Re: Teenage patient
From: Harrison Sheld (hsheld@anv.net)
Sun Apr 25 09:37:06 2004
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Sometimes these predicaments can be avoided. I usually get this
straightened out up front before I agree to see the patient. The
position I don't want to be in is if the teenager develops a
complication from the medication, and it can be antibiotics as well as
BCP, to have a justifiably angry parent call me on the carpet for
prescribing it in the first place with out their knowledge. There is
value in avoiding ethical crises.
Richard Chudacoff, MD wrote:
> You did right. At least you intended to keep the information
> confidential. Other practitioners may not. You can't win them all.
> Maybe I've become the cynic, but I'd be glad to get rid of all my
> dissatisfied patients before they decide to sue me.
>
> Richard Chudacoff, MD
>
> Iraqi fighters in Umm Qasr are giving the hordes of American and
>
> British mercenaries the taste of definite death. We have drawn them
>
> into a quagmire and they will never get out of it.
>
> Mohammed Saeed al-Sahaf
> <http://www.brainyquote.com/quotes/quotes/m/mohammedsa145195.html>
>
> ------------------------------------------------------------------------
>
> ------------------------------------------------------------------------
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> ------------------------------------------------------------------------
> RModugno@aol.com
> Sent: Saturday, April 24, 2004 10:19 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Teenage patient
>
> I recently saw a 14 year old for a new patient visit.She wanted a
> refill on her birth control pills. During the course of our
> conversation I enquired of her,matter-of-factly, whether her
> parent/parents were aware of her sexual activity. I did this because
> we see lots of sexually-active teenagers and have found that family
> ties are stronger if the young folk are open about their "adult
> behaviors" with their parents. I was certainly glad that she was
> taking birth control measures and using condoms.She got her prescription.
>
> At check-out she informed my receptionist that she was not coming back
> because of my "attitude" . Maybe my approach seemed judgmental, but it
> wasn't intended to be.In my experience, the enquiry regarding parental
> knowledge usually allows the patient to open up about reasons for
> early sexual activity, etc.
>
> So....maye next time I'll keep just my mouth shut and write that
> prescription for the 14, 13, 12 year old? Guidance please!
>
> Robert Modugno MD MBA FACOG
>
> Marietta, GA
>
> www.novaobgyn.yourmd.com <http://www.novaobgyn.yourmd.com/>
>
