All posts tagged medicine

5 Surprisingly Common Penis Injuries That Can Land You In the ER – Men’s Health

Jesse N. Mills, MD, an associate clinical professor of urology at the David Geffen School of Medicine at UCLA, says the most common penis injury he sees is a penis fracture. “That’s when a man tears the tough outer lining of his penis during sex when he bangs his erect penis into his partner’s pubic bone. It usually happens when the female is on top and thrusting down on the man’s erect penis,” he says.

Dr. Mills says penile fractures usually happens when a partner is drunk. That was the case with one of his recent patients. “They were in the throes of disinhibited, liquor-induced passion at 2 a.m. when she elevated her thrusting pelvis to the very tip of his erect penis and momentarily lost coordination as she slammed her pelvic bone forcefully down on his erect penis. They both heard a loud cracking sound followed by his shriek of pain,” he recalls.

As Dr. Mills recounted it, the patient’s previously erect penis had turned into a large eggplant.” “There are three chambers in a penis the two erectile bodies and the urethra (urinary channel),” he explained. “Most penile fractures are mild with a small tear in one of the chambers that requires a few stitches to close the defect and get the man back to normal in a few weeks. This man tore all chambers and the only thing keeping his penis attached to his body was his skin.” All the blood had rushed from his erection through the tear in his fibrous exterior penile lining into the space underneath his skin. His erect penis, now fully deflated, had quadrupled in size and lost all rigidity.

6 Things Every Man Should Know About His Penis:

Dr. Mills says that the patients injury was so severe that he not only fractured his penis, but he also tore his urethra completely, so he was unable to urinate. He had to fully reconstruct all chambers and essentially reattach the torn penis to the base, which was still intact. The patient had to use a urinary catheter for three weeks and was out of commission for about six weeks, but he fully recovered and was able to have sex again.

The moral of the story? “Vigorous sex is fine but don’t mix it with alcohol,” says Dr. Mills. “If you do injure your penis, get to the ER right away, embarrassing as it is.”

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5 Surprisingly Common Penis Injuries That Can Land You In the ER – Men’s Health

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Prejudice in the emergency room – Yale News

by Natasha Strydhorst August 22, 2017

Esther Choo, M.D. ’01, wrote a Twitter thread that has brought national attention to racism in medicine.

Every so oftena few times a yeara patient at Oregon Health and Science University (OHSU) hospital in Portland refuses treatment in the emergency department from Esther Choo, M.D. 01, M.P.H. Its not because they consider her 15 years medical practice too paltry, or her School of Medicine degree insufficientbut because she is not white.

Its one of those things that youre never prepared for, said Choo, whose parents emigrated from Korea in the 1960s. Nobody, at any point, has said, Oh, by the way: youre a woman and youre a physician of color; you probably will have experiences like this. So Choo began that conversation with a Twitter thread the Sunday after the white supremacist rally on August 12 in Charlottesville, Va., that ended in violence and with the death of Heather Heyer when a car allegedly driven by a neo-Nazi plowed into a crowd of counter-protesters. In a matter of days, the thread had been retweeted more than 25,000 times (including by Chelsea Clinton and the physician-writer Atul Gawande, M.D.) and garnered more than 2,000 comments. The attention led to Choos appearance on CNN, where she discussed the issue of racism when it comes to patient care. Those patients who refused her capable care, Choo said, either chose to be treated by a white intern over the experienced doctor or walked, untreated, out of the emergency room.

Breathtaking, isnt it? Choo tweeted, To be so wedded to your theory of white superiority, that you will bet your life on it, even in the face of clear evidence to the contrary? That evidence could hardly be clearer: in addition to her 12 years of post-residency practice, Choo has her degree from the School of Medicine, her residency at Boston Medical Center, and work as an associate professor and attending physician at Brown University under her belt. Shes now an associate professor at OHSU, where, in addition to her clinical duties, she studies health disparities, substance abuse disorders, and gender bias. She also writes and serves on the advisory board for FeminEM, a resource for women working in emergency medicine.

Her familys story is a classic immigrant tale. Her parents came to the United States so her father could study engineering at Michigan State University. After receiving his doctorate, he went to work as an aerospace engineer for NASA in Cleveland, while her mother owned a home cleaning service. They became citizens and raised three childrenEsthers two brothers are a biology teacher and a management consultant. Before coming to the school of medicine, Choo graduated from Yale College with a degree in English language and literature.

It took me a long time to get to where I am now, where I dont internalize it at all, Choo said of her efforts to deal with racism at work. But when youre a younger physician and youre still developing your knowledge base, there are so many doubts that you have. So when you encounter someone who looks at you and finds something wrong thats so personal to youthat cannot be separated from youit just creeps into any available areas of insecurity. And somehow you walk away feeling less confident as a physician, because this person is questioning your legitimacy to be there.

It’s one of those things you’re never prepared for.

Choos experience is not unique. Many of the thousands of replies to her thread related similar experiences, an outpouring that raises concerns. An article last year in the New England Journal of Medicine discussed how physicians might deal with racist patients, and in December OHSU released what Choo called a prescient statement advising patients that hate speech and bigotry will not be toleratedand that requests for a specific physician based solely on race will not be honored.

How do we improve the multiculturalism and the diversity of our physician workforce? Choo said. Its really hard if youre presenting some subsets of the physician work force with a harder road to travel.

