This was good! Thanks doc!

@DoctorRich

2 жыл бұрын

@Dr.glaucomflecken: Thank you for inspiring us all. I am humbled that you watched and responded to our video!

@christinegelabert1651

2 жыл бұрын

@@DoctorRich I'm loving it that you two are connected through these videos! This one is actually one of my favorites of his! I BELIEVE that the woman in the video is his wife if I'm not mistaken?

@ciara473

2 жыл бұрын

@@christinegelabert1651 yes, that's Lady Glaucomflecken!

@hopeful4243

Жыл бұрын

Eyy the legend himself

@bronsonleach3573

Жыл бұрын

@@DoctorRich I honestly think surgeons should keep medical staff 50/50 half male half female. The reason being many people refuse life saving care because of modesty. I will be honest many men will not go to a female urologist even if that is the only one they have they will simply just go to another place even if it is another few hours of a drive. It has nothing to do with sexism they are just plain uncomfortable with having a women looking at their genitals regardless of how good they are. Women usually can get all female staff men can not and are usually told to deal with it because we have to male nurses or male staff. I also think the fact that people are more educated in medicine then they used to be many know modesty almost doesn't exist in medicine even though most places say it is one of their top concerns. Also many people know that when they get put into medically induced coma via general anesthesia we know it isn't sleep and is probably the closet someone can be dead without being dead. Almost all modest request most likely will be ignored after they are under the influence of versed which is why it is used so much so people forget what happened to them.

That's his real life wife, Kristin (Lady Glaucomflecken!). She saved his life in 2020 performing CPR on him for 10 minutes straight while he was in cardiac arrest.

@DoctorRich

2 жыл бұрын

@ChadC: That makes this the video even better. Thanks for the intel

@Elizabeth-rq1vi

Жыл бұрын

She rocked it!

@tinaperez7393

Жыл бұрын

They were at home asleep, it was around 4am and she woke up to his making strange noises, then did her best to assess the situation and scrambled into action with cpr on him, was on the phone with 911, got an ambulance, he was unconscious the whole time - until after his surgery. I don't recall the exact details (they talk about it in a few serious videos) but basically it was just a few years ago and it was a miracle she woke up and could help and did help and everything else was available that eventually saved his life. A really unbelievable story. So glad they / he made it. To think if he'd been driving or even alone in a restroom anywhere, anything or anytime where he was alone. Amazing she was able to wake up even. I'm a deep sleeper and imagine I might have easily slept thru any noises. Just a shockingly close call of a story. So glad he made it. 🙏🙏🙏❤️❤️❤️

@La_Ru-yg8es

Жыл бұрын

She is amazing! That's a true hero, although she'd probably say she just did what anyone would do. 🤗♥️🙏🏻 Thank God she was successful; KZread would be a lesser place without Dr. G! I doubt even Jonathan could fill his shoes. 😁😜 On a more serious note, I've never really learned CPR, and this comment is a nudge to remind me I should prioritize this. Our local Y used to offer a class, pretty sure they still do. It's most definitely worth devoting a Saturday, in the event I'm ever in a position to render aid. The class also teaches proper Heimlich Maneuver, and that is super important to me. Choking is one of my biggest paranoias. I'm going to look into that class this spring, once the current chaos in my life has simmered to a low roar! 👍

@La_Ru-yg8es

Жыл бұрын

@@tinaperez7393 That does sound like a miracle. 🙏🏻🙏🏻

I truly understand the “scariest place to have a pelvic exam” comment. My adult niece went to the ER during a pregnancy that ended sadly. No fewer than four different doctors gave her pelvic exams. When an OB-GYN finally arrived, he said, “If you don’t mind, I’d like to do a pelvic exam.” She threw up her hands and said, “Why not? Everyone else has?!” He asked her to explain, so she did. He excused himself and quickly but quietly lopped off heads throughout the ER. She never saw anyone but him and her attendant nurse until he got her to her hospital bed.

@mellie4174

Жыл бұрын

yup. as women we're nothing but a vessel so no one cares ... they'll do whatever they want whenever they want to us.... and it's even worse if you are pregnant.

@felixfourcolor

Жыл бұрын

what did the other doctors do 💀

@fuzzythoughts8020

Жыл бұрын

I hope someone thanked him, that was a baller move.

@cosmicmuffin322

Жыл бұрын

Horrifying. I bet nothing changed and they did the same thing to every similar patient. Imagine a male patient having five different people, most of them unqualified, stick their fingers up his asshole. It would never happen.

@frankgrabasse4642

Жыл бұрын

What did the other doctors do? Wrote unnecessary bills and apparently performed unnecessary procedures. But they went home a little bit richer.

“Pregnancy related bones” got me. 😂

@DoctorRich

2 жыл бұрын

😂😂😂

@finnmcool2

Жыл бұрын

There's what? 214 or thereabouts right?

@LadyAnuB

Жыл бұрын

If Dr. G has the stereotype correct, orthopedists are the jocks of medical specialists, buffed out people but not the sharpest tools in the shed

@MirrimBlackfox

Жыл бұрын

@@finnmcool2 That was my first thought too! But then it occurred to me that the pelvis is a bone...

@Tker1970

3 ай бұрын

Pregnant women have more than 2X their normal number of bones in the latter stages of pregnancy. Reasonable question. :D

Okay but the book being titled "Vagina etc." SENT ME.

I had to have major surgery while 6 mo pregnant. 6" incision. I woke up having not had any pain medication. My surgeon had assumed I couldn't have any. My ob/gyn was LIVID and gave the surgeon a crash course in everything he didn't know. 😂 And I got my pain meds. My son was just fine at birth 3 mo later.

