1 00:00:03,160 --> 00:00:06,200 Speaker 1: Welcome to Stuff Mom Never Told You. From how Stuff 2 00:00:06,200 --> 00:00:14,040 Speaker 1: Works dot Com. Hello, and welcome to the podcast. I'm 3 00:00:14,120 --> 00:00:18,440 Speaker 1: Kristen and I'm Caroline. And this episode about what happens 4 00:00:18,440 --> 00:00:21,239 Speaker 1: if the guy Ina Collegist Office is coming courtesy of 5 00:00:21,880 --> 00:00:24,840 Speaker 1: listener requests. And it's one too that I'm surprised that 6 00:00:24,880 --> 00:00:29,360 Speaker 1: we haven't talked about before, because if you know, this 7 00:00:29,560 --> 00:00:32,880 Speaker 1: entire podcast is built on the premise of talking about 8 00:00:33,000 --> 00:00:36,680 Speaker 1: lady things. And can you get more vaginal than the 9 00:00:36,760 --> 00:00:40,240 Speaker 1: Guyna Collegist Office? I submit that you cannot. You can't 10 00:00:40,280 --> 00:00:43,320 Speaker 1: really get much more vaginal than that. And also I 11 00:00:43,360 --> 00:00:46,800 Speaker 1: feel like what happens at the gyn of Colleges office 12 00:00:47,040 --> 00:00:50,159 Speaker 1: is something that at some point everybody kind of wonders 13 00:00:50,200 --> 00:00:53,479 Speaker 1: what happens. I remember reading when I was in my 14 00:00:53,680 --> 00:00:57,440 Speaker 1: early teens, reading about those stories in like seventeen magazine 15 00:00:57,560 --> 00:01:01,240 Speaker 1: or Why m or Jane in all those magazines that 16 00:01:01,320 --> 00:01:05,400 Speaker 1: no longer exists about you know what to expect, because 17 00:01:05,440 --> 00:01:09,640 Speaker 1: it was terrifying the prospect of going into that office 18 00:01:09,640 --> 00:01:14,959 Speaker 1: and having someone examined. Honestly, the worst part is the 19 00:01:15,040 --> 00:01:18,040 Speaker 1: finger pricking where they test your your blood, your iron level, 20 00:01:18,240 --> 00:01:21,479 Speaker 1: and and the stirrups I mean, we can get into 21 00:01:21,480 --> 00:01:23,920 Speaker 1: all the stirrups. We'll get into the we will get 22 00:01:24,000 --> 00:01:28,520 Speaker 1: into the stirrups literally, figuratively, figuratively. And I'll go ahead 23 00:01:28,560 --> 00:01:31,960 Speaker 1: and say spoiler alert. Things are not as scary as 24 00:01:32,000 --> 00:01:35,200 Speaker 1: they might seem, you know. So also for for fellow 25 00:01:35,400 --> 00:01:37,360 Speaker 1: listeners out there, and by fellow I am referring to 26 00:01:38,160 --> 00:01:40,959 Speaker 1: two men, don't be scared. Keep on, keep on listen. 27 00:01:41,080 --> 00:01:43,399 Speaker 1: Let's go to the kind of colleges, shall we. Let's go, 28 00:01:43,880 --> 00:01:50,320 Speaker 1: but let's Caroline. You unearthed some gynecological history that has 29 00:01:50,400 --> 00:01:53,720 Speaker 1: a tie in to your family. Yeah, this is this 30 00:01:53,760 --> 00:01:55,560 Speaker 1: is nuts. When I was reading this, I was like, 31 00:01:55,600 --> 00:01:57,480 Speaker 1: you know, it's one of those things where you you, 32 00:01:57,480 --> 00:01:59,600 Speaker 1: you you look around for someone to be like, this 33 00:01:59,640 --> 00:02:02,800 Speaker 1: is so cool. There's no one here to tell Okay. Well, 34 00:02:02,840 --> 00:02:04,559 Speaker 1: so then I email Kristen and then it was better. 35 00:02:04,600 --> 00:02:09,399 Speaker 1: But so, there's a lot of interesting history about gynecology. 36 00:02:09,400 --> 00:02:12,280 Speaker 1: It did not just spring up overnight out of nowhere. 37 00:02:12,800 --> 00:02:15,160 Speaker 1: This is coming from the post Graduate Medical Journal in 38 00:02:15,240 --> 00:02:19,640 Speaker 1: two thousand two, and they're talking about the development of obstetrics, 39 00:02:19,720 --> 00:02:22,560 Speaker 1: which is the medical care of pregnant woman, and how 40 00:02:22,560 --> 00:02:25,560 Speaker 1: it was originally the responsibility of midwives. So it was 41 00:02:25,600 --> 00:02:29,040 Speaker 1: not this big medical thing necessarily. It wasn't like lords 42 00:02:29,040 --> 00:02:32,000 Speaker 1: and ladies went to the doctor's office, you know, for 43 00:02:32,040 --> 00:02:35,639 Speaker 1: those prenatal visits or anything. But in the seventeenth century, 44 00:02:35,760 --> 00:02:39,760 Speaker 1: European physicians began to attend on royal deliveries, and so 45 00:02:39,800 --> 00:02:42,440 Speaker 1: the practice grew and eventually trickled down to the middle classes. 46 00:02:42,800 --> 00:02:48,040 Speaker 1: But one thing about the seventeenth century attending physicians and 47 00:02:48,160 --> 00:02:51,920 Speaker 1: whatnot is that they used a tool known as obstetric 48 00:02:52,120 --> 00:02:54,960 Speaker 1: four steps, and and doctors still use those there, you know, 49 00:02:55,000 --> 00:02:57,760 Speaker 1: those things that like like just get the baby out, 50 00:02:58,560 --> 00:03:02,160 Speaker 1: like the tongs. Yeah, like the tong like, well you're 51 00:03:02,240 --> 00:03:04,280 Speaker 1: chicken off, and then you flip it over so I 52 00:03:04,360 --> 00:03:07,800 Speaker 1: can brown on the other side. Yeah. Well, obstetric force 53 00:03:07,880 --> 00:03:11,160 Speaker 1: ups were apparently developed, and if anybody out there knows more, 54 00:03:11,280 --> 00:03:14,600 Speaker 1: please please tell us. But they were developed by a 55 00:03:14,639 --> 00:03:18,280 Speaker 1: particular family. You are beaming right now, I know. Well, 56 00:03:18,320 --> 00:03:21,040 Speaker 1: I am such, I am such a genealogy nerd, Like 57 00:03:21,080 --> 00:03:24,120 Speaker 1: I have traced my family on all sides, like so 58 00:03:24,160 --> 00:03:27,560 Speaker 1: far back back to England, and and one thing that 59 00:03:27,720 --> 00:03:31,240 Speaker 1: I had taken note of is the Chamberlain family. So 60 00:03:31,360 --> 00:03:35,000 Speaker 1: I I chamberlain's are are part of my people. And 61 00:03:35,160 --> 00:03:37,840 Speaker 1: a lot of them came from France to England. They 62 00:03:38,080 --> 00:03:40,040 Speaker 1: were huganized, they got out of France, came to England 63 00:03:40,080 --> 00:03:43,440 Speaker 1: and started working for the royal family. Turns out those 64 00:03:43,440 --> 00:03:46,320 Speaker 1: are the people who developed the freaking obstetric force ups 65 00:03:46,440 --> 00:03:48,880 Speaker 1: and they kept it like a family secret for the 66 00:03:48,920 --> 00:03:50,920 Speaker 1: better part of a century. So if you were a 67 00:03:51,000 --> 00:03:53,880 Speaker 1: royal lady, you know, giving birth, and you needed the 68 00:03:53,920 --> 00:03:57,400 Speaker 1: assistance of some force ups, some baby tongs, chances are 69 00:03:57,440 --> 00:03:59,520 Speaker 1: it was going to be a chamberlain. And the thing 70 00:03:59,560 --> 00:04:01,080 Speaker 1: is they want to keep it such a secret that 71 00:04:01,120 --> 00:04:03,200 Speaker 1: a lot of times they would do it under a sheet. 