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Jocelyn J. Fitzgerald MD
@jjfitzgeraldMD
Urogynecologist and Pelvic Reconstructive Surgeon⚖️ Gyneconomics ⚖️ IG/Bluesky @jjfitzgeraldMD 💡Opinions are my own and do not reflect my employer.
Pittsburgh, PA
Joined October 2017
Posts
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    A ( long but I think worth reading) thread on Gynecologic Surgical reimbursement and how it affects all of us:
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    In med school, I took an elective called "Stress", foolishly thinking I was going to learn about meditation and yoga. Instead the professor spent 6 weeks proving that being poor or a minority literally destroys your health on a molecular level, and I think about that every day.
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    Baby boomers did a pretty good job teaching their millennial daughters that they could be anything they wanted to be and a pretty terrible job of preparing their sons for what that would mean for them as husbands and fathers
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    No US President has ever given birth so explain to me why suddenly we think that’s necessary
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    Oh my god just because pregnancy is “natural” does NOT mean it is safe I spend my days putting women’s wrecked pelvic floors back together and that is just the tip of the iceberg
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    We are so scared as a society about talking and educating openly about what really happens to women’s bodies after delivery and it is absolutely because we are afraid that with more information more women would forego motherhood. That is a concept people just can’t cope with.
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    “I have seen men survive diseases that women do not because of the care that women caregivers provide to their male partner when they are sick-I have only seen that happen once or twice for a female patient being taken care of by a man when she is sick.” My jaw is on the floor.
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    To all of the women coming to my office understandably enraged that nobody told them their vaginas could fall out from having babies: I am so sorry that for so long the patriarchy was scared of what you would do with that information.
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    Until you have inserted a laparoscope into a dying patient’s abdomen full of blood you do not get to even breathe the inconceivable, femicidal falsehood that an ectopic pregnancy is a person.
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    OB/Gyns don’t have this luxury, sorry. I owe it to my patients to fight for their health and autonomy.
    It’s going to be difficult in the coming weeks but I think clinicians should try hard to stay apolitical in the public sphere. We owe it to our patients.
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    Women have been collectively convinced that pregnancy is a health-neutral event and I am here to tell you that this is a tactic used to suppress freedom of informed choice.
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    What if I told you there was a disease that tangles a woman’s organs together but the only money we’ve spent trying to figure out why is because sometimes it means she cant get pregnant
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    IF YOU SEE A YOUNG PATIENT WITH A UTERUS AND GI SYMPTOMS AND DEBILITATING PELVIC PAIN AND ALL OF HER WORKUP HAS BEEN NEGATIVE SHE HAS ENDOMETRIOSIS UNTIL PROVEN OTHERWISE
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    I am hearing that Ob/Gyn residency applicants are pulling their applications from red states. As someone who now lives in a red state, my heart breaks for the women here. But I also understand.