When I was looking at my match options in medical school, one of the surgeons found out I wanted to match into OBGYN... His comment: "So, you want to be a surgeon, but you don't want to pay full price." My innocent question after that was, "So, then when was the last time you did a hysterectomy or an operative delivery? " I took the B for Senior surgery proudly.

@DoctorRich

2 жыл бұрын

@throwingpotsandpans: Good one!

@rexroyulada6267

Жыл бұрын

XD

I had a bad experience with a male OBGYN. Ironically enough, the ER staff I had seen for the intense pain from my endometriosis were understanding and did their best to help get me to see an OBGYN as quickly as possible. But my Dr. was rude, dismissed my descriptions of pain, and got it in his head that I clearly didn't know what I was talking about when I said I had a medical history and high risk for both endometriosis and PCOS. (My bio mom had an emergency hysterectomy before age 23 due to her endo) He saved my life in the OR, my right fallopian tube had been cemented to my intestines and both organs had begun tearing. Had I gone another few weeks being ignored and dismissed I'd have died. He apologized to my husband for dismissing my concerns, but never to me. I pray and hope you treat your patients with dignity Dr. Rich. :( Mine is not the only horror story out there with your fellow male colleagues when it comes to being taken seriously.

@cosmicmuffin322

Жыл бұрын

He probably apologised to your husband because in his mind, your husband's inconvenience for losing his sandwich maker was worse than you losing your own life.

@grandma460

Жыл бұрын

That’s just awful. So sorry you went thru that. Craziness!!!!

@shaivjoshi4063

Жыл бұрын

@@cosmicmuffin322 Yes. That is true. What will I do without my trusty sandwitchmaKer.

The uterus is a VERY complicated organ that CAN kill a female even if she is not pregnant. So an OBGYN is indeed a very IMPORTANT specialty because without them pregnancy complication and things such as endometriosis, uterine/endometrial/ovarian/cervical/breast CANCER, POCS, HPV, etc... would spell death or disfigurement for the woman and/or her unborn child. PLUS, there are specialties within that include prenatal surgery that even a pediatrician wouldn't be qualified to handle. So MYEAH! OBGYN is indeed a very essential medical specialty that deserves respect.

@DoctorRich

2 жыл бұрын

Thanks for being a subscriber. Well Said!

@cjandauntieyaya1446

2 жыл бұрын

@@DoctorRich Happy to be here! I lost my baby making bits due to endometriosis and a bunch of tumors. I am so grateful that the new robotic aided technology allowed my gynecologist to remove even the tumors vaginally with only a small stitch in my bellybutton. Had a friend who had her hysterectomy over a decade ago via her bellybutton and that doctor really butchered the stitch job. Mom's was in the 70's and she got the "bikini scar." One can see the medical advances and those wouldn't be possible if there weren't dedicated doctors who made Gynecology their focus of expertise.

I had to go to the ER for a possible gyn emergency once. I got a resident who didn't know how to use a speculum (in December!) and the very seasoned nurse was whispering instructions to him. I can't bring myself to explain exactly the errors in its use that he made, but I felt like I was in a slapstick movie.

@DoctorRich

2 жыл бұрын

@SpoonieRV: Every July the new residents/interns start their training and it can be a bit of a fiasco at times. Thanks for your patience and humor.

@christinegelabert1651

2 жыл бұрын

@SpoonieRV I hear ya sister! I've had a bunch of issues got a few times I've had residents work on me under the guidance of course of my Gyno. They're going through the whole spiel of like ok NOW I'm going to do this and NOW I'll be doing to do that. I'm on the table saying listen I hope you using this size spectrum. I know you think that this other size is the one to use but trust me use this one. And I'm like listen I got a tilt going on over there in my cervix so I'm going to tell you how to get this in. Little Johnny Rocket over there says don't worry I KNOW what I'm doing. ALL I'M thinking to myself is ummm no you don't kid. He starts his little plan of action I'm like listen bro do a dip...then dip back up and you're good to go. He of course tries his way three times with no success. I'm like so you're ready to try my way? They really shouldn't mess around with people who actually know their bodies. I've had a lot of guy no issues including five times cervical cancer in 3 years, three times in 91 and twice in 92. So every time I get a resident I have this whole like issue going on with them try to tell me how they know what they're doing and I'm like no man you really don't trust me just follow MY instructions please! 😂 🥺

@DoctorRich

2 жыл бұрын

@@christinegelabert1651 patients will always be our greatest teachers.

@finnmcool2

Жыл бұрын

I can't express how horrifying that sounds.

@mellie4174

Жыл бұрын

@@DoctorRich if only doctors actually believed that. You are a unicorn.

The radiologist removing the sunglasses that still have another sunglasses on his just hilarious, wonder if he wear a dark contact lens too

dear dr rich, thank you for choosing this profession. as a young patient, going to the gyn was terrifying, even more horrible than the dentist. you feel insecure, it is an area that you can not really see, people avoid talking about this area of the body. now, as an older women, it ranks above going to the dentist. because you guys are sensitive and awesome.

@christinegelabert1651

2 жыл бұрын

Absolutely! I'm older now and for decades I got misdiagnosed until my LATE 40s! That's when I was finally diagnosed correctly with my Endometriosis by the gynecologist that I have now. When I got her as my doctor it was like the skies opened up! All of a sudden...unicorns were skipping around up in the air and angels was singing! I came home from that visit that day and I sat down and I cried for like an hour. I was just like WOW! THANKFULLY NOW I FINALLY know what the Hell has been going on for so long. She's been my Dr for almost 10 years and believe me she WAS a lifesaver. I'll be turning 56 in October and I told people all the time that I love this woman ALMOST as much as chocolate! ❤️

Thank you for talking about the underfunding and under research issues in womens health.

