Comments on: Medicaid and child abuse http://www.kevinmd.com/blog/2007/09/medicaid-and-child-abuse.html medical blog Sun, 14 Mar 2010 04:49:03 -0400 http://wordpress.org/?v=2.8.4 hourly 1 By: Rob http://www.kevinmd.com/blog/2007/09/medicaid-and-child-abuse.html/comment-page-1#comment-79993 Rob Thu, 13 Sep 2007 20:54:00 +0000 http://clients.emmense.com/kevinmd/2007/09/medicaid-and-child-abuse.html#comment-79993 It has gone on for 2 years. The likelihood of this going away is actually quite small (per the texts that I have read). I don't call it "abuse," but I do call it incredibly insensitive and hard to stomach when I have to face this kid for 2 years. You have to understand, these are not just "man breasts" (like guys get when they are fat), they are significantly larger than many girls his age. It has gone on for 2 years. The likelihood of this going away is actually quite small (per the texts that I have read). I don’t call it “abuse,” but I do call it incredibly insensitive and hard to stomach when I have to face this kid for 2 years. You have to understand, these are not just “man breasts” (like guys get when they are fat), they are significantly larger than many girls his age.

]]> By: Happyman http://www.kevinmd.com/blog/2007/09/medicaid-and-child-abuse.html/comment-page-1#comment-79943 Happyman Tue, 11 Sep 2007 22:02:00 +0000 http://clients.emmense.com/kevinmd/2007/09/medicaid-and-child-abuse.html#comment-79943 it SHOCKS me that medicaid doesn't pay for this. must be outside NY.<br/><br/>In NY they pay for EVERYTHING, including until recently viagra. it SHOCKS me that medicaid doesn’t pay for this. must be outside NY.

In NY they pay for EVERYTHING, including until recently viagra.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/09/medicaid-and-child-abuse.html/comment-page-1#comment-79938 Anonymous Tue, 11 Sep 2007 17:58:00 +0000 http://clients.emmense.com/kevinmd/2007/09/medicaid-and-child-abuse.html#comment-79938 Cesar, my concern is the child will grow and then the gynecomastia is no longer noticeable.<br/><br/>That the gynecomastia is visible to the adolescent I understand.<br/><br/>So is a mastectomy scar, and that's lifetime. <br/><br/>Recognizing completely it's a judgement call. Of course, I haven't seen the boy discussed here. I see my share of gynecomastia in 13, 14 year old boys, but never bad enough to even consider mastectomy. It settles out as they get older.<br/><br/>Then again, I'm FP, not peds/adolescent medicine or endocrinology or plastic surgery. I'm sure they will see one bad enough in those fields. Cesar, my concern is the child will grow and then the gynecomastia is no longer noticeable.

That the gynecomastia is visible to the adolescent I understand.

So is a mastectomy scar, and that’s lifetime.

Recognizing completely it’s a judgement call. Of course, I haven’t seen the boy discussed here. I see my share of gynecomastia in 13, 14 year old boys, but never bad enough to even consider mastectomy. It settles out as they get older.

Then again, I’m FP, not peds/adolescent medicine or endocrinology or plastic surgery. I’m sure they will see one bad enough in those fields.

]]> By: cesar http://www.kevinmd.com/blog/2007/09/medicaid-and-child-abuse.html/comment-page-1#comment-79936 cesar Tue, 11 Sep 2007 17:29:00 +0000 http://clients.emmense.com/kevinmd/2007/09/medicaid-and-child-abuse.html#comment-79936 Abuse? That's quite a stretch of the concept of abuse. There is nothing actively being done to harm this child. But for living in the 21st century in the first world, representing perhaps 15% of all living humans, and much less than 0.1% of all humans that have existed, this cosmetic procedure would not be considered necessary. <br/><br/>For anon above, there is no need to wait to see if they keep growing. Once breast tissue is removed, it stays gone whether it is yet to develop more or not. Good to remember if doing even minor procedures on the chests of prepubescent girls; any disruption to the breast bud will be magnified 10x at puberty. Abuse? That’s quite a stretch of the concept of abuse. There is nothing actively being done to harm this child. But for living in the 21st century in the first world, representing perhaps 15% of all living humans, and much less than 0.1% of all humans that have existed, this cosmetic procedure would not be considered necessary.

For anon above, there is no need to wait to see if they keep growing. Once breast tissue is removed, it stays gone whether it is yet to develop more or not. Good to remember if doing even minor procedures on the chests of prepubescent girls; any disruption to the breast bud will be magnified 10x at puberty.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/09/medicaid-and-child-abuse.html/comment-page-1#comment-79931 Anonymous Tue, 11 Sep 2007 16:22:00 +0000 http://clients.emmense.com/kevinmd/2007/09/medicaid-and-child-abuse.html#comment-79931 Of course I don't know all the details of the case.<br/><br/>Personally I'd be reluctant to operate on a 13-year-old's breasts. They haven't finished doing whatever they're going to do. They could grow more, or the boy could grow to where the breast is now proportional.<br/><br/>That the plastic surgeon says it's indicated does not necessarily reassure me. You go to Midas, you get a muffler....... Of course I don’t know all the details of the case.

Personally I’d be reluctant to operate on a 13-year-old’s breasts. They haven’t finished doing whatever they’re going to do. They could grow more, or the boy could grow to where the breast is now proportional.

That the plastic surgeon says it’s indicated does not necessarily reassure me. You go to Midas, you get a muffler…….

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