Re: Teenage patient
From: Harrison Sheld (hsheld@anv.net)
Mon Apr 26 16:02:03 2004
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...and the jury.
art fougner, md wrote:
>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
>>>>
>>>>------------------------------------------------------------------------
>>>>
>>>>------------------------------------------------------------------------
>>>>------------------------------------------------------------------------
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>>>>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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