole pie for themselves?

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[> [> [> [> [> [> Subject: Re: Small Town Doctor


Author:
Cindi- to poster
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Date Posted: Sunday, March 28, 2010, 11:33: am

Oh, and btw, how can you have a hospital without a cardiologist or neurologist on the staff? Something doesn't add up here.(And you're a healthcare provider?). The reason many people wind up in the hospital is due to heart attacks, strokes, and injuries, so what would be the point in having a non-functioning medical facility? But, somehow, you equate that with decent medical care!!??

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[> [> [> [> [> [> [> Subject: Re: Small Town Doctor


Author:
to Cindi
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Date Posted: Sunday, March 28, 2010, 09:03: pm

Yes - medicaid will pay for tylenol if the Doctor writes for it. Medicaid covers it 100%. No copay - no nothing. Just government pays for it. My 86 year old grandmother pays almost $400 for her meds a month and the people on Medicaid pay nothing. This isn't about doctors being greedy or making millions. I see uninsured pts in my rural clinic for a $20 copay. And to answer your other question - I'm not sure where you live, but there are thousands of small community hospitals without cardiologist or any other kind of specialists. there are hospitals without even one surgeon. These people have to be paid, not because they are greedy, but because they have house payments and children to clothe and feed and send to college. If the community can't support the specialist, they won't be there. If someone is having a heart attack they are transferred to a larger hospital in a nearby larger town that has specialists. And -- the specialist in that hospital has to ACCEPT my patient who is having a heart attack. I can't just ship them over - the receiving physician has to accept them before the ambulance or helicopter will leave my hospital. This is not unique to my community. It's everywhere.

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[> [> [> [> [> [> [> [> Subject: Re: Small Town Doctor


Author:
Leo
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Date Posted: Sunday, April 01, 2012, 02:03: pm

First, I agree with "to Cindi." Medicaid will often pay for OTC meds if you have a script. Second, many good hospitals do not have staff in every sub-speciality, such as neuro-surgery. Some may not have OB or dermatology. At our hospital, we have GI doctors who will not see Medicaid patients, so the fact that a specialist is on the staff doesn't mean he/she will treat you. Third, based on your initial post,. you seem to be arguing that it is preferable to see a doctor who went to the big medical centers to make "mega-bucks" than one willing to serve a small community taht reallly needs him or her, just because the big medical centers have expensive technology which is often over-used raising the cost of medical care.

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[> [> [> [> [> [> Subject: Re: Small Town Doctor


Author:
an addendum
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Date Posted: Sunday, March 28, 2010, 09:56: pm

I am trying to be polite, but I get so frustrated with this arrogant, greedy doctor thing. Until you have walked a week in my shoes, you have no idea. I am on call
24-7-365. yeah, there are a couple of other docs who cover the hospital call and we take turns, but the nursing home patients' calls come to me - their doctor. Home health patient calls come to me - their doctor. 24-7-65. My kids go to bed some nights without having seen my all day - or the next day because I am in the hospital taking take of paitents who get online and talk about how greedy I am. I took my family to Disney recently and was called over a dozen times while I was there even though I was . on "vacation". I spend a ridiculous amount of my day thrying to figure out ways to help uninsured pts get what they need cheaply. I prescribe off the walmart $4 list which takes up more office time. I don't want a freking medal - I want a break. I want to quit hearing how I am the problem with healthcare today. No - here's the problem with healthcare today. The people who DON'T pay taxs and get their healthcare for free (including tylenol if the doc will write for it)while you and I pay health insurance premiums, have $35 copays and pay up to $50 copays for our medications. I am not the problem. The people who want something for nothing are the problem.

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[> [> [> [> [> [> [> Subject: Re: Small Town Doctor


Author:
comment
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Date Posted: Sunday, March 28, 2010, 10:45: pm

I just happened to run across this post, and have to question the validity of what I've read. Now, this supposed hospital has a helicopter to transport paitents, but it can't afford a specialist, which would avoid the need to transport the patient in the first place. Hmmmmm. The nearest hospital is close by, which has a Cardiologist, yet, there's no ambulance service, but instead, a helicopter, standing by? And, if it's within driving distance of your hospital which lacks an essential staff, then why did they even build it in the first place? The other question is the 24/7 on call schedule. The only doctors with this type of schedule are typically medical students, while doing an internship. It may be feasible for a doctor to be on call for a specific rotation, once they have received complete certification, i.e., a cosmetic surgeon who is called to the ER to repair damage to a car accident victim, etc. Nonetheless, the account is very puzzling and inconsistent, and doesn't make much sense, but who knows?

