What do doctors do when patients expose sensitive areas during medical visits? How did your patient respond?
Private parts of the disease need to see a doctor, may be every one feels is very difficult to speak and embarrassing things, if the same sex of the doctor is okay, bump into the opposite sex of the doctors or nurses will be even more difficult to accept, as a patient, there is such a mentality is normal, from the doctor's point of view?
For doctors, from a medical point of view, doctors and nurses learning medicine are first exposed to model human organs, medical anatomy, human specimens, human body learning, for doctors and nurses, human organs have no privacy, no men and women, only patients.
A patient introduction, a summer in a chemical company, often in contact with chemical materials, covered with erythema, especially the lower crotch more serious, I went to the hospital to see a female doctor, she asked where it is not comfortable, I said the lower body, she led me to the place where there is a curtain, back down the pants to see, I'm entangled in a special embarrassment, I do not know what to do, shy, the doctor said, embarrassed about what, I'm a female doctor. The doctor said, embarrassed what, I am a female doctor, I am not embarrassed, I am facing the patient, there is no male and female. It was only then that I lowered my pants and let myself be seen. The doctor used anti-inflammatory and antiseptic solution to help wipe, then prescribed medication.
To put it plainly, doctors or nurses in the first contact will also be embarrassed, curious, fresh and exciting, but due to the need for work and study, the vast majority of doctors and nurses to see more will be numb, as a professional, as if the painter in the face of the nude models, have been used to it. And we usually see the hands, feet, the same as these organs, will not produce what non-thinking.
Instead, many patients, especially female patients, are often more likely to be embarrassed when they encounter a doctor or nurse of the opposite sex operating on them.
For doctors, playing medicine to start, the human physiological anatomy is the most basic compulsory subjects, psychological quality must have, when you do treatment to the patient, the nurse appears to be more than the patient is still squirming, the patient is more nervous, then cooperate with the operation can not be better, before the operation should be informed of the patient, and the patient communicates with the patient, the need for the patient to expose their private parts, and explain, the general patient will be very good! The nurse can also be replaced, the doctor is mostly male.
If the patient is male, surgery requires skin preparation, general perineum, if the department has a male nurse can be entrusted to help a little, and then, because of the impact of traditional thinking, some patients will be very shy about this, generally for the perineum skin preparation will require their own operation, the male patient, if the physiological reaction, the nurse can first leave, inform the patient a few minutes back, the patient will understand, and secondly, the patient very much Care about personal privacy, in the operation process should pay attention to the protection of good, pull the screen, the appropriate choice to avoid the patient's family visiting time period, to reduce the flow of people walking around, such as women's wards, to do the operation of the private parts, whether or not the need for unrelated men to go out in the outside, etc., the answer is natural, the patient to see the nurse so much attention to privacy, the psychology will be very relaxed.
Of course, it is easy to have some oddballs within any population. There have also been many reports of sexual harassment related to doctors and nurses in the middle of their operations, both domestically and internationally. But I think the chances of such a thing are very small.
Thanks for inviting me: the title question is twofold: first, 'What do doctors do when a patient exposes private parts during a medical visit?' The second is 'How does your patient respond?' First of all, let me clarify that I can only answer this question in the first person.
The author actually studied medicine in high school during the Cultural Revolution (comparable to today's vocational education, i.e., the most educated barefoot doctors in rural areas back then, who are still active in rural medical careers, treating the sick and saving people, even though they're old now). During my internship at the hospital, I saw a lot of problems like the one mentioned in the question. In a word, there are no taboos between patients and doctors, as long as you are wearing a white coat, patients will not be taboo. If you forget to wear white hangers during your internship, don't talk about looking at private parts, even listening to the patient's account of a private problem, the patient is not allowed.
I give an example, one night in 1971, I was in a hospital ward with the medical study at about seven o'clock in the evening, came to an emergency, according to the family oral statement of the female patient was with a man in the village with a large surname have an affair, that evening after they both finished I do not know what the reason is that the man with a knife stabbed the patient's lower body, the blood flowed straight. Must be operated immediately, into the operating room doctor found that the wound is large, must be sutured, but from the doctor's point of view suture is a small operation. Just let us interns do. Do you think the patient can be taboo? Of course as a doctor must have a healthy mind, unlike some people feel that the doctor must be very mean, to be honest in the face of the patient, as a doctor ninety-nine percent of the people without distractions, as my Buddha said: the four great emptiness. Of course, there are also bad people, that is very little, the world this big, absolute, 100%, perfect things basically can not be found.
So doctors and patients are not taboo, twisting and turning patients have; doctors face patients with medical ethics as a guideline to ensure that patients are not harmed, not rude treatment, with noble personality and medical ethics to face every patient.
Decades have passed, and I believe every healer's mind is healthy. I have since changed my profession, when it was the need of the hour.
It is neither common nor useful to say too many irrelevant things. For doctors, their duty is to save lives and help the injured, encountered male and female private parts of the examination and treatment, is also necessary. Same-sex basically no embarrassment, heterosexual diagnosis and treatment, at first more or less embarrassed, but over time to get used to it, the key is to look at the private parts of the opposite sex after all, rather than their own by the opposite sex to see! Of course it's easy to get used to it. Just like the beauty school male and female students painting male and female nude models, willing to be a nude model is very little, willing to be a beauty school students in a large number of people, because the painting of other people and be painted by other people is a world of difference. The reason is very simple, no matter men, women are human beings, all have the minimum shyness instinct. Besides, for the patient, of course, can choose the same sex doctor, in the technical level of the same situation who are willing to choose the same sex doctor. But very often, for various reasons, there is no way to choose. For the sake of life and health, one has to accept it. This is also in line with common sense. Of course, hospitals out of humane considerations, because after all, is a national limitations, in most hospitals, for pre-surgery catheterization (inserting a urinary catheter), skin preparation (according to the surgical site shaved pubic hair), male patients are done by the doctor, because the vast majority of surgeons are men, and only female patients are nurses to do, because the vast majority of nurses are women. Of course, hospitals focus on treating the sick and saving lives, and that's the key.
This is a very common problem, the doctor to the patient, must check the body, sensitive parts of the exposure is sometimes difficult to avoid, the doctor can not be like the Monkey King in the Journey to the West to take the pulse, a few silk threads through the window can be completed for the health of life is responsible for the need to go in depth to the physical examination, my internship plus the practice of medicine counted up to 20 years, the encounter several need to expose the sensitive parts of the situation one by one to share with I have been practicing medicine for 20 years!
Scenario #1: Encountering a patient in cardiac and respiratory arrest who comes in for resuscitation!