72 00:04:03,600 --> 00:04:05,000 Speaker 1: Why do you think they wanted to keep it such 73 00:04:05,000 --> 00:04:07,520 Speaker 1: a secret because it had to deal with an instrument 74 00:04:07,560 --> 00:04:10,720 Speaker 1: that went inside of a vagina. I don't know, I 75 00:04:10,760 --> 00:04:12,920 Speaker 1: don't know. It seemed like the way that they was written, 76 00:04:12,920 --> 00:04:15,320 Speaker 1: it seemed more like it was just like a trade secret, 77 00:04:16,200 --> 00:04:18,640 Speaker 1: Like magically, the baby is here, Now, how did we 78 00:04:18,720 --> 00:04:21,120 Speaker 1: do it? The stork just popped up in here? The 79 00:04:21,120 --> 00:04:25,880 Speaker 1: old chamberlain forceps. So yeah, it's just that's my that's 80 00:04:25,880 --> 00:04:32,000 Speaker 1: my total uh gynecological nerd oubt moment. I like it kinnacological, genealogical, 81 00:04:32,760 --> 00:04:36,320 Speaker 1: magical mystery tour. I need a T shirt with that 82 00:04:36,480 --> 00:04:41,840 Speaker 1: on it. So anyway, moving forward, other things happened. By 83 00:04:41,839 --> 00:04:44,680 Speaker 1: the early nineteenth century of stetrics was established as a 84 00:04:44,680 --> 00:04:49,080 Speaker 1: recognized medical discipline and mid whiffery. That's right, folks, mid 85 00:04:49,120 --> 00:04:53,240 Speaker 1: whiffery had become a compulsory subject in Britain. Yeah. Now 86 00:04:53,240 --> 00:04:56,640 Speaker 1: when it comes to gynecology more as we know it, 87 00:04:57,240 --> 00:04:59,000 Speaker 1: we got to touch on for a second a fellow 88 00:04:59,080 --> 00:05:02,200 Speaker 1: named Jay Mary and Sims who was known as the 89 00:05:02,279 --> 00:05:07,120 Speaker 1: father of modern gynecology thanks to his successful operating technique 90 00:05:07,120 --> 00:05:12,400 Speaker 1: that he developed for a vesico vaginal fistula um. Basically, 91 00:05:12,400 --> 00:05:16,000 Speaker 1: it's a childbirth complication where a hole develops between the 92 00:05:16,040 --> 00:05:20,279 Speaker 1: bladder and the vagina which leads to urinarian continents and 93 00:05:20,320 --> 00:05:23,039 Speaker 1: a lot of other problems, and he figured out how 94 00:05:23,080 --> 00:05:25,799 Speaker 1: to how to fix that. But Jay Mary and Simms, 95 00:05:25,920 --> 00:05:28,560 Speaker 1: although when he died he was hailed, you know, as 96 00:05:28,600 --> 00:05:32,400 Speaker 1: his father to modern gynecology, but history has not shed 97 00:05:32,480 --> 00:05:35,559 Speaker 1: such a favorable light on Jay Mary and Sims because 98 00:05:35,640 --> 00:05:39,160 Speaker 1: one of the reasons why he was able to develop 99 00:05:39,240 --> 00:05:44,400 Speaker 1: this operating technique was because between late eighteen forty five. 100 00:05:44,440 --> 00:05:47,400 Speaker 1: In the summer of eighteen forty nine, he carried out 101 00:05:47,880 --> 00:05:55,160 Speaker 1: repeated operations on black slave women. Yeah, and did did 102 00:05:55,200 --> 00:05:59,800 Speaker 1: it without anesthesia. Yeah. This was happening in Montgomery, Alabama. 103 00:05:59,800 --> 00:06:04,080 Speaker 1: And as you can imagine that kind of surgery without anesthesia, 104 00:06:04,200 --> 00:06:09,000 Speaker 1: as you say, uh not not very uh not very pleasant. 105 00:06:09,520 --> 00:06:11,240 Speaker 1: And it wasn't just like he operated on them once 106 00:06:11,360 --> 00:06:14,520 Speaker 1: or twice. One woman that he was operating on had 107 00:06:14,560 --> 00:06:19,839 Speaker 1: both messico and recto vaginal fistula. She underwent thirty operations 108 00:06:19,880 --> 00:06:23,800 Speaker 1: before Simms was able to surgically close the holes. Yeah, 109 00:06:23,839 --> 00:06:29,159 Speaker 1: and so um. In contemporary times, you know, medical historians 110 00:06:29,640 --> 00:06:32,280 Speaker 1: don't think so highly of Jay Mary and Sims. Other 111 00:06:32,320 --> 00:06:35,240 Speaker 1: people have still come to his events to say, oh, 112 00:06:35,279 --> 00:06:37,680 Speaker 1: but he's still done all of this for you know, 113 00:06:37,720 --> 00:06:42,360 Speaker 1: maybe these advances for modern gynecology. Um. But yeah, I 114 00:06:42,640 --> 00:06:44,640 Speaker 1: feel like this is one I would I would like 115 00:06:44,760 --> 00:06:47,800 Speaker 1: to for stuff he missed in history class too, to 116 00:06:47,880 --> 00:06:50,920 Speaker 1: maybe to a podcast on Jay Mary and Sims, because 117 00:06:50,920 --> 00:06:54,800 Speaker 1: I would like to know more about him. Yeah, let's 118 00:06:54,800 --> 00:06:58,240 Speaker 1: take a big leap frog in a history to to 119 00:06:58,240 --> 00:07:01,520 Speaker 1: today's Gyna Claude Coal Office. I know that we're there's 120 00:07:01,600 --> 00:07:03,760 Speaker 1: there's a lot of history that we're brushing over, but 121 00:07:04,400 --> 00:07:06,560 Speaker 1: we want to get to and really focus on in 122 00:07:06,600 --> 00:07:13,000 Speaker 1: this episode what happens in the gynecological office? What did 123 00:07:13,040 --> 00:07:17,440 Speaker 1: those Chamberlain forces do Caroline. But before we get to 124 00:07:17,480 --> 00:07:21,120 Speaker 1: that question, the first question to tackle is when should 125 00:07:21,120 --> 00:07:25,960 Speaker 1: this start happening? When should young women first go to 126 00:07:26,000 --> 00:07:31,280 Speaker 1: the guyo um? Basically within three years of sexual activity. 127 00:07:31,320 --> 00:07:34,440 Speaker 1: This is according to go ask Alice uh of course, 128 00:07:34,440 --> 00:07:38,120 Speaker 1: that sexual activity is not necessarily vaginal intercourse or at 129 00:07:38,160 --> 00:07:41,480 Speaker 1: age twenty one, whichever comes first, and the American College 130 00:07:41,520 --> 00:07:47,760 Speaker 1: of Obstetricians and Gynecologists recommends earlier between thirteen and fifteen. Yeah, 131 00:07:47,800 --> 00:07:52,120 Speaker 1: and uh ACOG the American College of Obstetricians and Gynecologists 132 00:07:52,120 --> 00:07:55,400 Speaker 1: recommends that going at such a young age not necessarily 133 00:07:55,960 --> 00:08:00,800 Speaker 1: because they are sexually active, but instead to start building 134 00:08:00,840 --> 00:08:05,040 Speaker 1: a doctor patient rapport because, as you can imagine, when 135 00:08:05,040 --> 00:08:08,680 Speaker 1: it comes to discussing your vagina, it helps to have 136 00:08:09,080 --> 00:08:12,680 Speaker 1: a relationship with with someone because they can you know, 137 00:08:12,720 --> 00:08:14,840 Speaker 1: the first time you see even now, the first time 138 00:08:14,840 --> 00:08:17,239 Speaker 1: you see a doctor and you have to talk about 139 00:08:17,240 --> 00:08:20,240 Speaker 1: your vagina, you know, it can be a little awkward 140 00:08:20,760 --> 00:08:25,520 Speaker 1: in like, hello, doctor, this is my vagina. Hello, welcome 141 00:08:25,640 --> 00:08:31,760 Speaker 1: introduction vagina doctor doctor hands. Um. I actually I went 142 00:08:31,800 --> 00:08:33,880 Speaker 1: to the kind of cologist for the first time when 143 00:08:33,920 --> 00:08:37,640 Speaker 1: I was seventeen or eighteen. My mother had said, Um, 144 00:08:37,679 --> 00:08:39,440 Speaker 1: I feel like I've told the story before, but once 145 00:08:39,480 --> 00:08:42,560 Speaker 1: retell it because it's every about it. So anyway, UM, yeah, 146 00:08:42,559 --> 00:08:44,600 Speaker 1: my mom had said, you know, when you think you 147 00:08:44,640 --> 00:08:47,160 Speaker 1: are ready to have sex and you want to go 148 00:08:47,200 --> 00:08:50,880 Speaker 1: on birth control, tell me and I won't ask any questions. 