Must watch!!!

tresams10 · October 2015

Ladies, it was mentioned before in a thread and it problem got lost. I have seen many concerns about not having ultrasounds and many things concerning what's best for mom and not considering the effects on the baby.
Please Take tell to match the Business of being born and all its sequels. Then follow up with some research. One part that stood out to me is Pitocin and having ultrasound sound waves change the shape of cells. (That's biology)
It makes you really think!

NachosAndPeaches · October 2015

The business of being born, while informative, is presented in an extremely biased way, and does not account for correlation not being causation. Ultrasounds have been confirmed over and over to be safe.

momofmanyinthemitten · October 2015

I haven't watched any of the movies, but my doula mentioned that u/s waves change the shape of cells, in particular the eggs in female fetuses. She worries that her u/s could have been the cause of some physical/mental/emotional problems a couple of her grandchildren are experiencing.

Ready4theParty · October 2015

I agree with @NachosAndPeaches. It is completely biased. I guarantee once you hit 42 weeks the idea of pitocin is not as scary of an idea as what it seems right now. Yes, there are some scary potential side effects and risks, but people need to look st other factors besides always blaming u/s, c-sections or pitocin. Mental health issues can be genetic. With Dhs family history of depression and anxiety that is much scarier for me than what one or two ultrasounds or the fact that I had to be induced.

NachosAndPeaches · October 2015

I saw this on fb and thought it was awesome:

NachosAndPeaches · October 2015

Andplusalso: the midwife in that documentary, Karean Carr, was convicted for two counts of negligence because of preventable infant death. (https://www.washingtonpost.com/local/midwife-karen-carr-convicted-in-alexandria-babys-death-is-under-investigation-in-md/2011/05/11/AFlrp22G_story.html)

If you want a natural home birth etc, great. But use unbiased research, and know that sometimes medical interventions are necessary and they do not make you a failure. I know a girl who still has PTSD from her medically necessary c section over a year later because she's so convinced at how terrible they are, even though it saved her child's life (who is thriving by the way).

AmadorRose · October 2015

Call me naive, but I would never have a homebirth because 1: if I need a doctor, I need a doctor to be handy (also medical equipment) and 2: there is no way on God's green earth I would have that mess in my home.

kimey1 · October 2015

What I enjoyed about the film was the Birthing Center option at hospitals where you are administered by a midwife but if sth happens, the docs and surgery room is a floor away.

thaisac1 · October 2015

I work with ultrasound for a living (although not obstetric) and for this reason have studied ultrasound physics. I'll keep this brief by saying that in 30 years of ultrasound use, there has never been concrete evidence of ultrasound causing harm to babies. There are animal studies showing detrimental effects on cells and tissues, sure, but these are at much higher frequencies than obstetric ultrasound probes.
There are principles to be followed with obstetrical ultrasound (low frequency probes, low mechanical index, minimize the use of Doppler and color Doppler, etc) precisely to prevent delivery of high power ultrasound waves to the fetus, and prevent increases in tissue temperature which can be detrimental. In fact all obstetric ultrasound machines monitor temperature so that it stays within the safe range.
If used according to these principles and guidelines, there is no evidence of routine obstetric ultrasounds causing harm.
Remember that tv/film documentaries invariably have a biased view to grab the attention of viewers and media. No one would watch or talk about a documentary that says that ultrasound is safe...
These are my professional 2 cents.

thaisac1 · October 2015

kielpinskim said:
I haven't watched any of the movies, but my doula mentioned that u/s waves change the shape of cells, in particular the eggs in female fetuses. She worries that her u/s could have been the cause of some physical/mental/emotional problems a couple of her grandchildren are experiencing.

