Could someone please explain to me why the actual physical exam has gone so out of style?

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Tattoos

So, currently, I have like 7 tattoos. They are all beautiful. They are all significant. They are all very personal. I love every one of them and I love to gaze upon them every single day. Well, except for the one on my back. That is a little tougher to see…lol

Any way, I want to point out that I waited until I was 49 years old to get my first one. I had literally been pondering it for like 20 years. I had always been taught that tattoos were not ok. I was taught that only dangerous and scary people had them and they could not be trusted. I was definitely taught that no doctor had any business having them. So, I kind of agonized with my secret curiosity and fascination with them for literally over 20 years.

So, one day, I decided enough of what everyone else might think. I decided that I was going to take my daughter with me and get my first one. Ever the fan of a social experiment, I purposely showed up at the tattoo shop waving my blonde hair and wearing my pink scrubs. You could almost hear an audible sign of disgust and here we go with this crazy chick who is not going to make it through this. I snickered to myself and proceeded anyway and guess what?! Not only did I make it through my first one, but I went on and got 6 more over the next three years, only taking breaks for my cancer battles…lol

I am told that I was the only person my first artist actually enjoyed working on. He was a big consumate tough angry guy who actually looked forward to me coming in. Apparently the whole shop would breathe a sign of relief when they knew I was having an appointment. Well, that is a true compliment if I ever heard one.

After my guy retired, I found a new unown, completed unexpected artist. I noticed right away, despite her lack of experience, that she had an unprecedented talent in multiple different genres. I was hooked right away. I have been waiting for the last year through this most current battle, but I am already planning the next one with her.

Do you know what else? I was always told that there was no way that doctors should ever have tattoos. They were supposedly a potential cause for non-hiring or firing! Well, fortunately, I finally stopped worrying about that and got some anyway. I actually seemed to attract even more patients because my tattoos somehow made me more attainable as a person. Seems like it was a win all around.

So all you peeps out there with tats. I am a fan and I am right there with you!

Dr. Katz

No news is good news!

I hear this cheerful sentence from the vet and doctor’s offices all the time. They say it with a smile as if you are supposed to find it amazing and reassuring if you do not hear from them. You are supposed to rejoice at the lack of bad news, or any news whatsoever.

You know what I hear when they say that? I don’t need to take the time to reach out to you personally to let you know that you are ok. I have just saved myself a ton of time in my busy day. Nothing about this statement lets me know that they are actually concerned about me or my pet, or that I can actually be sure that they didn’t miss something and forgot to call? That could happen too ya know. How long do I wait before I know it really is no news is good news? Are we sure after a week, two weeks, a month? See where I am going with this?

You see, at my office we call, or if we can’t get through, we text or leave a message about every darn thing, good, bad, ugly, sideways, or fantastic. That way we almost eliminate the chance of missing anything and the patient or customer has no question in their minds that they are worth our time and investment in their care. So, what if the majority of the calls are just to say that something is normal. Awesome! Then you are also making sure that you are giving yourself little to no chance of missing the few abnormal or bad news ones. To me it’s a no brainer. Inform everyone about everything. You tend to miss less this way and it shows that you give a crap. Ok diatribe over for now. Have a great day everybody.

Dr. Katz

Please, just leave the pelvises to me.

closeup photography of pink rose flower

Hey there folks. Dr, Katz here. I have been an Obgyn for the last 28 years. I have delivered thousands of babies. I have performed thousands of surgeries. I have done thousands of paps. All of these things are essential parts of the specialty that I was specifically trained for. I was also fortunate enough to have gone through residency at a time where Obgyn was temporarily reclassified as primary care so I also have training in internal medicine, er, icu, pediatrics, and family medicine. As a result, I know how to diagnose things outside the scope of regular Obgyn practice, but, at the same time, I realize that I am not the expert in those areas so I know when to refer when necessary.

Sometimes, I feel like the same does not apply to obgyn care. There are a lot of family physicians and internists out there that still do the occasional pap when they have to or if the patient does not want to visit an actual obgyn.

Most of the time you get lucky and the pap would have been normal regardless so no harm done. But, then there are those other times when the patient has been getting “normal” paps for years by their family doctor and then they come and see me and actually have an invasive cancer that could have been caught earlier. Thank goodness these times are rare, but they happen nonetheless and are preventable.

To me, this says don’t dabble. You are potentially putting someone’s life at risk, even if unintentionally. I know that a lot of people think that doing a pap is a no brainer and that is the complete story as far as Obyn. I tell ya. It’s not true. There is an art to it from the performing of the procedure without harming the patient and actually knowing what you are looking at and being able to pick up on the subtlest of cues that something is off. Obgyn stuff is that sneaky. You usually don’t get any symptoms until something is already bad. Then, it can be too late. However, if you just stop into the Obgyn once a year, a lot of that is both preventable and/or treatable.

I know how to treat blood pressures and treat a multitude of various diseases, but I know I am not the expert so I refer appropriately. I think that every patient needs a primary care physician and an Obgyn because they both care for different necessary aspects of health. I think that both are necessary to achieve total health and well-being. I think we are different specialties for a reason. All I’m asking is, please leave the vaginas and the pelvises to me. I promise I won’t let you down.

Dr.Katz