149 00:08:50,880 --> 00:08:53,560 Speaker 1: I will just take you to the kind of cologist Sally. 150 00:08:53,679 --> 00:08:56,600 Speaker 1: That sounds great right in theory on favor, it sounds 151 00:08:56,640 --> 00:09:01,720 Speaker 1: fantastic when you actually tell Sally. Okay, Mom, I think 152 00:09:01,760 --> 00:09:04,320 Speaker 1: I think you know it's time that I go to 153 00:09:04,360 --> 00:09:09,080 Speaker 1: the lady doctor. Oh. I mean there were tears. They're 154 00:09:09,160 --> 00:09:11,640 Speaker 1: like red in the face, like are you sure? I mean, 155 00:09:11,800 --> 00:09:14,839 Speaker 1: oh my god, I just can't. I can't believe are 156 00:09:14,840 --> 00:09:17,440 Speaker 1: you are you serious? A lot of that. I mean, 157 00:09:17,480 --> 00:09:19,080 Speaker 1: she took me and it was no problem and it 158 00:09:19,160 --> 00:09:21,440 Speaker 1: was not awkward, and it was good that my mother 159 00:09:21,520 --> 00:09:23,240 Speaker 1: like put that out there so that I didn't have 160 00:09:23,280 --> 00:09:25,880 Speaker 1: to feel like, you know, how do I bring it 161 00:09:25,960 --> 00:09:27,600 Speaker 1: up to my mother? Like, it's good that she put 162 00:09:27,640 --> 00:09:29,839 Speaker 1: it on the table to begin with. But still it 163 00:09:29,960 --> 00:09:31,959 Speaker 1: was a lot of like me sitting there, like are 164 00:09:31,960 --> 00:09:34,840 Speaker 1: you done yet? Can we just go? Well? I was. 165 00:09:34,920 --> 00:09:37,240 Speaker 1: I was a little fortunate in that I went around 166 00:09:37,240 --> 00:09:40,000 Speaker 1: the same time, so I think I was eighteen, and 167 00:09:40,480 --> 00:09:44,240 Speaker 1: my doctor was able. She was a GP and the 168 00:09:44,280 --> 00:09:47,800 Speaker 1: general practitioner, but she was able to to do gynecological 169 00:09:47,880 --> 00:09:50,360 Speaker 1: stuff as well. So I've been going to her for 170 00:09:50,400 --> 00:09:55,160 Speaker 1: a little while and was finally like, doctor, I'd like 171 00:09:55,240 --> 00:09:59,040 Speaker 1: to make a vagina appointment. And it was no big 172 00:09:59,040 --> 00:10:02,000 Speaker 1: deal because I already you know, I knew her and 173 00:10:02,080 --> 00:10:04,240 Speaker 1: she was she was a great doctor and made me 174 00:10:04,320 --> 00:10:09,520 Speaker 1: feel very comfortable. Um So, but let's let's go through 175 00:10:09,520 --> 00:10:12,320 Speaker 1: the stuff. Now we know around what ages it is 176 00:10:12,360 --> 00:10:17,400 Speaker 1: recommended to happen, but but what about what actually happens. 177 00:10:17,440 --> 00:10:20,760 Speaker 1: What can people expect aside from feeling nervous, because it 178 00:10:20,840 --> 00:10:25,040 Speaker 1: is perfectly normal to feel nervous about that first visit. Yeah, 179 00:10:25,240 --> 00:10:26,599 Speaker 1: I mean, you're gonna be in You're gonna be in 180 00:10:26,640 --> 00:10:29,000 Speaker 1: a little bit of a hospital gown type situation when 181 00:10:29,000 --> 00:10:31,440 Speaker 1: you're in the exam room. But they're gonna ask you 182 00:10:31,559 --> 00:10:34,280 Speaker 1: questions just like any doctor would about your family and 183 00:10:34,320 --> 00:10:37,440 Speaker 1: personal medical history. So you've got to answer questions about, 184 00:10:37,480 --> 00:10:40,040 Speaker 1: you know, to certain conditions run in your family. Basically, 185 00:10:40,240 --> 00:10:42,360 Speaker 1: they're gonna ask you questions about your period, you know, 186 00:10:42,400 --> 00:10:45,640 Speaker 1: your minstrel cycle, and sexual activities that you may or 187 00:10:45,679 --> 00:10:48,600 Speaker 1: may not be having. You know, if you have questions too. Yeah, 188 00:10:48,679 --> 00:10:52,400 Speaker 1: and the thing about the questions about sexual activity, it 189 00:10:52,559 --> 00:10:57,120 Speaker 1: is so important to be honest with your guynecologists. And 190 00:10:57,160 --> 00:11:00,840 Speaker 1: that comes down to things like, if you're not using condoms, 191 00:11:00,960 --> 00:11:03,240 Speaker 1: go ahead and tell your doctor you haven't been using condoms, 192 00:11:03,280 --> 00:11:06,640 Speaker 1: If you have cheated on a partner, if you have 193 00:11:06,760 --> 00:11:10,480 Speaker 1: suspicions that your partner has cheated on you, et cetera. 194 00:11:10,640 --> 00:11:13,760 Speaker 1: All of these things, number of partners, birth control methods 195 00:11:13,760 --> 00:11:17,320 Speaker 1: that you've tried, age of becoming sexually active. The doctor 196 00:11:17,480 --> 00:11:20,840 Speaker 1: is not there to judge you for anything that you 197 00:11:20,920 --> 00:11:23,000 Speaker 1: have done, and if you do feel slug shamed by 198 00:11:23,000 --> 00:11:26,600 Speaker 1: your doctor, find a new doctor. Um, But it's crucial 199 00:11:26,640 --> 00:11:29,360 Speaker 1: to to be to be honest because those kinds of 200 00:11:29,400 --> 00:11:32,040 Speaker 1: that kind of information can help guide the doctor into 201 00:11:32,559 --> 00:11:34,880 Speaker 1: recommending kinds of birth control that you might need, or 202 00:11:35,880 --> 00:11:39,120 Speaker 1: tests like STD panels that might be wise for you 203 00:11:39,200 --> 00:11:42,520 Speaker 1: to get. Yeah, exactly, well, there all there will also 204 00:11:42,559 --> 00:11:45,000 Speaker 1: be examinations of the breast that they'll listen to your 205 00:11:45,040 --> 00:11:47,360 Speaker 1: lungs and heart. They'll check your blood pressure and weight 206 00:11:47,520 --> 00:11:52,160 Speaker 1: and also check your abdomen and if if you so desire, 207 00:11:52,400 --> 00:11:55,560 Speaker 1: s t I screenings and evaluation for contraception. If you 208 00:11:55,640 --> 00:11:59,400 Speaker 1: haven't had those discussions yet, Yeah, and um at age 209 00:11:59,440 --> 00:12:04,280 Speaker 1: twenty one, it's recommended that women start getting PAP smears 210 00:12:04,320 --> 00:12:07,240 Speaker 1: and what happens with the pas smear? Because I remember 211 00:12:07,280 --> 00:12:11,440 Speaker 1: too hearing about pap smears and thinking why is it 212 00:12:11,480 --> 00:12:15,439 Speaker 1: called a smear? That sounds horrible? And I think I 213 00:12:15,520 --> 00:12:18,840 Speaker 1: had overheard my mom talk about how it was uncomfortable, 214 00:12:18,840 --> 00:12:21,600 Speaker 1: so I was just dreading it. But passers are really 215 00:12:22,080 --> 00:12:27,400 Speaker 1: not as bad as they might seem. Basically, what happens 216 00:12:27,520 --> 00:12:32,319 Speaker 1: here we go, folks. What happens is the doctor will 217 00:12:32,320 --> 00:12:37,000 Speaker 1: insert a speculum into the vagina, and the speculum simply 218 00:12:37,040 --> 00:12:39,640 Speaker 1: holds the I'm using hand gestures right now in the 219 00:12:39,760 --> 00:12:43,760 Speaker 1: studio because I talked with my hands. Um and certain 220 00:12:43,840 --> 00:12:47,600 Speaker 1: speculum into the vagina which holds the vaginal walls apart. 