Showing posts with label medical fraud. Show all posts
Showing posts with label medical fraud. Show all posts

Sunday, June 13, 2021

TikTok Mother Claps Back at “Mom-Shaming” With American Idiocy


To quote a certain mother on TikTok, “So I was going to leave this alone, but, I’m not.”

You know, I used to be one of those intactivists who would hop on each and every time some mother posted about their son’s genital mutilation online. Back when I used to be an angrier intactivist, I would wait on Twitter, wait in Facebook intactivist groups for others to post links to mothers talking about their son’s circumcision. I would go and lay into them, pulling out all the stops, making sure I did every thing I could to make sure it stung.

But then, I realized my time could be used more productively.

Once a child has been mutilated, there’s nothing we can do about it, and chances are a parent’s mind is already made up and their ears are deaf to anything we tell them. So why bother?

There is merit to posting on these threads though; while the mother may be trying to justify herself and may be hardening herself to any information we post, there are other moms reading this, and somebody’s got to be setting the record straight.

So while I no longer go “circumcision mom hunting,” if I see BS, I will call it out when and if I can. Sometimes I go on there, and there are already others commenting, which is great. And sometimes, what can I say, I’m a busy family man and I can’t get sucked in to every circumcision shit-storm some attention-seeking mom whips up on social media.

Still, if I see straight up verifiable idiocy, I can’t help but dig in.

I’m going to be polite about it, I’m going to refrain from making personal attacks, but I’m still going to call BS out whenever I see it.

Mother on TikTok Doubles Down on Idiotic Alibis
So like, I was scrolling down my Facebook newsfeed, and I saw this video that someone decided to take from TikTok and upload to YouTube.
 
 

I thought “TikTok? Not TikTok…” I had never had a TikTok account, mind you, I swore I’d stay away from that place if it’s the last thing I did.

But there I go, like the weak idiot that I am, and I click on the link. I watched the whole thing and I was like “No. This shit just can't fly.”

Her TikTok handle is right there for everyone to see. (I'm not going to post it on here... if anyone wants to go comment, I'm'a let you do the work.)

So there I go, downloading the app for this shit, making my Joseph4GI profile just so that I can comment. Thoughts going through my mind are… "what if I get banned like on Twitter because my posts are reported as 'harassment' or what not?"

Whatever, I thought, I’ll just post and leave.
 
 Like, I’m not going to call her names for doing this, I’m going to give this mother the benefit of the doubt; I’m a father too, and I completely understand that we all just want the best for our children. But she is repeating verifiable bullshit and I just have to call it out.

I went in the comments section for this video, and while there were some voices of reason there, there were also other moms repeating the same old BS to justify themselves.

I went to town making my comment, which on TikTok has to be made in a series because of the character limit.

TikTok is a funny place, because even after a user has blocked you (I can tell she blocked me because I could no longer see the video…), TikTok still notifies you when others reply to your comment on the video that supposedly “doesn’t exist.”

I decided I’d log out of TikTok and never log in ever again, because it just seems like another black hole I can get sucked into, but other intactivist users I know tell me that, as is usually the case with mothers flaunting their son’s circumcision on social media, the mother is intent on calling whenever someone tries to present her with information “mom-shaming,” and she’s blocking users and deleting comments that don’t agree with her.

Well, I may not be able to post to the TikTok video anymore, but nothing will prevent me from calling this woman out here.

Again, keeping it respectful.

Point by Point Response
What I’m going to do is post the transcript to her short video here, addressing what she says point by point.

Let’s begin with her opening lines:

“So I was going to leave this alone, but, I’m not.”

She should have left well enough alone. I could have left this alone too, but, as with her, I’m not.

“We’re not gonna mom-shame on here. OK?”

This is an interesting opener; it’s almost as if she was expecting backlash. But I ask, what does she consider “mom-shaming?” On the one hand, calling her names would be wrong. That’s no argument and no one deserves that. But is “mom-shaming” hurling insults? Or merely posting information that does not validate her position? There is a difference.

As parents, we can only make informed decisions, and make better future decisions from hearing newer, better information. Sometimes we make mistakes, and it’s only human. But good parents should want to hear new information so as to not make the same mistake in the future. The presentation of newer, better information so that we could make better decisions in the future should not be construed as “mom-shaming.”

Yet it seems to be “mom-shaming” any time a mom makes the decision to circumcise, and others present information that debunk her reasons for allowing it to happen.

“We’re not gonna mom-shame here” seems to be code for “Don’t post anything that makes me have to second-guess my decision, because it makes me feel ashamed.”

No one ever wants to learn we made the wrong decision, especially something as irrevocable as cutting off part of our children's’ genitals, but how are parents supposed to make better decisions if this information is forbidden from being presented?

 “If you wanna get your son circumcised, that’s fine. If you don’t, that’s fine.”

Invariably, mothers that are trying to justify their own position of having had their sons circumcised want to frame it as “just another parental decision.” Diapers or cloth, processed baby food or food made in-house, circumcision or intact organs, tattoos and piercings or clear unpierced skin. Zelda ears or not. You know? The usual.




Though it’s true that parents must make many decisions for their children, not every decision parents make in regards to their children is justified merely because “parents must decide everything for their children.”  A parent may decide to give cigarettes and booze to their children. And why not, “my child, my choice,” right?

But talk of “the big parental decision” is a red-herring.

Reaping profit from performing elective, non-medical surgery on healthy, non-consenting individuals already constitutes medical fraud. Without medical or clinical indication, how is it doctors are performing surgery on healthy, non-consenting minors, let alone giving parents any kind of “choice?”

This mother is under the delusion that she’s entitled to a “choice,” as are many others. It benefits doctors who perform male infant circumcision.
 
The question must be asked, what other elective, cosmetic, non-medical "options" can doctors offer parents for their healthy, non-consenting child?

Now begin the alibis:

“My issue is, I got my son circumcised because I don’t want him to have any issues in the future because I’m not that ‘what if mom.’ I don’t want that “We’ll we’re gonna let this happen and then see how it goes. NO. We’re gonna go ahead and take care of the situation, while we can.”

So much to unpack here.

First off, what “situation?”

A disease indicating a cure is a situation. An injury or deformity requiring surgical correction is a situation. Anatomically correct organs every child is born with are not a “situation” that needs “taking care of.”

Her “issue” is hypothetical non-issues.

In essence, the “issue” is imagined.

It’s interesting she wants to frame herself as not being a “what if” mom. There are so many “what ifs” that she chose to ignore when she put her son through this.

What if her son got an infection?



What if her son started hemorrhaging?

What if her son went into septic shock?


What if her son grows up to have painful erections?

What if her son grows up to resent that his penis was cut to assuage the concern for “issues” that may not even manifest in the future?

Did she stop to think about that?

No. This whole video is mostly about justifying what she did and not feeling “ashamed” for having made a permanent decision on her son’s body. That’s what’s kinda frustrating about this video; she wants to make it about “him.” The poor child doesn’t have a say in what happens to his body. This is all about getting validation on social media.


