--
Richard Chudacoff, MD, FACOG
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Efrain
Ramirez
Sent: Friday, March 22, 2002 6:33 PM
To: Multiple recipients of list OB-GYN-L
Subject: 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
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>
--
"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