221 00:12:47,720 --> 00:12:52,920 Speaker 1: That allows the doctor to see into the service to 222 00:12:53,080 --> 00:12:56,200 Speaker 1: to look at the cervis and then take specimens of 223 00:12:56,320 --> 00:13:02,640 Speaker 1: said cervix using swabs, and those cervis swabs or cervical swabs, 224 00:13:02,640 --> 00:13:05,839 Speaker 1: I should say, are imp important to check for things 225 00:13:05,880 --> 00:13:09,960 Speaker 1: like abnormal cell growth, screening for cervical cancer, and just 226 00:13:10,120 --> 00:13:14,240 Speaker 1: looking at the the that internal and external exam is 227 00:13:14,280 --> 00:13:18,680 Speaker 1: also checking for lesions, inflammation, unusual discharge, just making sure 228 00:13:19,400 --> 00:13:22,679 Speaker 1: all those parts are healthy. Yeah, I mean, it's not 229 00:13:22,840 --> 00:13:26,360 Speaker 1: the most comfortable thing in the world. The speculum is cold. 230 00:13:26,640 --> 00:13:29,680 Speaker 1: Speculum is cold. Speculum is cold, but it shouldn't be 231 00:13:30,440 --> 00:13:33,520 Speaker 1: outright painful. And if it is, you should definitely tell 232 00:13:33,600 --> 00:13:35,760 Speaker 1: your doctor. And and and relax. I mean it helps 233 00:13:35,760 --> 00:13:38,840 Speaker 1: to breathe, Just breathe, relax because you know they're not 234 00:13:38,880 --> 00:13:41,440 Speaker 1: there to hurt you, right, everybody's there to help you, 235 00:13:41,559 --> 00:13:45,160 Speaker 1: So just relax. And Now, this might not happen during 236 00:13:45,320 --> 00:13:48,920 Speaker 1: your first kynecological visit, especially if you are younger and 237 00:13:48,960 --> 00:13:51,880 Speaker 1: if you aren't yet sexually active. Um. But it's also 238 00:13:51,960 --> 00:13:56,440 Speaker 1: very common for the doctor to perform a pelvic exam 239 00:13:56,240 --> 00:14:01,520 Speaker 1: unless you are on you're having abnormal bleeding or severe pain. Um. 240 00:14:01,520 --> 00:14:03,640 Speaker 1: But with the pelvic exam, things do get a little 241 00:14:03,679 --> 00:14:07,559 Speaker 1: more personal because this time the doctor will actually insert 242 00:14:07,720 --> 00:14:12,600 Speaker 1: their gloved fingers into the vagina too, and and press 243 00:14:12,679 --> 00:14:16,040 Speaker 1: down on the outside of the abdomen to feel around 244 00:14:16,040 --> 00:14:19,160 Speaker 1: and make sure that everything is as it should be 245 00:14:19,440 --> 00:14:23,560 Speaker 1: as well. Yeah, Now, during during your visit, especially if 246 00:14:23,560 --> 00:14:27,240 Speaker 1: it's your first time going to this doctor, ask ask questions. 247 00:14:27,400 --> 00:14:29,960 Speaker 1: Don't don't be afraid to speak up, to tell your 248 00:14:29,960 --> 00:14:32,680 Speaker 1: doctor your concerns and and get some answers to what 249 00:14:32,760 --> 00:14:38,120 Speaker 1: you're thinking about. You know, things like contraception, irregular periods, STDs, 250 00:14:38,360 --> 00:14:43,600 Speaker 1: vaccines like I got my HPV vaccine at my gynecologist office. Um. 251 00:14:43,880 --> 00:14:45,960 Speaker 1: And also if you're having any aches or pains that 252 00:14:46,040 --> 00:14:48,040 Speaker 1: you can't explain or that are scaring you or they 253 00:14:48,080 --> 00:14:51,640 Speaker 1: just don't seem normal. And if it is your first 254 00:14:51,680 --> 00:14:55,600 Speaker 1: time at the gynecologists, asked the doctor before he or 255 00:14:55,680 --> 00:15:00,040 Speaker 1: she gets started, asked the doctor to explain what is 256 00:15:00,080 --> 00:15:02,800 Speaker 1: about to happen and why they're doing. And the doctor 257 00:15:02,840 --> 00:15:05,640 Speaker 1: will talk you through the public exam, can talk you 258 00:15:05,680 --> 00:15:09,640 Speaker 1: through paps, mirrors, UM. And that might also aid in 259 00:15:10,320 --> 00:15:14,120 Speaker 1: relaxing you and kind of keeping your mind off of 260 00:15:14,440 --> 00:15:17,680 Speaker 1: any discomfort that might be happening. But we're talking about 261 00:15:17,720 --> 00:15:21,520 Speaker 1: twenty minutes all told from intake two exams and everything. 262 00:15:21,560 --> 00:15:23,840 Speaker 1: It really doesn't take that long at all to get 263 00:15:23,840 --> 00:15:28,440 Speaker 1: a gynecological exam. And I feel like the you know, 264 00:15:28,480 --> 00:15:30,440 Speaker 1: the reputation of going to the guy knows that you're 265 00:15:30,440 --> 00:15:33,120 Speaker 1: going to be in in for a lot of discomfort 266 00:15:33,240 --> 00:15:36,040 Speaker 1: and awkward pain. And I don't I don't think that's 267 00:15:36,080 --> 00:15:39,080 Speaker 1: really the case. No, I mean, but I also, I 268 00:15:39,080 --> 00:15:40,880 Speaker 1: mean that does depend on your doctor too, like how 269 00:15:40,920 --> 00:15:43,560 Speaker 1: comfortable you are, you know, you wanna find a doctor 270 00:15:43,640 --> 00:15:46,800 Speaker 1: that you mesh well with who answers your questions, doesn't 271 00:15:46,800 --> 00:15:50,000 Speaker 1: make you feel rushed because I know my gynecologist, she's 272 00:15:50,040 --> 00:15:53,400 Speaker 1: actually been on like CNN and stuff like she's she's 273 00:15:53,440 --> 00:15:57,920 Speaker 1: a higher up gynecologist, lady person, and but she still 274 00:15:57,960 --> 00:15:59,520 Speaker 1: takes the time to answer, and it's you know, it's 275 00:15:59,520 --> 00:16:03,240 Speaker 1: not like she's important to do her job. So yeah, 276 00:16:03,400 --> 00:16:05,600 Speaker 1: make sure that you do find a doctor you're comfortable 277 00:16:05,640 --> 00:16:08,120 Speaker 1: with and and don't feel bad. You know, if you're 278 00:16:08,120 --> 00:16:10,160 Speaker 1: a teen living at home, to speak up and tell 279 00:16:10,240 --> 00:16:13,120 Speaker 1: your parents like, no, I'm not comfortable with that, right, 280 00:16:13,680 --> 00:16:16,680 Speaker 1: And speaking of teens living at home especially, there might 281 00:16:16,720 --> 00:16:22,640 Speaker 1: be questions about doctor patient confidentiality. If say you are 282 00:16:22,840 --> 00:16:25,920 Speaker 1: still living with your parents, and you are sexually active, 283 00:16:26,000 --> 00:16:28,360 Speaker 1: or you think about becoming sexually active, Maybe you want 284 00:16:28,360 --> 00:16:30,080 Speaker 1: to get on birth control, maybe you want to talk 285 00:16:30,080 --> 00:16:33,440 Speaker 1: to your doctor about it, if you are nervous that 286 00:16:33,520 --> 00:16:36,320 Speaker 1: the doctor will then turn around and tell your mom. 287 00:16:36,920 --> 00:16:39,480 Speaker 1: What just you know what, what your concerns are, what 288 00:16:39,560 --> 00:16:45,800 Speaker 1: your sexual concerns are. Here's some more information on that confidentiality. Yeah, 289 00:16:45,880 --> 00:16:50,920 Speaker 1: planned parenthood in particular. Uh, let's emphasize is that most 290 00:16:50,920 --> 00:16:55,400 Speaker 1: healthcare providers do keep their clients information confidential, but some 291 00:16:55,480 --> 00:16:59,200 Speaker 1: providers may not be able to guarantee complete confidentiality. So 292 00:16:59,280 --> 00:17:01,600 Speaker 1: it can't hurt to ask, like, is this going to 293 00:17:01,640 --> 00:17:04,560 Speaker 1: stay between us? Just? I mean, if for nothing else 294 00:17:05,040 --> 00:17:07,880 Speaker 1: than peace of mind. Yeah. And and for a little 295 00:17:07,920 --> 00:17:12,960 Speaker 1: more detail on especially um visits with