#tenaculums

[deathbars]

So anyway you'll never guess what this is for idk how you make a tenaculum even worse but they did it

#surgical instruments #the instruments specific to gynecology are fucking insane btw #i see a fuckinh hegar dialator size like 12 absolutely covered in blood dont bat a fucking eye just normal ass shit hell #i mean i guess it probably has its purpose whatever but jeez #hulka tenaculum #its for grabbing ur cervix and manipulating ur uterus thru ur vagina if its being cringe btw basically speaking

[scientia-rex]

I had one of those days where I just had too many feelings to fit inside my skin, and I’ll have to recover from it.

Telling a patient she has breast cancer. Telling a patient she has dementia. Calling a patient at 6:30pm, still sitting at my desk, because even though I finished seeing patients at 5pm, I have work to do. Doing an endometrial biopsy on a patient who may have cancer. Calling a company so I can get the password to a website so I can recredential every three months so my clinic can charge for my work. Working with an assistant on whom I’ve also done an endometrial biopsy. My regular MA is out with COVID. I’m getting a year-end bonus for the first time in my life. Some idiot kid thinks I don’t know how ears work. I saw back to back ADHD patients; one is a trans woman who paused her transition because she can’t afford it. One is a kid who did loops around the exam room chairs the whole time I talked to his mother. His mother was frosty towards me at first because I was running late because I was telling a patient she had breast cancer, and she was crying, and her daughter was crying, and when her partner died of a different cancer last year the hospice workers were homophobic and she’s afraid of hospice. A different idiot kid thinks I don’t know how soap works. The ADHD kid’s mom warmed up to me when she realized I cared and knew what I was talking about. The kid said, “AHEM. What’s up, chicken butt?” I laughed and high fived him. I gave his mom the Vanderbilt forms to assess ADD symptoms across multiple environments. I saw a patient who had a certain air about her that I recognized intimately, and at the end I asked what she did, and she was a doctor, too. I knew it had to be something like that. When I explain medical concepts I aim for lay language, but I can see when people get faintly impatient with me for it, and I’ll add in more and more technical language and see when they start looking confused; she didn’t. I could watch every new patient take in my brightly-colored hair, combined with the utterly forgettable rest of me, all browns and grays and dress slacks and comfortable shoes, because the hair is my one concession to my deep need for attention; in the exam room, I need to recede into the background so the patient can be the focus. Studies have shown that patients don’t like it when doctors disclose that they have the same medical issues. It might seem like bonding, but it shifts the focus away from where it belongs: the patient. That island of time is theirs. The breast cancer patient’s daughter said to me, “Thank you for spending the time with us. I know you didn’t have the time.” And I said, “From each according to their something or other, to each according to their needs. It’s lukewarm Marxism.” I don’t think she heard it all, or took it all in, which was good. I had a migraine that made my head feel three sizes too big with a steady drumbeat of pain despite taking two Ubrelvy, two Aleve, and two Tylenol, plus 100mg of caffeine and a propranolol and a Zofran. You have to disconnect each patient from the next. I can’t bring the breast cancer patient’s grief and heaviness into a room where a little boy is doing hand-stands and telling me silly puns. One of the nurses brought me a sublingual Toradol from a stash—someone’s purse, somewhere—because she wanted me to feel better, and I felt tears stinging my eyes because she cared about me. I couldn’t afford to cry. I just told a woman she has dementia and she doesn’t believe me. I told her to bring her husband to our next visit. I ended my clinic day doing an endometrial biopsy, trying to pass a uterine sound through a stenotic cervix, but I’ve done this before enough times to know to have the set of dilators ready. I dilated her cervix gently but firmly, with the back pressure of the tenaculum, until I could get the sound in, and then I left the sound there while my assistant handed me the sampling pipelle, because if you remove it there’s a good chance the cervix will tighten down again and you’ll have to repeat the dilation. The patient was holding her husband’s hand and chanting to him under her breath, in pain despite the Xanax I gave her.

I’m a doctor. It’s everything to me.

#the attending dr. kristophine

[13tinysocks]

The Creepypastas reaction to being your gynecologist

Hoodie/Brian: Smirks sexily and slyly tells you to put your legs in the stirrups, baby girl. When you try to report him for unprofessionalism and clearly not having a license he pulls out his degree (totally not photoshopped) “Are u sure about that darlin’??” he pouts seductively. 

