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The_Ink_Goddess
11-10-2012, 12:20 AM
(trigger warning: rape)

Sooo in my current plotting-stage WIP, I have a sixteen-year-old who gets drugged with a love potion (it has a spec-fic element) and she believes she's been raped (she's VERY firm on being asexual and the novel has a very psychological bent). Because she's not sure, she goes to the hospital to have an examination done. I know NOTHING about hospitals so treat me like an idiot about this, I don't mind:

a) I'm assuming they would take care of her requests because she IS sixteen, she's in her right mind and she explicitly states that she doesn't want any family there. Is this correct?
b) can they do rape exams just like that?
c) would they be able to tell her that her hymen wasn't broken? I want to make it fairly clear that this didn't in fact happen (somebody tried to, but didn't actually go through with it).

Thanks :)

Drachen Jager
11-10-2012, 01:13 AM
a) Depends on the location, but most places, yeah, they'd honour her wishes to keep it private.

b) Usually the cutoff is 24 hours AFAIK, they'd probably do an examination after that, but not a full rape kit.

c) Yeah, that's pretty easy to tell. However, just because the hymen is intact does not mean she was not raped (at least not in most jurisdictions).

shaldna
11-10-2012, 01:24 AM
a) I'm assuming they would take care of her requests because she IS sixteen, she's in her right mind and she explicitly states that she doesn't want any family there. Is this correct?

Yes. If a person, any person, requests medical care, they will get it - in teh UK at least. Age also doesn't come into it - teens can request confidentiality and the doctor will do so.

The BBC has some useful info : http://www.bbc.co.uk/health/support/talking_to_your_doctor/gp_confidentialityteenage.shtml


b) can they do rape exams just like that?

GP surgeries - probably no. She most likely would be sent to the hospital, but once there they can do it pretty quickly.



c) would they be able to tell her that her hymen wasn't broken? I want to make it fairly clear that this didn't in fact happen (somebody tried to, but didn't actually go through with it).

Yes, but it means nothing. A lot of folk think that a hymen is only broken through intercourse, however most hymens are actually open - think of them as being doughnut shaped with a small opening in the centre.

As we age the hymen tissue wears away. There's a commen misconception that the hymen is a membrane that cover the whole vagania - but if it did, then nothing is getting in, but also, nothing is getting out - girls start their periods in their early teen years, and by this stage the hymen is already degrading.

Also, that 'pain' that many women experience during their first sexual experiences is not your hymen breaking. It's muscle stretching.

In truth, a girl of 16 is unlikely to have an intact hymen - regardless of her sexual experiences.

shaldna
11-10-2012, 01:28 AM
c) Yeah, that's pretty easy to tell. However, just because the hymen is intact does not mean she was not raped (at least not in most jurisdictions).

It should be noted that there are key things they look for when considering sexual assault including brusing and damage to internal tissues. You'd have to check with a medical professional to see what those are though.

The_Ink_Goddess
11-10-2012, 01:50 AM
Yes, but it means nothing. A lot of folk think that a hymen is only broken through intercourse, however most hymens are actually open - think of them as being doughnut shaped with a small opening in the centre.

As we age the hymen tissue wears away. There's a commen misconception that the hymen is a membrane that cover the whole vagania - but if it did, then nothing is getting in, but also, nothing is getting out - girls start their periods in their early teen years, and by this stage the hymen is already degrading.

Also, that 'pain' that many women experience during their first sexual experiences is not your hymen breaking. It's muscle stretching.

In truth, a girl of 16 is unlikely to have an intact hymen - regardless of her sexual experiences.

ahhh, ok. I understood that the hymen could break before you had sex (and often did), but I didn't know that it also worked the flip way (i.e. it could be intact and you could still have had sex).

Also, I'm not so worried about her having an unrealistic body for 16, because it's kind of a plot point that she DOES (her period doesn't start until she's nearly 16). She's supposed to be very delayed in maturing.

juniper
11-10-2012, 02:33 AM
Where I live, the age for medical consent is 15, so a 15-yr old can be treated in the hospital without parental knowledge. In the USA different states have different regulations.