teenagers, teenage patients 296 00:17:12,960 --> 00:17:16,280 Speaker 1: and their parents. This is coming from Dr Mark la Flower, 297 00:17:16,320 --> 00:17:19,399 Speaker 1: who's the chief of the Division of Gynecology and the 298 00:17:19,440 --> 00:17:21,879 Speaker 1: co director of the Center for Young Women's Health at 299 00:17:21,960 --> 00:17:25,680 Speaker 1: Children's Hospital Boston, and he says that in all of 300 00:17:25,720 --> 00:17:28,760 Speaker 1: their reproductive healthcare visits, we like to meet with the 301 00:17:28,840 --> 00:17:31,600 Speaker 1: parents or guardians and the young woman at the same time. 302 00:17:32,040 --> 00:17:34,240 Speaker 1: Then we like to meet with a teenager alone. To 303 00:17:34,280 --> 00:17:36,480 Speaker 1: hear her concerns and get together again with her parents 304 00:17:36,520 --> 00:17:38,760 Speaker 1: at the end of the visit for summarization and to 305 00:17:38,880 --> 00:17:43,560 Speaker 1: make a health plan. Ideally, we establish a confidential relationship 306 00:17:43,880 --> 00:17:46,160 Speaker 1: with limits that are clear to both the teen and 307 00:17:46,240 --> 00:17:48,080 Speaker 1: her parents. We want to let the young woman know 308 00:17:48,119 --> 00:17:51,320 Speaker 1: that what she discusses with her gynecologists can be confidential 309 00:17:51,359 --> 00:17:53,680 Speaker 1: if she chooses it to be. And there's a two 310 00:17:53,680 --> 00:17:57,600 Speaker 1: thousand ten study that we found in the Contraception Journal 311 00:17:57,920 --> 00:18:00,600 Speaker 1: that was looking at whether or not H O. B. 312 00:18:00,720 --> 00:18:04,840 Speaker 1: G y ns would disclose to parents that their seventeen 313 00:18:04,880 --> 00:18:06,920 Speaker 1: year old and this was a fictional seventeen year old 314 00:18:07,119 --> 00:18:11,320 Speaker 1: freshman in college wanted birth control pills, And so they 315 00:18:11,359 --> 00:18:14,760 Speaker 1: surveyed all of these ob GYNs and found that most 316 00:18:14,840 --> 00:18:21,200 Speaker 1: ob GYNs will provide adolescence with contraceptives without notifying their parents. 317 00:18:21,280 --> 00:18:23,840 Speaker 1: So that is that's a good thing for teens to 318 00:18:24,160 --> 00:18:26,080 Speaker 1: keep in mind if they are nervous about the first 319 00:18:26,200 --> 00:18:29,040 Speaker 1: visit that if they disclose something that the doctor will 320 00:18:29,080 --> 00:18:31,879 Speaker 1: disclose it then to their parents. That is generally not 321 00:18:32,080 --> 00:18:33,720 Speaker 1: the case. I think a lot of times when it 322 00:18:33,800 --> 00:18:37,600 Speaker 1: comes to the doctor disclosing to parents, it's in cases 323 00:18:37,840 --> 00:18:42,600 Speaker 1: of the child being in direct harm. And they also 324 00:18:42,640 --> 00:18:45,600 Speaker 1: looked at a couple of other factors. Of the doctors 325 00:18:45,680 --> 00:18:48,200 Speaker 1: they surveyed said that they would encourage the teen to 326 00:18:48,320 --> 00:18:52,800 Speaker 1: involve her parents. So while most, if you know, while 327 00:18:52,920 --> 00:18:57,000 Speaker 1: most would provide those contraceptives for the team, a big 328 00:18:57,119 --> 00:18:58,879 Speaker 1: chunk would say, okay, well we'll give you this, but 329 00:18:59,080 --> 00:19:00,960 Speaker 1: you know, maybe you should bring your parents into the fold. 330 00:19:01,520 --> 00:19:06,040 Speaker 1: Slightly more fift would advise abstinence until she's older. So 331 00:19:06,320 --> 00:19:10,560 Speaker 1: but still contraceptives are being contraceptives are being provided. They're 332 00:19:10,600 --> 00:19:13,200 Speaker 1: just saying, hey, maybe you should think about doing X, 333 00:19:13,320 --> 00:19:16,760 Speaker 1: Y Z, yeah, because best case scenario, there's a healthy 334 00:19:16,800 --> 00:19:19,040 Speaker 1: relationship between the parent and the kid, kind of the 335 00:19:19,119 --> 00:19:21,200 Speaker 1: same way Caroline, that you had with your mom, where 336 00:19:21,200 --> 00:19:23,399 Speaker 1: it was an open door policy of saying, hey, you 337 00:19:23,440 --> 00:19:25,280 Speaker 1: know what, if you want to do this, if you 338 00:19:25,320 --> 00:19:27,040 Speaker 1: feel needed to do this, come and tell me. I 339 00:19:27,080 --> 00:19:29,359 Speaker 1: won't judge. You will go to the doctor together and 340 00:19:29,400 --> 00:19:32,760 Speaker 1: everything will be fine. Um. And we would encourage, you know, 341 00:19:32,880 --> 00:19:35,639 Speaker 1: teens to to talk to their parents regardians about that 342 00:19:35,760 --> 00:19:37,960 Speaker 1: kind of stuff, if that's possible. But it is also 343 00:19:38,000 --> 00:19:42,399 Speaker 1: good to know that options are available um from doctors directly. 344 00:19:43,680 --> 00:19:50,520 Speaker 1: Uh So when it comes though to selecting a gynecologist. Um. 345 00:19:50,720 --> 00:19:54,080 Speaker 1: One thing I remember talking to my mom about was 346 00:19:54,200 --> 00:19:59,480 Speaker 1: telling her that I wanted a female gynecologist specifically because 347 00:19:59,520 --> 00:20:03,200 Speaker 1: she went to a male gynecologist and um, not only 348 00:20:03,359 --> 00:20:05,440 Speaker 1: was he the father of a childhood friend of mine. 349 00:20:05,480 --> 00:20:07,719 Speaker 1: So it's like, I just really don't want that doctor 350 00:20:08,320 --> 00:20:11,160 Speaker 1: looking at my vagina. That would just be too awkward. Um. 351 00:20:11,600 --> 00:20:14,399 Speaker 1: But I I specifically wanted a female because I figured 352 00:20:14,440 --> 00:20:18,560 Speaker 1: that I would be more comfortable with that. And that's 353 00:20:18,600 --> 00:20:23,000 Speaker 1: been attributed. That idea that women prefer female kinnecologists is 354 00:20:23,040 --> 00:20:25,640 Speaker 1: not being attributed with a trend of fewer men going 355 00:20:25,720 --> 00:20:29,320 Speaker 1: into gynecology. Yeah, there's actually been been lawsuits and a 356 00:20:29,400 --> 00:20:31,720 Speaker 1: lot of people are upset saying that they are men, 357 00:20:32,240 --> 00:20:35,959 Speaker 1: saying that they have been discouraged from pursuing gynecology as 358 00:20:35,960 --> 00:20:39,080 Speaker 1: a specialty. Well, the fascinating thing is, if you look 359 00:20:39,160 --> 00:20:43,200 Speaker 1: at the statistics, female kynecologists haven't even been around in 360 00:20:43,320 --> 00:20:46,120 Speaker 1: doctor's offices all that long. This is also coming from 361 00:20:46,119 --> 00:20:49,920 Speaker 1: the American College of Obstetricians and Gynecologists. In nineteen seventy 362 00:20:50,440 --> 00:20:52,960 Speaker 1: only seven point one percent of O B g U 363 00:20:53,000 --> 00:20:55,960 Speaker 1: I n's were women, But then in two thousand nine, 364 00:20:56,040 --> 00:20:58,920 Speaker 1: that number jumped to forty six point nine percent. And 365 00:20:59,080 --> 00:21:02,639 Speaker 1: now when you look residency programs, it is far and 366 00:21:02,720 --> 00:21:07,600 Speaker 1: away led by women looking to get into oh B 367 00:21:07,680 --> 00:21:10,600 Speaker 1: g IM practices. Yeah, and this is coming from a 368 00:21:10,640 --> 00:21:13,479 Speaker 1: New York Times article from two thousand one who quoted 369 00:21:13,560 --> 00:21:16,119 Speaker 1: Dr John Musich, who was at the time the chairman 370 00:21:16,119 --> 00:21:20,600 Speaker 1: of the Council and Resident Education in Obstetrics, Obstetrics and Gynecology. 