To me this seems like the classic denial reaction of trying to blame something/someone for your child's (ir grandchild) issues. It's human nature to try to rationalize everything. But thoughts such as this are what have given rise to the absurd autism/vaccine connection for example... Why can't people just recognize their kids are not perfect?

thaisac1 · October 2015

NachosAndPeaches said:
I saw this on fb and thought it was awesome:

Yes!!!! This!!!! The pregnancy/ labor brainwashing that goes on in North America nowadays is beyond belief.

eastdurian · October 2015

thaisac1 said:

I haven't watched any of the movies, but my doula mentioned that u/s waves change the shape of cells, in particular the eggs in female fetuses. She worries that her u/s could have been the cause of some physical/mental/emotional problems a couple of her grandchildren are experiencing.
To me this seems like the classic denial reaction of trying to blame something/someone for your child's (ir grandchild) issues. It's human nature to try to rationalize everything. But thoughts such as this are what have given rise to the absurd autism/vaccine connection for example... Why can't people just recognize their kids are not perfect?

+1

littlesocks · October 2015

I think it's pretty inconsiderate of you to post something like this when there are plenty of us who are considered high risk (twins) and will require a number of ultrasounds to make sure the babies are doing ok. They aren't elective. If I don't get them, I would consider myself being negligent.

If this was backed by facts, that would be different. But you grabbed something that is one person's opinion and ran with it.

This post really rubbed me the wrong way.

Ready4theParty · October 2015

littlesocks said:
I

This post really rubbed me the wrong way.

You aren't the only one. I find it really insensitive. Especially on a day like to which is Loss awareness. There is no reason to freak out a bunch of pregnant women let a lone FTMs. The unknown of child birth is scary enough. Don't add the ideas that ultrasounds anf other ideas might be unsafe.

DougalMcG · October 2015

kimey1 said:

What I enjoyed about the film was the Birthing Center option at hospitals where you are administered by a midwife but if sth happens, the docs and surgery room is a floor away.

Storytime with Dougal. My mom is an RN and worked in maternity for 30+ years, but before she worked in a hospital she was a midwife and was so pro-birthing centers (and no medical intervention) that she wrote an article about it in a nursing magazine. I was born in in a birthing center and it was amazing; so amazing that she decided to have my sister in the same center. Well, she wound up having a postpartum hemorrhage and the midwives couldn't stop the bleeding. Eventually they got her to a proper hospital but not before she nearly bled to death and suffered major complications. Needless to say, I can't agree with this post enough.

thaisac1 · October 2015

DougalMcG said:

kimey1 said:

What I enjoyed about the film was the Birthing Center option at hospitals where you are administered by a midwife but if sth happens, the docs and surgery room is a floor away.

Storytime with Dougal. My mom is an RN and worked in maternity for 30+ years, but before she worked in a hospital she was a midwife and was so pro-birthing centers (and no medical intervention) that she wrote an article about it in a nursing magazine. I was born in in a birthing center and it was amazing; so amazing that she decided to have my sister in the same center. Well, she wound up having a postpartum hemorrhage and the midwives couldn't stop the bleeding. Eventually they got her to a proper hospital but not before she nearly bled to death and suffered major complications. Needless to say, I can't agree with this post enough.

I realize that my opinion on this matter may be very unpopular, but I honestly cannot understand why someone would choose to have the most precious moment of their lives in a location with no or minimal medical supervision and support? I also don't understand why hospitals, doctors and what they can offer are so demonized nowadays?!!!

Sure enough, most ppl will give birth alone just fine, but if you are that one unlikely case that complicates, wouldn't you want to be at a place where all the wonders of modern medicine are available to ensure your health and the health of your baby?

I see people talking about not wanting to expose their babies to this or that (insert here: vaccines, or chemicals, or ultrasound, or whatever else is the internet fad du jour) during pregnancy because they want to protect their babies, but yet when it comes to the most potentially dangerous time in the life of that baby (delivery), they choose situations with no safety backup...

Sorry about the vent... There, I said it. I know this won't be popular, but I just cannot understand. Doctors, hospitals, C-sections, IVs, oxygen and epidurals are not the Evil... They are what separates us today from birthing during the primitive ages...