Toby: How did he get in here

Eyeless Jack: He doesn’t look up from his notes but you can see the twitch of his lip as he asks, “Are you sexually active?” Suggestively tells you the speculum might be cold. 

Jane (the killer): Her ass would not be a gynecologist.

Ben Drowned: Is 12

Tim/Masky: Asks if you showered before your appointment.

Jeff: the killer: *looking at tenaculum* holy shit is this a knife? And i can put it in your pussy? Wicked!

Slenderman: Says nothing but writes lots of notes. Surprisingly good gynecologist.

#shitpost #creepypasta x reader #creepypasta fanfic #creepypasta headcannons #making fun of hc blogs is my passion #thank you lucia and abby for being so funny #sillyposting

[killed-by-choice]

Jammie “Sarah” Garcia Yanez-Villegas, 15 (USA 1992)

Jammie Garcia, identified in some news sources as Jammie Garcia Yanez-Villegas, was a 15-year-old girl who was living with her common law husband, a man who had already had one baby with young Jammie. When Jammie became pregnant again, she was brought to the A to Z abortion facility in Houston in 1994. Jammie, or “Sarah” as she would be known later, would suffer a horrible fate.

Abortionist John Coleman killed Jammie’s unborn baby on February 18, 1994. Only four days later, on February 23, Jammie was in the Intensive Care Unit of a Houston hospital, with spiking fever, chills, nausea, pain, respiratory distress, a distended abdomen, low blood oxygen levels, and foul-smelling discharge. An examination revealed inflammation and a tear in her cervix that was oozing pus. The teenager’s condition deteriorated, and she died in the ICU on March 2.

An autopsy done on her body showed the extent of the damage that the young girl had suffered. Jammie’s body was wracked with abscesses, spreading infection that had entered her body through the damage the abortion had done to her uterus. Her brain, liver and lungs were severely swollen. Her liver and lungs weighed twice what they should have from the inflammation.

Jammie’s painful death brought a response. An inspection was conducted of the “safe and legal” abortion facility that killed her.

What the inspection uncovered was disgusting. The staff were not adequately trained in how to properly sterilize instruments. The administrator, Kristen Hing Fehr, was aware of the fact that the autoclave used to sterilize instruments was not functioning properly. As for the instruments themselves, “two loop forceps, two tenaculums and one curette were found to have small particles of dried brownish-dark red material on them. Three speculums were found to have small particles of dried clear material on them.” “The only sterilized abortion tray in the procedure room was found to contain a curette with a loop whose edge was visibly jagged instead of smooth.” (Source: Travis County District Court Cause No. 94-07517)

The abortionist who killed Jammie was John Coleman, who did not sterilize or replace the filthy surgical tools. Coleman, who suffered from emphysema, died only three days after Jammie. The facility’s employees reported being unsure about Coleman's ability to operate given the fact that he was dying and that his hands constantly shook.

No “back alley abortion” with a rusty coat hanger could have possibly done more damage to Jammie and her baby than the fully legal abortion that left her body ravaged by raging infections.

Jammie’s parents were not notified or asked for permission before the abortion that killed their teenage daughter. Parental consent laws could have saved her. A law known as “Sarah’s Law” to protect her identity was proposed to require parental consent for underage abortion clients.

But abortion advocates released Jammie’s personal information soon after, claiming that Sarah’s Law wouldn’t have saved her and that Pro-Lifers had intentionally misrepresented her case. They demanded that Sarah’s Law should not be instated and that the background information on “Sarah” be censored.

Finally, Sacramento Superior Court Judge Michael P. Kenny ruled that the information about Sarah could stay on the ballot. The information on the ballot talks about Jammie’s death and reads: "Sarah was only 15 when she had a secret abortion. Had someone in her family known about the abortion, Sarah’s life could have been saved."

During the hearing, attorney Beth Porter, who represented Planned Parenthood, the abortion business challenging the law, identified Sarah as 15-year-old Jammie Garcia Yanez-Villegas who was living with her common law husband at the time of the abortion. Porter claimed that as a result, she would not have qualified for the parental notification law in California if it were in place at the time.