Nancy R. Angoff, M.P.H. 81 M.D. 90, HS 93, associate dean for student affairs, who recalled seeing the qualities of compassionate care and calm leadership in Choo as a medical student, noted that the issue is a pressing one. More and more, were looking at that as a form of mistreatment that our medical students face, that our trainees face, that we as an institution need to take seriously, she said. We need to foster an environment in which we respect each other.

Hospitals are not selective institutionswe treat everybody who walks in the door, Choo said. We are really thrown togetherpretty intimatelywith our patients, so were going to encounter a wide variety of opinions, and some of them will be extreme intolerance. Its one thing to view it from across the country or on TV, and its another thing to have it in your workplace and up in your face.

Some refuse to believe that Choos experience is genuine. To the doubters, Choo is gracious: Its a hard reality to acceptit shows the darker side of human nature, she said. Injecting a positive note into that darker reality, Choo revealed in her Twitter thread what gives her hope: A few get uncomfortable and apologize in the same breath they refuse to let me treat them, she wrote. You see, its a hell of a hard thing to maintain that level of hate face to face.

This article was submitted by John Dent Curtis on August 22, 2017.

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Prejudice in the emergency room – Medical Xpress

Esther Choo, M.D. ’01, wrote a Twitter thread that has brought national attention to racism in medicine.

Every so oftena few times a yeara patient at Oregon Health and Science University (OHSU) hospital in Portland refuses treatment in the emergency department from Esther Choo, M.D. ’01, M.P.H. It’s not because they consider her 15 years’ medical practice too paltry, or her School of Medicine degree insufficientbut because she is not white.

“It’s one of those things that you’re never prepared for,” said Choo, whose parents emigrated from Korea in the 1960s. “Nobody, at any point, has said, ‘Oh, by the way: you’re a woman and you’re a physician of color; you probably will have experiences like this.'” So Choo began that conversation with a Twitter thread the Sunday after the white supremacist rally on August 12 in Charlottesville, Va., that ended in violence and with the death of Heather Heyer when a car allegedly driven by a neo-Nazi plowed into a crowd of counter-protesters. In a matter of days, the thread had been retweeted more than 25,000 times (including by Chelsea Clinton and the physician-writer Atul Gawande, M.D.) and garnered more than 2,000 comments. The attention led to Choo’s appearance on CNN, where she discussed the issue of racism when it comes to patient care. Those patients who refused her capable care, Choo said, either chose to be treated by a white intern over the experienced doctor or walked, untreated, out of the emergency room.

“Breathtaking, isn’t it?” Choo tweeted, “To be so wedded to your theory of white superiority, that you will bet your life on it, even in the face of clear evidence to the contrary?” That evidence could hardly be clearer: in addition to her 12 years of post-residency practice, Choo has her degree from the School of Medicine, her residency at Boston Medical Center, and work as an associate professor and attending physician at Brown University under her belt. She’s now an associate professor at OHSU, where, in addition to her clinical duties, she studies health disparities, substance abuse disorders, and gender bias. She also writes and serves on the advisory board for FeminEM, a resource for women working in emergency medicine.

Her family’s story is a classic immigrant tale. Her parents came to the United States so her father could study engineering at Michigan State University. After receiving his doctorate, he went to work as an aerospace engineer for NASA in Cleveland, while her mother owned a home cleaning service. They became citizens and raised three childrenEsther’s two brothers are a biology teacher and a management consultant. Before coming to the school of medicine, Choo graduated from Yale College with a degree in English language and literature.

“It took me a long time to get to where I am now, where I don’t internalize it at all,” Choo said of her efforts to deal with racism at work. “But when you’re a younger physician and you’re still developing your knowledge base, there are so many doubts that you have. So when you encounter someone who looks at you and finds something wrong that’s so personal to youthat cannot be separated from youit just creeps into any available areas of insecurity. And somehow you walk away feeling less confident as a physician, because this person is questioning your legitimacy to be there.”

Choo’s experience is not unique. Many of the thousands of replies to her thread related similar experiences, an outpouring that raises concerns. An article last year in the New England Journal of Medicine discussed how physicians might deal with racist patients, and in December OHSU released what Choo called a prescient statement advising patients that hate speech and bigotry will not be toleratedand that requests for a specific physician based solely on race will not be honored.

“How do we improve the multiculturalism and the diversity of our physician workforce?” Choo said. “It’s really hard if you’re presenting some subsets of the physician work force with a harder road to travel.”

Nancy R. Angoff, M.P.H. ’81 M.D. ’90, HS ’93, associate dean for student affairs, who recalled seeing the qualities of compassionate care and calm leadership in Choo as a medical student, noted that the issue is a pressing one. “More and more, we’re looking at that as a form of mistreatment that our medical students face, that our trainees face, that we as an institution need to take seriously,” she said. “We need to foster an environment in which we respect each other.”

“Hospitals are not selective institutionswe treat everybody who walks in the door,” Choo said. “We are really thrown togetherpretty intimatelywith our patients, so we’re going to encounter a wide variety of opinions, and some of them will be extreme intolerance. It’s one thing to view it from across the country or on TV, and it’s another thing to have it in your workplace and up in your face.”

Some refuse to believe that Choo’s experience is genuine. To the doubters, Choo is gracious: “It’s a hard reality to acceptit shows the darker side of human nature,” she said. Injecting a positive note into that darker reality, Choo revealed in her Twitter thread what gives her hope: “A few get uncomfortable and apologize in the same breath they refuse to let me treat them,” she wrote. “You see, it’s a hell of a hard thing to maintain that level of hate face to face.”

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Prejudice in the emergency room – Medical Xpress

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