“And he did perfectly fine. Dr. said he didn’t cry or anything like that.”


The doctor would tell her that. Why does she believe him at face value? Has she not seen videos of the procedure on YouTube? Children don’t just “not cry” during the procedure. And even when they don’t, who is she trying to fool? There are videos on YouTube of mothers changing their children’s diapers for the first time and the uncontrollable crying that ensues after the local numbing wears off. She’s either dense or she hopes her viewers are.

“But do you really trust your teenage boy to wash down there and, get all in where he needs to get to make sure it’s clean? NO. I’m sorry, I’m not gonna trust my son to do that…”

This is probably the most telling part of the video.

It’s almost as if she has forgotten the hygiene issues she has to worry about as a woman every month. A teenage girl needs to learn to wear pads or insert tampons, how to dispose of them properly, not to mention clean up after herself and her surroundings. But she “can’t trust a teenage boy to wash down there.” Right.

Perhaps we should assume good faith; after all, she doesn’t have a penis, let alone an intact one.

“…and on top of that, when he’s like 80 or 90 years old, I don’t trust the nursing home, the nurses or himself to take care of himself, cuz I have known people that work in nursing homes, and they don’t wash themselves properly down there and get multiple infections.”

This last part is rather convoluted bunkum.

Men AND women struggle to clean themselves in old age, especially if they become senile and unable to care for themselves. If you can’t trust the nursing home and the nurses working there to do their job and look after the elderly interned there, who can you trust? If a nurse is incompetent and won’t clean an intact man, shouldn’t she be fired for not doing her job?

No. Grandpa should be circumcised and geriatric caretakers shouldn't be expected to learn natural male anatomy.

Like nurses must clean up feces, urine, and vomit, and they must clean out grandma's vagina, but don't make them come near grandpa's intact penis. Oh, no!

She says she has known people that work in nursing homes and “they don’t wash themselves properly down there and get multiple infections.” She probably means to say that according to the people she knows, the *men* don’t wash properly and get multiple infections.
 
In all honesty, I think she's just making this up as she goes along. Every mother who wants to justify herself for doing this knows *someone* who has had, or whose child has had “problems,” or "someone" who "works in a nursing home" with horror stories. Like 80% of men in the US are circumcised. Where on earth are all the intact boys and men coming from?

Another reality; only boys and men with problems go to hospitals. You won't hear of all the intact boys and men who aren't "suffering" because they don't go to the doctor. Doctors and nurses will tell you about other problems they see in patients. Appendectomies and gall bladder removals day in and day out. Every patient that goes to the doctor goes there for some sort of "problem." But no one says "You should have his or her appendix out because I see tons of patients at the hospital who need it." Or "It's better to remove his or her gall bladder right now. So many patients come in to get those removed."
 
All of these "I know someone who blah blah blah" stories are nothing but ad-hoc/post-hoc special pleading non-sense.

For those of you who don't understand logical fallacies by name, ad-hoc/post-hoc means "justification after the fact." "Special pleading" means when you want to make a special case for yourself.
 
But let's just give this mother the benefit of the doubt; this raises the question of why weren’t the nursing home workers doing their job properly to begin with.

She doesn’t mention anything of what happens when women get infections and have hygiene problems.

It is common for older women to get hysterectomies, as having a uterus and ovaries is a risk for fibroids (noncancerous growths inside the uterus), endometriosis (a painful disorder in which tissue similar to normal uterine lining grows outside the uterus), and cancer of the uterus, ovaries, fallopian tubes, or cervix. Does it make sense to perform a hysterectomy on a newborn to prevent problems for her near the end of her life?

No. It doesn’t.

The foreskin has function. It protects the glans in the uterus and in early childhood years. It has the most erogenous part of the penis. It keeps the glans moist and supple; without the foreskin, the glans becomes dried out and desensitized under layers of keratin. The foreskin provides a buffer zone during masturbation and helps stimulate a woman during intercourse. The expanding foreskin accommodates the shaft; removal of the foreskin can result in painful erections if too much skin is removed.

How does it make sense to destroy these functions and possibly ruin a man’s sex life so that caretakers “don’t have to clean it in his 90s?”

It’s nonsense.

Of course, we’ve heard the whole “when he’s 90” canard before.

Can she be forgiven for not actually having researched the prevalence of circumcision globally, and how intact men fare in geriatric care in the UK, Germany, Norway, Sweden, Finland, Netherlands, Switzerland, Italy, Belgium, France, pretty much the rest of Europe, not to mention Mexico, Brazil, Argentina and pretty much the rest of South America?

Maybe she can be forgiven for failing to notice the absence of an epidemic of “issues” in the rest of the world where most men, upward from 70%, aren’t circumcised?
 
Maybe.
 
She is American after all, and information in America seems to gear American parents toward circumcision.

And that’s the other thing that bothers me about this whole thing. All over her thread she repeats over and over “I’ve done my research, I’ve done my research,” when clearly she hasn’t.

If she did, she would know that not a single medical organization in the world recommends male infant circumcision, not even the American Academy of Pediatrics. She would know that in 2012 the AAP reviewed all existing medical literature on the topic and concluded that “the benefits are not great enough to recommend male infant circumcision,” and that “the true incidence of complications after male infant circumcision is unknown.” You can’t “do your research” and arrive at a more reasonable conclusion than the most respected medical organizations on the planet.

But you know, she can't even be blamed for this; it shouldn't be a parent's job to be on the up-and-up regarding global medical consensus. That should be the job of the doctor. What on earth are they paid millions for? So they can flout being held professionally responsible?

Parents trust doctors in their white lab coats to be the most informed resource regarding healthcare, and it's a shame that American doctors are abusing this trust to reap profit on an elective, non-medical procedure.




She can be forgiven for not knowing what goes on outside of America, she can be forgiven for not doing her own research and trusting her doctor, but can she be forgiven for doubling down on her ignorance and calling it "mom-shaming" every time people try to educate her?

I don’t mean to shame anybody, but willful ignorance is not a virtue.
 
Making mistakes doesn't make you a bad parent; refusing to acknowledging them does. As parents we should always be ready to admit we've made a mistake, and make better decisions based on newer, up-to-date information.
 
You can't post a spicy video on social media about something as controversial as male infant circumcision and then claim to be a victim of "mom-shaming" when others react and you don't get the validation you were hoping for.

She ends with this:

“So, we’re not gonna mom-shame on here. Stop thinking it’s mutilation, it’s NOT.”

What she means to say, of course, is she does not want to be made to feel ashamed for having gone through with an irreversible decision. She wants others to stop thinking it’s mutilation because it makes HER feel ashamed.

I hate to say it, but how others feel or think has no bearing; facts are objectively true by virtue that they can be observed and verified.

Without medical or clinical indication, “mutilation” is precisely what slicing off a normal, healthy part of a healthy, non-consenting minor is.

She needs to stop calling naming facts “mom-shaming.” That the facts are what they are do not blame those pointing them out.

And, to coin a phrase, she needs to stop thinking circumcision isn't mutilation; it is.
 