I work in an ER and unfortunately see sexual assault victims fairly often.

We have a protocol set up. Escorted back to a room with a gyno bed for exam, curtains always drawn / doors shut, no visitors unless approved by patient (including parents in most cases), a SANE nurse is called in (Sexual Assault Nurse Examiner) who is specially trained for these cases. Police will be notified and will come in. If possible, the doctor for this case will be female (sometimes we only have male doctors at that particular time).

Patient is usually there for a minimum of 3 hours. Lab tests are run, social worker is on standby, and security is notified to prevent trouble. We've had the assault perp come in to "find out how she's doing" - yeah, right.

I've never been at work for a male sexual assault case, so don't know how that would be handled.

The_Ink_Goddess
11-10-2012, 03:40 AM
Where I live, the age for medical consent is 15, so a 15-yr old can be treated in the hospital without parental knowledge. In the USA different states have different regulations.

I work in an ER and unfortunately see sexual assault victims fairly often.

We have a protocol set up. Escorted back to a room with a gyno bed for exam, curtains always drawn / doors shut, no visitors unless approved by patient (including parents in most cases), a SANE nurse is called in (Sexual Assault Nurse Examiner) who is specially trained for these cases. Police will be notified and will come in. If possible, the doctor for this case will be female (sometimes we only have male doctors at that particular time).

Patient is usually there for a minimum of 3 hours. Lab tests are run, social worker is on standby, and security is notified to prevent trouble. We've had the assault perp come in to "find out how she's doing" - yeah, right.

I've never been at work for a male sexual assault case, so don't know how that would be handled.

Thank you! Female is what I'm wondering about. Also (MAJOR TRIGGER WARNING) would you feel comfortable (or do you know) the details of a rape exam? I could Google it but I'd be worried about the creepy results.

melindamusil
11-10-2012, 05:09 AM
Wikipedia is your friend!
http://en.wikipedia.org/wiki/Rape_kit
Okay, it's not hugely in depth, but this should give you at least some general ideas.

ULTRAGOTHA
11-10-2012, 06:33 AM
Ink Goddess, is this story taking place in contemporary Britain? Or some other country and time?

blacbird
11-10-2012, 07:00 AM
Well, they come in, all covered with dirt and coal from the mine, and you have to clean them off to find out what's wrong, and only then you discover that a big rock fell on them and broke some bones, or there was a dynamite kind of thing that happened, or maybe an excavator scooped them up accidentally and dumped them in a big pile with some rocks, and it's really pretty horrible and . . . . . .

oh

. . . . . . .

minor, not miner.



Never mind.

--Emily Litella

caw

mayqueen
11-10-2012, 07:09 AM
I've worked as a pretend patient for SANE trainings before. This link (http://www.911rape.org/getting-help/medical-care/the-sexual-assault-exam)is a pretty good summary of the steps.

The_Ink_Goddess
11-10-2012, 11:47 PM
Ink Goddess, is this story taking place in contemporary Britain? Or some other country and time?

Kind of? And kind of not really. Basically, it's magical realism. So it's very much like our world, but sex is a much more public commodity (her parents run a brothel), love potions are date-rape drugs and she and her siblings can read each other's minds. Other than that...

The_Ink_Goddess
11-10-2012, 11:52 PM
Well, they come in, all covered with dirt and coal from the mine, and you have to clean them off to find out what's wrong, and only then you discover that a big rock fell on them and broke some bones, or there was a dynamite kind of thing that happened, or maybe an excavator scooped them up accidentally and dumped them in a big pile with some rocks, and it's really pretty horrible and . . . . . .

oh

. . . . . . .

minor, not miner.



Never mind.

--Emily Litella

caw

hahaha, I almost made this spelling mistake in my OP! I was like, wait...wait a second...