Alberta physician refuses to prescibe birth control

[ophtho_gunner]

Primary care is the field responsible for the first contact and for long term management of a patient with preventive care + chronic disease management being key. A thoracic surgeon, who only works as a consultant, is not responsible for primary care of a patient or things outside of the reason for the consultation. A primary care physician performing specialist procedures is an exception to the rule, is not considered primary care, and has no logical bearing on your argument.

 

I'm not sure if I'm for or against this family doctor, but the points you made aren't helping to support your position.

These definitions of primary care are very fluid and not concrete. A thoracic surgeon foremost is an MD and should be able to perform anything an MD does. This includes knowledge of how OCPs work and how to manage simple diabetes cases.

 

The argument made was that every FP should be able to prescribe an OCP. In the same way, every thoracic surgeon should be able to do the same. Whether they want to do it is determined by personal comfort and the nature of their job. In the same a FP can choose not to prescribe OCP. It is not incumbent on them to include OCP in their scope of practice. As simple as that.

[ophtho_gunner]

The tone used against you is unfortunate, but none of this has anything to do with "primary care" standards. The argument is that prescription of an OCP for contraception on request and where no contraindications exist is "standard" care. There are multitude other such "standards" that are usually defined by consensus or, sometimes, official guidelines. I understand the "conscience" argument - especially as it applies to more important issues - but I'm not sure it's especially relevant for something like an OCP. On the other hand, there are still countries where both OCPs and abortion are actually illegal (or recently were), so there may be a question of a Canadian vs foreign standard here which isn't readily reconciliable.

 

 

 

Definitely something to remember next time I'm in seeing "my" thoracic surgeon for that next wedge resection.

 

 

 

I'm not sure what an "anti-feminist" is.

 

Antifeminist would be very similar to what an anti-theist would be. Someone who aggressively and actively stands up and speaks against the ideological implications of feminism and everything it entails: entitlement. Someone who thinks feminism is a cancer that needs to be irradiated.

[DarkGhost]

Antifeminist would be very similar to what an anti-theist would be. Someone who aggressively and actively stands up and speaks against the ideological implications of feminism and everything it entails: entitlement. Someone who thinks feminism is a cancer that needs to be irradiated.

 

I realize there's extremists in the feminist movement, but by definition, feminism is striving for gender equality. Probably not something any educated person should be opposed too. Especially since in many countries women still don't have rights, be it politically, socially, or economically.

 

But hey, I'm also one of those people who thinks that everyone is entitled to a life without violence and repression... Oh man, listen to the propaganda I'm spewing!? Someone stop the insanity.

[A-Stark]

These definitions of primary care are very fluid and not concrete. A thoracic surgeon foremost is an MD and should be able to perform anything an MD does. This includes knowledge of how OCPs work and how to manage simple diabetes cases.

 

The argument made was that every FP should be able to prescribe an OCP. In the same way, every thoracic surgeon should be able to do the same. Whether they want to do it is determined by personal comfort and the nature of their job. In the same a FP can choose not to prescribe OCP. It is not incumbent on them to include OCP in their scope of practice. As simple as that.

 

I would not ask most thoracic surgeons to manage non-acute medical issues. I would respond to say that basic reproductive health issues serve as a cornerstone of primary care, and a family physician cannot make such arbitrary decisions.

 

Antifeminist would be very similar to what an anti-theist would be. Someone who aggressively and actively stands up and speaks against the ideological implications of feminism and everything it entails: entitlement. Someone who thinks feminism is a cancer that needs to be irradiated.

 

Um, ok.

 

I tend to think that women deserve equal-pay-for-equal-work and are even "entitled" to things like voting, property ownership, and, should they be appointed to it, to sit in the Senate. On a more contemporary note, I favour access to day care and paid maternity/paternity leave. As for the "radical" feminists, I don't really know what their programme is these days, and it doesn't much matter when most of the major issues have been settled.

[ophtho_gunner]

I realize there's extremists in the feminist movement, but by definition, feminism is striving for gender equality. Probably not something any educated person should be opposed too. Especially since in many countries women still don't have rights, be it politically, socially, or economically.

 

But hey, I'm also one of those people who thinks that everyone is entitled to a life without violence and repression... Oh man, listen to the propaganda I'm spewing!? Someone stop the insanity.

 

Which countries do you have in mind ? Are you thinking along the lines George W Bush thought about "democraticizing" countries with non-Christian cultures by bombing them ?