Private Parental Decisions Aren't Private on Social Media
Finally, I want to close with this, because it seems some parents don't seem to understand the way the internet works:
 
If you don't want others "shaming you" for your poor parental decisions, if you don't want others “getting in your business," posting said "business" on social media, where others are likely to comment, is prrrrrobably not a good idea.
 
C'mon. This should have been a lesson learned from the MySpace era. 



This isn't meant to be a "mom-shame."

It's meant to be educational.
 
It may be too late for this mother's child, but it's never to late for other children.

This post is full of links to legit news articles and resources for parents who are actually looking into this issue.

I hope this mother finds this post and learns something, and if she still refuses to learn, I hope other parents find this post and that they learn.
 
If at least one parent becomes informed and spares their child needless risk and mutilation, I will be glad to have written this post. If she finds this, I genuinely wish you and your child the health and happiness.

Mission Statement
The foreskin is not a birth defect. Neither is it a congenital deformity or genetic anomaly akin to a 6th finger or a cleft. Neither is it a medical condition like a ruptured appendix or diseased gall bladder. Neither is it a dead part of the body, like the umbilical cord, hair, or fingernails.

The foreskin is not "extra skin." The foreskin is normal, natural, healthy, functioning tissue, present in all males at birth; it is as intrinsic to male genitalia as labia are to female genitalia.

Unless there is a medical or clinical indication, the circumcision of a healthy, non-consenting individuals is a deliberate wound; it is the destruction of normal, healthy tissue, the permanent disfigurement of normal, healthy organs, and by very definition, infant genital mutilation, and a violation of the most basic of human rights.

Without medical or clinical indication, doctors have absolutely no business performing surgery in healthy, non-consenting individuals, much less be eliciting any kind of "decision" from parents.

In any other case, reaping profit from non-medical procedures on non-consenting individuals constitutes medical fraud.

The risks of male infant circumcision include infection, partial or full ablation, hemorrhage and even death. (See links above and below.) Since male infant circumcision is elective, cosmetic procedure on healthy, non-consenting individuals, any risk above “zero” is unconscionable. 

Related Posts:
 
 
 
 
 
 
 
 
External Links:

 
 
 

Wednesday, May 6, 2020

RETURNING GUEST AUTHOR: COVID-19 Opportunity - A Call to Action



A month ago, in March, I posted about how one possibly good thing to be happening during this whole coronavirus pandemic is the fact that elective surgeries in the United States are being postponed if not canceled in order to preserve equipment such as masks, avoid patient infection, and ensure adequate medical personnel for responding to COVID-19 patients. I posted about how some new parents have been surprised to find that their providers currently aren’t performing circumcisions.


Well, just today, a fellow intactivist, Jason F., posted on his Facebook wall the window of opportunity that this pandemic presents to intactivists; the pandemic has resulted in massive budget shortfalls, and now states are looking to cut expenses.

I've posted content by this fellow intactivist before, regarding meatal stenosis. (That blog post can be accessed here.) I don't have time to sit down and write long, detailed blog posts anymore, so I'll merely copy and paste what he wrote here:

The following was copied and pasted from a status on the Facebook wall of Jason F. with his permission.

Forget the brief period when states said elective procedures should be put on hold.

The BIG news is the massive budget shortfalls facing almost every state due to CoViD-19 and related closures. Tax revenues are dramatically down and states are frantically looking in every corner of their budgets for where they can slash expenses.

Circumcision should be the first to go (from Medicaid) in the 35 states that still pay for it automatically at birth. It is outrageous that states would prioritize genital mutilation over other critical services; it’s outrageous we were ever paying for this with our tax dollars in the first place. Even in the 15 states that have dropped routine infant circumcision from Medicaid, doctors and nurses and administrators often find ways to do the surgery, code it fraudulently and get paid. Think about it: infant circumcision is such an essential business in the USA that medical professionals are willing to risk their careers, risk massive fines and possibly jail to ensure that every parent who asks for circumcision is served. Circumcision as identity.

If ever there was a year to strike, it’s 2020. Contact your state representatives and senators (especially those on the budget committee), contact your state Medicaid office or Department of Health, and make the case that penis chopping should be on the chopping block. New York, Illinois, Texas, Pennsylvania, Michigan and Ohio stand to save millions of dollars from doing like the rest of the civilized world + 15 American states in eliminating circumcision of healthy boys from public healthcare programs.

* * * * *

From NBC News today:

COVID-19 has led to dramatic decreases in revenue for state governments across the country — regardless of which party has its hand on the wheel. Many states are still crunching their numbers ahead of the next fiscal year, which begins in the summer for most. [Hint hint: budgeting season starts NOW.]

The lastest came on Tuesday afternoon when Ohio Gov. Mike DeWine, a Republican, announced that the past two months have led his state to miss its budget estimates by $776.9 million and that he is cutting $775 million in spending as a response. Those cuts, which include $210 million to Medicaid and $465 million in education spending, must be made within the next two months, he said. (Ohio is already $777 million short — if they keep paying for circumcision in the face of this, the should burn in hell. Mike DeWine should put a stop to it tomorrow.)

With the COVID-19 outbreak shutting down large swathes of the economy, all sorts of revenue sources for the states have dwindled significantly, including sales, income and other taxes.

In Maryland, state budget officials outlined a nearly $3 billion shortfall they're projecting in the final quarter of this fiscal year. Some other states in serious trouble: Oklahoma, Alaska, Arkansas, Wyoming and West Virginia.

(Original article can be accessed here.)
* * * * *

West Virginia and Ohio (along with Michigan, Kentucky and Indiana) have the highest infant circumcision rates in the country. Why are they still paying for it in the face of the biggest budget crises in a lifetime???
You heard the man. Get right to it!

Related Post:
GUEST AUTHOR: Meatal Stenosis

CORONAVIRUS: Elective Surgery Including Infant Circumcision Being Delayed

External Link:

Wednesday, September 11, 2019

When Someone Says It's Not the Money...

It's the money.


One of the biggest incentives for American doctors to promote and perform circumcisions on healthy, non-consenting infants is that it's easy money.

And yet whenever this is mentioned, people tend to downplay this factor.

"Doctors don't make much from circumcisions," some will say.

"What doctors make from circumcisions is nil," say others.

So how much does a circumcision cost?

It depends on who you ask, and it depends on what fraction of the cost is being reported.

Parents who want to have their child circumcised get quoted small-time three-digit numbers, ranging from 100 to 400 US dollars.

This doesn't sound like much, but then the question is, is this the full cost?

Is this only what parents pay out-of-pocket and the rest is covered through a co-pay system?

The last time I checked, at least one doctor in Canada charges up to 450 dollars Canadian a pop.

In an article released not too long ago, one doctor says he charges $700.

In this same article it is mentioned that after insurances pay, hospitals in Alaska still collect 340 dollars, which raises the question of how much exactly are insurance companies paying?

According to this article, at least one hospital, Alaska Regional, charges $2,110 per circumcision.

