Pediatrics vs ObGyn

[Kaustikos]

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Sorry I guess I meant a uterus when it isn't pregnant - or if that was a turf battle OB-Gyn won on.

Would have thought operating on anal cancers were easier unless you're referring to smells.

First part: gonna say OB/GYN has first dibs but I defer since I don't know 100%.
Second part:
It's the anus. You deal with fissures, prolapse, hemorrhoids, abscess, etc.
I wanted to vomit all over the crypt abscess we had to take care of. Pus is no issue. Pus with feculant liqueur is like the worst thing that I just don't understand. It's worse than tequila.
I don't have an issue with smells persay... Just dealing with **** as the thing you look for. I just... Id rather be a podiatrist

 

[Kaustikos]

Hmmm. Okay. As long as Kaus is somewhere in front of me so I can kick him if it hurts. Or throw a shoe at him. Whichever.

Hahahahahaha
Only if they allow me to bring my glass of lagavulin neat with the accompanying bottle.

U won't see the needle for the epidural. Anesthesiologists do an OB anesthesia fellowship so they are experts. It's truly a miracle drug.

Epidural is like the easiest entrance exam for "OMG best feeling ever". It's a big needle but you won't remember it once the meds hit.
Reminds me of the first time I got morphine IV. I was like "OMG this fracture hurts so bad bad bad bad baaaaa- OMG I feel so amazing." That's how fast iv narcotics work.

 

[Kaustikos]

There's also all of the gynecological surgeries.... hysterectomies (abdominal, laparoscopic, robotic, vaginal, etc), salpingectomy/oophorectomy, ovarian cystectomy, vulvectomy, etc. GynOncs do massive tumor debulking surgeries which can require bowel resections with ostomies, and other abdominal surgeries. Urogyn do urethral slings, sacral nerve stimulation, vaginal vault suspensions, etc.

And colorectal surgeons operate in the pelvis really only for the rectum, they don't do anything with the uterus/adnexae. I've seen colorectal collaborate with GYN in the OR when they're dealing with rectovaginal fistulas.

Uh... No OB/GYN in their right mind does debulking surgeries outside the uterus without a general surgeon. That's asking for trouble of the worst kind.

 

[obgyny]

Uh... No OB/GYN in their right mind does debulking surgeries outside the uterus without a general surgeon. That's asking for trouble of the worst kind.

GynOncs do... the ones with fellowship training... I did a GynOnc sub-I and saw several tumor debulking surgeries with bowel resections, diaphragm resections, lymph node dissections, etc etc. Performed by only GynOncs.

 

[Kaustikos]

GynOncs do... the ones with fellowship training... I did a GynOnc sub-I and saw several tumor debulking surgeries with bowel resections, diaphragm resections, lymph node dissections, etc etc. Performed by only GynOncs.

... I seriously want someone else to contribute. Please... This is trolling. Or the procedures I've seen are being done wrong.
You're talking about encroaching in areas you have no knowledge or training about. I just.... This makes no sense

 

[sazerac]

I was initially thinking Peds all the way, until I did Obgyn and really enjoyed it. I also have a personality that meshes better with surgeons in general. But, my Step1 score is below the national average by about 10-15 points, which was discouraging to say the least.

Do you have a penis? Because I've been told multiple times that having a penis will add 10-15 points to your Step1 score for obgyn applicants.

 

[Kaustikos]

Do you have a penis? Because I've been told multiple times that having a penis will add 10-15 points to your Step1 score for obgyn applicants.

Only if you put it into the vagina's that accepted you

 

[fancymylotus]

Hahahahahaha
Only if they allow me to bring my glass of lagavulin neat with the accompanying bottle.


Epidural is like the easiest entrance exam for "OMG best feeling ever". It's a big needle but you won't remember it once the meds hit.
Reminds me of the first time I got morphine IV. I was like "OMG this fracture hurts so bad bad bad bad baaaaa- OMG I feel so amazing." That's how fast iv narcotics work.

I WILL remember it and I WILL get mad at you about it. Consider yourself warned! ><

(All will be forgiven if push gift is given. In the form of something big sparkly and multiple carats in size)

 

[charmiedermie]

Do you have a penis? Because I've been told multiple times that having a penis will add 10-15 points to your Step1 score for obgyn applicants.

It takes a very special man to do what an OB-Gyn does and then go home and make love to his wife.

 

[Kaustikos]

I WILL remember it and I WILL get mad at you about it. Consider yourself warned! ><

(All will be forgiven if push gift is given. In the form of something big sparkly and multiple carats in size)

Do you remember all those episodes on Archer where Lana was pregnant with Archer's baby? Expect that. With all the scotch and egotism. Minus the spy.