371 00:21:20,640 --> 00:21:23,320 Speaker 1: There it is. He said, it's a huge issue for 372 00:21:23,440 --> 00:21:26,080 Speaker 1: male medical students. We can't force patients to see a 373 00:21:26,119 --> 00:21:28,800 Speaker 1: particular gender. And there are women who feel that women 374 00:21:28,880 --> 00:21:32,119 Speaker 1: are more sensitive as physicians to female complaints than men 375 00:21:32,240 --> 00:21:35,920 Speaker 1: might be. And so, I mean, whether that's true or not, 376 00:21:36,640 --> 00:21:40,000 Speaker 1: whether a woman is more sensitive to gynecological needs than 377 00:21:40,240 --> 00:21:43,639 Speaker 1: a male doctor is I mean, you can't change people's 378 00:21:43,680 --> 00:21:45,879 Speaker 1: feelings or perceptions. I also wanted to get to a 379 00:21:45,920 --> 00:21:48,960 Speaker 1: female gynecologist, and I ended up going to my mother's, Like, 380 00:21:49,119 --> 00:21:51,200 Speaker 1: so she sees both of us, and you know, we 381 00:21:51,320 --> 00:21:54,280 Speaker 1: know all the nurses and I feel comfortable calling them 382 00:21:54,320 --> 00:21:56,399 Speaker 1: and talking to them about any issues I have. But 383 00:21:56,520 --> 00:21:58,040 Speaker 1: that's I mean, that's just me. One of my very 384 00:21:58,080 --> 00:22:02,399 Speaker 1: good friends strongly prefers and ale gynecologists. Yeah, and that 385 00:22:02,560 --> 00:22:04,160 Speaker 1: was the thing that we wanted to find was whether 386 00:22:04,280 --> 00:22:07,880 Speaker 1: or not statistics bear out that idea that women will 387 00:22:07,960 --> 00:22:14,320 Speaker 1: overwhelmingly prefer female gynecologists and it ain't necessarily so. Um. 388 00:22:14,480 --> 00:22:18,600 Speaker 1: This was coming from the Journal of American Osteopathic Association 389 00:22:18,760 --> 00:22:22,680 Speaker 1: from two thousand five where they went around to thirteen 390 00:22:22,720 --> 00:22:24,920 Speaker 1: O B G I N waiting rooms in Connecticut. So 391 00:22:24,920 --> 00:22:27,720 Speaker 1: maybe this is just a Connecticut thing. It could be, 392 00:22:28,320 --> 00:22:30,840 Speaker 1: but they found that a majority of the patients they 393 00:22:30,920 --> 00:22:35,639 Speaker 1: talked to sixties six point six percent had no gender 394 00:22:35,720 --> 00:22:38,840 Speaker 1: bias when selecting an O B G y N, and 395 00:22:39,040 --> 00:22:42,520 Speaker 1: an even larger majority, over eight percent, felt that physician 396 00:22:42,600 --> 00:22:47,119 Speaker 1: gender did not influence the quality of care. Yeah. And 397 00:22:47,200 --> 00:22:50,800 Speaker 1: this is backed up also the not having a strong 398 00:22:50,880 --> 00:22:54,359 Speaker 1: gender preference in two thousand two article in Obstetrics and 399 00:22:54,400 --> 00:22:57,520 Speaker 1: Gynecology that found that the more important factors were really 400 00:22:57,600 --> 00:23:01,520 Speaker 1: interpersonal and communication style and tech nickel expertise. So if 401 00:23:01,520 --> 00:23:03,359 Speaker 1: you feel like you're being listened to and if your 402 00:23:03,440 --> 00:23:06,000 Speaker 1: doctor knows what he or she is talking about, that's 403 00:23:06,040 --> 00:23:10,080 Speaker 1: more important than whether it's a man or a woman. Yeah. 404 00:23:10,119 --> 00:23:13,560 Speaker 1: And I think that when I moved to Atlanta, where 405 00:23:13,600 --> 00:23:16,120 Speaker 1: Health at Work dot Com is located. Um, I needed 406 00:23:16,160 --> 00:23:18,879 Speaker 1: to find a new doctor, and I wasn't so much 407 00:23:18,920 --> 00:23:21,080 Speaker 1: concerned about finding a male or female doctor, but one 408 00:23:21,119 --> 00:23:23,560 Speaker 1: that came highly recommended from people that I knew, and 409 00:23:23,640 --> 00:23:28,199 Speaker 1: that happened to be a woman, and she was fantastic. So, UM, 410 00:23:28,280 --> 00:23:30,919 Speaker 1: I think that. Yeah, and in this regard a lot 411 00:23:30,960 --> 00:23:34,800 Speaker 1: of times, uh you know, maybe that kind of gender biases, 412 00:23:35,080 --> 00:23:39,120 Speaker 1: it does swing toward women, but it's not as overwhelming 413 00:23:39,480 --> 00:23:43,040 Speaker 1: as it might seem in terms of women just demanding 414 00:23:43,560 --> 00:23:48,360 Speaker 1: women only kynacologists. Although I will say that my kynecology 415 00:23:48,440 --> 00:23:53,720 Speaker 1: office is it's a vaginal haven of pink and estrogen, 416 00:23:53,960 --> 00:23:57,760 Speaker 1: just clouds floating around. It's incredible. I've they all. I've 417 00:23:57,800 --> 00:23:59,359 Speaker 1: seen like men in there every now and then, like 418 00:23:59,440 --> 00:24:02,639 Speaker 1: if they come in with their their wives. Um, but 419 00:24:02,800 --> 00:24:05,479 Speaker 1: there are you know, there aren't any any male doctors 420 00:24:05,520 --> 00:24:08,720 Speaker 1: at all in the practice. In the walls are literally pink. 421 00:24:10,760 --> 00:24:14,920 Speaker 1: You know, women only have female babies and women and 422 00:24:15,000 --> 00:24:18,760 Speaker 1: women only like pink. Yeah, obviously, UM, but I mean 423 00:24:18,800 --> 00:24:21,760 Speaker 1: I thought the discrimination issue that that people have raised 424 00:24:21,880 --> 00:24:25,600 Speaker 1: was interesting. UM. Dr Aaron Tracy, who's the chairwoman of 425 00:24:25,800 --> 00:24:30,760 Speaker 1: ACOG junior fellow Advisory Council said that at some medical schools, 426 00:24:30,800 --> 00:24:33,440 Speaker 1: male medical students are being discouraged from going into O 427 00:24:33,520 --> 00:24:36,760 Speaker 1: B G Y in it really is reverse discrimination. We 428 00:24:36,880 --> 00:24:39,520 Speaker 1: don't want this to be a specialty just for women. 429 00:24:39,840 --> 00:24:43,159 Speaker 1: And so there's you know, there's this scrumbling about our 430 00:24:43,280 --> 00:24:46,639 Speaker 1: men being told like don't do this, or are they 431 00:24:46,800 --> 00:24:49,840 Speaker 1: just being told like maybe you would make more money 432 00:24:50,200 --> 00:24:55,080 Speaker 1: elsewhere because it has been harder for male ob GYNs too, 433 00:24:55,359 --> 00:24:58,800 Speaker 1: fine practices that that wants them, because there are some 434 00:24:58,920 --> 00:25:02,520 Speaker 1: practices that are exclusive of the hiring for women. Yeah, 435 00:25:02,520 --> 00:25:04,680 Speaker 1: And and in this article that we were reading like it, 436 00:25:04,800 --> 00:25:06,879 Speaker 1: it talks a lot about how people have noticed that 437 00:25:06,920 --> 00:25:10,560 Speaker 1: the minute they hire a a woman gynecologist on the team, 438 00:25:11,160 --> 00:25:14,800 Speaker 1: she is just her schedules packed immediately, it's it's taken up. 439 00:25:14,800 --> 00:25:17,920 Speaker 1: And so one man who had had brought a lawsuit 440 00:25:18,080 --> 00:25:21,000 Speaker 1: was saying, like, I was fired because of gender discrimination, 441 00:25:21,160 --> 00:25:23,919 Speaker 1: when his bosses were saying, well, it