Given this figure, at 1.4 million babies being circumcised a year, American hospitals can be making as much as $2,954,000,000 on circumcision alone.

I thought $2,110 was a lot of money for circumcision, but it turns out this figure may actually be modest.

I recently ran across this revealing Tweet:



Here's a screen shot in case it gets deleted:



It is estimated that 1.4 American baby boys are being circumcised a year.

This means that, at $7,000 per circumcision, American hospitals can be making as much as $9,800,000,000 annually on circumcision alone.

To which I ask skeptics; you still think it isn't the money?

It's no wonder doctors and nurses gush on and on about male infant circumcision; there is money to be made, and hospitals make promoting male infant circumcision to parents their policy.

Reaping profit from non-medical surgery on healthy, non-consenting individuals already constitutes medical fraud.

This has got to be the biggest medical scam in American history, and sooner or later those who perpetuate it will be held responsible.

Wednesday, September 28, 2016

PHIMOSIS: Lost Knowledge Missing In American Medicine



Those who have been keeping their eye on circumcision, circumcision advocates and their alibis, will no doubt be aware that the diagnosis of "phimosis" is far too commonly given as a pretext to circumcise an older child. This is the reason most often cited by parents who claim that circumcision on their child "had to be done." Circumcision is also marketed as prophylaxis for "phimosis" by those who advocate or have to gain from performing the procedure.

It must be asked, how is it that after thousands of years of evolution, human males evolved to be born with a problematic sexual organ?

Is it that the human penis is inherently problematic?

Or is it that there is no real problem, and opportunistic physicians have been successful in characterizing perfectly normal, healthy stages in male genital development as "problematic," when they're actually not?


American and European Physicians Don't Learn The Same Thing
America and Europe are different in many ways. One of the biggest differences between both continents is circumcision and anatomically correct male genitals. Whereas circumcision, particularly the routine circumcision of infant males, is a common, culturally ingrained practice in the United States, it is rare or virtually not practiced in Europe, except among Jews and Muslims.

Perhaps due to Judeo-Christian roots, people in both continents share a taboo surrounding nakedness, so they are unaware of each others' practices. People in Europe often believe that circumcision is limited to religious groups, such as Judaism and Islam, and generally believe that their American counterparts hold male circumcision in the same regard; people in America believe anyone who's anyone is circumcised. It often comes to a shocking surprise to people in either country, when they find out the truth; Americans are surprised that the rest of the English-speaking world does not circumcise, and Europeans are horrified to find out that in America, male newborns are often circumcised.

It is no surprise, then, that American and European physicians hold different views when it comes to male genitals and circumcision. What they learn in medical school concerning male genital development is vastly different; while European physicians are taught to regard unaltered male genitals as nature made them as healthy and normal, American physicians are taught to look at the same genitals as aliens from another planet. While in Europe, physicians are taught to look at the foreskin as an intrinsic part of the male organ, akin to labia in female organs, in the United States, the physicians are taught to treat the presence of a foreskin as a superfluous growth and a liability. Indeed, some hospitals will list the presence of a foreskin alongside other medical problems.


This picture was taken at an American hospital. Notice that being uncircumcised
is a "problem," along side hearing loss and poor growth and weight gain.


To Europeans, penises in American textbooks may appear strange, as they are depicted as circumcised, as if this is they the human penis appears in nature. To Americans, pictures of penises may be "Ew, gross!" The foreskin, if mentioned at all in American textbooks, is often described as "that loose piece of flesh at the end of a penis, which is removed in circumcision." Whereas European textbooks present the penis as-is and moves on, American textbooks must describe various reasons why circumcision is performed, and why parents ought to make a "decision." Circumcision prevents cancer, STDs, makes it easier to clean, and, it prevents phimosis. What good parent wouldn't want to prevent all these problems in their children?

Of course, when comparing world data, it's not entirely clear that circumcision prevents much. Not a single medical organization recommends male circumcision based on any of the claimed "benefits." Circumcised males are still susceptible to cancer and any STD one can name. The latest canard used to justify male infant circumcision is that it prevents HIV transmission. No, scratch that; it's supposed to "reduce the transmission of HIV transmission by 60%," a claim that doesn't really mean much of anything, as even if it were true, even those who promote circumcision as HIV prevention must stress that circumcised males and their partners must continue to wear condoms. (In other words, male circumcision fails.)

The one valid concern is phimosis, an actual physical condition that is exclusive to males with anatomically correct genitalia.

But what precisely *is* phimosis?

Who gets it?

What causes it?

How common is it in actuality?

When and if it is necessary, what treatment options are available?

When is a situation not "phimosis" but a normal stage in development?

I'm writing this blog post to answer these questions and more.

Here, readers will learn what all physicians should be learning in medical school, but is often omitted in American medical curricula. The sources used for this blog post are cited for reference.

The Facts

What is phimosis?
The word "phimosis" originates from the Greek word phimos (φῑμός) which means "muzzle". "Phimosis" is a vague term used to describe any situation where, in intact males, the foreskin cannot be retracted to reveal the glans, or the head of the penis. The term may also refer to clitoral phimosis in women, whereby the clitoral hood cannot be retracted, limiting exposure of the glans clitoridis.

What are the normal stages of development?

At Birth 
Typically, when a baby boy is born, the prepuce is long with a narrow tip.(1)(2) Retraction is not possible in the majority of infants because the narrow tip will not pass over the glans penis. Moreover, it is normal for the inner mucosal surface of the prepuce to be fused with the underlying mucosal surface of the glans, or head of the penis,(1)(2)(4)(5) by means of a membrane called synechia, also known as the balano-preputial membrane or balano-preputial lamina,(1) further preventing retraction. This attachment forms early in fetal development and provides a protective cocoon for the delicate developing glans.(6) It is normal for the foreskin to be non-retractable in infancy and early childhood.(6)


Retraction of the Foreskin In normal development, the foreskin usually separates from the glans and becomes retractable with age.(4) As the infant matures into a boy and the boy into a man, the tip of the prepuce becomes wider, and the shaft of the penis grows, making the tip of the prepuce appear shorter. The membrane that bonds the inner surface of the prepuce with the glans penis spontaneously disintegrates and releases the prepuce to separate from the glans. The prepuce spontaneously becomes retractable.


In order for retraction to occur, the foreskin must have separated from the glans and the opening of the foreskin must have widened to allow it to slip back over the glans. Throughout childhood and adolescence, there is a release of hormones. As hormone levels rise, the fiber-dense tissue of the prepuce is replaced with a more elastic tissue. A boy will begin to explore his genitals as he grows, and as time passes, the elastic tissue will allow the opening of the foreskin to widen. This can happen at any age but it is not common in young boys.

The amount of time it takes for a boy's foreskin to become fully retractable varies from boy to boy; this process can take many years for some boys, and yet minutes for others. In some boys, the foreskin may not be retractable until after puberty.(7)(8)(9) This is an entirely normal stage of development and should not be diagnosed as any kind of "problem." 