[ophtho_gunner]

I would not ask most thoracic surgeons to manage non-acute medical issues. I would respond to say that basic reproductive health issues serve as a cornerstone of primary care, and a family physician cannot make such arbitrary decisions.

 

 

 

Um, ok.

 

I tend to think that women deserve equal-pay-for-equal-work and are even "entitled" to things like voting, property ownership, and, should they be appointed to it, to sit in the Senate. On a more contemporary note, I favour access to day care and paid maternity/paternity leave. As for the "radical" feminists, I don't really know what their programme is these days, and it doesn't much matter when most of the major issues have been settled.

 

I personally know many male family docs who refuse to prescribe OCP. They refuse in a politically correct way. I tend to think that primary care practice gives you the freedom to practice whatever you are comfortable with and you don't have to follow or obey a rigid ideological slavery to the same extent a hospitalist has to.

 

Voting etc are not entitlements. They are rights. Read about the female privilege and its implications and how it boosts the feelings of entitlement.

[uwopremed]

Antifeminist would be very similar to what an anti-theist would be. Someone who aggressively and actively stands up and speaks against the ideological implications of feminism and everything it entails: entitlement. Someone who thinks feminism is a cancer that needs to be irradiated.

 

Looks like someone is a member of the MAN blogosphere. The RooshV types. Such misogynistic scum.

 

Feminism seeks equality - and in some areas of our culture, a woman is often ignored without here individual quality being addressed. There is science behind this. The same is true, to some degree, with race. I so often here fellow white guys say it is so hard for them, and affirmative action hates white men. But apply for any job - and if you replace the western sounding name with a Chinese, or Indian or Arab name but keep the identical resume - and you will get way less callbacks. This study is so easy to reproduce - any of us can do this.

 

Look, I'm not a fan of modern feminism either, which is sadly led by extremists, in that almost everything is blamed on men, and women are usually given a pass for bad behavior. The inconvenient facts that men have lower life expectancies, are more likely to drop out of high school or college, more likely to be victims of violent crime (admittedly by other men), are more likely to be homeless, more likely to get heart disease or cancer are ignored and the few things women are not doing well in (being a part of the top 0.1% of earners for example) are highlighted. At the top, it is still a man's world. But most men aren't there - and live in a pretty crappy world - no better than the average woman.

 

Anyways...I support feminism (at least the equality seeking kind). I see the problems of modern extremist feminism. And I also can't stand the PUA and man blogosphere misogynists that treat women as enemies.

[rmorelan]

Which countries do you have in mind ? Are you thinking along the lines George W Bush thought about "democraticizing" countries with non-Christian cultures by bombing them ?

 

well that is a bit of a straw mans argument I would think. The general non systematic biasing against gender is apart of the UN charter of universal rights. It is beyond a single country - it is apart of the closest thing we has a species have ever agreed to.

[Fresh fry]

Do you guys realize you are arguing with a muslim fundamentalist? You are not going to make much headway and will only get nonsense in response.

[DarkGhost]

Which countries do you have in mind ? Are you thinking along the lines George W Bush thought about "democraticizing" countries with non-Christian cultures by bombing them ?

 

Oh, I see... Pollock just got his hands on the art of conversation.

 

I'd love to participate, but I was never very good at interpreting the abstract.

 

Do you guys realize you are arguing with a muslim fundamentalist? You are not going to make much headway and will only get nonsense in response.

 

 

I'll just show myself out then..

[A-Stark]

Do you guys realize you are arguing with a muslim fundamentalist? You are not going to make much headway and will only get nonsense in response.

 

I did not. I did know that we're arguing with someone that didn't match to ophtho this year.

 

And "right" is synonymous with "entitlement".

[NLengr]

Um, ok.

 

I tend to think that women deserve equal-pay-for-equal-work and are even "entitled" to things like voting, property ownership, and, should they be appointed to it, to sit in the Senate. On a more contemporary note, I favour access to day care and paid maternity/paternity leave. As for the "radical" feminists, I don't really know what their programme is these days, and it doesn't much matter when most of the major issues have been settled.

 

You women have been all uppity since you got the right to vote.

 

My biggest maternity/parental leave pet leave is the fact that it's done through EI. That's the stupidest system I can think of. Having a kid should not be treated the same way as being laid off.

