Actually nothing, so don’t feel bad if you’re stumped by the title to this post, but check out this revolting bit of dialog that Rachel posted on Our Bodies Our Blog in a discussion of why ob/gyn’s don’t do more vaginal hysterectomies since the outcome tends to be better for the patient:

“Ob/gyn Mark Vizer says,

“I asked a general surgeon about this and how he felt about learning to perform a vaginal hysterectomy. He looked at me funny. He was concerned about lack of visualization and exposure and wondered why we even did this. It made as much sense to him as changing spark plugs from under the car.”

(Julian) Thomas (writing in the journal Obstetrics and Gynecology) responds in kind, asking:

“Regarding your general surgeon’s comments—again, two questions: How does he change his oil? Would he cut a hole in the hood of the car to get at the spark plugs or use the opening that the maker provided?”"

Think I’ll share that one with the mechanic next time I get my oil changed.

Seriously, you don’t hear urologists making lug nut analogies now do you, so let’s just rephrase this–WHERE DO YOU GUYS THINK YOU CAME FROM??  How about if the hysterectomy is really necessary in the first place, and many of them aren’t, you remove the uterus like the sacred life-giving vessel that it is with the utmost care in a manner that is respectful of the woman who must undergo its loss rather than acting all squeamish about vaginas and profiting up the wazoo from more expensive abdominal surgery which, according to Rachel’s post appears to be a major deciding factor.

And that, we devoutly hope will be the end of this week’s  discussion of auto mechanics.

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