Meanwhile, Catherine Short said Jamie never told the abortion facility she was in a common law marriage before the abortion and the abortion facility never asked. The teenager would have qualified for the law because California law has different common law marriage statutes than Texas. Not all states would have legally recognized the common law marriage between a grown man and a 15-year-old girl. "Had someone in her family known, Sarah’s life could have been saved," Short said.

Previously, a representative of the group backing the parental notification measure said it doesn’t matter if Sarah was married or not at the time of her death because teenage girls lack the capacity to make major health decisions on their own and should have parental involvement to learn about the risks and alternatives.

"She was still 15 and was not equipped to make medical decisions on her own, whether she was living with the father of her child or not," the representative said. Physicians in Jammie’s case stated that, had an adult family member been aware that she had undergone an abortion, her life likely could have been spared.

Jammie did not have to die. Neither did her baby. The least we can do is protect more children from suffering the same gruesome fate.

Travis County District Court Cause No. 94-07517

The Daily Spectrum February 16 1999

The Journal News, Sunday, January 31, 1999 2A

Firemont Tribune 15 February 1999 (see above)

The Spokesman—Review 12 February 1999

Sacramento Bee September 28

Sacramento Bee

#tw murder #tw death #tw ab*rtion #tw abortion #tw child marriage #pro life #pro choice #abortion #abortion debate #unsafe yet legal #Sarah’s Law

[johannestevans]

my doctor, wearing a lamp strapped to her forehead like a spelunker: well, it's not every day someone pinches your cervix with a tenaculum

#musings

[nazmedsms]

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Hurry, because excellence in healthcare starts with the right tools! Don't miss out – order yours today! #MedTechRevolution #InnovateHealthcare

[mcatmemoranda]

I needed a template for an IUD insertion I did recently and my attending said to use the template from Ventura Family Medicine for IUD insertion:

IUD Intrauterine Device Insertion Procedure Note PRE-OP DIAGNOSIS: desired long-term, reversible contraception POST-OP DIAGNOSIS: Same PROCEDURE: IUD placement Performing Physician: _ Supervising Physician (if applicable): _ Checklist: Multiple Partners [_] Yes [_] No Dysmenorrhea [_] Yes [_] No Copper Allergy [_] Yes [_] No PID/STD [_] Yes [_] No Ectopic Pregnancy [_] Yes [_] No Breastfeeding [_] Yes [_] No IUD type: [_] Mirena ® [_] Paraguard ® [_] Skyla ® [_] Kyleena ®

PROCEDURE: Timeout procedure was performed to ensure right patient and right site. A bimanual exam was performed to determine the position of the uterus. The speculum was placed. The vagina and cervix was sterilized in the usual manner and sterile technique was maintained throughout the course of the procedure. A single toothed tenaculum was applied to the anterior lip of the cervix and gentle traction applied to straighten and stabilize it. The depth of the uterus was sounded to be of appropriate depth (usually 6.5 to 8.5cm). With gentle traction on the tenaculum, the IUD was inserted to the appropriate depth and deposited by withdrawing on the insertion tube holding the rod steady. The string was cut to an estimated 4 cm length. Bleeding was minimal. The patient tolerated the procedure well.

Followup: The patient tolerated the procedure well without complications. Standard post-procedure care is explained and return precautions are given.

Source They have other helpful templates: here

#documentation #templates #dot phrases

[loki-hargreeves]

My soul leaving my body after seeing demonstrations of how tenaculum forceps work

#how is that real 🤢 #i wish I didn't know #good god #it was an iud insertion demonstration #not on a person but on a doll #but still #i wasn't prepared

[humphriesshoemaker13]

Applying Microlearning in Nursing Homes: Significance regarding Policy and employ within Person-Centered Dementia Care