Cardiac arrest of the patient, the first time the requirement to go to the pillow lying down, lying on a hardboard bed or the ground, undressing, loosening the trouser belt, sometimes the clothes and pants are not good to unravel, the need to immediately cut with scissors, which will inevitably expose the patient's private parts, which is the first life-saving, this aspect can only be a secondary consideration. But in the conditions of the case, the medical staff will still protect the patient's privacy: in a separate resuscitation room or with a large screen, bed curtains separated, and then carry out emergency resuscitation measures!
It's up to the patient to cope with this situation, as most patients in this situation are already unconscious, and if they're not, they probably don't care about privacy!
Once with a beautiful friend chat, she told 3 years ago because of a large number of stomach bleeding, a few male colleagues to send her into the emergency room, when the emergency rapid resuscitation treatment, the doctor gave her to do subclavian vein puncture, "wow" a moment, remove the shirt, a colleague just take the medical records, card came in, she subconsciously called out: She subconsciously shouted: "I'm not dressed!" She subconsciously called out, "I'm still naked! The male coworker was startled and immediately withdrew.
I asked her how she felt at that time. She replied, "I was about to lose my life, but I still cared about that, I just shouted, and there were male doctors on the side, weren't there?"
Here are a few more typical examples to illustrate the rest.
First, about three months ago, one morning outpatient clinic, close to the end of the day, came in the last patient, is a 14-year-old girl, her father brought to see the doctor!
Her father said, "Doctor, my daughter is very sick, it's been a week now, every day she poops fresh blood, it's getting worse and worse, maybe something is growing in her intestines!" After saying that, he showed me the pictures taken from his cell phone.

