Standbys in Today's Medicine

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After 15 years of being a program director in EM, I can give you many horror stories of residents who have unknowingly and idealistically tread where no man (or woman) should go: Examining someone of the opposite sex without a friendly (preferrably professional EMT, RN) chaperone. As always, it depends upon your patient population. But, in general, we practicioners in Detroit feel like Lottery Agents for the Michigan State Lottery - it seems everyone wants to sue and made that fast and easy buck. We NEVER exam a patient without a medic or nurse present who is of the patient's sex, unless the patient is in extremis, and even then....

To further complicate things, if a patient has gender identification issues, or, theologic/religious issues, it can be more confusing and difficult. There are a few moments each day when I wish I could transform into an amorphous, colorless, and asexual entity so that I can get my job done with more efficiency. I think my wife wishes that as well....

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