Re: Sad but true --->Call the question!

From: Barbara Nicol MD (blnicol@ix.netcom.com)
Thu Feb 16 13:00:12 2006


Um, why would you assume, or why should or would women assume, that all medical students or all obstetric providers are straight? I know several of both genders who aren't. So why would or should the patient assume that a male provider is even theoretically interested in them sexually, or that a female provider isn't? Again, this seems like an occasion to educate the patient about expectations within professional relationships, and the fact that many excellent gynecologists happen to be straight men and/or lesbian women, and how these are really very irrelevant characteristics in a professional setting.

If I thought for a minute that my male >provider was speculating about me that way, even in his mind, . . . I
>can't even think of words to express that feeling, but surely all you
>empathetic people can imagine. The dates of those posts mean that at
>least some of those men are practicing now, likely as OBGYNs.
>
>IRT the unusual circumstances you mentioned-I don't know many women who
>have not had their sexuality used as a weapon against them in some
>way-incest, date rape, stranger rape, sexual harrassment. I don't think
>those circumstances that increase vulnerability are as unusual as we
>think.

Yes, we all need healing from our various irrational cultural expectations, like the one that says all physicians are straight, and old traumas like the ones you mention, but this doesn't mean that we should validate and perpetuate them. Rather, we should help patients move past old trauma into a mature and adult relationship with their physicians and midwives. >
>I am very concerned at the message that women and especially young girls
>should just submit to examination by men, ignoring their instincts.

You could perhaps encourage your patients to reframe it as "allowing men to serve their health care needs". <g> So often power is about perception, innit?

- Barb

--
Barbara Nicol MD
St. Luke's Health Care Center
San Francisco CA USA




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