Gender doesn't matter but I got the best oncologist/urogynecologist who did my complete hysterectomy. He made me laugh, listened to my concerns, and had the upmost confidence in him. I gave him a card that said he saved my life. It seems so insignificant but heartfelt.

@DoctorRich

2 жыл бұрын

@JudithWyman: I am honored to serve our community. Doctors always appreciate the encouragement.

@jewel1953

2 жыл бұрын

@@DoctorRich I enjoy your videos. Thank you for taking the time to educate women. It is not always easy talking to your dr.

I had no idea some hospitals didn't have gynecologists!

@Cabbage-dk6nu

Жыл бұрын

Something like 50% of counties in Alabama don't have a gyn at all! There's a serious shortage around the world, because it really IS such a complex specialty with such high demand. An experienced OBGYN can go just about anywhere they want

@slashbat2375

Жыл бұрын

@@Cabbage-dk6nu after this video I basically searched all the hospitals I knew in my city (public and private) and all of them have gynecologists! Maybe it's luck or maybe it's just because my country's population is only 59mil so it's not as crazy to have gynecologists at every hospital

@reality1701

7 ай бұрын

@@Cabbage-dk6nusadly it’s only getting worse - many doctors are leaving states like Alabama because they don’t want to possibly get a charge and go to prison for providing a miscarriage treatment. They also don’t want to raise families there. Medical students are refusing to consider doing any residency in these states - not just in OBGYN. Parents and their pregnancies are going to be lost because of the states passing laws that are not based in medicine.

Lmao the idea the obgyns aren't surgeons. I've had 6 surgeries in my life thus far, and 3 of them were performed my an obgyn. Not only that, 2 of those surgeries were the most invasive/complex of the surgeries I had, and one saved my life.

@DoctorRich

Жыл бұрын

Thank you for being a subscriber! I responded to your comment in this video kzread.info/dash/bejne/oKCVxquAodvPY5M.html

@Tker1970

3 ай бұрын

Yes. All you have to think of is a C Section. I'm sure most patients would want a surgeon doing that.

THEM being like "is there anything we can give pregnant women?" is so real. I had to go to the ER for an injury when I was pregnant withb kid one and they kept having to pause to look up or consult everything and when I got discharged they gave me a prescription and were like but check with your obgyn if you can tale it before you fill it. Dude its 230 in the am😑

@DoctorRich

2 жыл бұрын

@Hakainokami: #truth

Have to say, my first pregnancy (included hemorrhoids that required surgery after birth) when my hubby took me to ER for extreme pain - was QUITE dissatisfied when ER doc SHOVED the hemorrhoids back in and said any other pain was irrelevant, only to end up at other ER 12 hours later with pre-term labor. I get that ER docs are in a hurry to triage and treat patients as quick as possible, but DAMN this particular ER not only missed my pre-term labor with my son, but less than 3 years later missed the infection that landed my then 2 year old at a different hospital for a week while on morphine just to breath😢 I totally dream of the day metrics don’t rule the ER and a doctor can take the time to listen to the whole story

@DoctorRich

2 жыл бұрын

@heathertucker: thanks for sharing your story

@saysHotdogs

2 жыл бұрын

Same! Almost. First pregnancy I started having cramps at 17 weeks so I went into the ER like a loony toon and they shoved a Foley catheter up there, no numbing lol, just to see if I had a UTI?! I was only 19 so a total clueless idiot

@thekingsdaughter4233

Жыл бұрын

@@saysHotdogs I was 34 with my first pregnancy. There was so much I didn't know. Miscarriage at 36, another successful pregnancy and delivery at 38. Each time a different doctor; each time there was something that took my by surprise, and not necessarily in a good way. You're doing great.

@mellie4174

Жыл бұрын

@@saysHotdogs so much abuse of women and sometimes it's even done by women. I had a cyst bursting and when i went to the walk in clinic (alternative to the ER) and they found out that i was single and sexually active, they diagnosed me pelvic inflammatory disease from an unknown STI without ever doing any testing and then gave me a shot of rocephine (the most broad spectrum of broad spectrum antibiotics) and a lecture about how i was killing myself with sex and i'd probably never be able to have children. I was in so much pain that i couldn't think straight and i couldn't protest. I had a followup with my obgyn 2 days later. He was like, you don't have an sti, you don't have PID and you have had a cyst burst. We'll do STI testing just to make sure but it 99 percent that. All the most expensive and thorough STI testing came back negative and I still have cysts from time to time to this day (but not PCOS). I have very little respect for doctors as a group and when i find a good one, I have the utmost respect because they're the exception not the norm. If this channel is a good representation of this doctor then I say god bless him and i hope that as many people can be seen by him as possible! We need more like him!

@litsci1877

Жыл бұрын

This is why I went with the nurse-midwife option at my massive local hospital -- went in there for the first visit and the place was like some sort of zoo/charnelhouse, women screaming, all kinds of chaos. Then it turned out that it was such a machine there was no way of knowing which C-section-scheduling-around-vacations OB I'd get, and I was like wut and then it turned out there was this other option. The intake person was seriously displeased when I was like, yes. Nurse midwife, please. Because I knew I'd have the same person the whole way through, and as it turned out she was phenomenal. Paid a whole lot less than the OBs, though.