really had more 442 00:25:23,960 --> 00:25:26,320 Speaker 1: to do that you weren't bringing in the books whereas 443 00:25:26,359 --> 00:25:30,520 Speaker 1: our our female doctors were. Yeah, I'd be curious to 444 00:25:31,119 --> 00:25:35,119 Speaker 1: hear from any ob GYNs listening or nurse practitioners who 445 00:25:35,200 --> 00:25:38,240 Speaker 1: work in ob g I in offices as to whether 446 00:25:38,359 --> 00:25:42,399 Speaker 1: or not that does seem to be the case. Um So, 447 00:25:42,640 --> 00:25:45,920 Speaker 1: I hope that this has offered though a decent overview 448 00:25:46,840 --> 00:25:50,480 Speaker 1: of what to expect at the O B g U 449 00:25:50,520 --> 00:25:54,600 Speaker 1: I N. We've talked about selecting doctors, talked about what happened, 450 00:25:54,600 --> 00:25:59,640 Speaker 1: We've talked about the old speculum, the pelvic exam. Uh 451 00:26:00,200 --> 00:26:03,639 Speaker 1: so let's talk about us and things on a bit 452 00:26:03,680 --> 00:26:06,879 Speaker 1: of a lighter note, and that is the fact that sometimes, 453 00:26:07,600 --> 00:26:11,760 Speaker 1: especially because of the nature of the gynecologist office and 454 00:26:11,800 --> 00:26:14,439 Speaker 1: by the nature of it I do mean being very 455 00:26:14,560 --> 00:26:19,600 Speaker 1: vaginally focused, funny things can happen sometimes. Yeah, like, oh, 456 00:26:19,640 --> 00:26:21,200 Speaker 1: I don't know, your feet are up in the stirrups 457 00:26:21,240 --> 00:26:24,119 Speaker 1: and you're you're gonnacologist offers to come on your podcast 458 00:26:24,240 --> 00:26:28,800 Speaker 1: and talk. Did that happen to you? It's like, well, 459 00:26:30,280 --> 00:26:32,840 Speaker 1: maybe we don't really have that kind of show, but 460 00:26:33,280 --> 00:26:35,440 Speaker 1: thank you if you could just get back down in 461 00:26:35,520 --> 00:26:39,480 Speaker 1: there so you got an interview pitch while someone was 462 00:26:39,600 --> 00:26:43,800 Speaker 1: examining your cervix. It's true. Oh man, the things that 463 00:26:43,920 --> 00:26:49,119 Speaker 1: happened to to podcasters, it's amazing. Um. Yeah, there was 464 00:26:49,960 --> 00:26:53,879 Speaker 1: an article that was originally published on Radar. This is 465 00:26:53,920 --> 00:26:57,879 Speaker 1: by Dorry Schaffer, and they were asking women to right 466 00:26:57,960 --> 00:27:01,040 Speaker 1: in about the odd things that kind of collogists had 467 00:27:01,119 --> 00:27:04,000 Speaker 1: told them and just let's just throw out a couple 468 00:27:04,280 --> 00:27:10,159 Speaker 1: such as Sarah from Brooklyn apparently said, my gynecologist recently 469 00:27:10,200 --> 00:27:13,879 Speaker 1: told me that I have an adorable uterus. What what 470 00:27:13,960 --> 00:27:16,040 Speaker 1: does that mean? I want to know what? Well? I 471 00:27:16,119 --> 00:27:21,080 Speaker 1: mean what it's polka dotted, it has it wears a 472 00:27:21,160 --> 00:27:26,880 Speaker 1: peter Pan collar. It makes cupcakes. Yeah. Similarly, Kate reported 473 00:27:27,480 --> 00:27:29,439 Speaker 1: to Radar that I once said a female doctor tell 474 00:27:29,520 --> 00:27:32,000 Speaker 1: me my cervix was cute. Not sure what that means, 475 00:27:32,040 --> 00:27:35,240 Speaker 1: but I took it as a compliment. I would too, Yeah, 476 00:27:35,280 --> 00:27:37,440 Speaker 1: I mean they would know, wouldn't they. Yeah, I mean 477 00:27:37,800 --> 00:27:40,200 Speaker 1: whether you have a cute service or one that just 478 00:27:40,280 --> 00:27:43,399 Speaker 1: has a good personality. I think the most uncomfortable thing 479 00:27:43,520 --> 00:27:47,520 Speaker 1: that's ever happened to me in the gynecologist office is 480 00:27:47,600 --> 00:27:51,280 Speaker 1: not something that someone said, but when the doctor screamed. 481 00:27:52,119 --> 00:27:54,240 Speaker 1: Because this was a new doctor. It was the first 482 00:27:54,280 --> 00:27:57,359 Speaker 1: time I was going to this doctor. And you know, 483 00:27:57,480 --> 00:27:59,639 Speaker 1: you put your feet in the stirrups and then you 484 00:27:59,760 --> 00:28:02,480 Speaker 1: have to scoot down, and that's that's one of the 485 00:28:02,560 --> 00:28:06,480 Speaker 1: most awkward parts now. Yeah, because she's like, okay, you know, 486 00:28:07,160 --> 00:28:09,080 Speaker 1: come on, scoot down. I was like a scoot at bit, 487 00:28:09,280 --> 00:28:11,920 Speaker 1: like no, no, keep scooting, and I was like, okay, 488 00:28:12,080 --> 00:28:14,159 Speaker 1: I'll keep scooting, and she's like, no, keep and I 489 00:28:14,280 --> 00:28:17,160 Speaker 1: was like all right, I'm coming. And then I keep 490 00:28:17,240 --> 00:28:25,159 Speaker 1: skotting and she goes, whoa, whoa too close. Oh I 491 00:28:25,320 --> 00:28:30,720 Speaker 1: am sorry, my vagina stood closed your face now. And 492 00:28:30,840 --> 00:28:33,720 Speaker 1: then I had to scoot back. You know, it's embarrassing 493 00:28:33,840 --> 00:28:38,400 Speaker 1: having to scoot back the exam table. It's kind of 494 00:28:38,440 --> 00:28:41,760 Speaker 1: a horror script. I know I never went back. I 495 00:28:42,040 --> 00:28:44,760 Speaker 1: probably wouldn't have either. Yeah. I did not appreciate that 496 00:28:44,960 --> 00:28:49,120 Speaker 1: bedside manner. Now I'm blushing because I'm talking about my vagina. 497 00:28:49,520 --> 00:28:51,680 Speaker 1: Oh my god, I can't believe that. Why would a 498 00:28:51,720 --> 00:28:53,960 Speaker 1: doctor say that, I thought, well, I mean, I don't know. 499 00:28:54,080 --> 00:28:56,960 Speaker 1: Some doctors are just more abrupt than others. Yeah, so 500 00:28:57,080 --> 00:29:00,000 Speaker 1: but where the scoot? Yeah, careful scoot. The scoot is 501 00:29:00,000 --> 00:29:03,080 Speaker 1: awkward because you're like, I naturally kind of don't want 502 00:29:03,200 --> 00:29:06,160 Speaker 1: my vagina. You know, when I'm in stirrups in a 503 00:29:06,320 --> 00:29:08,240 Speaker 1: very cold room and a gown, I don't want to 504 00:29:08,280 --> 00:29:11,720 Speaker 1: scoot it. Where it's vulnerable, but you have to have 505 00:29:11,880 --> 00:29:17,160 Speaker 1: to scoot, but not too much. And with that thus 506 00:29:17,240 --> 00:29:20,880 Speaker 1: concludes our visit to the gynecollegees office. Next episode, we're 507 00:29:20,880 --> 00:29:24,400 Speaker 1: gonna do something on prostrate exams. It's like, although maybe 508 00:29:24,440 --> 00:29:27,080 Speaker 1: we should. Yeah what I mean, we don't have personal 509 00:29:27,160 --> 00:29:30,440 Speaker 1: stories about it. No, no turning and coughing for us, 510 00:29:30,960 --> 00:29:35,760 Speaker 1: all right, And with that, listeners, please write us about 511 00:29:35,840 --> 00:29:38,760 Speaker 1: awkward gynecology visits, anything that we didn't touch on, Any 512 00:29:38,920 --> 00:29:42,560 Speaker 1: lingering questions about what goes on to the gynecologists, um, 513 00:29:43,400 --> 00:29:46,360 Speaker 1: anything O, B, G, Y and related. Also, yeah, any 514 00:29:46,480 --> 00:29:50,200 Speaker 1: if there any dude gynecologists listening, we want to hear 515 00:29:50,280 --> 00:29:53,880 Speaker 1: from you as well. Mom. Stuff at Discovery dot com 516 00:29:54,280 --> 00:30:01,600 Speaker 1: is where you can send your emails. Yes, I have 517 00:30:01,960 --> 00:30:04,880 Speaker 1: here a letter from Caitlin in response to our food 518 00:30:04,960 --> 00:30:09,200 Speaker 1: porn episode Kristen. She says, as a sociology major in 519 00:30:09,320 --> 00:30:12,680 Speaker 1: undergrad I find this topic very interesting. However, this issue 520 00:30:12,720 --> 00:30:15,120 Speaker 1: of food as it relates to culture is not new. 521 00:30:15,640 --> 00:30:21,560 Speaker 1: Pierre Bordeaux Bordi bord find something a French name, a 522 00:30:21,640 --> 00:30:24,400 Speaker 1: French sociologist, wrote about food in French culture in the 523 00:30:24,520 --> 00:30:27,560 Speaker 1: nineteen seventies. He argued that our taste and food is 524 00:30:27,600 --> 00:30:31,240 Speaker 1: dictated to us by our class i e. Socio economic status. 