When Does Retraction Happen? 
According to the experience of doctors and researchers in cultures where circumcision is uncommon, retraction happens at varying ages, and a non-retractable foreskin rarely requires treatment. Observations from doctors in Denmark, and Japan and other countries indicate that spontaneous loosening usually occurs with increasing maturity.(7)(8)(9)(10)(11)(12)

Non-retractability is considered normal for males up to and including adolescence. The process whereby the foreskin and glans gradually separate may not be complete until the age of 17.(4) A Danish survey (2005) reported that average age of first foreskin retraction is 10.4 years.(13) Marques et al (2005) reported that 99% of boys can retract their foreskins by age 14.(12)(14)(15)(16) One may expect 50% of 10-year-old boys; 90% of 16-year-old boys; and 98-99% of 18 year-old males to have a fully retractable foreskin. Treatment is seldom necessary.

A 1999 study by Cold and Taylor shows that at 6 to 7 years, approximately 60% of the boys had natural adhesions. At 10-11 years, close to 50% of the boys still had adhesions. At 14-15, approximately only 10% of the boys had adhesions. As they approach the age of 17, only a very small percentage of boys will have adhesions. That means that, left uncircumcised, most boys will be able to retract their foreskin before they are 17 years old. 

Foreskin Retraction as Observed in Children in Other Countries 
Jakob Øster, a Danish physician who conducted school examinations, reported his findings on the examination of school-boys in Denmark, where circumcision is rare.(7) Øster (1968) found that the incidence of fusion of the foreskin with the glans penis steadily declines with increasing age and foreskin retractability increases with age.(7)

Kayaba et al. (1996) also investigated the development of foreskin retraction in boys from age 0 to age 15.5, and they also reported increasing retractability with increasing age. Kayaba et al. reported that about only 42% of boys aged 8-10 have fully retractile foreskin, but the percentage increases to 62.9% in boys aged 11-15.(8) Imamura (1997) reported that 77% of boys aged 11-15 had retractile foreskin.

Thorvaldsen and Meyhoff (2005) conducted a survey of 4000 young men in Denmark. They report that the mean age of first foreskin retraction is 10.4 years in Denmark.(13) Non-retractile foreskin is the more common condition until about 10-11 years of age.

Current medical literature indicates that the foreskin is non-retractable in the majority of males until they begin to approach puberty. Until a boy begins to reach sexual maturity, non-retractability of the foreskin is a normal part of growing up.

When is "phimosis" a problem?
Given the empirical facts stated above, it is already mistaken to assume that just because the foreskin cannot be retracted to reveal the head of the penis, a male has some sort of pathological condition. As evidenced by the facts given above, the great majority of male children who have anatomically correct genitals will have foreskins that cannot be retracted, and it is a mistake to assume that all children undergo this transitory "illness" where they can't retract their foreskins, akin to the mumps, measles or chicken pox. Girls do not begin to menstruate until the onset of puberty, and they are not considered to be suffering any sort of medical condition until then.

Non-retractability of the foreskin may pose a problem if it continues well past puberty. Typically the foreskin has dilated to allow retraction as a result of the release of hormones. In a small percentage of males, the production of these hormones is insufficient, and the foreskin fails to dilate, resulting in a condition known as "preputial stenosis," or, a narrow foreskin. This condition may make hygiene and sexual intercourse difficult, if not impossible, but not always. In older men that have bad hygiene habits and who smoke regularly, having a non-retractile foreskin can increase the chances of developing penile cancer.

There is another reason why the foreskin may not be retractable in a male, and that is because he has suffered an infection with balanitis xerotica obliterans, or BXO for short. In this case, the tip of the foreskin is scarred and indurated, and has the histological features of a pathological infection. The foreskin of a male who has suffered an infection with BXO will have developed a fibrotic ring, which makes retraction difficult or impossible. It is this pathologically induced non-retractability which can be correctly termed "phimosis." To differentiate normal stages of development, and even the physiological state of a foreskin which has failed to dilate as a result of lack of hormones, from pathologically-caused non-retractability, doctors have invented the term "true phimosis." It is non-retractability caused by pathological infection with BXO that can be considered an actual problem.

Can phimosis be cured?
It is estimated that 2% of males go their entire lives without their foreskins ever becoming retractable. How this condition can be treated will depend on what the actual problem is. The physiological condition where a foreskin has failed to dilate as the result of a lack of hormones, otherwise known as "preputial stenosis," tends to respond to steroid cream therapy, coupled with stretching exercises and/or stretching devices.

Non-retractability as a result of a BXO infection, however is different, as this is caused by a resulting fibrotic ring at the end of the foreskin, which is scarification that may or may not respond to steroid cream treatment or stretching exercises. It is non-retractability caused by BXO infection that can be genuinely considered a problem which may call for corrective surgery.

It should be noted that non-retractability of the foreskin as a result of BXO infection occurs in less than 1% of males. Additionally, it should be noted that even when a case of "true phimosis" may require surgical correction, it does not always entail a complete removal of the prepuce. There are procedures that can correct phimosis which can preserve the foreskin and its functions. Surgical methods range from the complete removal of the foreskin (circumcision) to more minor operations to relieve foreskin tightness, such as a "dorsal slit" (AKA "superincision") a "ventral slit" (AKA "subterincision") and "preputioplasty."

If treatment should be necessary, it should not be done until after puberty and the male can weigh the therapeutic options and give informed consent.(9)

How should a genuine case of phimosis be diagnosed?

In order to correctly determine that there is a real problem occurring in a male, a learned doctor will begin by ruling a few things out.

If, for example, a child hasn't reached puberty yet, and because non-retractability is common for this age group, the doctor should consider that the child may be experiencing normal stages of development.

If, for example, a child hasn't reached puberty yet, but he was able retract his foreskin previously, it may be probable that the child may have experienced an infection with BXO.

If, for example, an adult male who has already gone through puberty still has a non-retractile foreskin, the doctor needs to determine if this is a physiological problem caused by a lack of hormones (preputial stenosis), or if it is a pathological problem as a result of infection with BXO (AKA "true phimosis").

Because non-retractibility of the foreskin can be both a normal stage of development, and a pathological problem, it can be very easy for doctors to make an inadvertent, or even deliberate misdiagnosis. Particularly in countries like the United States, where circumcision is a perceived norm, and doctors may not be educated in the differences between normal stages of development and phimosis as a pathological condition, it can be very easy for doctors to say that a child is suffering a condition that may require surgical correction, where in fact, there is actually none. 

For a correct diagnosis, a doctor who is knowledgeable about the difference between normal stages of development and non-retractability caused by BXO infection will correctly have the male analyzed for signs of lesions of BXO. Then, and only then, can a doctor properly make the diagnosis that a male child is suffering a medical problem, and that the child may need surgery to correct the problem.

Because non-retractability in adult males is rare, and "true phimosis" (pathologically induced non-retractability) even more rare, there is a high probability that a diagnosis for "phimosis" is actually false, especially in children, where non-retractability of the foreskin is a part of normal development.