Finding you, and being educated on that OBGYNS aren't all extremely knowledgeable on the GYN side of things, was one of the best decisions of my life! Because of you I have my two miracle babies I was told by a GYN(not knowledgeable with my diagnosis) I would never have. So thank you so much Dr. Rich! I am going to miss you so much when we move.

@benjaminsorenson

Жыл бұрын

Even other fields of medicine they all arent all extremely knowledgeable.

I had a pelvic exam done by an ER doctor, which was NOT GOOD. So on point lol.

I am currently in the hospital on the labor delivery floor. But had to come in through the ER since I came by ambulance. Um, the ER doctor did the best he could. But the fact that I was gushing out blood (had to have a blood transfusion it was so bad) and having contractions non stop for hours and he couldn't get either under control. But I come to the LD floor and it ends up there's a wonderful pill that makes both those things go away! Had I been able to come straight to LD and get that pill right away, I would have avoided a lot of blood loss and dodged hours of agonizing pain. And I can confirm the fact that the scariest place to get a pelvic exam is the ER!

@DoctorRich

Жыл бұрын

Stephanie Lu: thanks for sharing your story

I’m a huge Glaucomflecken fan and that fanaticism has led me to the enjoyment of your channel🎉

Missed opportunity to have your editor do the Jonathan nod

I can attest to scariest place to have a pelvic. About 14 days before my wedding, I had so much pain that my dad called EMS. The OR doc told me I had a miscarriage. Impossible, I said, he then said it was an STD and PCOS. Impossible, I told him again. He got really angry, laid in to me and asked why. I told him why (I was waiting for marriage. This was years ago. He actually told me he didn’t believe me!🙄

@grandma460

Жыл бұрын

Crazy. So wonder what they determined..? Glad you got better.

@miask

Жыл бұрын

@@grandma460 fibroid tumours. As I got older, things just got weirder; I’ll say that.

In my personal experience, male obgyns can be some of the best, most caring and considerate doctors, I certainly would never discount an obgyn based on gender.

As a lady doctor, I'm in to say thank you for your advocacy. Your residents are lucky to have you

I’m a retired RN, and I’ve been a female for 80 years. I’ve known a few gynecologists in that time at both ends of the speculum, you might say. Anyway, in 1962, when I became a nurse, there were NO female gynecologists at my hospital, which was a large medical center affiliated with a university - we had a whole floor devoted to gynecology. And no, it wasn’t in Afghanistan - it was Texas, which is less like Afghanistan now than it was then…or maybe not. 🙁

@grandma460

Жыл бұрын

Funny. Hope you had an awesome career! RN here

@virginiamoss7045

Жыл бұрын

Yeah. Texas.

@motibilli

Жыл бұрын

What does I have been a female for 80 years even mean

@michellewetmore3653

Жыл бұрын

​​​​​@@motibilli ​​Women should have a gynecology exam once a year to keep their reproductive organs healthy. If the woman is having female problems (or pregnant) she will have more frequent exams. So knowing she is an eighty yo woman you now know how much personal experience she has with internal exams. And with her being a nurse and assisting doctors at a busy hospital she has even more professional experience. That's why she wrote the comment she's "known a few gynecologists at both ends of the speculum, you might say." 😂

@wakelamp

10 ай бұрын

"at both ends of speculum" "Texas, which is less like Afghanistan now then it was awesome" Thank-you for keeping your sense of humour for your whole career!

Thanks for sharing this important information about the wonderful women who help in our Hospitals. As a congenital (at birth - for those who are learning terms) heart patient myself, I've had Male nurses and Female Cardiologists. In fact, one Cardiologist has helped in performing a few Catheters because she was already my previous Cardiologist at a children's hospital before I transferred to the nearby adult clinic. So, when I needed to get a Catheterization, she helped perform the operation. 😊❤️

This is great. Thank you for the work you do. I think I’m safe to assume you are an excellent doc. Continual learning, humility, compassion, and advocacy. Great combo 😊

@DoctorRich

Жыл бұрын

Much appreciated

I got a new OBGYN because mine left. I happened to ask about a tubal removal at my first appointment. I was super surprised that he would be doing the surgery HIMSELF. I knew that someone in that specialty would do it but i didn't think it would be HIM. CRAZY

This was so fantastic. Thanks for addressing the sexism of medical specialties!

Pretty sure OBGYN isn’t the only specialty with more women than men - I think pediatrics, FM, and psychiatry also have more women than men

@DoctorRich

2 жыл бұрын

@k24: YOU ARE CORRECT! Thanks for pointing this out. We meant the only SURGICAL speciality. But but catch.

@absidyabsidy2727

Жыл бұрын

@@epicherbalism hi, woman here, I’ve had vastly better experiences with male OBGYNs than female ones. Provider gender doesn’t matter to me, patient reviews and experience does.

@DoctorRich

Жыл бұрын

@@absidyabsidy2727 great point! @epic herbalism otherwise we would also need to disallow females from urology and forbid doctors who haven't had a heart attack from performing cardiac surgery. It is the doctor empathy and experience that makes them a good match. but to be sure it is always the patient's choice

@epicherbalism

Жыл бұрын

@@DoctorRich Actually it doesn't really go the other way - the way women are different means that they would probably still do a good job with male health issues instead of doing what male doctors have historically done with women's health. Also the heart attack thing is just a silly comparison. But at least you read and respond to comments and know that it is in fact the patients choice so good on you for those things.

@mellie4174

Жыл бұрын

@@epicherbalism why?? if we can't deprive women of the education and career they want we can't deprive men of the same. Fair is fair and i'll say that i have had the best obgy treatment from men as opposed to women who can be unfeeling as they've all been through it before so they tell us to sit down, shut up and spread our legs. Whereas often men worry about hurting their female patients and take extra care to be gentle. All individuals are different and we can't say one group is better than the other.