 

[charmiedermie]

Hmmm. Okay. As long as Kaus is somewhere in front of me so I can kick him if it hurts. Or throw a shoe at him. Whichever.

Just make sure they're sneakers. A Jimmy Choo is a terrible thing to waste.

 

[yellowcocopuffs]

Do you have a penis? Because I've been told multiple times that having a penis will add 10-15 points to your Step1 score for obgyn applicants.

unfortunately, I have a vagina

 

[Serous Demilune]

rectovaginal fistulas

My band's new name! Thank you for that.

 

[Kaustikos]

It takes a very special man to do what an OB-Gyn does and then go home and make love to his wife.

I'd be gay. Or just never want to see a vagina. Nor put anything in it.

Like... I'd just hate vagina's.

 

[Kaustikos]

unfortunately, I have a vagina

Said no girl in medicine.
You have a vagina. Use it (metaphorically) to get ahead.
Also... Who didn't predict you being a girl after wanting to decide peds Vs OB/GYN?*


*mods don't ban me

 

[fancymylotus]

Just make sure they're sneakers. A Jimmy Choo is a terrible thing to waste.

I may or may not have bought these recently.

They're sssoooo cute obnoxious and totally toss-able.

 

[fancymylotus]

Said no girl in medicine.
You have a vagina. Use it (metaphorically) to get ahead.
Also... Who didn't predict you being a girl after wanting to decide peds Vs OB/GYN?*


*mods don't ban me

Stop!!! I want a pink SDN and I can't have that if you get banned, genius!

 

[Kaustikos]

How am I trolling..? Maybe it is different at your institution?

If the procedure beyond the gyn organs becomes really complicated, they may call in a general surgeon. I've seen this once, where they wanted a hepatic surgeon to come in to do the liver wedge resection portion. But otherwise, the GynOnc surgeon performed the radical hyst, BSO, lymph node dissection, and bowel resection. My school's program is well known for it's GynOnc dept.

I'm not questioning your schools credentials. But I've learned that the best surgeons know their limits and operating beyond your expertise is danger zone.
And yes, danger zone. I archerized this whole thread.

 

[Kaustikos]

Stop!!! I want a pink SDN and I can't have that if you get banned, genius!

Fml
Fml
F
M
LLLLLLLLLL!!!!!















Dangazooooone

 

[charmiedermie]

I'd be gay. Or just never want to see a vagina. Nor put anything in it.

Like... I'd just hate vagina's.

That's what I would think also - young male ob-gyns always made me think they couldn't get to see it personally so this is the next best thing or they liked seeing women in pain. Lol. I always remember that case of the Hopkins OB-Gyn who was using his pen to record Gyn exams.

 

[fancymylotus]

Fml
Fml
F
M
LLLLLLLLLL!!!!!















Dangazooooone

Someone is drunky. Gotcha!

 

[Kaustikos]

Someone is drunky. Gotcha!

Kitchen.

 

[fancymylotus]

Kitchen.

Yeah coz that's ever worked on me. Plus you're usually the one in the kitchen.

Spot? BLOWNNNNN

 

[sazerac]

unfortunately, I have a vagina

Sorry to hear that. Now I understand your dilemma.

I know I usually joke around on these forums, but I was being serious. For any dudes reading this thread, there is a serious shortage of men in obgyn and they are somewhat desperate for Y chromosomes amongst their applicants. Adds 10-15 points to your step1 score, or so I've been told. Repeatedly.

 

[Psai]

Sorry to hear that. Now I understand your dilemma.

I know I usually joke around on these forums, but I was being serious. For any dudes reading this thread, there is a serious shortage of men in obgyn and they are somewhat desperate for Y chromosomes amongst their applicants. Adds 10-15 points to your step1 score, or so I've been told. Repeatedly.

And takes 10-15 years from your life

 

[famoussquamous]

Sorry to hear that. Now I understand your dilemma.

I know I usually joke around on these forums, but I was being serious. For any dudes reading this thread, there is a serious shortage of men in obgyn and they are somewhat desperate for Y chromosomes amongst their applicants. Adds 10-15 points to your step1 score, or so I've been told. Repeatedly.

Maybe this is just me, but I feel like most females wouldn't feel comfortable with a male OB/Gyn. They'd probably feel more comfortable with a female, or even think "I'd rather have a doctor that can truly relate with me, and how could a man relate?" That's just me though.

 

[mvenus929]

Maybe this is just me, but I feel like most females wouldn't feel comfortable with a male OB/Gyn. They'd probably feel more comfortable with a female, or even think "I'd rather have a doctor that can truly relate with me, and how could a man relate?" That's just me though.

