eLetters

534 e-Letters

published between 2003 and 2006

  • A fundamental change in mindset is required.
    Megan Smith

    Dear Editor,

    The articles by Dr Reynolds, and Drs Baverstock and Finlay helpfully illustrate 3 significant gaps in the professional development component of training for many hospital doctors.

    Firstly, as a medical profession we often collude with the view of modern western society that death equates with failure. The old adage of the 3 certainties in life being birth, death and taxes, is quoted, but ignor...

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  • DSD support from a physician and mother
    Arlene B. Baratz, MD

    Dear Editor,

    I am a physician and a mother. Sixteen years ago, when I learned that my daughter had complete androgen sensitivity syndrome (AIS), I reached for my textbooks with the confidence instilled by 10 years of medical training. Encountering the terms "intersex" and "pseudohermaphrodite," I was shocked and unnerved. Despite being a physician, it was not until 15 years after the AIS diagnosis that was I able t...

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  • Chronic intestinal ischemia and Hirschsprung's disease.
    Richard G Fiddian-Green

    Dear Editor,

    The prolonged carriage of Clostridium difficile in Hirschsprung's disease reported in this study (1) raises the possibility that Hirschsprung's might indeed be a product of intestinal ischaemia that develops in utero and might persist thereafter as chronic intestinal ischaemia possibly because of persistent vascular abnormalities (2).

    Chronic ileal ischaemia appears to be the primary cause of...

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  • Complications associated with the bacille Calmette-Guerin vaccination
    Katy J Fidler

    Dear Editor,

    Complications associated with the bacille Calmette-Guerin vaccination

    We read with interest your article (July 2006) on complications associated with BCG vaccination. We are treating a male infant who has developed a similar severe suppurative adenopathy following BCG. He had evidence of dissemination with high fevers, an unusual rash (Fig 1) and hepatosplenomegaly with multiple hypoechoic hep...

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  • Directly observed therapy might improve compliance
    oscar,m jolobe

    Dear Editor,

    Bearing in mind the risk of transmission of disease posed by infected adults, irrespective of whether or not they are smear positive for mycobacterium tuberculosis(1)(2), the poor compliance rate documented for children receiving preventive chemotherapy(3)is in urgent need of review and improvement. In this respect there might be a role for directly observed therapy(DOT)although this has been evaluated...

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  • Disorder vs Intersex
    Michelle T O'Brien

    Dear Editor,

    I am concerned about the promotion of terminology that reinforces a notion of disorder for people who are intersexed. I prefer a term such as variation or atypicality.

    I am concerned that people who have not had access to proper diagnostic work-ups available now will be excluded from appropriate treatment: people such as myself who may have had experimental interventions many years ago, but b...

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  • Children are not disorders
    Marie-Noëlle Baechler

    Dear Editor,

    As the professor Milton Diamond wrote it, words can wound, there are cases where they can even kill.

    As a counsellor, my reference is always the experience of my clients and it is a personal, an ethical and a professional goal to understand them as they understand themselves.

    The intersexed people I know are all telling me that they got deeply destructive messages during their c...

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  • Coping with death of neonates
    Dr Sudarshan Kumari

    Dear Editor,

    This articles highlights the emotional response of resident doctors to a death.I would like to pen down my experience of neonates with adverse outcome.

    As a young resident doctor i used to suffer a lot in csae of neonatal death in the unit , for many a days the mood used to be off and parents wailing used to haunt me.Often after a neonatal daeth I found difficult to face parents. Years later a...

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  • Disorder a no no!
    Diane Logan

    Dear Editor,

    My first inclination that something was different was when a doctor doing a company insurance physical listed on the medical form that I was "exempt" from certain coverage because of a pre-existing medical condition as a result of hermaphroditic indicators. I ran out of that facility in shame. Later found that the scar on my groin was not the "cyst" I had been told was removed as an infant but a probable...

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  • Respecting Self-Perception in a Patient Centered way
    Waleria F Torres

    Dear Editor,

    As Professor Milton Diamond wrote, words can wound. There are cases where they can even kill.

    As a gender therapist, sexologist and psychotherapist, who has become acquainted with intersexed/intergender persons, I have always stressed that my professional interactions with them must be within an ethical framework based on their personal narratives and insights with special emphasis on t...

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