NachosAndPeaches · October 2015

thaisac1 said:

DougalMcG said:

kimey1 said:

What I enjoyed about the film was the Birthing Center option at hospitals where you are administered by a midwife but if sth happens, the docs and surgery room is a floor away.

Storytime with Dougal. My mom is an RN and worked in maternity for 30+ years, but before she worked in a hospital she was a midwife and was so pro-birthing centers (and no medical intervention) that she wrote an article about it in a nursing magazine. I was born in in a birthing center and it was amazing; so amazing that she decided to have my sister in the same center. Well, she wound up having a postpartum hemorrhage and the midwives couldn't stop the bleeding. Eventually they got her to a proper hospital but not before she nearly bled to death and suffered major complications. Needless to say, I can't agree with this post enough.

I realize that my opinion on this matter may be very unpopular, but I honestly cannot understand why someone would choose to have the most precious moment of their lives in a location with no or minimal medical supervision and support? I also don't understand why hospitals, doctors and what they can offer are so demonized nowadays?!!!

Sure enough, most ppl will give birth alone just fine, but if you are that one unlikely case that complicates, wouldn't you want to be at a place where all the wonders of modern medicine are available to ensure your health and the health of your baby?

I see people talking about not wanting to expose their babies to this or that (insert here: vaccines, or chemicals, or ultrasound, or whatever else is the internet fad du jour) during pregnancy because they want to protect their babies, but yet when it comes to the most potentially dangerous time in the life of that baby (delivery), they choose situations with no safety backup...

Sorry about the vent... There, I said it. I know this won't be popular, but I just cannot understand. Doctors, hospitals, C-sections, IVs, oxygen and epidurals are not the Evil... They are what separates us today from birthing during the primitive ages...

Not unpopular.

runlong3 · October 2015

I think everyone needs to do full research on what risks are and are not involved with birthing methods and interventions. Epidurals/c-sections/pitocin/etc. can definitely be called for in certain situations. But they are not warranted all the time, and everyone, regardless of what they think they want should be aware of the risks and benefits of each intervention. People are saying on one hand there is the push back of those people who are terrified of an epi and more, but it's often forgotten that there is a WHOLE other section of people out there who just say "give me the drugs" without a thought. There ARE risks to interventions.

For a low risk pregnancy with no complications during labor, vaginally with no interventions IS the safest method. Fact. Every time you introduce an intervention you just added an additional risk to the labor and delivery. Fact. There are times when an epidural is necessary to help the labor proceed, there are times when a c-section does become medically necessary. Fact.

The problem lies in how little we each know about what should and shouldn't be happening during labor. How much of that should we really be responsible for vs. our providers? I can't tell you. There are providers out there who will let their patients go longer than they should by either missing or ignoring the signs of trouble and causing complications or worse. There are also providers out there who just want to be home by dinner and will crank up the pitocin and state that a c-section is necessary "just because".

People need to do their own research using actual peer-reviewed evidence instead of just taking everyone's word for it. On both sides. Stop putting down what everyone else is or is not doing to validate your own ideas.

NachosAndPeaches · October 2015

@runlong3 while very true, the risk to benefit ratio of an epidural is generally safe. If I have strep or a broken bone, I'm gonna take pain meds. It won't spead up my healing, but it will help me cope. While many women choose to deal with the pain, many don't. I don't consider the risk of an epidural to be in the same category as an induction etc.

runlong3 · October 2015

Taking pain meds for a broken bone won't affect the healing rate or most likely anything else. It's an apples and oranges comparison. Epidurals in themselves may not have a very high risk, however it has been shown that they are linked to the need for additional interventions once given. (ETA: not that it's always required, but the incidence of additional interventions increases with the use)

https://www.womenandbirth.org/article/S1871-5192(07)00025-X/abstract?showall=true=

NachosAndPeaches · October 2015

Yeah but that's correlation. Not causation. Maybe more women get epidural a because of things in their labor that would have needed intervention anyway. Etc.

runlong3 · October 2015

True. Causation is almost impossible to actually prove for anything. A strong correlation is a pretty good indicator though. The point is, however, that whatever yours or anyone's decision in the end, that you know these type of facts are out there because you actually looked at research, not just took someone's word for it.