Three brand-new types of Monodontocerus are usually explained coming from gives up southeast China: Meters. absens sp. late. is seen as an their cephalic chaetotaxy and also the deficiency of chaetae from your tenaculum; Mirielle. mulunensis sp. nov. is actually seen as a a variety of personas which include chaetotaxy, foot complicated as well as furca; Meters. trigrandis sp. december. is different from additional types in the formulation associated with dental care spines and also the decrease in the actual ungual tooth. A key to the types of Monodontocerus is given. Probable analysis figures with this genus are usually offered. Troglomorphy and interspecific variability are generally talked about. Pseudopores as well as the dorsal disto-lateral chaeta about the manubrium are generally released while fresh taxonomic heroes for Tomocerinae.Background Tooth eruption is understood to be your activity of the tooth from its internet site associated with development from the alveolar method to their well-designed placement within the mouth [Messier avec ., 1941]. The whole process of teeth eruption could be divided into distinct stages: pre-eruptive navicular bone phase, alveolar bone tissue period, mucosal point, preocclusal stage, occlusal period along with maturation point [Andreasen ainsi que ing., 1997]. Virtually any interference in these stages can cause eruptive anomalies. The particular chance regarding unerupted tooth is often higher between long lasting tooth compared to amid deciduous versions [Walker avec ing., 2008; Otsuka et ., Mid 2001; Amir ainsi que ing., 1982; Broadway, '76; Pinborg avec al., 1970]. With the primary tooth reported while unerupted, second principal molars are the teeth most frequently involved [Walker et aussi ing., '04; Otsuka ainsi que al., Beginning of 2001; Bianchi et ing., 1991; Ranta et ing., 1988; One Tsukamoto et 's., 1986; Amir avec al., 1982], then main main incisors [Otsuka et ing., 2001]. Case statement This kind of paper gifts a case of inversion in the intraosseous position of a next unerupted deciduous molar along with the succedaneous 2nd premolar.Dual perovskite Ba2Bi0.1Sc0.2Co1.7O6-x (BBSC) shows lower polarization weight among 1000 Foretinib and also 550 diplomas Chemical due to large air decrease charge associated with BBSC since reflected by simply their big D-V and okay beliefs, which are produced by the eye based cubic composition and high cobalt content.We screened 124 body's genes which can be amplified throughout human hepatocellular carcinoma (HCC) by using a computer mouse hepatoblast product as well as determined 20 tumor-promoting body's genes, including CCND1 and its particular neighbour on 11q13.3, FGF19. Although it can be widely thought My spouse and i:loath CCND1 may be the primary driving a car oncogene on this typical amplicon (15% consistency inside HOC), equally forward-transformation assays and also RNAi-mediated hang-up in human being HOC cells revealed that FGF19 is definitely an equally important new driver gene throughout HCC. Furthermore, clonal progress as well as tumorigenicity involving HCC cellular material holding the particular 11q13.Several amplicon have been uniquely inhibited by RNAi-mediated knockdown associated with CCND1 or FGF19, in addition to by an anti-FGF19 antibody. These kind of results reveal that boosting could be an effective biomarker with regard to sufferers most likely to reply to anti-FGF19 therapy.Berardinelli-Seip genetic lipodystrophy (BSCL) is often a exceptional autosomal recessive problem associating insulin shots weight, shortage of subcutaneous fat and also muscle hypertrophy. Disease-causing strains have been explained within AGPAT2 as well as BSCL2 genetics.

[dark-hunters-inc]

Has Ethazoid broken any ground in finding out what Minion's big secret is?

This particular assignment had... mixed results. Minion had no formal training to resist mental incursions, but he did have years of repression and stubbornness that Ethazoid had to break down, one at a time. Both operatives spent months in the interrogation room, slowly revealing the truths Minion had witnessed.

Minion knew of the Brotherhood’s raid on Artakha, and planned to leave during the Toa Hagah’s rebellion. He knew of the Visorak’s origins and their role in assaulting many of my Dark Hunters’ homes. Most damningly, Minion knew about Makuta’s plan, and his ultimate goal of overthrowing Mata Nui.

I ordered Ethazoid to probe further, in the hopes of learning the Brotherhood’s knowledge for use with Kojol’s viruses. He pushed himself beyond the normal limits of a Toa of Psionics, peeling back layers of resistance. Finally, Minion relented, opened his mouth, and spoke: “Tren Krom.” I’ve reviewed the tapes; his tone sounds like a warning, and clearly communicates he will say no more.

Ethazoid kept going. He had an assignment, to find the truth, and he found it.

Minion was released from the interrogation chamber shortly after, and returned to active duty. I assigned Tenaculum to Ethazoid’s infirmary bed, to monitor him for any signs of motion or mental activity. So far, no reports.

