Monthly Archives: September 2016

Bright Pediatrics in Dalton Georgia joins the Hall of Shame

As reported by intactivist Brother K, a Georgia mom “got kicked out of our pediatric practice for telling the Dr not to touch my sons penis after he insisted on retracting…. I tried to talk and he told me not to say anything and to just get out.”

Dr. Saad Hammid MD FAAP from Bright Pediatrics in Dalton, Georgia

Dr. Saad Hammid MD FAAP from Bright Pediatrics in Dalton, Georgia

Our IntactWiki page tried to share the American Academy of Pediatrics page about the care of the uncircumcised penis with Dr. Saad Hammid MD FAAP from Bright Pediatrics, but the comment was promptly deleted by not-so-Bright Peds.

The AAP’s page on care for an uncircumcised penis states: “As a boy becomes more aware of his body, he will most likely discover how to retract his own foreskin. But foreskin retraction should never be forced. Until the foreskin fully separates, do not try to pull it back. Forcing the foreskin to retract before it is ready can cause severe pain, bleeding, and tears in the skin.

Thus, Dr. Saad Hammid MD and Bright Pediatrics of Dalton, Georgia, join CircWatch’s Hall of Fame for trying to injure normal babies by forcefully retracting their foreskin, and refusing to accept information about proper intact care.

Our short lived attempt to provide information about proper intact care to Bright Pediatrics of Dalton

Our short lived attempt to provide information about proper intact care to Bright Pediatrics of Dalton

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Babygaga’s harmful advice on care of the foreskin – Hall of Shame

babygagaBabygaga is known for frequently posting pro-circumcision advice and improper care of the intact foreskin. The problem is, such information does not come without victims. Well meaning mothers may follow such improper advice and injure their babies.

For example, on July 18th, Babygaga published an article called “16 things nobody tells you about newborns“. On numeral 9 (“Be careful with the penis”), the faceless Bridget Galbreath claims “If he isn’t circumcised, you will have to roll the foreskin back completely to make sure that you thoroughly clean the penis with every diaper change.

Even the not-so-luminaries of the American Academy of Pediatrics have it better, when they write on their “Care for an uncircumcised penis” page:

Most boys will be able to retract their foreskins by the time they are 5 years old, yet others will not be able to until the teen years. As a boy becomes more aware of his body, he will most likely discover how to retract his own foreskin. But foreskin retraction should never be forced. Until the foreskin fully separates, do not try to pull it back. Forcing the foreskin to retract before it is ready can cause severe pain, bleeding, and tears in the skin.

Trying to “roll back” the foreskin of a baby is painful and dangerous. Babygaga is recommending this against the advice of the American Academy of Pediatrics and pretty much against anyone who understands normal intact anatomy of the male newborn.

Numerous intactivists have reached out to Babygaga asking to correct this article. We will keep an eye on the article hoping for correction.

In the meantime, Babygaga inaugurates our Hall of Shame.

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Fundamentals of anatomy? What’s up with Dr. Frederic Martini?

To think that the American medical community is biased for circumcision is an understatement. The most information that American medical texts provide about the foreskin is that it is removed by circumcision. That would be like describing the female breasts as the part removed by mastectomy, with no regard to function, form, and benefits of having it.

Fundamentals of Anatomy & Physiology

Fundamentals of Anatomy & Physiology

Today we received a couple of images from a book called “Fundamentals of Anatomy and Physiology“, by Dr. Frederic Martini, Dr. Judi Nath and Ed Bartholomew. On their text, the prepuce is described as a “fold of skin” with glands that “secrete a waxy material known as smegma” which “can be an excellent nutrient source for bacteria“. Because of that, “mild inflammation and infections in this area are common, especially if the area is not washed thoroughly and frequently“, but thank God for the solution, because “one way to avoid such problems is circumcision, the surgical removal of the prepuce“.

Then we are told that “in Western societies (especially the United States) this procedure is generally performed shortly after birth” and then we are told that circumcision reduces the risks of UTIs, HIV infection and penile cancer. Finally we are told that the practice remains controversial because of the risks of “bleeding, infections, and other complications“.