I am a Forensic nurse and whenever we had a gyn issue they would come get me so I could show them what to do. After they were done I would whisper, Call Dr. x now lol

@RaviKumar-pp3pr

Жыл бұрын

Hello

I'm a paramedic. We once had a patient who's water had broken with meconium staining, she was also on methadone. She was G 4 P 2. We were hauling ass to the ED and gave a full report to the ED Attending. We got to the hospital with the patient between contractions. She was relatively stable. The doors open and the attending is fully gowned up, so is everyone near room 1. I looked at the Doc and said "I think we can make it to OB". The attending quickly stepped back and said "Go with God" and sent a nurse running ahead to hold the elevator. We got to OB right as the patient needed to push. I yelled at the RNs to move her to their bed, lol. As soon as we moved her the OB said "She's crowning". I quickly got a RN signature on my tablet and got the hell out of there. That was one delivery I was happy to leave to the Obstetrician and the OB nurses.

@DoctorRich

9 ай бұрын

That sounds like a pretty intense situation, and you handled it well as a paramedic. Childbirth can be unpredictable, and it's essential to get patients to the right place with the right resources as quickly as possible. It's great to hear that the OB team was ready and able to take over once you arrived at OB. Thanks for sharing this experience, and kudos to you and the entire healthcare team involved for your quick thinking and teamwork!

@RLKmedic0315

9 ай бұрын

@@DoctorRich I've delivered 6 kids, lol. 27 years as a medic. And I know when my job is to drive really fast 😀 this was one of those times. (Well, I was in the back and not driving. But I think you understand my meaning)

Gynecology is super important. Gynecologist Dr Denis Mukwege received the Nobel peace prize!

0:39 HI JONATHAN!!!

Hi- EM doc here…very passionate about women’s health. Most miscarriages and preg complications are taken care of by us. Including reproductive rights in this era. I’m not the exception, I’m the rule.

@DoctorRich

Жыл бұрын

We are ecstatic to hear of your commitment to women's health. Your patients are very fortunate.

I agree with the conclusions made! Valid points Doctor Rich!

It's important to know one's worth when negotiating but more important to end systemic discrimination in employment. As a woman in IT, I understand I have to look out for myself but it's up to the people in leadership--still mostly men--to make the systemic changes for just and equitable employement.

@DoctorRich

Жыл бұрын

@LisaPriester it is critical to align and support leaders who choose to champion anti-discriminatory practices.

Hey, GPs know everything. Just ask my GP. Or my veterinarian. He's offered suggestions on my allergies that actually paid off, so. Hee. I respect you all! I barely made it through statistics as a physicist, and I know you guys need better memories.

Can’t tell me obgyn aren’t surgeons. I’ve had two cut me open for surgery (not csections either)

It’s true, as a surgical tech, if I had to pick one specialty as the most respectful surgeons, it would be GYN!

I was just hoping its not same in Western World... gosh!!! Anyways this video is really amazing Dr. Rich!!

@DoctorRich

2 жыл бұрын

@DrAsthaRegmi, MD. Thanks so much!

Loved the video! My mother died of ovarian cancer. Her OB/GYN was the best!

Here, here! Well said Doctor Rich!

And you are fun to watch blessings to you sir.

Women's Services is like the "red-headed stepchild" of the hospital. We're ignored until they want to share a cute picture or story to make them look good.

The questions are real XD Every pregnant person gets sent to the delivery department even with a sprained ankle or bronchitis...

Omg! The textbook! 😆

Up to Date! My husband (FM) tells me to go there when I have a question 😂 🙄

@RaviKumar-pp3pr

Жыл бұрын

Hello

Being a female I appreciate this. Thank you 😊

Whenever people try to claim that women aren't overlooked in medicine, I always point to my favorite study. In 1994, there was a study done on environmental factors inpacting uterine cancer. Evey single study participant was a man (AMAB), not a single uterus in the study.

There's no medical specialty that knows about every field... "Anaesthesia and critical care"

@Wikitoube

Жыл бұрын

internal medicine as well

@RaviKumar-pp3pr

Жыл бұрын

Your name good

Now we need mama dr Jones to get in on this

@DoctorRich

Жыл бұрын

Thank you for being a subscriber! I responded to your comment in this video kzread.info/dash/bejne/oKCVxquAodvPY5M.html

I used to work with Dr. Ahluwalia (sp) and he was the wealthiest doctor where I worked.

How does the average person find good doctors like y'all? I had one, but he joined some HCP group, then fled west. Have not found a replacement.

@DoctorRich

Жыл бұрын

Great question. The reputation of excellent physician's tend to grow in the community they practice in. I would cross reference 'word of mouth' with physician reviews as well as contacts in the medical community. Also keep in mind that many of the very best physicians (just like the best lawyers and best chefs and other professionals) will eventually become so popular that they have to limit their access by going 'out of network' or concierge.

@La_Ru-yg8es

Жыл бұрын

@@DoctorRich Yes, that seems to be happening in our area. I needed tendon surgery a few years ago, and my ortho surgeon was a rockstar! Everyone around would say how lucky our midsize city was to have him. Well, of course he was offered a position in a very prestigious hospital, (maybe Cleveland Clinic? I can't remember.) So off he went. I don't blame him, but, it's our loss. (That practice is large and there are many excellent ortho docs there, so it's still where I'd go for any other applicable issues.) My mom loves her PCP, but when I went, I had to see his NP, and I did not care for her at all. Might go back though & give it another chance, as long as I can see the actual doctor & not her for my initial appointment at least. Thanks for answering my question!