The younger/religious women tend to want the female, but the older crowd tends to not care. And most women in labor don't care either.

 

[famoussquamous]

The younger/religious women tend to want the female, but the older crowd tends to not care. And most women in labor don't care either.

But that means if you live in an area with more religious people like in the south, it probably wouldn't be a good place to practice as an OB/Gyn, right?

 

[mvenus929]

But that means if you live in an area with more religious people like in the south, it probably wouldn't be a good place to practice as an OB/Gyn, right?

I didn't mean to imply Christian religious, more like Muslim and orthodox Jewish women who have religious rules forbidding men other than their husbands from seeing them unclothed.

 

[Lysinee]

I didn't mean to imply Christian religious, more like Muslim and orthodox Jewish women who have religious rules forbidding men other than their husbands from seeing them unclothed.

What about religious requirements during emergencies?

 

[charmiedermie]

Are you a nice person, or a raging b****?

😆

 

[charmiedermie]

Maybe this is just me, but I feel like most females wouldn't feel comfortable with a male OB/Gyn. They'd probably feel more comfortable with a female, or even think "I'd rather have a doctor that can truly relate with me, and how could a man relate?" That's just me though.

Depends how cute he is. Shallow I know but whatever. If he's goodlooking, I'll be very nervous the entire time and self conscious, and less likely to ask questions bc of embarrassment.

 

[fancymylotus]

Depends how cute he is. Shallow I know but whatever. If he's goodlooking, I'll be very nervous the entire time and self conscious, and less likely to ask questions bc of embarrassment.

This X 100

 

[charmiedermie]

This X 100

Yeah, if the guy is like really old or not good looking, then its fine. But there is no way I am talking about my vaginal bleeding or vaginal itching to a guy I find attractive, physician or not.

 

[famoussquamous]

Yeah, if the guy is like really old or not good looking, then its fine. But there is no way I am talking about my vaginal bleeding or vaginal itching to a guy I find attractive, physician or not.

Do you think he'd judge you harder than the non-attractive doc if you had STDs?

 

[charmiedermie]

Do you think he'd judge you harder than the non-attractive doc if you had STDs?

I wouldn't care what the non-attractive doctor thought. It's more what I think and might say or not say during the visit.

 

[anonperson]

Uh... No OB/GYN in their right mind does debulking surgeries outside the uterus without a general surgeon. That's asking for trouble of the worst kind.

Gyn Oncs are routinely operating on the bowel, omentum, sometimes even the spleen. That's what they train to do in their fellowships which can be 3-4 years long. This is routine across the country. A generalist OB GYN should not be attempting this type of a surgery without a gyn onc or general surgeon but that's a different story.

 

[mvenus929]

What about religious requirements during emergencies?

As I am neither Muslim nor Jewish, I couldn't tell you. I will say that from my side (pediatrics), the women who request female only providers on L&D don't have any issue with my attendings (the vast majority of whom are male). They generally request no male providers because 1) they are religious, 2) they have been abused in the past, or 3) they find that the male OBs tend to be more aggressive with their cervical checks than the female OBs, whether that is actually true or not.

 

[Psai]

As I am neither Muslim nor Jewish, I couldn't tell you. I will say that from my side (pediatrics), the women who request female only providers on L&D don't have any issue with my attendings (the vast majority of whom are male). They generally request no male providers because 1) they are religious, 2) they have been abused in the past, or 3) they find that the male OBs tend to be more aggressive with their cervical checks than the female OBs, whether that is actually true or not.

lol who says that
i've heard that the female obs are more aggressive because they're like oh i've been through it too, get over it stop being a baby while the men are trying their best not to hurt people
at least for the residents

 

[fancymylotus]

lol who says that
i've heard that the female obs are more aggressive because they're like oh i've been through it too, get over it stop being a baby while the men are trying their best not to hurt people
at least for the residents

Ughhhhhh. Giving birth is going to be a ****ing nightmare isn't it. I seriously can't think of many things that I'm more scared about.

 

[mvenus929]

lol who says that
i've heard that the female obs are more aggressive because they're like oh i've been through it too, get over it stop being a baby while the men are trying their best not to hurt people
at least for the residents

When I was on call with all male providers, I was asked to go to the room of a woman who requested only female providers to inform her that most of the Peds staff that night was male. She told me that she didn't care about the Peds staff being male, she just didn't want any more males doing the cervical checks on her because one the night before had been particularly aggressive doing his check and she just felt more comfortable with women doing the checks.

As I've not been in labor to experience said frequent checks, I can't add any personal experiences to that statement. I do tend to be more conscientious when I do pelvic exams than I've seen other people be in the past, because I know how incredibly uncomfortable they are, but I don't know how other female providers view them.