Ease of Care

Q4 Medicine
Travis Cearley
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引用次数: 0

Abstract

Ease of Care Travis Cearley Roughly nine years ago, I was deer hunting on a friend's property just outside of Canaan, Missouri, where he had graciously provided me access to one of his premier tree stands. It was early in bow season and even though the calendar had suggested it was Autumn, the weather mirrored a classic Missouri August morning, muggy and thick. Dressed in my lightest hunting gear, I had just gotten settled—bow in lap, arrow knocked, binoculars ready—when I felt a stinging sensation in my calf. Slowly hiking up my pant leg so as not to make too many sudden movements, I saw a familiar yet harrowing sight: Seed ticks had invaded my socks, and I was covered from the mid-calf down with black pulsating parasites. I knew instantly (as many outdoorsmen know) that my hunt had come to an end. Somewhere on the hike down the hillside or the climb into the tree, I had stepped on a nest of ticks, and the rest of my morning was shot (no pun intended). I quickly clambered out of the stand, made my way back to my friend's house and proceeded to strip down in his front yard. Left with only one option, I placed all "infected" articles of clothing in a burn pile, took my naked self to the nearest hose, rinsed feverishly in his yard, and checked every inch of my body for burrowed residents. You see, removal—complete and thorough—is the only way to keep the tick from becoming an unwelcome guest, causing itching and burning, or even spreading disease. The seed tick is an especially menacing foe. He can be invisible to the naked eye. He is faster than you would expect. He travels in herds. However, all ticks, regardless of size, are capable of causing weeks of discomfort. This discomfort and concern multiplies based on where the tick chooses to lodge itself. You see, there is a spot on the base of a man's penis where the penis itself meets the scrotum—a private, quiet, warm and damp location—that is particularly enticing to the tick. As an avid outdoorsman and lover of nature, I have had my fair share of uninvited guests attempt to call this place home. Multiple times in my life, I have taken caution in the painstaking removal of ticks in all sorts of locations, and I will tell you, few tasks are more galling or difficult than removing one burrowed next to the crease of the scrotum just under the penis itself. It seems they are keenly aware of the small bit of extra skin that exists on this part of the male anatomy, and part of me believes that they are also aware of the difficulty it presents. [End Page 79] At the time of the Canaan seed tick attack, my wife was pregnant with our first son who was due to be born that coming December. I am now the father of three sons. As a family, being outside is our favorite pastime. We run, we play, we chore; and whenever we can, we spend time in the woods. Whether we are exploring the various state parks of Missouri or rambling through the treelines of the family farm, some of the happiest times we spend as a family include nature. Nature means bugs; and even as a veteran tick assassin, I wasn't really prepared for the painstaking process of removing one from my son's nether regions. A few shivers, a few gasps and more than a few tears—juggling the "Get it off me, dad" with the "Don't worry, Daddy does this all the time"—nothing builds trust like tweezing a parasite from another person's scrotum. It is these moments that also remind me of how thankful I am for the absence of foreskin. I am a circumcised father of three circumcised boys. My wife and I chose to have our sons "clipped" after their births and by a medical professional. When my wife and I discussed whether or not to have them circumcised, I consistently came back to the same thought: "What benefit could foreskin...
易于护理
大约九年前,我在密苏里州迦南城外的一个朋友的庄园里猎鹿,他很慷慨地让我到他最好的一片树林里去。这是秋天的早期,尽管日历上显示现在是秋天,但天气和密苏里州8月的早晨一样,闷热而厚重。我穿着最轻便的狩猎装备,刚刚安顿下来——弓放在膝盖上,箭被射中,双筒望远镜准备好了——就在这时,我感到小腿一阵刺痛。为了不做太多突然的动作,我慢慢地爬上裤腿,看到了一个熟悉但又令人痛苦的景象:蜱虫种子侵入了我的袜子,我从小腿中部以下被黑色的脉动寄生虫覆盖。我立刻意识到(就像许多户外爱好者知道的那样)我的狩猎已经结束了。在爬山或爬树的时候,我踩到了一窝扁虱,然后我早上剩下的时间就被毁了(没有双关语的意思)。我迅速爬出摊位,回到朋友家,在他的前院脱下衣服。只有一个选择,我把所有“感染”的衣服放在一个烧堆里,把我赤裸的自己带到最近的水管旁,在他的院子里狂热地冲洗,检查我身体的每一寸都有洞穴居民。你看,彻底清除虱子是防止虱子成为不受欢迎的客人,引起瘙痒和灼烧,甚至传播疾病的唯一方法。种子蜱是一个特别危险的敌人。他可以用肉眼看不见。他比你想象的要快。他成群结队地旅行。然而,所有的蜱虫,无论大小,都能引起数周的不适。这种不适和担忧会根据蜱虫选择的栖身之地而增加。你看,在男人阴茎的底部,阴茎与阴囊相连的地方——一个私密、安静、温暖和潮湿的地方——对蜱虫特别有吸引力。作为一个狂热的户外运动爱好者和自然爱好者,我有相当多的不速之客试图把这个地方称为家。在我的一生中,我多次小心翼翼地在各种地方费力地清除蜱虫,我告诉你,没有什么任务比清除阴茎下方阴囊折痕旁边的一个洞穴更令人恼火或更困难的了。他们似乎敏锐地意识到男性身体的这一部分有一小块额外的皮肤,我也相信他们也意识到它带来的困难。在迦南地蜱虫袭击的时候,我妻子正怀着我们的第一个儿子,他将在那年12月出生。我现在是三个儿子的父亲。作为一个家庭,户外活动是我们最喜欢的消遣。我们跑步,玩耍,做家务;只要有时间,我们就在树林里度过。无论我们是在探索密苏里州的各个州立公园,还是在家庭农场的绿树成荫中漫步,我们全家度过的一些最快乐的时光都包括大自然。自然意味着虫子;即使作为一个资深的蜱虫杀手,我也没有真正准备好从我儿子的下体取出一只蜱虫的艰苦过程。几次颤抖,几次喘息,还有不止几次的眼泪——一边说着“爸爸,把它从我身上拿开”,一边说着“别担心,爸爸总是这样做”——没有什么比从别人的阴囊里拔寄生虫更能建立信任了。正是这些时刻提醒我,我是多么感激没有包皮。我做了包皮环切手术,有三个孩子。我的妻子和我选择让我们的儿子在出生后由医疗专业人员“修剪”。当我和妻子讨论是否给他们做包皮环切术时,我总是回到同一个想法:“包皮有什么好处……
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来源期刊
Narrative inquiry in bioethics
Narrative inquiry in bioethics Medicine-Medicine (all)
CiteScore
0.20
自引率
0.00%
发文量
27
期刊介绍: Narrative Inquiry in Bioethics (NIB) is a unique journal that provides a forum for exploring current issues in bioethics through personal stories, qualitative and mixed-methods research articles, and case studies. NIB is dedicated to fostering a deeper understanding of bioethical issues by publishing rich descriptions of complex human experiences written in the words of the person experiencing them. While NIB upholds appropriate standards for narrative inquiry and qualitative research, it seeks to publish articles that will appeal to a broad readership of healthcare providers and researchers, bioethicists, sociologists, policy makers, and others. Articles may address the experiences of patients, family members, and health care workers.
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