Re: A rant and a poll
From: Dr Eberhard Lisse (el@lisse.NA)
Sat May 20 13:08:16 2006
Bye Bye, now, you are unaccepted...
I would *NEVER* *EVER* do what you did with patient #2 for #1. I refuse
even to let patients translate for other patients, either we can get
someone from the pharmacy, lad or optometrist in the building, or I
tell them to bring one themselves.
greetings, el
on 5/20/06 4:19 PM Anna Meenan, MD said the following:
> Just need to blow off steam and wondering how everyone else stands on a
> question.
>
> The background: Working in outreach clinic yesterday. Positive
> chlamydia test on a patient who's been positive twice before. In fact,
> she's 20 weeks and has never been negative yet in this pregnancy (been
> treated appropriately and recommended to get partner(s) treated). She
> had an appointment that day so we planned to talk to her then. She
> no-shows (3rd time this pregnancy). My medical
> assistant/receptionist/lab/translator, who obviously has nothing better
> to do with her time, calls all of the phone numbers this pt. has given
> us at various times and cannot reach her at any of them, most having
> been disconnected. A pt. who would be an in-law of hers if any of them
> were married, and who has come in together with her on other occasions,
> has an appointment and does show up. Assistant asks her if there is any
> other way to contact pt. #1. She says she will contact her and have
> her call us, which she did. Pt#1 calls back and screams at my assistant
> that she should not involve pt.#2 in her affairs. Assistant is very
> diplomatic, in spite of the fact that Pt. is screaming so loud I can
> hear every word from across the room. We arrange to get pt. treated
> again but the question now arises as to whether we should call in an Rx
> for her partner. Listening to her abusive tirade from across the room
> and recalling a commercial I had seen on TV just the night before
> (malpractice lawyer soliciting pts who had ever had Stevens-Johnson or
> TEN and had ever taken Vioxx, Celebrex, ibuprofen, Clinoril, or
> ZITHROMAX), I declined to phone in an Rx for FOB, who i have never met,
> based on the attitude of pt.#1 and the knowledge that this is obviously
> one person who will sue me at the drop of a hat if anything goes wrong.
> There is a clinic right in town that will treat partners on a
> sliding-scale fee basis, so access is not a problem for FOB.
>
> So what would y'all do in this situation?
>
> Anna Meenan, MD
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