When I looked at it, there was a lot of it, it was all blood, and I could see clots!
I asked her father, "Does she have hemorrhoids?"
Her father said, "I don't think so, such a small child!"
I said, "From experience, this should be bleeding hemorrhoids or anal fissures, it's not like something growing in the intestines, and the fresh blood stools indicate that the bleeding site is very close to the anal opening; she should have to go to an outpatient anorectal clinic for this one!"
Her father said, "You just help me first check check it, soon after work, other doctors certainly do not accept the consultation, it is not easy to take leave out of it."
"Okay, I'll take a look at the localization then, but I'll have to get a nurse to come along and take a look!" I said.
As a standard rule, doctors examine the private parts of the opposite sex with a third person present to avoid disputes!
So a nurse was called and we pulled up the examination bed curtains to check!
The little girl was found to have pretty bad hemorrhoids and blood at her anal opening!
I came out first to tell her father's condition and to consider that it was still bleeding hemorrhoids, and that she might have to be given an anal fingering to find out if there were any other lesions in the intestines within the reach of her fingers!
Her father looked embarrassed and stammered, "Since we are considering this, forget it, the finger diagnosis will not be done, prescribe some medicine and observe for a few days!"
I said, "That's fine, but you'll have to sign off on the refusal of anoscopy, and I'd recommend a colonoscopy if necessary!"
"Understood, thank you doctor!" He said.
This example is a doctor's duty must face the patient's private parts, this time the doctor should be regulated to call a third person to the scene, which is a measure to protect the doctor and the patient!
The patient in this instance protected his privacy by choosing to be seen during the hours when the outpatient clinic had the least number of patients, presumably with this in mind.
Another example is to praise the dedication of patients to medical education!
It was 20 years ago, when I was a medical student, when I was down in the clinic and went to the hospital for my internship, and it was my turn in the obstetrics and gynecology clinic.
A group of three of us, two boys and one girl, followed the clinic of the female head of the gynecology department!
This director leads a very rigorous program and teaches that medical exams are very strict and that all students must have a real hands-on exam.
She said, "Whether or not you go into obstetrics and gynecology in the future, the training should not be missing during the student learning phase, and maybe an experience like this will save a life later!"
So all three of us took turns having tests that the director had done and making sure to repeat them afterward!
It was my turn to repeat the director's examination!
It was a 32-year-old patient with adnexitis!

