saw a woman talking about how betrayed she felt by her female gyno who really hurt her during a pap smear & claimed the cervix has no nerve endings. & i really do feel for her but also I think this is the problem with people only viewing medical bigotry and abuse as a problem that is the byproduct of other forms of bigotry & not tied to how the medical establishment works inherently.
it's not just "that doctor has internalized misogyny" it's that western medicine is, as in so many parts of our culture, deeply authoritarian. the patient is meant to be a passive problem to be solved by the active doctor. there is meant to be a stark harsh line between you and the doctor, where you are pure of any medical knowledge and simply report the raw data & let the doctor interpret it. this is how the system works. it fucks over marginalized groups the most because that's how marginalization works, but even a thin white abled cis man could get fucked over by this shit if he's unlucky.
female doctors will not save us! trans doctors will not save us! doctors of color will not save us! these are all GOOD things and we DO need more representation in the medical field, it DOES help. but it will not save us. the same goes with teaching as well frankly. these issues cannot be reduced down to simply getting more people from columns B C and D into the same fucked system. nothing can make up for the societal change of heart we really need.
#I'm biased because i work primarily with residents #but i really do think changing the culture of residency is the key to changing so many problems in medicine #if you're expected to work to the point and past exhaustion you're going to expect your patients to tough it out #if you're expected to treat your attending as an unquestionable authority then you're going to expect your patients to treat you that way #diversity is not going to fix the issue that doctors have to endure legitimate trauma to get their license #and are also discouraged from getting therapy for that trauma for fear of losing that license which absolutely happens #the fact that therapy is discouraged and can risk your job rather than MANDATORY for physicians is so backwards #i know what viewing all those pathology images did to me i can't even imagine what that does to someone working in clinical care #i think the way doctors behave make more sense if you realize that every single one of them has unprocessed trauma
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