Re: Teenage patient
From: art fougner, md (evsono@pipeline.com)
Mon Apr 26 13:38:38 2004
Bravo, Steve. Ultimately, the only person's judgement that counts is
that of the person in the mirror.
art
At Sun, 25 Apr 2004, Steve & Eryl Raymond wrote:
>
>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/>
>>>
--
art fougner, md
ich bin ein New Yorker
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