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Subject: Re: "Unnecessary" Is The Word That Bothers People


Author:
rk
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Date Posted: 18:25:54 06/15/09 Mon
In reply to: Carol 's message, ""Unnecessary" Is The Word That Bothers People" on 23:21:45 06/12/09 Fri
 "Why are we trying to tell the caregivers how we think they should do their jobs. Let's grant that they know what they are doing. After all, we aren't the first patient they ever examined or did a specific procedure on. If we let them alone and stop second-guessing how they do things, we'll all be better off."

Paula: Let's grant a few other things:
-- "Do their jobs?" Remember, we are the "jobs" they're doing.
-- Our bodies belong to us, not the caregivers.
-- Just because people are taught to do something a certain way, doesn't necessarily mean it is the correct way. What they're taught in "school" and what they're taught "on the job" may be quite different. Often what you learn on the job is what's in your or the institution's best interest.
-- We are not mere objects they are working on.
-- There are human beings, people, fathers, sons, daughters, mothers, grandfathers that are the "object" of their work.
-- We may not be the first person they have done a procedure on, but they may be the first person who has done such a procedure on us. That's the point. That's what matters. How often do we have to say this -- It's not about them. It's about the patient."
-- The number of people who die each year in hospitals due to errors suggest strongly that patients keep they eyes open and don't just "let them alone and stop second-guessing them." Patients have an absolute right to information and input into the entire process. That's a fact. Don't forget it.
-- There are real people attached to the organs and limbs doctors and nurses are working on. When medical professionals lose sight of the person behind the organ, they need to find another profession. I don't care how good they are.
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Replies:
[> Subject: rk, I Repeat, Who Decides What Is "Necessary"?


Author:
Leah
[Edit]
Date Posted: 07:46:15 06/16/09 Tue
What you said makes sense in theory, that unnecessary exposure is wrong. But, as I asked in my earier post, who is to decide how much exposure is necessary for a certain procedure? Please read my earlier post for some examples.

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[> [> Subject: It's A Cookie Cutter Approach, As Paul and Gordon Said


Author:
Commentator
[Edit]
Date Posted: 08:16:35 06/27/09 Sat
Yes, they do use a cookie-cutter approach. The aides, most often younger staff members, often females, are minimally trained using a cookie-cutter approach. It' easier that way.

Every patient having surgery on a specific region of the body is a shaved over a broad area as defined in their training. So an abdominal prep, for example, requires one kind of shave. For surgery on the back, it's another broad
area, and likewise for lower limb and upper limb shaves.
Training is quicker that way.

They could, of course, customize each prep according to what exactly is being done in the surgery, but they don't.
The aides are not even in on what exactly will be done.
They also don't know the preferences of specific surgeons, and they are assigned randomly to their patients to prep.

I'm not defending any of this, just describing it. Paul is right. If the patient disagrees with what is being done and who is assigned to do it, he or she must speak up. It's
a fact, though, that vdery few ever do that.

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[> [> [> Subject: Re: It's A Cookie Cutter Approach, As Paul and Gordon Said


Author:
Ben
[Edit]
Date Posted: 22:12:46 06/28/09 Sun
You're right Commentator, patients must speak up. I guess if they are too cowardly or stupid to say anything then they deserve the disgusting, unethical treatment.

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