In the shoes of my gynaecologist.
Published in Le Figaro on 3/25/2009 by Sandra Vivies
He is among one of the most active gynaecologist-obstetricians on the Paris market. Olivier Kadoch, 43, gives his views on the current turmoil within his profession and suggests, without taboos, his daily contact with women as a male doctor .Our gynaecologist on the couch, it is a bit of a fantasy … Deciding the duration of the consultation ourselves and discussing all our personal issues, hearing that he would soon be replaced by a general practitioner. We also wondered if this Intimacy Doctor is just there to ensure the technical aspects of our sexuality, or if we can entrust him with all female anxieties.Many of his colleagues would have run a mile at the idea of such an interview. Not Olivier Kadoch [1]. Looking tired on this Friday afternoon, after a week of little sleep , this shopkeeper's son has agreed to talk about his trade which he chose when he was only a little boy of 5 yrs old. Meeting.Lefigaro.fr/madame. –Why did you choose to take care of women?Olivier Kadoch. -Through this specialization, we touch on several key aspects of society: sexuality, birth, disability, illness, life, death. Pregnant women have particularly high expectations, hence a very priviledged contact, a shared affection.Our society has changed a lot since you began to practise…I started out with the dogmas of the mandarins /wise old men who distilled knowledge. Today, information , and sometimes disinformation, Doctor Google may be anxiogenic. The physician must therefore be more efficient, more attentive than ever. Previously, family structures (mother, aunt …) were also more active, l women less isolated in the face of maternity/childbearing The practitioner can now be helpful in filling this gap. Gynecology and being a man, is it not sometimes uncomfortable? The doctor obviously demystified this organ, this intimacy, just to make a medical section. But we know that in the minds of patients, if the gynecologist is a man or a woman, this is not necessarily the same. The contact may be more difficult to establish because the idea remains that a woman is better able to understand another woman. Some patients may also, for fear of shame, be embarassed to get undressed in front of a man. But the ritual of the consultation (eg, staying on the sidelines while they undressed) is there to put them at ease.« Sexology is an integral part of gynecology
So, there's still a relationship between a man and a woman, despite the medical context …… It depends on the woman. I learn to feel and adapt. And then, a man may also have an advantage! Sometimes patients come to seek advice from a man, they question me, thinking: "Well, he has about the same age as my husband , what does he think of this or that? "While remaining neutral, we can sometimes give information … Sexology is an integral part of gynecology. The state plans however to reserve the use of gynecologists in pregnancy, routine monitoring of women going to GPs … What do you think? A GP is technically able to prescribe a pill or to make a smear. But I think we forget the essential here: listening, psychological treatment, the hormonal problems, desire for pregnancy … It takes time, experience. And still raises the question of skills: we do not learn the same in a six-month unit than in four years of specialization.In August, a ministerial decree was granted the right to a foetus of 16-22 weeks born without life, to be put on the civil register. Why is it so important to appoint a child who won't live? This is not because the child died that he did not exist. When a foetus dies in utero, we proceed to normal delivery, labour ward. It’s so important to live this experience for the patient as a mother, even if there is ambiguity around the issue. This woman should be able to identify, authenticate her motherhood, even if only to reduce the share of fantasy. Declare the child to the civil register is the final step of this identification process. It can start perinatal loss and prevent the next baby being a substitute child."In this business, we share slices of life"
Sometimes, the choice of parents is not to keep the child. The plan "abortion in the city" adopted in 2001, has facilitated access to I. V. G. But there are also disadvantages, including pain. What is your analysis?Prior to abortion, it was mandatory to see a psychologist and be hospitalized. Today, the procedure is lighter:we prescribe drugs that cause a miscarriage. For pain, painkillers are proposed. That is, provided that the patient has people rallying them and she accepts it. For it is also much more active and conscious than before, when she asked someone else to step in and enjoyed the blackout of anesthesia.In January, an Englishwoman of whom three women of her husband’s family had reported breast cancer, conducted a sort of genetic screening to avoid this risk with her daughter, relaunching the debate on eugenics. As a doctor, would you have subscribed to such a request? In Anglo-Saxon countries,it is the individuals'rights that prevail, while in France it is that of society through an ethics committee. Here, it remains tightly controlled, we very rarely practice preimplantation diagnosis, except for certain serious diseases such as haemophilia or cystic fibrosis. I think that it is extremely restrictive and that it would be good to have a European vision. So, I’ll be honest: if I was legally allowed, I would agree to do it because basically, we are here to protect our future children. In addition, I can not choose in the place of the parents. What is beautiful in this business is that we share slices of life.
Victor Hugo