From Christopher Schreier’s webpage at the University of Florida’s Health Center ufhealth.org/christopher-schreier:
University of Florida
Chris is a Gator at heart! He received both his undergraduate and graduate degrees from UF. Chris worked as a pediatric nurse for 8 years at UF Health Shands Children’s Hospital before becoming an ARNP. He is board certified in General Pediatrics and Primary Care, and cares for children from birth through age 21. He strives to make his patients and families feel important during their visit to clinic, and encourages questions from parents. Chris has two children and loves spending time with his family, playing golf and cheering for the Gator football team.
Attention deficit hyperactivity disorder
Normal growth and development
Mr. Schreier is a Registered Nurse with a specialty in Pediatrics. Under “Clinical Interests” above, what doesn’t belong?
Shockingly, it appears that non-doctors are allowed to perform surgery – male circumcision – on unconsenting infants without religious exemption. See this from the National Institute of Health:
“An Advanced Registered Nurse Practitioner (ARNP) is a Registered Nurse (RN) qualified to function independently. May perform physical examinations and diagnostic tests, develop and carry out treatment programs, or counsel patients. May prescribe medications noted in formulary. Specialty areas include: Adult Care; Pediatric Care; Anesthesia; and Nurse Midwifery.”
Bad enough that Rabbis and other non-surgeons – including obstetricians – are allowed to perform this surgery, but now non-doctors are ‘cutting’ baby boys too. Just look at what they can do: perform exams and tests, carry out treatment programs, etc. – somehow SURGICAL AMPUTATION seems out of place in that list of non-surgical items.
Under “Circumcision – Overview:”
Circumcision is the surgical removal of the foreskin of the penis.
The health care provider will most often numb the penis with local anesthesia before the procedure starts. The numbing medicine may be injected at the base of the penis, in the shaft, or applied as a cream.
There are several ways to perform a circumcision. Most commonly, the foreskin is pushed from the head of the penis and clamped with a metal or plastic ring-like device.
If the ring is metal, the foreskin is cut off and the metal device is removed. The wound heals in 5-7 days.
If the ring is plastic, a piece of suture is tied tightly around the foreskin. This pushes the tissue into a groove in the plastic over the head of the penis. Within 5-7 days, the plastic covering the penis falls free, leaving a completely healed circumcision.
The baby may be given a sweetened pacifier during the procedure. Tylenol (acetaminophen) may be given afterward.
In older and adolescent boys, circumcision is most often done under general anesthesia so the boy is asleep and pain free. The foreskin is removed and stitched onto the remaining skin of the penis. Stitches that dissolve are used to close the wound. They will be absorbed by the body within 7-10 days. The wound may take up to 3 weeks to heal.
Why the Procedure Is Performed
Circumcision is often performed in healthy boys for cultural or religious reasons. In the United States, a newborn boy is often circumcised before he leaves the hospital. Jewish boys, however, are circumcised when they are 8 days old.
In other parts of the world, including Europe, Asia, and South and Central America, circumcision is rare in the general population.
The merits of circumcision have been debated. Opinions about the need for circumcision in healthy boys vary among health care providers. Some believe there is great value to having an intact foreskin, such as allowing for a more natural sexual response during adulthood.
In 2012 a task force of the American Academy of Pediatrics reviewed current research and found that the health benefits of newborn male circumcision outweigh the risks. They recommended that there should be access to this procedure for those families that choose it. Families should weigh the health benefits and risks in light of their own personal and cultural preferences. The medical benefits alone may not outweigh those other considerations.
Glad to see acknowledgment of differing opinions about circumcision, but unanswered in any meaningful way is the question “Why the Procedure Is Performed.” Obviously there is no medical necessity for this surgery, just religious and supposed ‘health benefits’ that have been debunked.
More important is the cavalier way in which a baby boy’s human right to genital integrity – same as a girl’s – is casually dismissed. It’s the opinion of some that infant circumcision is a human rights violation and may be illegal in many countries.
Under “Risks related to circumcision” we see:
Redness around the surgery site
Injury to the penis
Some research has suggested that uncircumcised male infants have an increased risk of certain conditions, including:
Cancer of the penis
Certain sexually transmitted diseases, including HIV
Infections of the penis
Phimosis (tightness of the foreskin that prevents it from retracting)
Urinary tract infections
The overall increased risk for these conditions is thought to be relatively small.
Proper hygiene of the penis and safe sexual practices can help prevent many of these conditions. Proper hygiene is especially important for uncircumcised males.
Circumcision is considered a very safe procedure for both newborns and older children.
“Proper hygiene of the penis and safe sexual practices can help prevent many of these conditions” – EXACTLY! – you don’t cut off body parts because they get dirty! You don’t cut off body parts that get diseased BEFORE THEY GET DISEASED!
Christopher Schreier’s practice information follows:
UF Health Pediatrics – Tower Square
7046 SW Archer Rd
Gainesville, FL 32608