[ophtho_gunner]

Do you guys realize you are arguing with a muslim fundamentalist? You are not going to make much headway and will only get nonsense in response.

 

Huh?

 

I am an outspoken anti-theist and an atheist and quite involved in atheist communities so that we can one day annihilate the concept of God, spirituality, judaism, christianity, islam etc from human race. And am a humanist at Heart.

[ophtho_gunner]

I did not. I did know that we're arguing with someone that didn't match to ophtho this year.

 

And "right" is synonymous with "entitlement".

 

Even that is not correct. It is just a fake story. I chose the name ophtho gunner rather than plastics gunner cuz well only eyes look like and can be called BALLS.

[ophtho_gunner]

Looks like someone is a member of the MAN blogosphere. The RooshV types. Such misogynistic scum.

 

Feminism seeks equality - and in some areas of our culture, a woman is often ignored without here individual quality being addressed. There is science behind this. The same is true, to some degree, with race. I so often here fellow white guys say it is so hard for them, and affirmative action hates white men. But apply for any job - and if you replace the western sounding name with a Chinese, or Indian or Arab name but keep the identical resume - and you will get way less callbacks. This study is so easy to reproduce - any of us can do this.

 

Look, I'm not a fan of modern feminism either, which is sadly led by extremists, in that almost everything is blamed on men, and women are usually given a pass for bad behavior. The inconvenient facts that men have lower life expectancies, are more likely to drop out of high school or college, more likely to be victims of violent crime (admittedly by other men), are more likely to be homeless, more likely to get heart disease or cancer are ignored and the few things women are not doing well in (being a part of the top 0.1% of earners for example) are highlighted. At the top, it is still a man's world. But most men aren't there - and live in a pretty crappy world - no better than the average woman.

 

Anyways...I support feminism (at least the equality seeking kind). I see the problems of modern extremist feminism. And I also can't stand the PUA and man blogosphere misogynists that treat women as enemies.

 

btw, rooshV is just one of many. You should have a look at http://www.returnofkings.com

[Fresh fry]

The hits

 

Hello all,

 

I am an MS2 at a Canadian med school. Through my optional observerships, I've ruled out pretty much everything that I want to do in life except ophthalmology. True, I've come to this realization quite late. There are gunners at my school in MS1 who are already leading various ophtho clubs/groups and what not and maxing out those publications in ophtho research. I am late in the game as an MS2 at the end of MS2 year. But I am willing to push my self. So here are a list of my questions, answers to which I could not find through the search function in these forums. I hope knowledgeable upper years will give me some perspective, especially those who are also gunning for ophtho.

 

 

 

Hello all,

 

I want to go for ophtho but I also have intense desire to go into diagnostic radiology as my second choice ( I have thoroughly explored them through my observerships). How feasible is it and how should I go about doing this?

 

I will have my core/mandatory electives in 3rd yaer, I guess I cant do much here except ace ophtho and radio electives. In 4th year though, do you suggest balancing out equally for ophtho and radio all across Ontario at least if not whole Canada? I'd prefer to match to Toronto, Hamilton or London.

 

If I dont get ophtho, considering how competitive it is, I want diagnostic radiology as a second choice. But is it ok to wait one year out and apply for ophtho in next match? I just feel so lost right now. Is it even rational and sane to go for two competitive specialties? Or I am treading thin waters and preparing for utter destruction?

Regards

 

Viscous:

 

I am sorry to hear that. What specialty were you going for? You can PM me.

 

If it is of any comfort, I also did not match to ophthalmology this year. I had 8 interviews and was confident I would match. From what I can tell, ophthalmology programs are very close and small programs, they do value clinical competence, hard working and good applicants but without networking and "gelling" into their culture, it would be hard to get in. PDs usually rank based on subjective factors and how successful you as an applicant have been able to network and make a name in the field over last few years.

 

Some programs are also now trying to balance out their gender distribution. So if you happen to be of opposite gender, that might also have played a role in you not matching. Multitude of factors here.

 

I've seen less competent applicants match to ophtho, some who residents told me they would not even want to interview, matched at other schools. Its a *fcuked up subjective game. I've met lot of cool ophtho applicants this year on CaRMS tour and then really childish immature kids (you can figure out from which school). It was painful to see good people go unmatched and see kids match.

 

I am going to be doing a research fellowship in ophthalmology and reapplying next year to take what is mine. You should NOT have backed up but that's my opinion and I did not back up as I knew I would not settle for anything else.

