Doc’s Corner: Know Your Body, BV and Women’s Health

Image © Walt Stoneburner.

Image © Walt Stoneburner.

By,

Suzanne Coleman, MD

 

Ladies, I wanted to talk about your personal health.  I’m writing this to let you know that there is no need to put anything “up there” to clean yourself.  Where?  Your vagina.  Your body takes care of itself, it’s made to keep itself clean.  Anyone who is putting anything up there to “clean” themselves is potentially putting themselves at risk.

I recently read that some women have been putting petroleum jelly up their vaginas.  This stuff, while great for other things, doesn’t belong there.  In the article they found out that people who do this are much more likely to get BV.  What is BV?  It’s that bad fishy smell some women get coming out from their vagina.  It means that the normal healthy environment that exists in the vagina has been messed up by something.  People who end up with this need to go to the doctor to get antibiotics to treat it.  The full name of BV is bacterial vaginosis.

Many women who come in to be treated for this end up getting it over and over again.  This might explain why!  If they keep doing something that isn’t good for their body, then the body reacts.

Also, I know of no evidence that douching is necessary for women, in fact, it is potentially more harmful than anything.  Putting chemicals inside your body in this way isn’t the best idea, unless your doctor recommends it for some reason, and I have never heard of even one doctor who has recommended that.  Like I said, your vagina is made to keep itself clean.

So I wonder if those people who are are using petroleum jelly in their vaginas are doing it to try and provide lubrication during intercourse?  If so, they should try something else that is healthier, like the products made especially for intercourse.  Check out the water-based lubricants at the local drug store, or ask your doctor what products she recommends for this.

Petroleum jelly is something that you never want to use with a condom.  This is because it will react with the condom and can cause it to break or weaken, therefore allowing sperm and infections to possibly get through.  This is true for anything that is oil-based (including butter, cooking oils etc.), so you should not use anything like that with a condom or you are putting yourself at risk.

So there you have it, some good info to know!  Go forth and be happy and healthy.  If you have any questions, make sure to ask your doctor, don’t feel awkward about asking us, it’s what we do.

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Source article on medscape.com (you may need to register to see it):  http://www.medscape.com/viewarticle/780461?nlid=29037_1341&src=wnl_edit_dail

Beware of the Ratings on Yelp

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Image courtesy of mjtmail on Flickr.

If you haven’t heard of it before, yelp.com is an online rating website for businesses all over the the world where people like you and I can rate businesses as well as write up reviews (unpaid) and have them posted online for other people to see.  As a new user of yelp, I recently found out that the ratings shown for the businesses do not reflect all of the reviews submitted on those businesses.  When you use this site, you need to be aware of this, especially in order to avoid really negative business experiences like the ones I had.  I don’t want to see anyone else put into a bad position when dealing with people who aren’t ethical business people.  No one deserves to have their equipment damaged or to have a business give them a firm quote and then force them to pay more for what they had already agreed upon.

Here’s what I’m talking about.  When I recently reviewed a local business with whom I had had a very bad experience, I noticed that there was another patron who had also had a very bad experience.  But I noticed other reviewers with ok and great experiences.  I was pretty suspicious of the review with the 5 stars, but maybe it was legit.  After I submitted my one-star review I skimmed the business’ page again and noticed a little note at the very bottom of the reviews which said “filtered” reviews.  “Hmmm,” I asked myself, “what is this?”

So I clicked on it, and found tons of one star reviews and a couple of 5 star reviews that had been hidden from view!  What?!  I read through a good number of them and it wasn’t hard to realize that these one star reviews were all very legitimate.  They had specific and applicable details and were all different from each other in complaints and writing style.  And, having experienced the nightmare that was this business myself, I had no problem believing any one of them as true.  On the other hand, the five star reviews gave very little detail and were a bit too complimentary so they may have been fake, but it’s hard to say for sure.

I was a bit concerned about why all of these one-star reviews were being hidden from consumers, so I looked around for answers.  I clicked on the “about filtered reviews” link to see what I could find out.  It says that these reviews are not included in the company’s star rating.  “Why not?” I asked myself, “they are all legitimate reviews!”  I was starting to smell something a bit fishy, and it wasn’t the soup.

So I submitted a question to the company, and they responded quickly.  They said:

“Thanks for contacting us with your concerns.

We try to showcase the most helpful and reliable reviews among the millions that are submitted to the site. Unfortunately not all reviews make the cut, even some legitimate ones. However it’s worth noting that the system isn’t static. It does what it can with the information at hand, and regularly revisits each review as it learns more. As a result, filtered reviews can find their way back onto business profile pages and vice versa.”

After I received this, I felt placated.  “Ahh, ok, they’ve got a system, it’s all under control.”  But I then was prompted to go back to the site and see what happened with my recent reviews, and lo and behold, the two one-star reviews (both very legitimate and appropriate) I had written had both been filtered and placed in the “hidden” and uncounted section of the two businesses’ pages.  “What?!”  Ok, this can’t be right.  So I wrote back to the customer service rep who had responded to me and asked to speak to someone about their filtering system as it didn’t seem to be working properly.  I haven’t heard back.  So much for good customer service.