NachosAndPeaches · October 2015

Yes, absolutely agree!

I can't see your ticker (mobile), do you have any kids yet and how far along are you? I'm just curious!!!

runlong3 · October 2015

I have a 2 year old (actually closer to 3) daughter. What's funny is I was very opposite of most things I am "for" now up until about a year before I got pregnant with my DD. It's amazing how just looking at actual studies can help. They can completely confirm what you were already leaning towards or open your mind to new ideas. My stance is always that as long as you have researched your options to come to your decisions, whether it be with or without meds, in a hospital or elsewhere, whatever, then that's the right choice for you.

runlong3 · October 2015

Oh and 13w.

tresams10 · October 2015

I posted the information because I felt it was informative.
I am a FTM at gestation of 16weeks. This is my 5 pregnancy. We have went the non traditional way on so many route to be able to concieve. FEARS!! We all have fears whether singletons or multiples. High risk for twins in MOST practices are just to put people on alert you aren't average but it does not mean anything is wrong with the mom, children or the rate in which the pregnancy is going.
However I am planning to have my baby in a hospital but using as many comforts of natural birth as possible. Not saying I'm gonna follow through but I know for a fact many of my friends have told me that Pitocin is what sent things for them into chaos which resulted in them freaking out with anxiety which lead to a c section. Outside of the documentary c section rates have soared. That's concerns me. Also because I have already had 4 vaginal surgery that have had a threat of a hysterectomy I really would not like to go under the knife again however I will have to except what God has planned for me.
Also a back story of me being born. My mother was told to abort me because she had a tumor that would rupture at the time of birth. She didnt. She had to sign papers stating who's life to save at the time of deliver. (No sure who she choose) but we are both here. I may not be as brave as my mother when the time come but I'm gathering and reading as much as I can..
Sometime in life you have to look at both extremes in order to find the reality in things.
Didn't mean to offend anyone but this journey is one that I'm willing to look at all aspect to determine my decision.

On another note we choose what we allow ourselves to be exposed to.
Sometimes it got to challenge the Dr. To see of they give you the since of education behind the procedure vs them just doing the norm. Do they even know why they do what they do?
I love my old school providers. Many times he sent me to the pharmacy and the pharamist would say he must be over 60. I just smile.

AmadorRose · October 2015

Providers cannot legally perform procedures that they aren't certified in. For example, the PA I work for was recently credentialed to do Implanon insertions and removals. She is the only PA in the clinic with the certification, so she is the only one who does them. I think you aren't giving people with massive amounts of medical knowledge the respect they deserve. Yes, you should do your own research, but questioning the knowledge of these providers irks me. People say, some doctors are C earners and others are A's, but I sure as hell couldn't get a C on the classes they take so I'm going to trust that they know better than I do.

I'll relate it to this: as a medic, I often have people ask me for advice. Sometimes I have to google the answers, such as certain drug interactions, and make an educated guess based on research that's been done by people who are much more intelligent than I am. When people don't listen to my advice, which I only give when I feel confident in the answer, it frankly pisses me off. I had a diabetic man whose sugar was 350+ while on 24 hour duty because he couldn't eat normally. I advised him to let me take him to the hospital immediately, but he refused. A few hours later, he passed out on his drive home, totaled his car, and was admitted to the hospital. It's amazing that he hung on for as long as he did. I'm no endocrinologist, but I have enough knowledge to know that he's lucky to be alive.

Does everyone with blood sugar that high die or end up in a coma? No, but many do; therefore, doctors know that it's not worth the risk. Nothing medical is a certainty, doctors simply use the vast wealth of knowledge they've payed a lot of money and spent a lot of time to acquire to give their patients the best guidance they can. It's great that both you and your mother survived, but in instances like that a doctor will look at the majority of similar cases and give advise based on the outcome of those other cases.

