Jocelyn J. Fitzgerald MD Profile picture
Jun 18 3 tweets 1 min read Read on X
Medicine does this infuriating thing with women's health where we all notice a repeating pattern of debilitating symptoms and then call it a "syndrome" and thats where the acknowledgement stops. It's never a "real" disease with an identifiable cause and a treatment.

Examples...
Polycystic Ovarian Syndrome
Ehlers Danlos Syndrome
Mast-Cell Activation Syndrome
Postural Orthostatic Tachycardia Syndrome
Genitourinary Syndrome of Menopause
Pelvic Congestion Syndrome
Irritable Bowel Syndrome
Painful Bladder Syndrome
Chronic Pain Syndrome
Cyclic Vomiting Syndrome
Pre Menstrual Syndrome

ETC.

The list goes on. Calling something a "syndrome" makes it extremely easy to decide to not research something because it seems "vague" or "too complex" and it's absolute BS. These conditions NEED MONEY to figure them out.

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More from @jjfitzgeraldMD

Feb 13
A ( long but I think worth reading) thread on Gynecologic Surgical reimbursement and how it affects all of us:
Gynecologic surgeons are the lowest paid surgeons in medicine, and the gap between us and other surgeons is widening. This disincentivizes the recruitment of clinical and research talent into our high-demand field, but in a profit-driven medical environment--
Image
Read 25 tweets
Nov 29, 2023
Ladies: your pelvic floor is one of your most precious commodities for healthy aging.

Please think very seriously about if childbirth is something YOU really want, or something society has taught you that you want.
I won’t be entertaining any suggestion that arming women with more information about the risks and benefits of childbirth is anti-natalist. In doing so you show your sexist bias towards choice.

Having wanted and thoughtfully considered children is a beautiful thing.
Leaving this here because it is extremely timely. The rates of pelvic floor dysfunction from giving birth are extremely high. Women just don’t feel comfortable *talking about it* Image
Read 7 tweets
Mar 14, 2023
Based on a text thread with a few of my Urogynecology colleagues across the country today, we are constantly inheriting poor Urologic management of female issues. Here are a few of them, and I know that modern #urologytwitter won't be doing any of these things! 😉
1) Not listening to the patient/medical gaslighting

I don't know if this is "old school" or ego-based care, or that female Urologic issues do not pay as well as male urology issues do. But please listen and refer them if your training isn't current on female Urology!
2) Not treating the problem they came in for (ie pushing sacroneuromodulation or bulking when the patient is there for prolapse).

3) Doing a bad prolapse repair. Anterior repairs should almost never be done without an apical repair. If you don't know the evidence, refer!
Read 7 tweets
Nov 25, 2022
Baby boomers did a pretty good job teaching their millennial daughters that they could be anything they wanted to be and a pretty terrible job of preparing their sons for what that would mean for them as husbands and fathers
Women are out here crushing it because they were raised to want the life their fathers have—but unfortunately the men were also raised to want the life their fathers have. We all know the traditional role women play is not a good time
If we put any real social value on childcare and domestic work the burden could be shared equally among professional parents. But we know that these traditionally female tasks get you zero fanfare/privilege in a world that defines economic success as 💰 so nobody wants to do it
Read 4 tweets
Nov 18, 2022
If Twitter folds, I’d like to thank you all for allowing me to die on the following small mountain range of hills;

Women’s health is underfunded, undervalued, and underpaid relative to the immense skill involved

OB/GYN is too big and too complex to be contained into one field
Patients deserve better.

Vaginal estrogen prevents most UTIs.

Bladder pain/worsening symptoms in a young woman without an infection should be assumed to be endometriosis until proven otherwise

Women deserve high-volume surgeons
Birth is the most dangerous thing most people will ever do, and the most physically and emotionally traumatic

Everyone deserves pelvic floor PT

Without abortion, half of the population is not free and people will die
Read 10 tweets
Sep 4, 2022
🧵:For most male medical students, their OB/GYN rotation is one of the first times that they are not automatically perceived as trustworthy. This sends many for a loop. Having new boundaries can feel like exclusion! What is going on here? Who is to blame? doximity.com/newsfeed/937ec…
Before I go further: we need and WANT patient-centered men in OB/GYN! But they must be trauma informed. And you are going to have to do that thing that women have done in every other field: work extra hard to prove yourself. Your tuition does not buy you access to womens bodies.
To set expectations: it is not a personal insult when a patient declines having a male provider. ONE IN THREE women have experienced physical or sexual violence at the hands of men, a group who hold the upper hand in all domains of power in our society. That is just a fact.
Read 13 tweets

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