 

I wish you best of luck, dont give up on your dream, fight for it even if requires blood spill. You have worked hard for CaRMS, its tough, but being "catatonic" and all "melancholic" will give others advantage over you. I was bummed for few days after March 5th too but I had good support from residents and quickly got in touch with PIs for fellowships. Hope you are single, without much debt from med school and energetic, just so you can dedicate and focus on your war without any liabilities or people to hold you back.

 

Godspeed comrade.

 

bonus

 

I never liked future_doc. He/she might be helpful to other premed students but h(is)er comments are usually paternalistic, self-centered and such. H(is)er comments regarding the state of israel and the Palestinian Arabs (Muslims, Christians, Atheists) reek of bigotry, malady, and insolence. Palestinian people have been bombed countless times more than Israel or Israeli people have been. You talk about terrorists, Israel is a terrorist and a rogue state, and must be dealt with if humanity (including moderate and civilized Jews, and I am close friends with many such enlightened Jews) wants to rid of the cancer in its body.

 

You will have to forgive me but the combination of anti-Israeli sentiment combined with the misogynistic worldview plus the added bonus of defending someone for stone-aged religious beliefs had me convinced. It really doesn't matter what you believe, or don't, at the end of the day. As for the optho thing, the history speaks for itself. I'm sorry you didn't match this year, mostly because if you had you wouldn't have this kind of time to troll the forum. This argument has become completely derailed from the initial intent of the thread so this will be my last post on the subject unless you come up with something better than "cardiothoracic surgeons don't have to prescribe OBC because of their scope of practice therefore family doctors can opt out because they believe that external sources of estrogen and progesterone is tantamount to murder" shtick. Good luck with your research, and for the sake of all that is good and right in this world, when you reapply for CARMs this year please do not back up with any of the feminist agenda driven specialties like Family Medicine or, so help us all, OBS/GYNE.

[A-Stark]

Even that is not correct. It is just a fake story. I chose the name ophtho gunner rather than plastics gunner cuz well only eyes look like and can be called BALLS.

 

Uh. Ok.

 

I think this thread is done.

 

This seems about right for ophtho_gunner:

 

http://youtu.be/Y2-oeydHTrk

[uwopremed]

The hits

 

 

 

 

 

 

 

 

bonus

 

 

 

You will have to forgive me but the combination of anti-Israeli sentiment combined with the misogynistic worldview plus the added bonus of defending someone for stone-aged religious beliefs had me convinced. It really doesn't matter what you believe, or don't, at the end of the day. As for the optho thing, the history speaks for itself. I'm sorry you didn't match this year, mostly because if you had you wouldn't have this kind of time to troll the forum. This argument has become completely derailed from the initial intent of the thread so this will be my last post on the subject unless you come up with something better than "cardiothoracic surgeons don't have to prescribe OBC because of their scope of practice therefore family doctors can opt out because they believe that external sources of estrogen and progesterone is tantamount to murder" shtick. Good luck with your research, and for the sake of all that is good and right in this world, when you reapply for CARMs this year please do not back up with any of the feminist agenda driven specialties like Family Medicine or, so help us all, OBS/GYNE.[/quote

 

Not to be too picky, but being anti-Israeli government does not make one automatically some Muslim fundamentalist, or for that matter muslim/arab/ethnic or whatever, religious or anything. It just makes someone anti-Israeli. It could be someone that does not like the situation as it is in modern Israel and feels that Palestinian are an oppressed people with no citizenship in the international arena or genuine freedom. Or it might be someone that's an anti-Semite that finds anti-Israel rhetoric a safe way to be a bigot. The world is complicated, and so are it's people.

 

I'm an atheist of a protestant background - and I'm not a big fan of Israel's policies in the occupied areas. I also don't like Islamists either - and think that the biggest flaw for the Palestinians (at least in Gaza) is their support for terrorists. I don't have to pick one as a favorite. I can find both appalling in terms of the general bigotry that the leadership of both groups often profess. And I have seen it from both sides - sadly even in Canada. :-(

[thebouque]

Huh?

 

I am an outspoken anti-theist and an atheist and quite involved in atheist communities so that we can one day annihilate the concept of God, spirituality, judaism, christianity, islam etc from human race. And am a humanist at Heart.

 

Involved in atheist communities?

 

This is shocking (to me).

 

I am very fond of pathology.