Long story short, questioning whether medical providers "knows what they're doing" is, IMO, slanderous. Some providers have terrible bedside manner and patients leave thinking the doc didn't know anything when, in reality, the doctor just didn't explain it in a way that the patient could understand. Are there bad doctors? Of course, but to question the entire field is gross dramatization.

runlong3 · October 2015

The point of doing your own research is to help you make decisions about the OPTIONS the doctor gives you, not to tell him or her how to do their job. Do you really think the best time to learn about all the side effects of a drug or procedure is in the midst of contractions? Is that the best time to make a rational and informed decision? Or is it better to look ahead and know what those risks are and being able to say, I'm ok with those risks at this point, let's proceed?

runlong3 · October 2015

As a side note, the medical system when it comes to maternal and fetal care in the US is absolutely fabulous is areas of high risk, but we are definitely no where near the top for regular births. Our system is not flawless and has a long way to go.

For instance, how many hospitals do you know that refuse to let women to eat or drink during labor? Yeah. That's based on old info from the 40s.
New info that has been around for a few years:https://www.cfah.org/hbns/2013/restricting-food-and-fluids-during-labor-is-unwarranted (Not the actual study but a quick synopsis. You can easily find it by googling.)
Not just one study, but a meta analysis. So yes, there are definitely procedures that are done in this field that are not backed by current scientific research.

Doing your own research allows you, once again, to open the doors of communication with your provider to have conversations about things that are important to you to see if their approach is on the same page as you. Again, you're not doing their job, but you are able to better come to a decision regarding your choices than an in the moment type situation.

thaisac1 · October 2015

tresams10 said:

I posted the information because I felt it was informative. I am a FTM at gestation of 16weeks. This is my 5 pregnancy. We have went the non traditional way on so many route to be able to concieve. FEARS!! We all have fears whether singletons or multiples. High risk for twins in MOST practices are just to put people on alert you aren't average but it does not mean anything is wrong with the mom, children or the rate in which the pregnancy is going. However I am planning to have my baby in a hospital but using as many comforts of natural birth as possible. Not saying I'm gonna follow through but I know for a fact many of my friends have told me that Pitocin is what sent things for them into chaos which resulted in them freaking out with anxiety which lead to a c section. Outside of the documentary c section rates have soared. That's concerns me. Also because I have already had 4 vaginal surgery that have had a threat of a hysterectomy I really would not like to go under the knife again however I will have to except what God has planned for me. Also a back story of me being born. My mother was told to abort me because she had a tumor that would rupture at the time of birth. She didnt. She had to sign papers stating who's life to save at the time of deliver. (No sure who she choose) but we are both here. I may not be as brave as my mother when the time come but I'm gathering and reading as much as I can.. Sometime in life you have to look at both extremes in order to find the reality in things. Didn't mean to offend anyone but this journey is one that I'm willing to look at all aspect to determine my decision. On another note we choose what we allow ourselves to be exposed to. Sometimes it got to challenge the Dr. To see of they give you the since of education behind the procedure vs them just doing the norm. Do they even know why they do what they do? I love my old school providers. Many times he sent me to the pharmacy and the pharamist would say he must be over 60. I just smile.

If you have fears, maybe you shouldn't be watching documentaries - they often work by 'shocking' and promoting strong emotions…

I bolded a part of your text above that bothered me. What do you mean by challenging the doctor? Do you think you will be able to know more about whatever subject is in question, than a person who studied more than a decade for it? "Do they even know why they do what they do?" Wow… Really?

I know not every doctor is a match for every patient, so if this is happening to you, you are totally entitled to seek a second opinion. Perfectly understandable. But I ask you to please not challenge a medical professional's expertise with knowledge you have acquired from documentaries and/or google. You just can't. I don't watch a documentary on chemical engineering and then go challenge a chemical engineer's knowledge… I don't know why people decide it's ok to do it with doctors.