I really lucked out with my OB/GYN. I'll readily admit that I have more trust in someone who has the parts they specialize in (I have heard great things about male OB/GYNs, but my comfort bias remains), but that had developed an extra detail by the time I last needed to get an exam: a few years ago, I started HRT after realizing/accepting that I'm non-binary. I live in a progressive-leaning enough area that I figured it wouldn't be too huge of a problem, but I made a point to look for ones who explicitly mentioned working with queer folks, specially trans folks, primarily because I don't know if any of the changes I've undergone could result in confusion for those who I'm guessing didn't likely have anything trans-specific in their education. (I'm already reasonably familiar with the awkward balance of support/validation and not-quite-there-yet that the hospital system I use has in my area, so I doubted I'd face anything very upsetting to me personally in terms of how I was handled overall.) It was one of the few times that I actually made a point to go through profiles to decide on a list of which doctors I'd most prefer to get set up with; usually I just accept whatever random assignment I'm given, partly because I didn't used to know profiles were even available (and honestly, most of the ones I've seen have been blank). I found someone who I decided was worth waiting the extra few weeks to get in to see (busy person!). A fellow non-binary person. Apparently, they became an OB/GYN mostly with people like me -- people like the both of us -- in mind. Tons of stellar reviews, too, and they've proven wonderfully easy to talk to. They were also the first to bother telling me that I've got an oddly (but not really problematically) curved canal and a mildly retroverted uterus.

@DoctorRich

Жыл бұрын

@SomeonlinePerson: Thanks for sharing your story and bringing awareness to the non-binary patient population

😂😂😂😂😂😂😂 this is the best

good points, thanks

@DoctorRich

2 жыл бұрын

Thanks for watching!

My ObGyn now also specialises in IVF, but had been my Gynaecologist for nearly 15 years. I had Endo from age 13, diagnosed at 19-20; 6 years of hormone treatment and 3 laperoscopies; ending in a hysterectomy. He performed 2 of my 3 laperoscopies (and with FAR less bruising than my 1st,) and was the ONLY person I considered to perform my partial hysterectomy (kept my overies) over 15 years ago - and _before_ keyhole hysterectomies. He was a great doctor, and an _excellent_ surgeon, my surgery went perfectly, and after 5 years, the scar was barely noticeable. Should I ever require the services of a Gyno. again, I would certainly try to get into his waiting list, and have recommended him to other Endo sufferers, and friends with PCO ... a _good_ gynaecologist is worth their weight in gold. They have to _listen_ to what a woman knows about her own body, and be open minded, and just the professional side of caring. It's a complex job, dealing with complex systems, and complex emotions. And worst of all, most women would rather have a tooth extracted than a basic pap smear (even a competently performed one by a a good GP or a Gyno.) It is a terribly under-rated profession, until it's needed - and then you want the best Dr you can possibly get!

Omg never going to emergency room

what hospital doesnt have OB/GYN?!!!

@thekingsdaughter4233

Жыл бұрын

Some years ago, there was a significant drop in the OB part of the OBGyn. Where I used to live, you had exactly two places to have a baby. One pretty good (affiliated with my doc), and one... We'll, maybe not so good. There had been so many foolish lawsuits against OB doctors, and their insurances went through the ceiling; so they either retired or focused on the general women's health part and didn't do prenatal care/deliveries any more. I don't blame them... Honestly, I don't envy OBGyns these days. I'd rather be a dentist or- hey, ophthalmologist sounds good, too!

@paddleduck5328

Жыл бұрын

Scary

you know... in the UK... you dont get pelvic exams... they just arent a thing other than a smear test every few years...

@gigi6539

2 жыл бұрын

Categorically incorrect.

@Gerkins1313

2 жыл бұрын

I want to move to the UK!

@HulaHula667

2 жыл бұрын

@@gigi6539 could you please explain how this statement was incorrect? Other than possibly clumsily worded? I am honestly curious in your point of view on this.

@gigi6539

2 жыл бұрын

@@HulaHula667 We call them PV (per vaginum) exams in the UK but the basics of examination and diagnosis are not different in the US/UK/everywhere else. They are an important part of examination for gynaecological complaints (e.g. abnormal bleeding, abnormal discharge, ovarian masses etc) and are a routine part of UK healthcare in GPs, Gynaecology clinics, and even A&Es

@DoctorRich

2 жыл бұрын

@@gigi6539 Thanks for the information

You should watch Stevio too, he is a nurse

Ohhhhh COME ON now…🙄 any OBGYN bones I should know about???? 🤦🏼‍♀️🤦🏼‍♀️🤦🏼‍♀️

It feels so good to be a Jonathan

@DoctorRich

Жыл бұрын

you said it

I'm glad I don't have any pelvic problems yet. I definitely will not go to the ER (thanks for the advice).

@DoctorRich

2 жыл бұрын

@BagofGoodness: We would always advise seeking emergency care when needed. But fortunately most GYN issues can be attended to in the Ob/GYN clinic setting.

I like watching you react, but I like what you have to say about how to negotiate your first contract a lot more… There’s a lot to learn that you could provide on that.

#HoldIt I am a medical doctor and a professor... MOST OF recent MDs are female! Male doctors are becoming more and more and more scarce!

