{"id":11760,"date":"2019-04-29T08:00:43","date_gmt":"2019-04-29T13:00:43","guid":{"rendered":"https:\/\/blogs.wnpt.org\/mediaupdate\/?p=11760"},"modified":"2019-04-26T13:48:09","modified_gmt":"2019-04-26T18:48:09","slug":"ctm-8-5","status":"publish","type":"post","link":"https:\/\/blogs.wnpt.org\/mediaupdate\/2019\/04\/29\/ctm-8-5\/","title":{"rendered":"\u2018Call the Midwife\u2019 Recap: Season 8, Episode 5"},"content":{"rendered":"<p><em><a href=\"http:\/\/www.pbs.org\/call-the-midwife\/home\/\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-11712\" src=\"https:\/\/blogs.wnpt.org\/mediaupdate\/wp-content\/uploads\/2019\/03\/call-the-midwife-s8e5.jpg\" alt=\"\" width=\"505\" height=\"284\" srcset=\"https:\/\/blogs.wnpt.org\/mediaupdate\/wp-content\/uploads\/2019\/03\/call-the-midwife-s8e5.jpg 1920w, https:\/\/blogs.wnpt.org\/mediaupdate\/wp-content\/uploads\/2019\/03\/call-the-midwife-s8e5-300x169.jpg 300w, https:\/\/blogs.wnpt.org\/mediaupdate\/wp-content\/uploads\/2019\/03\/call-the-midwife-s8e5-768x432.jpg 768w, https:\/\/blogs.wnpt.org\/mediaupdate\/wp-content\/uploads\/2019\/03\/call-the-midwife-s8e5-1024x576.jpg 1024w\" sizes=\"auto, (max-width: 505px) 100vw, 505px\" \/><\/a><\/em><\/p>\n<p><em>By Michelle Collins, Ph.D, CNM, FACNM, FAAN<br \/>\n<\/em><em>Vanderbilt University School of Nursing<\/em><\/p>\n<p><a href=\"http:\/\/www.pbs.org\/call-the-midwife\/home\/\"><strong>Call the Midwife <\/strong><\/a>is back for its eighth season and so are the faculty of the Vanderbilt University School of Nursing with a weekly guest blog. Watch the show Sundays at 7 p.m. through May 19, then read our blog each Monday morning for historical and contemporary context about the previous night\u2019s episode. SPOILER ALERT: Some posts may contain spoilers.<\/p>\n<p>In my post about Episode 8.3, I talked about watching <strong>Call the Midwife<\/strong> and thinking about how it seems impossible that things could have been the way they\u2019re portrayed, even if history tells me otherwise. That rang true again in this week\u2019s episode. A young engaged woman had what was then called \u201ctesticular feminization syndrome,\u201d now referred to as complete androgen insensitivity syndrome.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.pbs.org\/viralplayer\/3025182204\/\" width=\"512\" height=\"376\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\" seamless=\"\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>Males have an XY chromosomal makeup and females an XX. With complete androgen insensitivity syndrome, XY fetuses (which are genetically \u201cmale\u201d) do not respond to male hormones and are born looking female on the outside as a result. On the inside, though, they have a shortened vagina that is more like a pouch and that does not have a cervix (or uterus) at the end of it. These individuals have neither ovaries nor fallopian tubes. They do have testes, which remain undescended, usually in the abdomen. Unfortunately, many times this condition goes undetected until the individual does not begin to menstruate when menarche would be expected.<\/p>\n<p>This brings me back to my opening comments about how things have changed. I was mortified by the way the young woman in this episode was examined by the specialist to whom Dr. Turner referred her. In teaching practices in the past, it was customary for the \u201csage\u201d (teaching physician) to lead an entourage of medical students on rounds or in office visits particularly to \u201csee\u201d the most unusual of conditions. The teaching physician would then ask questions of the students, in front of the patient, interacting with them in a manner that totally excluded the patient. Patients were treated more as medical specimens than as people deserving empathy. I would like to say that this never happens now; unfortunately, the issue of vaginal examinations being performed on women in surgery and under anesthesia in the name of \u201ceducation\u201d still pops up in the news today.<\/p>\n<p>Not until the late 1960s did the practice of unauthorized pelvic examinations come under fire. It was then some time before medical organizations began issuing formal statements condemning the practice. Today there are few states that classify these unauthorized procedures as a misdemeanor. (Why not <em>every <\/em>state?)<\/p>\n<p>In teaching this most delicate of examinations to nurse-midwifery students, we spend as much time on the <em>nuances <\/em>of how to best perform this delicate exam as we do on the <em>mechanics<\/em> of the procedure. Those nuances include what the clinician says during the exam. To hear the specialist telling the young woman to \u201cjust relax\u201d as he forcibly opened her legs produced in me a visceral response of anger and disgust. \u201cJust relax\u201d \u2012 the same words spoken to women when they are being assaulted \u2012 are NOT the words that should be used by a professional performing the most intimate of exams.<\/p>\n<p>I wish I could say that women no longer endure exams like this, but I frequently see women in my own practice who have been traumatized by past gynecologic exams. If that woman is you, know that you do not have to tolerate this type of abuse \u2012 I cannot even label it as \u201ccare.\u201d There are so many options for empathetic gynecologic care; if you currently are not receiving such, I would even highly recommend that you call the midwife!<\/p>\n<p><em><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-8802\" src=\"https:\/\/blogs.wnpt.org\/mediaupdate\/wp-content\/uploads\/2016\/03\/Collins.jpg\" alt=\"\" width=\"156\" height=\"212\" \/>Michelle Collins Ph.D., CNM, FACNM, FAAN is a Professor of Nursing and Director of the Nurse-Midwifery Program, at Vanderbilt University School of Nursing.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Michelle Collins, Ph.D, CNM, FACNM, FAAN Vanderbilt University School of Nursing Call the Midwife is back for its eighth season and so are the faculty of the&hellip;<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_links_to":"","_links_to_target":""},"categories":[1746],"tags":[1642,1677,1645,1648],"class_list":["post-11760","post","type-post","status-publish","format-standard","hentry","category-call-the-midwife-2","tag-call-the-midwife","tag-michelle-collins","tag-midwifery","tag-vanderbilt-school-of-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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