We study, A LOT. Yes, even us "young doctors" who are not your old school providers, practice good Medicine. Let me tell you something about me… HALF OF MY YOUNG LIFE has been dedicated to Medicine. That's right; I started medical school when I had just turned 17; and I will be turning 34 next month. That's half of my life spent reading books, taking tests, seeing patients, reading new scientific articles, doing research, presenting research, and so on. I may not be "old school", but you better believe I know what I am doing. There are no less than 15 diplomas, clinical and research awards hanging in my office's wall right now. So please do not judge your doctor by his/her age, and please do not challenge a professional's expert opinion. If you don't like it, it is your right to go see someone else, but challenging is just plain disrespectful.

It is often difficult to express an opinion via text, and I hope you understand I am not being confrontational towards you. I just felt really bad about what you wrote above, and I wanted to give you the perspective from someone who sits on the other side. I hope it triggers positive reflection.

AmadorRose · October 2015

To caveat @thaisac1, not all older providers are thoroughly educated in new medicine. Medicine changes ALL. THE. TIME. It's the nature of the beast. So, while many older providers are excellent at what they do, they may not have the knowledge or skill set that younger providers have because there's only so much continuing education a person has time for. Where I work, all of the PA's sit in the same room to chart; there's a difference of perhaps seven years from when the most vetted to the least went to school. While our longer-standing PA's have incredible practical knowledge, the newer PAs often teach the rest new things simply because newer, better tools had become available during their time in school. The changes in practice in less than a decade are remarkable, so one can only imagine the difference between a family practice doctor at 60 and one at 35.

thaisac1 · October 2015

runlong3 said:

I think everyone needs to do full research on what risks are and are not involved with birthing methods and interventions. Epidurals/c-sections/pitocin/etc. can definitely be called for in certain situations. But they are not warranted all the time, and everyone, regardless of what they think they want should be aware of the risks and benefits of each intervention. People are saying on one hand there is the push back of those people who are terrified of an epi and more, but it's often forgotten that there is a WHOLE other section of people out there who just say "give me the drugs" without a thought. There ARE risks to interventions.

For a low risk pregnancy with no complications during labor, vaginally with no interventions IS the safest method. Fact. Every time you introduce an intervention you just added an additional risk to the labor and delivery. Fact. There are times when an epidural is necessary to help the labor proceed, there are times when a c-section does become medically necessary. Fact.

The problem lies in how little we each know about what should and shouldn't be happening during labor. How much of that should we really be responsible for vs. our providers? I can't tell you. There are providers out there who will let their patients go longer than they should by either missing or ignoring the signs of trouble and causing complications or worse. There are also providers out there who just want to be home by dinner and will crank up the pitocin and state that a c-section is necessary "just because".

People need to do their own research using actual peer-reviewed evidence instead of just taking everyone's word for it. On both sides. Stop putting down what everyone else is or is not doing to validate your own ideas.

I totally agree with the need for information. An informed patient is an empowered patient. My only cautionary word is where we get our information from. Googling a specific subject to find blogs or non-scientific articles is not a good way to do it, for instance. There are always two sides to every story, and these types of media usually pick a side and run with it.

My recommendation is, if a person has any background in healthcare or science, to go straight to PubMed and search for the topic in question. Given the abundance of data, meta-analyses/ systematic reviews or expert reviews are often a good source to summarize the available data on a specific subject. If a person does not have such background, then the best sources of information are reliable professional websites such as the CDC, MayoClinic.com, or specific society website (American Society of Obstetrics and Gynecology for example). In the society websites, one can find expert guidelines for just about any topic.

However, I couldn't agree more with @NachosandPeaches regarding the differentiation between association and causation. This is really critical. This is something the lay public doesn't realize, and something scientists themselves often overlook. Even strong correlation does not mean causation! Strong correlations form solid foundations to base future causation studies, but by no means determine causation. For example… Did you know that the divorce rate in Maine is strongly correlated with margarine consumption? Or that the number of people who drowned by falling into a pool is strongly correlated with the number of films Nicolas Cage appeared in per year? These are pretty absurd of course, but they are strongly correlated - there is even a website and a book to illustrate such bizarre, yet spurious correlations (https://www.tylervigen.com/spurious-correlations for your entertainment

) So no, strong correlation does not mean causation.

