Re: Teenage patient
From: Steve & Eryl Raymond (eryl@intekom.co.za)
Sun Apr 25 13:03:45 2004
Which attitude is the more judgmental? The one that the doctor holds,
indicating concern for patient's welfare, or the one the patient holds
indicating the doctor is a judgmental old interfering busybody?
Steve
Harrison Sheld wrote:
> 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
>>
>>
>> ------------------------------------------------------------------------
>>
>> ------------------------------------------------------------------------
>> 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/>
>>
|
|