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[> [> [> [> [> [> [> [> Subject: Re: Small Town Doctor


Author:
Opinion
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Date Posted: Sunday, March 28, 2010, 10:58: pm

The healthcare issue is turning into a tug of war campaign between the haves and have nots. If our current healthcare system worked, then we wouldn't need change, but it has failed miserably. Today, because of the Republicans, many folks are without work, through no fault of their own, and many more are working for minimum wage. You can't tell me that these down on their luck people don't deserve help. If you blame them, then shame on you! Our tax dollars have paid for lavish parties, corporate ceo's mansions, mistressess, and blood for oil wars. So, the taxpayers are getting screwed. That attitude needs to change. People deserve to be taken care of. They've earned it, and paid for it. We're one of the wealthiest nations on the planet, yet one of the least concerned when it comes to people.

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[> [> [> [> [> [> [> [> Subject: Re: Small Town Doctor


Author:
To Comment
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Date Posted: Sunday, March 28, 2010, 11:23: pm

No - our hospital doesn't have a helicopter. We have a helicopter pad. The helicopter has to be brought in from a neighboring town. We do have amublance service. Sometimes a patient can be taken by ambulance, sometimes it is more urgent and they need to go by helicopter. Sometimes weather conditions do not allow for helicopter transport. From my side of it, it seems like if the wind is blowing at all, and I need someone to go quickly, I am declined for weather.
yes - doctors who take care of nursing home patients or home health patients are on call for those patients 24-7. docto As I mentioned before, doctors sometimes have call groups who cover hospital call, but for nursing homes/homehealth we don't.
Medical student call and intership/residency call is NOT 24/7. There are new laws that preclude this from happening. Residendt can not work more than an average of 80 hours/week during a 4 week period.
I honestly did not realize how uninformed the public is about the challenges faced by practitioners of rural healthcare.

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[> [> Subject: Re: Small Town Doctor


Author:
TO CINDI
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Date Posted: Tuesday, March 30, 2010, 12:30: pm

Cindi...yes, there are still many hospitals in small rural areas, and in the USA who do not have a Cardiologist, and other specialists ready at hand. They may have to come as far as a hundred miles to serve that facility, but with modern transportation ie: Helicopters, patients are flown into a major hospital for treatment if emergent.

My father was 400 miles out of Seattle, and was flown there for cardiac care from his small northwest town in Washington, and their small 35 bed hospital did not have any specialists on hand, just one internal man who doubles as an ER doc, and a GP.

So, if you are near a major medical facility well staffed, count your blessings....many these days are not!

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[> [> [> Subject: Re: Small Town Doctor


Author:
Cindi
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Date Posted: Tuesday, March 30, 2010, 02:54: pm

Well, if your medical facility has no specialists on the staff, then is it truly a hospital, or a first aid station?How many M.D.'s are working there? A 35 patient hospital, sounds more like a clinic, or a glorified urgent care. Many people come to the ER with heart attacks, strokes, or life-threatening problems. Does this mean that their chances for survival are drastically reduced? I guess that's the chance they take for living there. I do know that the cost of maintaining and piloting a helicopter isn't cheap. It would seem more cost effective to have a well-staffed hospital, or as I said before, to just depend on the facility which farther away. I wouldn't want to have to rely on something like that.

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[> [> [> Subject: Re: Small Town Doctor


Author:
Well Cindi
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Date Posted: Tuesday, March 30, 2010, 04:02: pm

Maybe you ought to venture out more often to the rural world.

Ever see the movie, "Patch Adams?"

Many people come into this "little clinic" as you call it with all those things you mentioned, but they get care, and they survive.

Getting a well staffed hospital is easier than done because, in my opinion, many doc's do not want to work for peanuts, just the big bucks.

Your concept on this whole hospital issue is backward thinking to say the least.

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[> [> [> [> Subject: Re: Small Town Doctor


Author:
Maria
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Date Posted: Tuesday, March 30, 2010, 11:18: pm

Mountain City, TN has a hospital with only 2 beds. Cindi - where do you live?

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[> [> [> [> [> Subject: Re: Small Town Doctor


Author:
Jeff D (he knew everything)
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Date Posted: Wednesday, August 17, 2011, 08:52: pm

Growing up in a small town in the 50's/60's everyone knew and liked our doctor--He was a great guy and a very good doc. He had delivered as babies--most of my generation and knew everything about us as we grew to adulthood and beyond----You just knew he knew all about everyone and it was not questioned----sort of like the parish priest who knew all the secrets but you just knew he could tell no one so that was fine----both were kind gentle men

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[> [> [> [> [> [> Subject: Re: Small Town Doctor


Author:
Jay
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Date Posted: Thursday, August 18, 2011, 02:23: pm

Just don't let that parish priest take you into the rectumry!

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[> Subject: Re: Small Town Doctor


Author:
JL
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Date Posted: Wednesday, September 28, 2011, 11:03: am

I find it funny that non-medical professionals think that they know "so much". I work in an ER than mandates RTs for children that don't have the ability to properly do an oral temp. Also, we don't have certain specialties like cardiology or neurology, but other hospitals in the area have those specialties. If a patient presents that needs a certain specialty not offered by the hospital, the patient is stabalized and transported to the appropriate hospital. Many hospitals are like this. ER docs are perfectly suitable to stabalize a patient.

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