#BIONICLE #The Shadowed One #Minion #Ethazoid #Tren Krom #Tenaculum #asks #Anonymous

[deathbars]

god GYN healthcare is so fucking archaic it makes me sick sometimes have you even seen a tenaculum that bitch is for grabbing one of the most innervated parts of your body???? hello???? and only just a few decades ago we discovered that maybe something shaped like an allis clamp might be slightly better for not causing permanent tissue damage and scar tissue fertility/endo issues. 😐

#it literally just fucking punctures it from both sides #of the cervix #surgical instruments #surgical procedures #healthcare #and they still do D&C blind #i want to rip my hair out

[scientia-rex]

I have to go back to work and be normal ALL afternoon. Terrible.

But I did give myself a big pat on the back yesterday—I put in an IUD at the end of the day. A ParaGard for an anxious teenager. I didn’t use a tenaculum (controversial) and afterwards? She said it didn’t hurt. I am a GOOOOOOODDDDDDD

#the attending dr. kristophine

[miss-ari]

okay, got my mirena IUD placed yesterday afternoon and i know i was doing a ton of (anxious) research while making the decision of whether or not to get it and maybe a frank/honest rundown of my experience will help people know what they might expect, how to prepare, if they want an IUD at all, etc.

so here we go!

first off, preparation for the procedure.

i took 800mg of ibuprofin (a motrin, leftover from my wisdom tooth extraction) about 40-60 minutes before my appointment, as well as a pumpkin muffin. light snacks and water were recommended so that's what i went for. i had an electric heating pad ready for me at home, swapped shifts so that i wouldn't be going to work immediately after, and had my best friend on call in case i needed a ride.

i was bracing myself for a pretty nasty time of things. i haven't had any kids and i'm still a newbie to sex so neither my vagina or my cervix are particularly loosy goosy, but for frame of reference, i can use tampons and vibrators without issue, and the speculum for exams/pap smears/etc was only painful the first and maybe second time i had them used on me. my main complaint nowadays is how goopy the stupid jelly makes me feel when they take the damn thing out. it's gross okay?! anyways.

now normally i take naproxen for my period cramps, but my doctor recommended i do the 600-800mg of ibuprofen specifically for this. she is a total sweetheart and has placed a countless number of IUDs so i was like okay i will trust.

into the exam room, they do basic checkup things like blood pressure and pulse, then you have to go pee in a cup to make sure you aren't pregnant. wasn't worried about pregnancy or disease, it's just the standard to check before you get any sort of birth control and i'm all clear so yay *thumbs up*

i'll level with you though- despite my best efforts, i did piss all over my hand. and a bit of the floor.

:/

go back to the exam room, they give you a sheet or gown and you strip from the waist down. i took off my socks and then realized i probably could have left them on? i double checked and my doctor said to just do whatever was more comfortable. again, total sweetheart. but there's a hard limit to how comfy you can be in the stirrups with your ass half hanging off the exam bed, which has been raised so that your pussy is eye level. i went barefoot anyway.

speculum time, not too bad. not painful at least, just kind of awkward. like, a few years ago during the first time i had an exam + pap, they did the two clicks on the speculum to open it and i was downright whimpering for each click as well as the duration of the procedure. did not even notice the clicks this time.

they go in and swab some iodine on your cervix to disinfect it- pretty easy stuff if you are used to pap smears or having literally anything up your vagina. again, first time i had a pap that did not feel like a fucking swab it felt like the did a pinchy rip and i did not care for it at all. this process was all quite weird- it's kind of impossible to describe the weird sensation of a bit of plastic holding your vagina open and then an additional stick being swished around in there but if you know, you know.

at this point and going forward it's not very fun, but it wasn't horrific for me either. (reviews about IUDs tend to be very polarizing, and i didn't want to be caught off guard if the pain truly was as bad as some people had said. i would say the first time i used a tampon was worse pain than any of this.)

next the doctor uses a special tool called a tenaculum- they don't usually show you this because it looks scary. i specifically requested to see it after the procedure was done because i'm curious and always ask my doctors lots of questions. (this trait is most fun at the dentist.) she asked if i was sure and i was like yeah! and then gah! 'cause yep it looks pretty dreadful.

anyways she used the tenaculum to grab ahold of my cervix to keep it in place. her trick is count down from 3 and then you either do a big exhale or cough and she snags ya. this didn't hurt in the way i expected- i was expecting something more pokey or stabby or something but it felt exactly like a period cramp. basically my uterus was going "hey what the actual fuck are you doing gtfo huuuurughhh"