Iatrogenically Induced Problems
Problems with the retraction of the foreskin may either be the result of a lack of hormones, the result of an infection with BXO, or, they could be iatrogenically induced. (E.g. actually caused by the doctor himself.)

It has been widely recognized by the medical profession for most of the 20th century that normal male infants have foreskins which are incompletely separated from the epithelium of the glans.(17) The foreskin cannot be retracted without tearing the fusion and adhesions which are commonly present between the inner foreskin and the glans penis in normal stages of development.

In English-language medicine, there is an absence of proper knowledge of the foreskin and its development in the medical curriculum. According to McGregor et al (2005), physicians often have difficulties distinguishing between this normal, natural state of the penis in neonates and pre-pubecent boys and pathological phimosis caused by BXO.(17)(18) Spilsbury et al (2003) suggest that doctors may be likely to confuse the aforementioned conditions with pathological phimosis.(19)

Unaware of the harmless nature of the normal, natural state of the penis in neonates, and the presence of adhesions in infants and pre-pubecent boys, and unaware that this can be damaging, doctors have been known to forcibly attempt to retract the foreskin in healthy, developing children, just to see if it retracts, tearing natural adhesions and/or ripping the foreskin in the process. Furthermore, they have been known to erroneously instruct parents that a child's foreskin needs to be retracted in order to "clean under it," arguing that they will develop infections otherwise.(20)

Premature, forcible retraction of the foreskin is an extremely painful, serious, and potentially permanent injury(17). It can damage the glans and mucous inner tissue of the foreskin. Forcibly retracting a child could result in iatrogenically induced phimosis, where the raw, open wounds of ripped adhesions could heal and fuse together, or where a forcibly dilated foreskin could develop scarification, resulting in a fibrotic ring similar to the one caused by BXO infection. Additionally, this can result in a complication known as "paraphimosis," where the narrow foreskin strangles the penis trapped behind an enlarged glans, thereby necessitating surgical intervention.

It must be noted here that these problems rarely present themselves in countries where circumcision is rare or not practiced. There is simply no epidemic of foreskin problems in countries where male children aren't circumcised. These problems tend to suspiciously present themselves in countries where circumcision is common, and diagnosed by doctors who happen to specialize in child circumcision. Children may have been circumcised to correct "problems" that either never existed, or whom were given their problems by ignorant doctors to begin with.


 It is harmful and misleading to tell parents that a child's foreskin must be forcibly retracted. In children whose foreskins are still adhered to the glans, or where the foreskin has not dilated to allow the glans, this can be a harrowing experience. Forcibly retracting a child's foreskin "to clean under it" is the equivalent of cleaning out a girl's vagina with a pipe cleaner. Surely, a doctor who would instruct parents to clean out their child's vagina would be dismissed as a lunatic. Medical associations advise not to forcibly retract the foreskin of an infant, as this interferes with normal penile development, and may result in scarring or injury.(21)(22).

Camille et al (2002), in their guidance for parents, state that "[t]he foreskin should never be forcibly retracted, as this can cause pain and bleeding and may result in scarring and trouble with natural retraction."(23)


Simpson & Barraclough (1998) state that "[n]o attempt should be made to retract a foreskin in a child unless significant separation of the subpreputial adhesions has occurred. Failure to observe this basic rule may result in tearing with subsequent fibrosis and consequent [iatrogenically induced] phimosis. ..."(24)

The American Academy of Pediatrics cautions parents not to retract their son's foreskin, but suggest that once he reaches puberty, he should retract and gently wash with soap and water.(25) The Royal Australasian College of Physician as well as the Canadian Paediatric Society emphasize that the infant foreskin should be left alone and requires no special care.(26)

Summary
The facts, which are well-documented in medical literature, speak for themselves.

A foreskin that is adhered to the glans and/or will not retract is a normal stage of development in all healthy male children in infancy. The belief that a foreskin that is "tight" and will not retract is a problem in male infants implies that all human male children are born with some kind of birth defect, congenital deformity or genetic anomaly akin to a 6th finger or a cleft.

In the great majority of males, the foreskin separates from the glans and becomes retractable as they approach puberty, without the aid of medical or surgical intervention.

A foreskin that will not retract in older males is rare, and may or may not be a pathological problem. In order to determine the cause of a non-retractile foreskin, a knowledgeable doctor who understands anatomically correct male genitals, the normal stages of development of healthy males, and true pathological problems of male genitalia, must run the correct analyses in order to detect the presence or absence of pathological lesions; then, and only then, can the doctor determine whether the problem can be remedied with conventional medicine or by means of surgical correction.

Even when a genuine case of phimosis that necessitates surgical intervention presents itself, circumcision, or the full excision of the foreskin is not always called for; there are surgical interventions which will correct phimosis while preserving the foreskin and its functions.

Intervention to hasten the retraction of the foreskin in otherwise healthy, prepubescent males may actually cause iatrogenically induced problems. The forced retraction of the foreskin may itself cause non-retractability. Forcibly dilating the foreskin causes scar tissue to form, which may result in a fibrotic ring at the end of the foreskin. Breaking the natural adhesions which occur between the glans and the foreskin during normal stages of development may cause new adhesions to form between the glans and the foreskin, becoming fused as the raw wounds of the broken adhesions heal together. Forcibly pulling back naturally narrow foreskin over the glans in otherwise healthy children may result in paraphimosis, where the narrow foreskin catches behind the glans, preventing the foreskin from returning to its neutral position covering the glans, ironically necessitating the need for surgical intervention.

Conclusion
It is a shame that there is a gap in medical knowledge between the United States and other English-speaking countries. The information presented here is well-documented knowledge that all doctors need to know. This is the information that a doctor needs to be giving to parents of a male child. Anything other than this is misinformation or an outright lie.

American medical curricula is either omitting information, teaching outdated information, if not outright teaching misinformation. Efforts need to be made to bring English-language curriculum on the foreskin, the natural stages of development and genital pathology up to date. Doctors need to educate themselves and stop dispensing erroneous and dangerous advice to parents. They need to learn to differentiate between the normal stages of development in human males, and actual pathological phimosis.

Doctors who diagnose "phimosis" in a perfectly healthy child are either uneducated when it comes to the foreskin and natural stages of development, or may in fact be committing medical fraud, deliberately inventing a misdiagnosis in order to justify surgery in a healthy, non-consenting minor, and/or collecting medicaid funds intended for actually medically necessary surgery.

Until American medicine undergoes this long-needed overhaul, long-term visitors to the United States ought to be warned that doctors in America are often inadvertently, or quite deliberately misinformed about anatomically correct male genital anatomy, and that taking their child to an American-trained doctor could be hazardous to their child's health.

References:
1. Gairdner D. The fate of the foreskin: a study of circumcision. Br Med J 1949;2:1433-7.

2. Spence J. On Circumcision. Lancet 1964;2:902.

3. Deibert GA. The separation of the prepuce in the human penis. Anat Rec 1933;57:387-399.

4.  Øster J. Further fate of the foreskin: incidence of preputial adhesions, phimosis, and smegma among Danish schoolboys. Arch Dis Child 1968;43:200-3.