Adnexitis is an inflammation of the fallopian tubes, ovaries, and surrounding area, and a physical examination requires a vaginal duplex.
The patient lies on the examining bed, the director does it, and then turns to me and says, "You do it too!"
I was just in my early 20's at the time and had never even touched a girl's hand, so to be asked to give such an examination to the opposite sex really but my face brushed red and my heart palpitated more than a little!
I thought to myself: two of my classmates in front of me did it with no problem, so who am I to concede!
I walked up and put on my exam gloves. The woman patient spoke up: it's okay, young student, doctors must grow by practicing, you are healing people!
With her guidance, I felt her inflamed adnexal mass and really appreciated what was described in the textbook!
In the process of doctors growing up, encountered many such dedication to the development of medicine, really heartfelt thanks to them, have seen many times the patient more practice nurses say: come on, zap me, I'm not afraid of pain, to you as a model for learning! [Rose]
Maybe I'm a female doctor and I'm okay with these things. If it's a male doctor, it does seem a bit awkward for female patients, I guess.
Let's talk about how a male doctor would handle a female patient during the consultation process. In most cases, a nurse will be present to avoid unnecessary disputes and to ease the embarrassment of the female patient. However, some female patients may ask for a female doctor to examine them, in which case they will usually be given a female doctor.
If it is cardiopulmonary auscultation, there are many male doctors who will listen through their clothes, and this is also a very good method. But perhaps there are more means of examination nowadays. I have seen that some doctors will directly send their patients to undergo electrocardiograms and cardiac ultrasound, which is indeed a method, but the cost of examination for the patients may have invariably increased.
It's okay for a female doctor to encounter a difficult patient. At that time in the surgery department, I had to insert a urinary catheter into a male patient, and there was nothing to be embarrassed about, it was all part of the treatment. Moreover, they wore masks, hats, and gloves during the operation, and they would also pull the bed curtains, so the patients were fine, and generally did not resist or have any opinions. However, I have heard nurses say that some male patients have erections when inserting a urinary catheter, and I don't think it's appropriate to partially deal with this. I think that if the patient is a young male, such treatment may lead to sexual dysfunction. I think there is no correct answer in textbooks as to how to handle this, and I think there is a lack of statistics and summaries and sharing of experience.
Hello, I am glad to answer your question. Based on the question you posed, and since I am a primary care physician, I would say that I am more vocal about it, so I will tell you my personal opinion below.
First of all, in the clinical outpatient work, will meet a lot of female patients, because I am a male doctor, more or less will be a little embarrassed. Some people will say, the eyes of the doctor does not distinguish between men and women, after all, many obstetricians and gynecologists are men, in fact, this is not true, because a lot of examination involves the examination of private parts.
Therefore, it is better to be cautious when encountering this situation in the clinic, and if it is not handled properly, it may be misunderstood.
I will make an analogy, if a female patient comes to the clinic, because of small abdominal pain need to carry out palpation examination, the most basic must be exposed to the lower abdomen, but must not be exposed to the pubic symphysis below, to avoid exposing the private parts of women. At the same time, a nurse or the patient's family will be accompanied.
I came across a middle-aged female patient last year who could not avoid an examination because of herpes zoster, which was present in varying degrees from her back to one breast, and was accompanied by our nurse for a physical examination with the patient's consent.
In fact, many times, the patient is more understanding, sometimes they are a little embarrassed, the patient will in turn say, all right, how to check how to check, do not check how to treat the symptoms of the medication.
Can not be avoided, there will be some young patients, especially underage children, will be a little rejected male doctor's examination. When we do physical therapy, we often come across this situation, usually let the nurse operation, as a last resort, will communicate with the patient before operation.
To be honest, doctor-patient disputes can be completely avoided, mainly due to insufficient communication, or poor service, attitude is too bad, the technology is good if the medical ethics is not good, or can not get the trust of patients.
Virtue and talent, a healer's heart, all treatments must be based on mutual trust and dedication of the heart to stand together with the patient to fight the disease.
Doctors are better able to understand the meaning of the difference between men and women in the minds of their patients.
As a general surgeon there is still quite a bit of access to the sensitive parts of female patients.
Breast surgery used to be part of general surgery, and there were a lot of patients who came to me because of breast disease. Female patients come to me for medical treatment, the first thing that is established is a relationship of trust, then we have to follow the procedure, involving the exposure of sensitive parts, there must be a third party present, medical staff or the patient's family can be, this is absolutely can not be omitted steps.
From the time we became interns, more than one internship teacher has warned us that when examining the sensitive parts of female patients, a third party must be present, which can involve medical ethics. Over the years, I know that intentionally or unintentionally did not follow the rules, there are many disputes, no matter how to argue, there is no third party present, the doctor is always some can not get out of it!
If you are examining a female patient, you must close the doors and windows tightly to ensure that the outside cannot be seen inside the room, or use a screen to cover the patient, so as not to put the patient in a state of nervousness, otherwise there is no way to complete the relevant physical examination. The patient will also feel from your every move in your protection of her privacy, the patient is certainly with the examination.
As for the general surgery often encountered appendicitis, hernia female patients, examination, surgery and other diagnostic and treatment process also involves the exposure of sensitive parts, according to the norms of the requirements to do it.
Over the years, to do their own mind without distractions, standardized operation, have not encountered any female patients what happened to the extraneous or refused to examine the matter to come!
Good professional habits are developed gradually. However, such special job requirements must be kept in mind from the time you become an intern.
I'm Dr. Kang. Thank you, friends, for your attention!

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Hello, I am an anorectal doctor, we are concerned about the problem is more likely to involve some sensitive parts, a patient, we first said "come! Take off your pants, pouting ass", but the disease is not taboo doctor, in the eyes of the doctor only patients, regardless of men and women.
What is better is that some hospitals are now practicing a gender-segregated model, which is still more humane!
Most of the patients are shy to ask such a question, after all, I am a female doctor, and there are more male patients who come to the hospital with this kind of disease, but basically all the patients who come to me are able to have a normal consultation.
I'm a healthcare professional who has worked for forty years, and I'll answer that question.
First, according to hospital regulations, when patients need to expose their private parts for examination and treatment, a third person must be present if it is a doctor of the opposite sex (male or female). A nurse is usually called.

Second, with the development of society, the patient's awareness of the body and disease, many patients in front of doctors and nurses of the opposite sex is no longer berry, and can face openly.

Third, doctors are a special group, the work of the initial private parts of patients of the opposite sex to some berry, but over time has been accustomed to, just as the body's organs. Of course, do not rule out a few black sheep, they are doctors in the scum, for the same kind of disgrace, by peers spurned.

I was hospitalized with a cerebral infarction and the nurse came to operate with indifference.
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