If their system works as they say, as more information comes in, the businesses’ ratings should be adjusted to reflect them.  That means that the one company that I reviewed which had 37 one-star reviews out of 54 reviews total should have a lower rating than 2.5 stars, and with so many one-star ratings, many more of them (if not all of them) should be placed on the business’ official ratings page and counted.

It sounds like their system may work to filter out fake 5-star reviews, but it seems to be doing so at the loss of keeping the valid one-star reviews.  In reality, it is more important to know about the one-star reviews than avoid some fake 5-star reviews.  I’d take another look at my filtering system if I was working at yelp, and redesign it so it better filters out only fake reviews and maintains the legitimate ones for consumers to use.  The entire point of the site is to (well for yelp’s owners to make money off of free consumer reviews…. but) provide honest reviews to consumers so that they can make good decisions about where to spend their money and where to get the services they need.  Knowing about bad businesses is a critical component of this service.

So I think the important lesson here is that if you choose to use yelp to help you decide whether or not to patronize a certain business, or to choose which business is the best fit for your needs, that you not only read the business’ main reviews but are also sure to check if they have any filtered reviews and to read those as well.  I certainly wish I had done that before I went to use the two businesses that I ended up giving one-star reviews.  It would have saved me a lot of time, money and distress in the end.

If you have any questions or comments please feel free to post below, I look forward to hearing what you think.

The Deceivers

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Subject of facebook relationship controversy, Manti Te’o. Image courtesy of Hoosierguy Jeff.

Hearing about how Manti Te’o was deceived on facebook immediately made me think of what happened to us.  You should know, he wasn’t the only one being manipulated and lied to.  Here’s our story:

I met a woman on facebook, let’s call her Beth.  She and I became friends through a mutual friend.  Over the last couple of years we all got to know each other through facebook.

So one day out of nowhere, Beth starts writing about her poor friend’s daughter and how she was mugged and ended up in the ICU.  It was a horrible story, and it got her a lot of attention on facebook.  Everyone was so worried about her and her friend, and her friend’s child.  The dramatic story continued on facebook for a few days, until the poor girl just couldn’t fight anymore and died.

The girl’s parents (Beth’s friends) were horribly distressed, as you can imagine.  They decided to fly to Tibet and scatter their daughter’s ashes there in the mountains.  Beth posted detailed accounts on facebook of how they went there to do this.  We were told about how the girl’s ashes were ceremonially scattered and the parents felt good about doing “right by their daughter” (though I’m not sure why they had to go to Tibet to do that).  The daughters amazingness was discussed at length for a few weeks.  During this ordeal, the poor girl’s parents facebook friended many of Beth’s friends, including me, even though we had never had any real interaction with them on facebook before.

After the ashes were scattered on mountain high, there were no further posts by the girl’s parents seen on facebook at all.  Months passed with no further posts by Beth about the ordeal either.  Then we suddenly see a post saying that the father of the girl who was killed just had a heart attack in the remote mountains of Tibet.  Wait, he’s still there?  Months later?  Hmmm, that’s strange…

There was an elaborate description of how rescuers had to fly to the mountains with a helicopter to try and save him, but they were too late and he died in the mountains.  It was of course devastating for Beth.  Again we heard about how awful it was for her and the wife of the man who just died.  This went on for a few days. Then, again, silence from the wife and Beth never mentioned it again.

A month or so later, I heard from our mutual friend, through whom I had met Beth.  It was then that I found out that Beth had invented all of the drama, the daughter wasn’t attacked, wasn’t put in the ICU and didn’t die.  We are not even sure she was real at any point.  The father and mother never went to Tibet to scatter her ashes, and the father didn’t have a heart attack high up in the mountains, away from medical assistance.  Wow.

Beth had invented all of these stories, assumedly to get attention.  She had drawn dozens of people into her fake drama, making everyone feel sorry for her and her friends, and upsetting many people.  She had created fake profiles for the girl, her mother and her father and used them to friend her friends to create an entire web of lies.  Once it was discovered, there was a big uproar about all of her deceptions and about how many people she had affected with them.  There were theories about whether or not she was crazy, a pathological liar, or just someone who wanted attention and didn’t know how to get it in a healthy way.  We really don’t know the answers to those questions.

Once she was found out and confronted, she apologized for her schemes, but it just served as a reminder to be careful with whom you interact in this world.  You never really do know anyone, even the people you know in person.  There is always the chance you are dealing with a psychopath.  There are many people who will do whatever it takes to get them what they want or need, and they don’t care if they hurt anyone else in the process.

Manti Te’o is surely much more famous than any of us, but we all fell into a similar trap of someone’s lies and deceit.  If it hasn’t happened to you yet, that’s great, I hope it never does.  Let this story serve as a warning to you to be on your toes; it really is happening to lots of people out there, it is real, so be careful.