5. Catzel P. The normal foreskin in the young child. (letter) S Afr Mediense Tysskrif [South Afr Med J] 1982 (13 November 1982) 62:751.

6. Wright J.E. (February 1994). "Further to 'the further fate of the foreskin'". The Medical Journal of Australia 160 (3): 134–5. PMID 8295581. http://www.cirp.org/library/normal/wright2/

7. Øster J. Further fate of the foreskin: Incidence of preputial adhesions, phimosis, and smegma among Danish schoolboys. Arch Dis Child (published by the British Medical Association), April 1968. p. 200-202.

8. Kayaba H, Tamura H, Kitajima S, et al. Analysis of shape and retractability of the prepuce in 603 Japanese boys. Journal of Urology, 1996 Nov, V156 N5:1813-1815.

9. Warren JP: NORM UK and the Medical Case against Circumcision. In: Sexual Mutilations: A Human Tragedy; Proceedings of the 4th Intl Symposium on Sexual Mutilations , Denniston GC and Milos MF, Eds. New York, Plenum, 1997) (ISBN 0-306-45589-7)

10. Celsus. De medicina, vol 3. Harvard University Press, Cambridge, p 422

11. Celsus. De medicina, 6.18.2. In: Spencer WG (ed and trans) (1938) Celsus. De medicina, vol 2. Harvard University Press, Cambridge, p 269

12. Hodges FM. Phimosis in antiquity. World J Urol 1999;17(3):133-6.

13. Thorvaldsen MA, Meyhoff H.. Patologisk eller fysiologisk fimose?. Ugeskr Læger. 2005;167(16):1852-62.

14. Marques TC, Sampaio FJ, Favorito LA (2005). "Treatment of phimosis with topical steroids and foreskin anatomy". Int Braz J Urol 31 (4): 370–4; discussion 374. doi:10.1590/S1677-55382005000400012. PMID 16137407. http://www.brazjurol.com.br/july_august_2005/Marques_ing_370_374.htm.

15. Denniston; Hill (October 2010). "Gairdner was wrong". Can Fam Physician 56 (10): 986–987. PMID 20944034. PMC 2954072. http://www.cfp.ca/content/56/10/986.2.long. Retrieved 2014-04-05.

16. Huntley JS, Bourne MC, Munro FD, Wilson-Storey D (September 2003). "Troubles with the foreskin: one hundred consecutive referrals to paediatric surgeons". J R Soc Med 96 (9): 449–451. doi:10.1258/jrsm.96.9.449. PMID 12949201. PMC 539600. http://www.jrsm.org/cgi/pmidlookup?view=long&pmid=12949201.

17. McGregor TB, Pike JG, Leonard MP (April 2005). "Phimosis—a diagnostic dilemma?". Can J Urol 12 (2): 2598–602. PMID 15877942.

18. Metcalfe PD, Elyas R. Foreskin management. Survey of Canadian pediatric urologists. Can Fam Physician 2010;56:e290-5.

19. Spilsbury K, Semmens JB, Wisniewski ZS, Holman CD (February 2003). "Circumcision for phimosis and other medical indications in Western Australian boys". Med. J. Aust. 178 (4): 155–8. PMID 12580740. http://www.mja.com.au/public/issues/178_04_170203/spi10278_fm.html.

20. Osborn LM, Metcalf TJ, Mariani EM. Hygienic care in uncircumcised infants. Pediatrics 1981;67:365-7.

21. "Care of the Uncircumcised Penis". Guide for parents. American Academy of Pediatrics. September 2007. http://www.healthychildren.org/English/ages-stages/baby/bathing-skin-care/Pages/Care-for-an-Uncircumcised-Penis.aspx.

22. "Caring for an uncircumcised penis". Information for parents. Canadian Paediatric Society. July 2012. http://www.caringforkids.cps.ca/handouts/circumcision.

23. Camille CJ, Kuo RL, Wiener JS. Caring for the uncircumcised penis: What parents (and you) need to know. Contemp Pediatr 2002;11:61.

24. Simpson ET, Barraclough P. The management of the paediatric foreskin. Aust Fam Physician 1998;27(5):381-3.

25. American Academy of Pediatrics: Care of the uncircumcised penis, 2007

26. Royal Australasian College of Physicians. (2010) Circumcision of Infant Males.


Related Posts:
Phony Phimosis: How American Doctors Get Away With Medical Fraud

What Your Dr. Doesn't Know Could Hurt Your Child

Phimosis and Circumcision in Japan

INTACTIVISTS: Why We Concern Ourselves

Friday, March 4, 2016

DOMINICAN REPUBLIC: Circumcision Claims Another Life


A child of four has died after being circumcised, and his parents are left searching for answers.

Below is the online news article translated from Spanish:

Child dies after being circumcised

A child died on Tuesday morning after being circumcised at the Maternal Infant Center. The 4-year-old Yeidy Ramírez Beato was son of Johanna Beato and Anyelo Ramírez.

The directors at the clinic located an Rosario Street still haven't found reasonable explanation as to what caused the death of the minor.

The child's body was taken to INACIF of Santiago to carry out an autopsy to determine the cause of the child's death. (As if this weren't immediately obvious?)

According to the police report and certificate issued by medical examiner Cinencio Uribe, the minor died after being operated by Dr. Nelson Aybar, and anesthesiologist Dr. Abrahán García Gómez.


The child's family told LosMocanos.com, that supposedly it's about medical malpractice, and they seek an explanation as to why their son died.

On the video, the mother was crying uncontrollably as she asked herself "Why my son?"

The child died after having been circumcised.

Hundreds of curious members of the press were inquiring over the sad tragedy, as one can see in the video.




Video uploaded on March 2, 2016

The question is, why was this child operated on?

What illness was the child suffering that he needed to be circumcised?

Was the child suffering a disease for which there was no other solution?

Or did doctors recommend this to the parents for supposed "medical benefits?"

Did the doctors tell the parents that their 4-year-old was suffering "phimosis?"

Were the risks of circumcision clearly explained to the child's parents?

If there was no medical indication, then clearly here, the doctors are to blame, for offering this "choice" to the child's parents.

Reaping profit from non-medical surgery on healthy, non-consenting individuals constitutes medical fraud. In children, clear child abuse.

The saddest part of this is that without clear medical or clinical indication, basically this child died in vain.

Had the child not been submitted to this needless procedure, he would still be alive.

Final Words
The foreskin is not a birth defect. Neither is it a congenital deformity or genetic anomaly akin to a 6th finger or a cleft. Neither is it a medical condition like a ruptured appendix or diseased gall bladder. Neither is it a dead part of the body, like the umbilical cord, hair, or fingernails.

The foreskin is not "extra skin." The foreskin is normal, natural, healthy, functioning tissue, present in all males at birth; it is as intrinsic to male genitalia as labia are to female genitalia.

