Introduction

When considering the most grueling exams doctors must conduct, a paradigm shift becomes evident. While some procedures can be approached with a sense of satisfaction and accomplishment, others are undeniably challenging, often evoking a mix of empathy, frustration, and a sense of helplessness. In examining my personal experiences and reflections, I will delve into two categories – those that are difficult, yet rewarding (such as sigmoidoscopy/colonoscopy), and those that are inherently distressing due to the emotional and physical toll they impose (such as rape exams).

Sigmoidoscopy/Colonoscopy: A Personal Victory

Among the numerous patients I’ve attended to over the years, sigmoidoscopy and colonoscopy stand out as procedures that, while not entirely without discomfort for both patient and doctor, have a profound impact for the better. These procedures originated from the need for early detection and intervention in colorectal cancer, a disease that, when diagnosed early, significantly improves survival rates. My experience with these procedures highlights the importance of skilled execution and patient preparation in ensuring a successful outcome.

Unlike many of my colleagues, I found these procedures enjoyable. The satisfaction derived from discovering and removing cancerous polyps before they could develop into full-blown cancer is immeasurable. I was adept at conducting these exams with an assistant, typically completing the procedure within 5-10 minutes, ensuring the patient experienced minimal discomfort. Proper patient preparation was key, as it ensured the colon was clean and stool-free, making the process more efficient and less invasive.

The process was a life-saver in many instances. The removal of cancerous polyps without the need for major surgery was often praised by patients and medical colleagues alike. The real-life impact of this procedure on the patient's overall health and quality of life cannot be overstated. It is a testament to the importance of proactive medical care and the role of doctors in saving lives through preventive measures.

Rape Exams: A Heavy Burden

On the other end of the spectrum, rape exams are perhaps the most emotionally and physically taxing exams a doctor can be required to conduct. These procedures are deeply challenging, not only for the patients but also for the medical professionals responsible for ensuring they are performed correctly and with the utmost respect and care for the victim. I have conducted hundreds of these exams over the years, and the overwhelming feeling was one of frustration and helplessness.

The process is highly invasive and time-consuming, with a series of meticulous steps to be followed. The victim must undergo a complete physical examination, starting with disrobing on a large sheet of butcher paper to collect any trace evidence. The victim's clothing is carefully examined for any signs of contamination, and each garment is individually packaged to prevent cross-contamination. The examination of the victim's body, including the genitals, rectum, mouth, and other body surfaces, involves the collection of biological samples through swabbing. Fingernail scrapings and hair plucking are also part of the procedure, and if consent is given, photos of any genital injuries are taken using a colposcope.

The entire process, from start to finish, takes between 2.5 and 5 hours, during which the victim has the right to ask questions or stop the examination at any point. The emotional toll on the victim is immense, and the procedure often occurs in the early morning hours, adding to their distress. Despite the thoroughness of these procedures, the effectiveness in leading to convictions is questionable. Many police departments, even in recent years, have not processed these findings, leading to frustration and a sense of wasted time and effort for everyone involved.

Personal Reflection

While some may argue that any procedure that leads to justice for the victim and recovery for the patient is worth the effort, my experiences tell a different story. I would much rather deal with a critically ill patient in the emergency room, such as a heart attack or major trauma, where immediate action can make a life-or-death difference. The stress and emotional burden of rape exams weigh heavily on the medical professional, and often, the results do not justify the exhaustive process.

Conclusion

In conclusion, the field of medicine presents a range of challenging procedures, from those that are rewarding in terms of outcomes to those that are deeply distressing. Sigmoidoscopy and colonoscopy, for instance, offer a sense of fulfillment in preventing and treating colorectal cancer, while rape exams leave a lasting impression of the emotional and physical toll they take on both the victim and the examiner. While the goal of justice and healing is paramount, the reality is that not all medical procedures translate into tangible results for justice, and this should be acknowledged and addressed.