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Reply: Father & Son Medical Exams.

I only see 1 problem; if one of your sons had a question that he wanted to ask the doc but...

Posted by ricjames

16 Replies | Reply | Watch This DiscussionReport This| Share this:Father & Son Medical Exams. I only see 1 problem; if one of your sons had a question that he wanted to ask the doc but...

Reply: Straight but had sexual activity with a buddy...

Nobody is straight and nobody is gay. We are all bisexual; by that I mean that we are...

Posted by ricjames

104 Replies | Reply | Watch This DiscussionReport This| Share this:Straight but had sexual activity with a buddy... Nobody is straight and nobody is gay. We are all bisexual; by that I mean that we are...

Reply: What happens when you get a physical?

I suffer from a medical phobia, my doc understands. Have not taken pants off since I was...

Posted by ricjames

19 Replies | Reply | Watch This DiscussionReport This| Share this:What happens when you get a physical? I suffer from a medical phobia, my doc understands. Have not taken pants off since I was...

Reply: Going to the doctor.

Part 2 Positions: The female pelvic (genital and rectal) exam is almost always given...

Posted by ricjames

Part 2

Positions:

The female pelvic (genital and rectal) exam is almost always given in the lithotomy position. The lithotomy position involves the positioning of an individual's feet above or at the same level as the hips (often in stirrups), with the perineum positioned at the edge of an examination table.

Generally the male genital and rectal exam is given in the standing position. The hernia check is always given in the standing position. For men who have trouble standing, it can be given in the Sims' position. For Sims' position, the patient lies on their left side. The right leg is over the left leg with the knees bent or both knees are pulled to the chest.

The knee-chest position can be used, although it hardly is, because this is an unstable position, you can not examine the genitals, and the prostate can "drop" out of reach. The knee-chest position is more for rectal exams of the GI or intestinal tract. If a patient is overweight, and the prostate can't be palpated, then the lithotomy position is used. It allows the prostate to "drop" within reach so it can be checked.

I prefer to do the genital and rectal exam on both men and women in the lithotomy position. For both men and women, it has many advantages: It is a progression of the abdominal exam, logically the next step down. It allows just as good examination of the genitals as standing, but giver better inspection of the perianal, perineal and sacrococcygeal areas.

I also perform a bimanual exam, again as a progression of the abdominal exam. With the finger still in the rectum, I palpate the lower 2 abdominal quadrants (I feel the lower abdominal organs between my 2 hands). You will not feel the bladder unless it is full. Generally you feel nothing. If you feel something, then that is "bad." Either something is out of place or there is something there that should not, like a tumor.

Other assertions:

Just as there may be people with fetishes or who are perverts lurking on medical lets, doctors are people too and there are doctors who are perverts or have fetishes. As a profession, medicine tries to uphold high standards and police its own ranks, but doctors are human. Some of the incidents discussed here, although unlikely, could have happened.

Doctors have the most intimate details of our lives, and (most) protect our secrets (privacy) very well. Most patients are very open and forthcoming about their lifestyles, disclosing things such as multiple partners, bisexuality, fetishes, etc.

Doctors are also trained to observe. A good clinician can figure out when someone is more "open" and "adventurous," if that doctor is "adventurous" too, and decides to disregard the ethics of the profession, then these things can and do happen.

I hope this sheds some light on things.View Thread

Posted byricjames

37 Replies | Reply | Watch This DiscussionReport This| Share this:Going to the doctor. Part 2 Positions: The female pelvic (genital and rectal) exam is almost always given...

Reply: Going to the doctor.

Part 1 Erections: A erection is a normal physical response to stimuli. Just like any...

Posted by ricjames

Part 1

Erections:

A erection is a normal physical response to stimuli. Just like any other body part sometimes you can control it and sometimes it responds on its own (reflex). There are many things that can cause an erection, including a spinal injury, touch, or fear.

Some women have a similar response during pelvic exams, their clitoris enlarges and they may begin to lubricate. These are more subtle than a man's erection, and most women don't think anyone notices, but an experienced clinician does.

During a prostate exam, you sweep across it to identify the 2 lobes and its size. Lumps on it are only slightly larger than a grain of rice, but very hard compared to the prostate. Since the prostate produces seminal fluid, massaging it may produce ejaculation.

The anus has a relatively high concentration of nerve endings and is an erogenous zone. Stimulation to it can produce an erection and ejaculation as well.

Another reflex that a proper exam will check is the cremasteric reflex. This reflex is checked by lightly stroking the inner thigh. The normal response is an immediate contraction of the cremaster muscle that pulls up the testicle on the side stroked up towards the abdominal cavity.

The lack of any response whether a full or partial erection, ejaculation, preseminal fluid (precum), or any other reaction/reflex could be the indication of injury or illness usually with neurological damage.

Examination of the urethral meatus (pee hole) for any discharge is a way to check for STDs.

The shaft of the penis is palpated (squeezed) to determine if there are hard plaque-like structures lodged inside the shaft of the penis in the spongy tissue responsible for erections. This condition is known as Peyronie's Disease. It curves sharply upward when erect. Checking this way also upshot any secretions from STDs.

If there is no discharge present and the patient reports it, there are 2 possible ways to obtain a specimen. First is to further strip the urethra, by compressing it at the base of the penis and milking any secretions up to the glans. The second way is to "massage" the prostate and strip it again.

See next post for Part 2...View Thread

Posted byricjames

37 Replies | Reply | Watch This DiscussionReport This| Share this:Going to the doctor. Part 1 Erections: A erection is a normal physical response to stimuli. Just like any...

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