Unless there is a medical or clinical indication, the circumcision of a healthy, non-consenting individuals is a deliberate wound; it is the destruction of normal, healthy tissue, the permanent disfigurement of normal, healthy organs, and by very definition, infant genital mutilation, and a violation of the most basic of human rights.

Without medical or clinical indication, doctors have absolutely no business performing surgery in healthy, non-consenting individuals, much less be eliciting any kind of "decision" from parents.

Circumcision has risks.

The risks of circumcision include infection, hemorrhage, partial or full ablation and even death.

Death is a risk of circumcision.

How many times do I have to say this?

Death is a risk of circumcision.

Are parents being adequately informed about this risk?

Had this couple known about this risk, would they have changed their minds?

Death is a risk of circumcision.

Death is a risk of circumcision.

Are you listening AAP?

Death is a risk of circumcision.

Circumcision has claimed yet another child.

His blood is on the hands of the AAP and any other medical organization that dares parrot them.


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MALE INFANT CIRCUMCISION: Another Baby Boy Dies

Circumcision Death: Another One Bites the Dust

Circumcision KILLS

CIRCUMCISION: The Silent Killer

CIRCUMCISION: Another Baby Dies

CIRCUMCISION DEATH: Yet Another One (I Hate Writing These)

Another Circumcision Death Comes to Light

Circumcision Indicted in Yet Another Death: Rabbis and Mohels are "Upset"

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CANADA: CPS Diverges from AAP on Infant Circumcision

CIRCUMCISION RISK: Two More Circumcision Botches

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CIRCUMCISION DEATH: Child Dies After Doctor Convinces Ontario Couple to Circumcise

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Monday, September 28, 2015

FLORIDA CIRCUMCISION SAGA: Mother May Get Monitored Visits With Her Son


It has been a while since I last commented on this story from Florida, where a court has ordered a child to be taken away from his mother to be circumcised as his father wished, and his mother was forced to sign the documents of consent under duress. In part, I don't want to write about this story any further, as it breaks my heart every time I think about it.

It looks like at long last, the mother in this case is going to be reunited with her baby after being forcibly torn apart by the state to appease her ex-husbands wishes to have her son circumcised, albeit under tough conditions and extreme surveillance. The father fears the child will be "abducted." (That's a laugh, considering what he put the child through, ripping him away from his mother in the first place. No, the father is afraid the mother will try to do what he has done.)

No one knows what will happen exactly, as the father has fought tooth and nail to keep this under wraps, and the courts are taking his side and cooperating with him, but the possibility of meeting at a neutral place, once a week for an hour, while being watched by a cop was discussed in recent proceedings. No photos can be taken, and the mother is not to say a single word to the child about circumcision. For the fuller story, the Sun Sentinel article can be read here.

My Comment
That this is happening seems so surreal.

Is this really happening in the United States of America?

It fills me with rage every time I think about it.

Imagine you were at odds with an ex-husband who was looking for any which way to get at you. Imagine you knew he was planning to inflict abuse on your son just to spite you. Imagine you knew that his plans were to inflict permanent physical harm on your child for your detriment and for his own personal enjoyment. Imagine you knew his intentions were to get back at you in the most horrific, most indelible way possible; by leaving a physical, irremovable mark on your son's most sensitive, most intimate organs that you would see every time you bathed him.

Now imagine that the state was actually on his side. Imagine that no matter how hard you tried, the state would not listen to you, ignored you every time you tried to ask for their help, and dismissed everything you tried to say to let you protect your own son from needless surgical intervention. Imagine the state actually commanded you to hand your child over to your husband so that he could do as he pleases with your son, while you stand idly by.

Now imagine you doing the only thing you could think of as a last resort; taking your child and running to a place of asylum for one last attempt to protect your son. Imagine police forces storming in, ripping him from your arms and whisking him to his designated fate. Imagine being thrown in jail, being treated as a criminal for wanting to protect your son from needless surgery, and a judge forcing you to sign the permission papers for your son's abuse in exchange for your freedom.

There are no ifs or buts about it, your ex-husband is going to have his way with your son and the state is actually protecting him helping him realize his sick ambitions.

Imagine the court has decreed that you will not get to see your son for 90 days. Imagine that the court has decreed that your ex gets to spend 90 whole days alone with your son to do with him as he pleases, and that you will not see or talk to him during that time, all the mean while lawyers helping him to try and make it so that you never see him again.

Now imagine that after time has passed, the court has finally decided it's time for you to see your son, but you will be monitored, and you are gagged from asking the one burning question whose answer you've been dying to know; is he OK? Has he been mutilated or has he been, at least for the time being, spared?

Well that's basically what is happening here.

How is it the father can take the child and do as he wishes, telling him the boy whatever he wants, but the mother is gagged from doing so?

How is it that what the boy actually wants for himself hasn't been considered? And that the courts have actively refused that option?

How is it the boy's own mother is being denied the right to know what has transpired in the time her son was taken away?

How absolutely infuriating.

A father who is hell-bent on having his son's genitals mutilated for his own self-satisfaction is rewarded sole custody, while the child's mother whose only wish is to protect her son from needless surgery is being treated as a criminal.

All meanwhile, no one has bothered to ask the child whose body is in question what it is he wants for himself.

Poor child.

His story is a catastrophe and a shame on this country.

It is a shame in this country when the selfish whims of a father are more important than the fundamental human rights of a child.

To end this post...
There is nothing more to say.

We live in a backwards country where you're thrown in jail and treated like a criminal for wanting to protect your children from forced needless surgery, but sick perpetrators who want to take them to have plastic surgery on their genitals to fit their liking get awarded sole custody.

Only if the child is male.

Were this a Sudanese, Malaysian, Indonesian man, or a man from a culture where female genital cutting is the norm, the scene would be different.

In this scenario, such a father would be jailed.

Girls and women are protected from unwanted, non-medical genital surgery by law, but the state will actually help you out if you want to inflict the same to a boy.

How fucked up this country...

A country whose laws will not protect the most basic human rights of a child, a country who was complicit in actually carrying the violation of these rights has failed.

It sounds as though intactivist efforts may be paying off however; according to the report referenced here, the father appears to be having a hard time finding somebody that will circumcise the child without a medical diagnosis. This may be due in part to intactivist demonstrations being held across the country, but also in great part to doctors and other organizations threatening to file a complaint against the doctor and hospital who would perform or facilitate this child's non-medical genital surgery.

What will happen to this child?

His mother?

Will a father actually get away with having a doctor perform non-medical surgery on his 4yo son's genitals for his own satisfaction? At the expense of the child's rights and express wishes?

Will a doctor actually go through with carrying out the whims of this mentally depraved father?

I hope that this is the last blog post I EVER write on this story.

To be honest I don't want to know anymore than this; I'd be too afraid to know this child was mutilated, to imagine the horror and pain he must have gone through.

My deepest prayers are that this child is safe, that this mother is finally reunited with her child, and that he doesn't have to spend any more time with that sick, disgusting monster of a father of his.


May this child be back in his mother's arms where he belongs.


Previous Posts:
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