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Re: Psych question From: Efrain Ramirez (eramirez@icepr.com) Fri Mar 22 17:32:24 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Psych question" Previous message: Efrain Ramirez: "Re: Malaria Prophylaxis during pregnancy" In reply to: Richard Chudacoff, MD: "Psych question" Next in thread: Richard Chudacoff, MD: "Re: Psych question" Reply: Richard Chudacoff, MD: "Re: Psych question" You expresed your feelings and your thought process in a public forum -- you did your best -- At Fri, 22 Mar 2002, Richard Chudacoff, MD wrote: > >A patient of mine came in today, wanting a refill of Paxil. On questioning >her she is fairly depressed by her own admission, has had some suicidal >ideation and even could tell me HOW she would do it. However, she refused to >see a psychiatrist or psychologist or and other counselor. I insisted she >see someone, but she said no, and told me she would sue for breach of >confidentiality if I told anyone how she felt. > >I did refill her Paxil, but told her I would not do it again unless I had >proof that she was seeing someone in the psychiatric or psychology field. > >What do I do now? My gut feeling is to call her husband and have her >admitted to a psych hospital. I’d lose a patient, but what are the legal and >ethical rights? She seems competent and not likely to kill herself at this >time. > >-- >Richard Chudacoff, MD, FACOG >Chudacoff Obstetrics & Gynecology, PLLC > >15200 Southwest Freeway, #270 >Sugar Land, TX 77478 >Tel: 281-277-3900 >Fax: 281-277-3901 > >rchudacoff@mylinuxisp.com <mailto:rchudacoff@mylinuxisp.com> >Richard.Chudacoff@obgyn.net >********************************************************************** >Neither the confidentiality nor the integrity of this message >********************************************************************** >can be guaranteed following transmission on the Internet. >********************************************************************** > >********************************************************************** > -- "Life is neither the notes nor the silence between the notes, but the music that arises out of sound and silence felt as a living whole. Stop choosing...between chaos and order, and live at the boundary between them, where rest and action move together..." David Whyte Next message: Richard Chudacoff, MD: "Re: Psych question" Previous message: Efrain Ramirez: "Re: Malaria Prophylaxis during pregnancy" In reply to: Richard Chudacoff, MD: "Psych question" Next in thread: Richard Chudacoff, MD: "Re: Psych question" Reply: Richard Chudacoff, MD: "Re: Psych question"

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