chucK Posted January 17, 2008 Share Posted January 17, 2008 (edited) Here's something that sorta fits with the homeopathy thread... FORCED RECTAL EXAM!!! summary: guy gets head injury goes to ER, doc wants to do rectal exam, patient refuses, doc has him restrained and sedated, then doc charges patient with assault when he gets punched in the process. Apparently checking for "tone" in the rectum is SOP for head injury patients to assess possible spinal cord trauma. But it seems pretty extreme to be ordering someone restrained and sedated. And even if you think that's OK because head injury patients can't be assumed to be thinking straight, then it seems illogical to charge the patient with assault. It sorta looks like that doc is on a bit of a high horse (which is a big problem in medical care nowadays). Edited January 17, 2008 by chucK Quote Link to comment Share on other sites More sharing options...
denalidave Posted January 17, 2008 Share Posted January 17, 2008 Then, during the rectal exam, the patient asks... "He doc, how come you have 1 hand on both of my shoulders?". Quote Link to comment Share on other sites More sharing options...
olyclimber Posted January 17, 2008 Share Posted January 17, 2008 well the doc should know that abnormal violence can happen as a result of a head injury. its well documented that people, after a head injury, and sometimes become violent. so its all good. Quote Link to comment Share on other sites More sharing options...
kevbone Posted January 17, 2008 Share Posted January 17, 2008 Then, during the rectal exam, the patient asks... "He doc, how come you have 1 hand on both of my shoulders?". Quote of the day Quote Link to comment Share on other sites More sharing options...
JayB Posted January 17, 2008 Share Posted January 17, 2008 "And even if you think that's OK because head injury patients can't be assumed to be thinking straight, then it seems illogical to be charging this guy with assault." Oops. Forgot to add comments. Fine with the restrains - often warranted in cases of intoxication/head-injury, but silly to press charges since the assumption is that the guy is/was impaired. Quote Link to comment Share on other sites More sharing options...
chucK Posted January 17, 2008 Author Share Posted January 17, 2008 ?? What's yer beef? Did you think I was referencing charging the doctor? I meant it seems illogical to be charging the patient with assault. Apparently sane onlookers now agree as those charges have already been dropped. Quote Link to comment Share on other sites More sharing options...
bstach Posted January 17, 2008 Share Posted January 17, 2008 How does this "sorta fit" with the homeopathy thread? Quote Link to comment Share on other sites More sharing options...
Bug Posted January 17, 2008 Share Posted January 17, 2008 It about taking up the A&* for no reason. Quote Link to comment Share on other sites More sharing options...
layton Posted January 18, 2008 Share Posted January 18, 2008 The reflex to test spinal cord damage via the rectum is called the "anal wink". I always chuckleuncontrollably when I hear that. Anal Wink...bwhahahahah Quote Link to comment Share on other sites More sharing options...
olyclimber Posted January 18, 2008 Share Posted January 18, 2008 so you were the doctor?????? Quote Link to comment Share on other sites More sharing options...
G-spotter Posted January 18, 2008 Share Posted January 18, 2008 A nod's as good as a wink to a blind man. Quote Link to comment Share on other sites More sharing options...
high_on_rock Posted January 18, 2008 Share Posted January 18, 2008 Students at a massage school take turns acting as giver and receiver to practice on eachother. Do you think this also happens at med school while learning anal winking? Or do they hire a homeless person to come in and get winked by the entire class for $20? Does the professor bend over for the final exam to make sure it was performed correctly? Just courious. Quote Link to comment Share on other sites More sharing options...
SneakySix Posted January 18, 2008 Share Posted January 18, 2008 At UW, they hired standardized patients for us to practice on. And FYI the "anal wink" is a reflex when you insert your finger into the rectum and then squeeze the glans of the penis, your supposed to feel a contraction of the external sphincter muscle, although not everybody has it... Quote Link to comment Share on other sites More sharing options...
rob Posted January 18, 2008 Share Posted January 18, 2008 At UW, they hired standardized patients for us to practice on. And FYI the "anal wink" is a reflex when you insert your finger into the rectum and then squeeze the glans of the penis, your supposed to feel a contraction of the external sphincter muscle, although not everybody has it... and insurance will cover this? Man, I've been wasting my money at those massage parlors. Quote Link to comment Share on other sites More sharing options...
high_on_rock Posted January 18, 2008 Share Posted January 18, 2008 That has to be a cute job application. Quote Link to comment Share on other sites More sharing options...
bstach Posted January 18, 2008 Share Posted January 18, 2008 At UW, they hired standardized patients for us to practice on. And FYI the "anal wink" is a reflex when you insert your finger into the rectum and then squeeze the glans of the penis, your supposed to feel a contraction of the external sphincter muscle, although not everybody has it... Well no wonder that doctor got punched! Quote Link to comment Share on other sites More sharing options...
scheissami Posted January 18, 2008 Share Posted January 18, 2008 Ah, yes the bulbocavernosus reflex....when I worked at Grady County Hospital in Atlanta we called it the "Grady Handshake"...the patients were not thrilled. Depending on the trauma, there are all sorts of good reasons to do a rectal exam. People in motor vehicle accidents or fall from height (that might be us) can sustain significant pelvic fractures in which injuries extend into the rectum or involve the prostate (ouch!). Pretty rare occurrences but obviously not things that ought to be overlooked. Quote Link to comment Share on other sites More sharing options...
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