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Physicians' Harm*
*iatrogenic harm
Time for a Change |
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Add To or Modify the List
Foreskin Friendly Physicians |
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This page
provides a list of North Dakota physicians who continue to circumcise
normal penises, prematurely retract their foreskins or solicit the
unnecessary surgery. Another list will be compiled of physicians who
refuse to solicit, cut or retract the normal foreskin of minor male
infants and children.
According to the American Academy of Pediatrics guidelines, parents'
preferences are irrelevant regarding the circumcision of healthy
foreskins: See the AAP guidelines for
consent:
“...‘proxy consent’ poses serious problems for pediatric health
care providers. Such providers have legal and ethical duties to their
child patients to render competent medical care based on what the patient
needs, not what someone else expresses....The
pediatrician's responsibilities to his or her patient exist independent
of parental desires or proxy consent" Pediatrics, 2/95 (emphasis
added).
We do not provide medical advice. Consult with
physicians who are informed on the normal anatomical development and
physiology of the genitals of children about any problems that may
arise. Even if parents protect their sons as infants, our culture has an
history of cutting boys and men rather than using less invasive
treatments for problems which are often caused by
inappropriate physician care and information.
The decision to perform penile reduction surgery on
healthy individuals is not a medical issue. It is a moral and legal
issue on which physicians are not uniquely qualified. Our position (in
light of the AAP statement on proxy consent above) affirms the right of
the individual to make his own decision on whether to live with
diminished genitals. Parents do not have the moral or legal right
to cut their son's healthy genitals nor hand them over to another to
redesign with a knife. Physicians do not
have the right to usurp the child's rights in complying with a parent's
requests to have the child cut.
If you need medical advice, we may be able to put
you in contact with a physician who understands the normal anatomical
development of children. Perhaps in time the following lists will be
helpful in locating competent physicians in our communities.
The information provided comes from many sources:
public pronouncements by individual physicians, from people who have had
experience with the physician, from those employed by the physician or
clinic where the physician practices. We also encourage you to
solicit information directly from physicians. If you provide us
with information. we will post it. If any information is found to be
incorrect or out of date, we will update it immediately.
Fortunately more and more physicians are learning
the developing foreskin is not meant to be manipulated or pushed back
until it matures and detaches from the glans penis on its own.
More and more physicians are refusing to cut, even though it may still
have a negative impact on their income. Some are refusing even to
solicit parents to have their sons circumcised. We want to do all we can
to reward those physicians who are up to date on the foreskin's normal
physiology and who protect the bodily integrity of their infant and
child patients.
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Billing Medicaid for
balanitis or phimosis when the child's penile anatomy is
normal and healthy is Medicaid fraud. (Causing iatrogenic (doctor caused) balanitis or
phimosis by prematurely retracting the foreskin and tearing
the synecial connections is malpractice.)
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Frightening parents into
complying with unneeded circumcision of their child is
fraud.
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Failing to fully inform
parents that the procedure is not a medical issue, and that
there can be serious complications, including death, is
fraud.
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Circumcising healthy
children at the request of parents is malpractice. It
violates the physician's Oath to First Do No Harm and
violates the North Dakota Century Code's
prohibition
on following a pattern of unnecessary surgery.
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Physicians who: |
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Physician and Affiliation |
Manipulate Healthy Foreskins |
Solicit Unnecessary Surgery |
Cut Healthy Infants' Penises |
Bill Medicaid for the Amputation |
| Name/Title/Place |
Yes/No |
Yes/No |
Yes/No |
Yes/No |
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Emanuel Neto, Uroloigy,
Trinity Medical Center, Minot |
Yes |
Yes |
Yes |
? |
| Darwin Lange, MD
Family Practice, Q & R Clinic Mandan North |
Yes |
Yes |
Yes |
?
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| Roger Allen, Neonatology and
Pediatrics, Trinity Medical Center, Minot |
Yes |
Yes |
Yes |
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| Craig Shoemaker, Neonatology,
Formerly of MeritCare, Fargo |
Yes |
Yes |
Yes |
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Foreskin Friendly Physicians
”Shame: A Major Reason Why Most Medical Doctors Don't Change Their
Views” By Frank Davidoff, British Medical Journal
2002;324:623-624 March 16, 2002
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