Regarding the epidural and need for assisted labor techniques… Could it be that women who have been laboring for longer (and thus in whom labor may be doomed to progress poorly) are more likely to request an epidural and the epidural is just an intermediate outcome? I actually did a search for this and there are only correlative studies available, that I could find. The only way to establish causation is with a randomized clinical trial, and I could not find any. Actually, I did find one, it was a non-inferiority trial, but unfortunately the methodology was confounded by a high rate of cross-over (12%), which makes it very difficult to draw any conclusions…. I can search more when I have more time, but I couldn't find any thus far. So beware of how you interpret the data.

I will give you an example of the hazards of treating an intermediate outcome as a "cause" to the final outcome rather than an association… There is a classic example in cardiology. Decades ago, it was observed that people with heart attacks had more extra heart beats coming from the bottom chambers of the heart, which are called premature ventricular contractions (PVCs). In observational studies, it was also noted that higher burden of PVCs was strongly associated with higher mortality after heart attack (thus, PVCs were the "intermediate outcome"). Because of these strong correlations, scientists launched a randomized clinical trial of PVC suppression with lidocaine in people with heart attacks, thinking that by suppressing PVCs, they would save more lives. Results of the clinical trial: People who received lidocaine do suppress PVCs actually had HIGHER mortality rates than those who didn't!!! So only after the clinical trial, it was established that although PVCs were strongly correlated with heart attack and strongly correlated with mortality, they were not in the CAUSATIVE pathway between heart attack and mortality.

I could give more examples but I've already written too much and I should shut up.

But I wanted to make this very clear to make sure everyone doing their research is aware of what they are reading.

jonesl12 · October 2015

AmadorRose said:
Providers cannot legally perform procedures that they aren't certified in. For example, the PA I work for was recently credentialed to do Implanon insertions and removals. She is the only PA in the clinic with the certification, so she is the only one who does them. I think you aren't giving people with massive amounts of medical knowledge the respect they deserve. Yes, you should do your own research, but questioning the knowledge of these providers irks me. People say, some doctors are C earners and others are A's, but I sure as hell couldn't get a C on the classes they take so I'm going to trust that they know better than I do.

I'll relate it to this: as a medic, I often have people ask me for advice. Sometimes I have to google the answers, such as certain drug interactions, and make an educated guess based on research that's been done by people who are much more intelligent than I am. When people don't listen to my advice, which I only give when I feel confident in the answer, it frankly pisses me off. I had a diabetic man whose sugar was 350+ while on 24 hour duty because he couldn't eat normally. I advised him to let me take him to the hospital immediately, but he refused. A few hours later, he passed out on his drive home, totaled his car, and was admitted to the hospital. It's amazing that he hung on for as long as he did. I'm no endocrinologist, but I have enough knowledge to know that he's lucky to be alive.

Does everyone with blood sugar that high die or end up in a coma? No, but many do; therefore, doctors know that it's not worth the risk. Nothing medical is a certainty, doctors simply use the vast wealth of knowledge they've payed a lot of money and spent a lot of time to acquire to give their patients the best guidance they can. It's great that both you and your mother survived, but in instances like that a doctor will look at the majority of similar cases and give advise based on the outcome of those other cases.

Long story short, questioning whether medical providers "knows what they're doing" is, IMO, slanderous. Some providers have terrible bedside manner and patients leave thinking the doc didn't know anything when, in reality, the doctor just didn't explain it in a way that the patient could understand. Are there bad doctors? Of course, but to question the entire field is gross dramatization.

I'm slow clapping for you x100000 this ^^^^^

AmadorRose · October 2015

@jonesl12

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