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Nothing else is said about the foreskin. Not a thought of describing the outer skin, the inner mucosa, the frenulum, the frenular band, the frenular delta, the dartos fascia, the meissners corpuscles, the balanopreputial synechiae, the normal development of retraction, the immunological functions of the foreskin, the gliding motion… you know, the real anatomy and physiology of the foreskin!

So, let’s see. First, they focus their description on the fact that the foreskin secretes smegma. Big deal. Secreting smegma is normal, men and women do it. Smegma can accumulate inside the foreskin of children, and that is normal. Irritations can occur, but irritations can occur on any part of the body; foreskin irritation is often the result of overzealous cleaning or leaving soap residue, or using antibacterial or scented soap, not just from having some smegma.

Removing the foreskin to eliminate smegma is really absurd. Your body will still shed cells, they just won’t accumulate, they will stick to your underwear instead. But even if this was such an important factor, it should be a personal decision, not a parental one.

We are told that Western societies, especially the United States, practice infant circumcision. In fact, it would ONLY be the United States, which hardly accounts for the totality of “Western societies“. Most of the world does not circumcise, not Europe, not Latin America, not non-Muslim Asia. In general, circumcision is limited to the United States, Israel, Philippines, South Korea, Muslim societies and some African tribes. But perhaps mentioning this wouldn’t really make such a good case as the fictitious “Western societies” described by these doctors.

Discussing the topics of UTIs, HIV and penile cancer would take pages and has been done already, here and in other places. Penile cancer, scary as it sounds, is rare, and is mostly associated with HPV infection and maybe with phimosis during adulthood, but it’s not an argument in favor of infant circumcision.

According to a letter to the AAP sent by 38 physicians heads of medical organizations from the actual “Western societies”, “only 1 of the arguments put forward by the American Academy of Pediatrics has some theoretical relevance in relation to infant male circumcision; namely, the possible protection against urinary tract infections in infant boys, which can easily be treated with antibiotics without tissue loss. The other claimed health benefits, including protection against HIV/AIDS, genital herpes, genital warts, and penile cancer, are questionable, weak, and likely to have little public health relevance in a Western context, and they do not represent compelling reasons for surgery before boys are old enough to decide for themselves“.

Finally the practice of circumcision is not controversial because of the risk of pain, infection and complications. Yes, those things are problematic, but the practice is controversial because it overrides informed consent and restricts body ownership, by performing an irreversible non-medically necessary genital alteration on a person who is not yet competent to provide informed consent – but who will one day be competent. But of course, they won’t acknowledge the central human rights issue of the controversy, why would they?

So, for a book that sells new for $231 and which is used to educate medical students, we feel that this piece misleading information is a disservice to generations of medical professionals.

 

Edgar Schoen, MD passed away

Edgar Schoen, M.D., (August 10, 1925 – August 23, 2016) passed away peacefully in his sleep on August 23, at his home and surrounded by family.

Edgar Schoen was an American Jewish Physician and worked as a Clinical Professor in Pediatrics at the University of California, San Francisco. In 1987, Schoen was appointed head of the Task Force on Circumcision by the American Association of Pediatrics, where he pushed for routine infant circumcision, but the neonatologists on Schoen’s committee wouldn’t go for it. Under his supervision, the AAP released the Policy Statement on circumcision of 1989, which was greatly reverted by a new statement in 1999. Schoen angrily criticized the overriding statement of 1999 in a letter titled “It’s Wise to Circumcise: Time to Change Policy

As an enthusiastic circumcision promoter, Schoen shamelessly mixed medical, religious and cultural arguments. His bias was clearly obvious in some of his latest articles, such as “Circumcision is not only Jewish, it’s good for you” (JWeekly, 2013) or his 2009 book “Circumcision, Sex, God, and Science: Modern Health Benefits of an Ancient Ritual“.

We share a recently released video interview conducted by James Loewen in 2009, where Dr. Schoen expresses his views rather freely.