(they also somehow measure the depth of your uterus around this part- mine is 7 1/2 cm. neat!)

but nah we don't gtfo, because next up the tube with your IUD goes in and i don't know know the technical details of how that works because while that was going on i was having those cramps that make you feel like you need to take a shit and you know, some people cope with pain and discomfort best when it's nice and quiet but it turns out i like to chatter myself to distraction.

tube comes out, and i am the proud owner of a mirena IUD. i stayed laying down for a while because earlier i felt a smidge dizzy and it didn't seem prudent to just hop up and go. but honestly once all the equipment was out and i was getting dressed, i didn't even feel the cramps anymore. put on a pad, got my paperwork about post-visit care, and walked home no problem.

there was some moderate-to-severe cramping during the night/this morning- to me, it felt exactly like my period cramps when i don't take my pain meds quite early enough to stay on top of the pain. i took another motrin and still seem to be feeling alright. there was some blood spotting when i got home and when i woke up, and i knew from the start that there would probably be spotting for another 3-6 months. and there's some like, uterine lining/shedding when i pee but not nearly as bad as during my period. what's weird though is it's not at all like period blood it's like proper blood and it doesn't absorb the same way and feels kind of... wetter?

my comparison would be, normally when your pad feels wet during your period, it means the pad is getting full and you need to change, yeah? even right now it feels wet but when i check there's just a little smudge of pink. it also seems to be more towards the front of the pad than when i'm on my period, which i find weird and kind of interesting. no one else cares but that's okay.

and that's about it for now! i will be 99% impregnable in a week, and we will see how the spotting and cramping treat me going forward. i think my body's just getting used to this funky bit of plastic hanging out.

in all fairness, i wouldn't assume i'm the standard patient, or that everyone can have the same experience as me- the doctor and nurse were both very impressed with how well i tanked it, and if you have the kind of body that seriously struggles with any kind of insertions, it might be a whole lot harder on you. i'm a sturdy woman u_u

but i do also think preparation and comfort played a big part- i took my pain meds and had lots of water and a yummy snack, i had everything lined up in case the pain WAS too much, and i had a doctor who i was confident could make it as easy as possible.

to whoever reads this and wants to get an IUD, i wish you the best of luck! <3

#mirena #iud #useless text post

[nazmedsms]

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[mcatmemoranda]

IUD Insertion Procedure Note

IUD preop diagnosis: Desired long-term reversible contraception Postop diagnosis: Same Procedure: Performing physician: Supervising physician: Checklist: Multiple partners: []yes []no Copper allergy: [] yes []no PID/STD: [] yes []no Ectopic pregnancy: [] yes []no Breast feeding: [] yes []no IUD type: []Mirena []Skyla []ParaGuard []Liletta Serial#: Exp:

Procedure: Written consent was obtained from the patient and in the chart. The speculum was placed. The vagina and cervix were sterilized in the usual manner and sterile technique was maintained throughout the course of the procedure. A single toothed tenaculum was applied to the anterior lip of the cervix and gentle traction was applied to straighten stabilize it. The depth of the uterus was sounded to be of appropriate depth __ (usually 6.5-8.5 cm). With gentle traction on the tenaculum, the IUD was inserted to the appropriate depth and deposited by withdrawing on insertion tube and holding the rod steady. The string was cut to an estimated 4 cm length. Bleeding was minimal. The patient tolerated the procedure well.

Follow-up: The patient tolerated the procedure well without complications. Standard post-procedure care is explained and return precautions are given.

#IUD

[celestialpuppet]

(video caption: tenaculum helps me hold the cervix when I place an IUD)

“You’re going to feel just a *slight* pinch.” I AM SORRY, WHAT? This is more than a pinch. And we get no medications before or after this procedure? The procedure itself wasn’t the most painful thing for me (probably cause I can’t remember due to the after), but the cramping it would give me for the first 6 months would literally bring me to my knees in public. I would be stuck in the bathroom sick from pain.

The shit we have to do to prevent pregnancy, jesus fuck. Wow. Just wow.

#and I know there are pills #or other options #the arm thing put both my sisters and my best friend into 6 month periods #hormones make me aggressive and more depressed #and gain weight #copper IUD was basically my only option #this thing is never coming out #kidding #kinda