525 00:30:31,840 --> 00:30:35,440 Speaker 1: We also express that status to others in the food 526 00:30:35,520 --> 00:30:37,160 Speaker 1: we eat or the food that tastes good to us. 527 00:30:37,520 --> 00:30:40,360 Speaker 1: Skipping over the philosophical route that this discussion could take, 528 00:30:40,600 --> 00:30:42,719 Speaker 1: do we like a particular food because it tastes good 529 00:30:42,840 --> 00:30:46,800 Speaker 1: or because we think it tastes good? Bordeau's work and 530 00:30:47,000 --> 00:30:49,120 Speaker 1: that which is followed gives us the opportunity to think 531 00:30:49,160 --> 00:30:52,360 Speaker 1: about why we make the choices that we do, and 532 00:30:52,400 --> 00:30:56,959 Speaker 1: then she says, just some food for thought. So thank you, Caitlin. 533 00:30:57,960 --> 00:31:00,680 Speaker 1: I've got an email here as well about our our 534 00:31:00,840 --> 00:31:07,440 Speaker 1: two parter on food and foodie culture from Charles. And Charles, 535 00:31:07,680 --> 00:31:10,880 Speaker 1: you did have a lot to say about foodie culture. 536 00:31:10,920 --> 00:31:13,440 Speaker 1: You know who you are, and I'm just gonna read 537 00:31:13,480 --> 00:31:15,440 Speaker 1: the first part of his email to that says, now, 538 00:31:15,600 --> 00:31:18,360 Speaker 1: between my interest and pinterest, my obsession with cats, and 539 00:31:18,400 --> 00:31:20,520 Speaker 1: the fact that I generally enjoy everything you guys do, 540 00:31:20,680 --> 00:31:23,320 Speaker 1: I feel a little masculated, but in a good way. 541 00:31:23,760 --> 00:31:26,160 Speaker 1: Thank you, Charles. And um, I'm gonna jump down to 542 00:31:26,320 --> 00:31:30,840 Speaker 1: when he's talking about food and foodie culture because Charles 543 00:31:31,480 --> 00:31:34,640 Speaker 1: is a Sux chef, so we're talking to someone who's 544 00:31:34,640 --> 00:31:38,480 Speaker 1: got some irons in the fire, and man, he's this 545 00:31:38,640 --> 00:31:41,040 Speaker 1: is a five page email. I'm not Charles. I hope 546 00:31:41,040 --> 00:31:43,840 Speaker 1: that you don't mind me outing you um as writing 547 00:31:44,400 --> 00:31:48,760 Speaker 1: an incredible email of great length. So here you go, 548 00:31:49,120 --> 00:31:52,480 Speaker 1: he writes. Folks concerned with the elitist nature of organic 549 00:31:52,600 --> 00:31:57,120 Speaker 1: slash arteasanal have bandied about much criticism of foodies. The 550 00:31:57,200 --> 00:31:59,840 Speaker 1: claim is that being a foodie isn't necessarily accessible to 551 00:31:59,880 --> 00:32:03,280 Speaker 1: the regular folks out there. But hasn't every cultural movement 552 00:32:03,360 --> 00:32:06,440 Speaker 1: started as the interests of a select privileged few. I mean, 553 00:32:06,520 --> 00:32:09,400 Speaker 1: people protesting in the occupy movement aren't typically on food 554 00:32:09,440 --> 00:32:11,760 Speaker 1: stamps or welfare, or if they are, they tend not 555 00:32:11,880 --> 00:32:14,600 Speaker 1: to have started that way. Nearly every revolution and culture 556 00:32:14,640 --> 00:32:17,040 Speaker 1: in politics has come out of the middle class. That's 557 00:32:17,080 --> 00:32:18,920 Speaker 1: not to say there's anything wrong with the privileged white 558 00:32:18,920 --> 00:32:21,040 Speaker 1: people standing for things, just so there's a lack of 559 00:32:21,080 --> 00:32:23,280 Speaker 1: self awareness about just how privileged most white people that 560 00:32:23,320 --> 00:32:25,480 Speaker 1: go to college and care about stuff actually are. That 561 00:32:25,640 --> 00:32:28,239 Speaker 1: being said, look at the course of food culture over 562 00:32:28,280 --> 00:32:30,920 Speaker 1: the last thirty years. Alice Waters has probably done more 563 00:32:30,960 --> 00:32:32,960 Speaker 1: to advance the cause of good, healthy food for all 564 00:32:33,160 --> 00:32:35,680 Speaker 1: than any single person until Michael Pollen and she's not 565 00:32:35,760 --> 00:32:38,440 Speaker 1: even a chef Jonathan Waxman and Jeremiah Tower where the 566 00:32:38,520 --> 00:32:41,920 Speaker 1: real chefs at Shapinice. As mentioned above, every aspect of 567 00:32:41,960 --> 00:32:45,160 Speaker 1: mainstream culture tends to be filtered through the subculture or hipster, 568 00:32:45,560 --> 00:32:48,720 Speaker 1: according to Norman Mailer's original definition of the word, as 569 00:32:48,840 --> 00:32:51,840 Speaker 1: the mainstream media jumps on any particular bandwagon, an old 570 00:32:51,920 --> 00:32:54,600 Speaker 1: Navy starts releasing off the wreck vintage t shirts, the 571 00:32:54,640 --> 00:32:57,280 Speaker 1: mainstream adopts a subculture, and hipsters move on to the 572 00:32:57,320 --> 00:32:59,720 Speaker 1: next fool thing. I don't mean to sound two tongue 573 00:32:59,760 --> 00:33:02,400 Speaker 1: in week or derogatory about any of this. The next 574 00:33:02,480 --> 00:33:05,600 Speaker 1: cool thing is not necessarily a bad thing as long 575 00:33:05,680 --> 00:33:09,440 Speaker 1: as the interest is not in cool for its own sake. 576 00:33:09,960 --> 00:33:13,080 Speaker 1: So not in AILI sauce for its own sake. That 577 00:33:13,200 --> 00:33:16,560 Speaker 1: was my own fit, its own ailiness, a holiness alide 578 00:33:16,640 --> 00:33:21,280 Speaker 1: sauce for its own ailitess. So thank you Charles and 579 00:33:21,400 --> 00:33:24,000 Speaker 1: everyone who has written into mom Stuff At Discovery dot com. 580 00:33:24,080 --> 00:33:26,120 Speaker 1: That's where you can send your letters. You can also 581 00:33:26,240 --> 00:33:29,440 Speaker 1: message us on Facebook, like us there while you're at it, 582 00:33:29,480 --> 00:33:32,320 Speaker 1: and follow us on Twitter at mom Stuff Podcast. You 583 00:33:32,440 --> 00:33:35,520 Speaker 1: can also check out our tumbler. We are at stuff 584 00:33:35,680 --> 00:33:39,240 Speaker 1: Mom Never Told You dot tumbler dot com. And if 585 00:33:39,280 --> 00:33:43,520 Speaker 1: you want to learn so much more about health, doctor's offices, 586 00:33:43,600 --> 00:33:46,120 Speaker 1: and medical history, you know where to find it. It's 587 00:33:46,160 --> 00:33:51,880 Speaker 1: at our website how stuff works dot com. For more 588 00:33:51,960 --> 00:33:54,239 Speaker 1: on this and thousands of other topics. Is it how 589 00:33:54,280 --> 00:33:55,240 Speaker 1: stuff works dot com