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Re: Teenage patient From: DoctorJoe@aol.com Sat Apr 24 11:22:34 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Ana : "Re: Teenage patient" Previous message: art fougner, md: "Re: Teenage patient" Maybe in reply to: RModugno@aol.com: "Teenage patient" Next in thread: Ana : "Re: Teenage patient" In a message dated 4/24/04 10:19:11, RModugno@aol.com writes: > > 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! > I would argue that you should explain WHY you asked the question. It's important information for an important purpose. If she says "yes," you can say "good." If she says "no," you can tell her what the benefits are of open communication with parents, and maybe even uncover some family pathology which may lend itself to intervention. If THAT is unacceptable, then by all means let her go. Otherwise, you're just a refill machine, not a doctor. Joe P. Next message: Ana : "Re: Teenage patient" Previous message: art fougner, md: "Re: Teenage patient" Maybe in reply to: RModugno@aol.com: "Teenage patient" Next in thread: Ana : "Re: Teenage patient"

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