@DoctorRich

2 жыл бұрын

@Hedley Quintana: This is certainly the case in OB/GYN

@hedleypanama

Жыл бұрын

@@DoctorRich In my country, this is not the case for Ob/Gyns

@grandma460

Жыл бұрын

Men going to quicker path of money like trade school perhaps? Our healthcare system is a mess. Insurance companies and business/hospital greed dictating care. Sad if women yet again assuming caretaking and service roles without needed support 🤷🏻‍♀️

1:40 You're telling me.... when i was 13 i went to the ER for a rly bad bladder infection and ended up getting finger banged by a 50 yr old Dr. for an hour.. the female nurse walked in with the biggest look of shock and pure hatred on her face... & for years i thought she was mad at me... it wasnt until years later i learned 1. A male dr should never be left alone with a female minor, a nurse should always be there as well 2. That a bladder infection didnt require a pelvic exam and 3. No pelvic exam should take an hour.... id had numerous pap smears prior but when your young and naive you think Dr.s are always in the right... best believe im in the room with my daughter's at every dr appt haha

@DoctorRich

2 жыл бұрын

Nom: Thanks for sharing your story. Every provider in every speciality is now required to have a chaperone when performing an invasive genital exam. Every patient should insist on this.

@thekingsdaughter4233

Жыл бұрын

@@DoctorRich not every patient is aware of this... 😞😡

@DoctorRich

Жыл бұрын

@@thekingsdaughter4233 Let's get the word out! Help us advise every patient of their rights!

There are more female providers in paed too...in my country at least

Here in the UK very few OBGYN (as you call them) are female.

How HOSPITAL doesnt have obgyn?

@joywebster2678

2 жыл бұрын

Nearby larger teaching medical center with full ob/gyn services. In downtown Toronto the 6 big teaching hospitals massive were 4 on one street, 2 oithers within 6 blocks. Things have changed since I went through my Nursing degree there, but at that time, one hospital was women's health only, one was pediatrics only, 9nexwas general with full cardiac speciality surgery, one was general with oncology surgery speciality. Burns were in the one down the 6 blocks. So one day delivered a baby in the Jewish general hospital, baby was critically ill, transport team from the pediatric hospital ran across the road with incubator etc. And took over infant care while we the obstetrics worked on mom a d her blood loss, and the baby was then rushed across the street using tunnels to the NICU. All different hospitals. Nowadays some have been torn down others amalgamated and enlarged.

So, how does the OBGYN find out what medication is allowed to be given during pregnancy? Usually ask a neonatologist 🤬😭 bc apparently we are the only ones able to read up in a database 😅😂 #embryotoxforall

@DoctorRich

2 жыл бұрын

Kadie: Google?. J/K: the 'manual of drug is pregnancy and lactation'

My best character is bone bro

The OB situation will only get worse in states banning abortion. Who in their right mind would want to train in a state where you’re not allowed to learn potentially life saving procedures, or practice in a state where you may have to decide between saving your patient’s life or staying out of jail?

@DoctorRich

Жыл бұрын

@VSE4me1: Well said.

my experience has been that i have no problem with women doctors, nurses pa's, etc. BUT you talk about how crappy women's health is but there is still no decent treatment for prostate cancer that doesn't completely eff things up for the man with the cancer. i know: i just went through it. so it's not a one way street.

@DoctorRich

11 ай бұрын

You would be a great advocate for men's healthcare!

As a OB/GYN, do you think there would be a benefit to having urologists and similar departments expanded in such a way that they could cover "mens health" issue as well as for some "trans health issues" especially in relation to the trauma releated types of issues you mentioned. For many it seems it is often assumed that the rest of the health departments are inheritantily mens health and thus this isnt neccsary but from some of my own experinces it seems like their is much more of a critical need in relation mens health to also deal with similar issues that many men may feel less comfortable or knowledgable about how to deal with and isnt within the purvoir of the other departments

@reality1701

7 ай бұрын

I personally chose my endometriosis specialist because she had her pronouns listed on her website, same with my ENT. My ENT I know is cishet, not sure about the endo specialist but she is also cis. Just taking the step of learning about pronoun courtesy and listing your own can go a long way towards helping gender diverse patients like me find providers who are affirming and willing to learn about anything they don’t know. Hell, I’m teaching my therapist a few things because I’m the first person he’s ever met that wasn’t on the gender binary (he already knows and is fully accepting of binary Trans people, but he had never encountered anyone who was nonbinary/genderfluid/etc). Now he’s trying to convince other therapists at the VA to put their pronouns in email signatures and learn more. My advice to providers trying to be more affirming of gender diversity: don’t be afraid to admit when you don’t know something and ask politely if the patient can either explain it or if the patient is okay with you looking it up really quickly. I don’t know everything about being gender-fluid or about using neopronouns. I’m a gender-fluid person who has to explain the singular “they” to people in TWO languages (one of which is a language that genders inanimate objects as either male or female and only is just now figuring out how to use a third gender in their language). Hire diverse people at all levels (from clerks to doctors) in terms of gender identity and race. Have chaperones for all intimate exams, not just when it’s requested. Streamline your paperwork - don’t use checkboxes to ask gender and sexuality. Instead, ask “What gender do you identify as? What gender were you assigned at birth? What pronouns do you use? What gender(s) do you have s3x with & what type of s3x do you have? Do you have the ability to get pregnant or get a partner pregnant? What forms of protection do you use?” Leave spaces after each question and let the patient fill it in. Basic stuff like that goes a long way for people.

And this is 2022?

My nickname for the fanny mechanics is "the chupacabras". Mythical creatures, much talked about, never seen. Not in the ED anyway.

Bones in OB? Pelvis !!!

Wouldn't Family docs get trained in OB stuff though?

@alanfernandez4521

Жыл бұрын

Yes, but if you don't practice your skills you lose them.

Do you work with midwifes? Are you from the U.S?

@DoctorRich

Жыл бұрын

Idelle: Dr. Rich is a Urogynecologist, and does not practice obstetrics. He is based out of El Paso, Texas. He does have nurse practitioners in his practice.

My guy are you just taking bong hits of sulfurhexafloride. Your voice is MMAAADDD deep and thick.

@DoctorRich

2 жыл бұрын

@buffet burglar: and the obscure reference award goes to.............

@buffetburglar6447

2 жыл бұрын

@@DoctorRich helium makes your voice high because sound waves travel faster through it while sulfurhexafloride is way heavier then air and slows and makes the sound waaayyyy deeper like your voice. Your voice sounds autotuned way down. Look it up and you will see what I mean you have the same vocal fry as inhaling the gas. Love your content

In regards to advocating for salary Jordan Peterson talks about wage disparities in female to male wages and men are generally more disagreeable and are more likely to negotiate and be confident in their worth. Females have a tendency to be more agreeable and are less willing to negotiate their wage.

Vaginas, etc. 🤣😂

Pediatrics also has a majority women. Also as a woman patient (and a doc), yes gyn are definitely surgeons and surgeon-minded, which explains why 1:3 women (actually 40%) end up with a hysterectomy and there isn't earlier non-invasive intervention to preserve the pelvic anatomy. I know this is now changing but not fast enough.

@spiderkiller64

Жыл бұрын

As a person who had three c-sections to save my life and (attempt) to save my babies, I wish you would stop this. I have been asked to defend myself why I "chose" c-sections. I've had the staff snort in disgust at me. I'm standing there reliving the most traumatic event in my life, and someone, because of your kind of assumptions, decides that I "wanted" a "fashionable" delivery. Argh!

@RaviKumar-pp3pr

Жыл бұрын

Hello doctor

We’re going into 2023 and this medical professional is telling us and reiterating to us that it’s a broad struggle to convince physicians in the USA that women’s medical issues are important “too”. But men in general should have a vote on the parameters of women’s health services. WTH.

Why this lake of women in medicine in US compare to other countries?

Please react to BBC's This is Going to Hurt

My god. Still?

@DoctorRich

2 жыл бұрын

Carmen: We call it like we see it 😂

Let me just throw this out there quickly -- while it is very appropriate to ask the OB/GYN if it is safe to give a pregnant person a particular medication, IV contrast, anesthesia, etc., PLEASE at least consider calling your friendly pediatrician to ask about medications in breastfeeding person. (And if anesthesia could stop telling women to pump and dump for 24 hours after general anesthesia, that would be cool, too...)

Did Dr Rich actually say the OBGYN is a surgeon in the end or just talk around it?

As a female OB-GYN, this only touches the surface of the disrespect that we feel from other medical specialties because we are mostly female (63% in Canada), & we work exclusively with women. I cannot emphasize enough that this is unacceptable. We have access to less OR time than other surgeons, & are constantly disrespected for the quality & quantity of our training. Point of fact, most OB-GYNs work more hours, at more unsociable times of day than most other specialties. I think Dr. Rich is awkwardly laughing for this very reason. It is an uncomfortable truth in medicine & surgery that misogyny still exists & we won’t stand for it any longer. .

@DoctorRich

6 ай бұрын

Thank you so much for your thoughtful comment. I am deeply grateful for your insights into the challenges faced by female OB-GYNs, and I am honored to be able to help support in advocating for change. It's heartening to see that despite my being a male in the field, you recognize the importance of male allies in the cause for gender equality within medicine. Your observations about the disparities in access to operating room time and the undervaluation of the training of female OB-GYNs are crucial in shedding light on these systemic issues. As a male advocate for this cause, I am fully committed to standing alongside my female colleagues and working towards a more inclusive and equitable environment within the medical community. Your engagement and support further emphasize the collective effort needed to address misogyny and gender bias. Let's continue to work together to break down the barriers that female OB-GYNs face and create a future where every medical professional, regardless of gender, receives the respect and recognition they deserve. Your perspective is invaluable, and I appreciate having allies like you in this important journey. Thank you once again for your comment and for championing the rights and acknowledgment of female OB-GYNs.

My friend, if you want to pretend you've never seen this clips maybe don't start laughing before the punchline lol

Surgery on women is extremely important and does deserve immense respect, which is why it's a shame they get only 50% of the OR time of a general surgeon before being allowed to operate independently on women.

What kind of doctors repair or fix damage to female genitalia after sexual assault? Also is the surgery to repair damage to the vulva, vagina, cervix and uterus done separately to the e surgery to repair the anus and intestines after sodomy?

Isn’t this is wife?

(Sigh) and of course when women attempt to negotiate salaries they get punished for it, bro, not like with you. And I am sorry, but this is why I insist on going to women gynos and women docs in general. There's just too much bro in medicine and I'm not here to spend nine months being ill while forcibly educating you on things that other women just know before I can get some treatment. Ah well. Glad you featured the video.

@litsci1877

Жыл бұрын

Reminds me, I gotta check back in with the "hello meet my expertise" resident who saw a slide about subclinical hypothyroid and thinks he knows things, is going to wind up putting a lot of women through a lot of bad times. I got a new doc but my boy needs educating on how his expertise played out.

What wait obgyn mostly female? My city got male obgyn. And tbh I thought most obgyn are male. Cause you need to stay 24\7

@kadie9495

2 жыл бұрын

Aaaand a woman can’t do that? (She asked currently on call the fourth day in a row 😖 I might renegotiate 🤔🤭)

@xwrtk

Жыл бұрын

It’s just more female than male not mostly female.