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Re: Horrible case From: Cheri Van Hoover (cherivh@waonline.com) Wed Nov 27 13:04:30 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: mt1mssi@sprintmail.com: "Re: Horrible case" Previous message: Patrick S. Pevoto: "Re: Horrible case" Maybe in reply to: Richard Chudacoff, MD: "Horrible case" Next in thread: mt1mssi@sprintmail.com: "Re: Horrible case" Richard Chudacoff, MD wrote: > > I have a 14 yo patient, who has had 13 partners in the last year. She came > to see me because she thought she was pregnant and had HIV. > Someone needs to sit down with this girl > and talk with her. Is this my place to talk with her? Yes, it is your place to talk with her. She has reached out and confided in you. This gives you a perfect opportunity and an engraved invitation. > Do I inject my own > moral and ethical belief? Or, do i just send her to a > social worker, minister, priest, and just keep my job on a medical >level? How do I approach it, if I do take on this task? > I would try to avoid injecting my own moral and ethical beliefs into this situation as much as possible. I would express my concern about her health and safety. I would ask if she has any trusted adult friends or relatives she could turn to. I would explain the risk she is at for STDs (as evidenced by her chlamydia) and reinforce that she was right to be worried about AIDS and pregnancy. *Then* I would refer her on to a social worker, a minister or priest, and I would ask her to talk to her trusted adult friends or relatives. I would ask her if she had explored any other possible living situations where she would feel safe and cared for. Then, particularly if any of her male partners were older men (or men involved with her mother), I would be obligated to report this situation to Child Protective Services for intervention by the State. This truly is a horrible situation. Your heart must have been breaking as you listened to her story. I sincerely hope your intervention will help make the difference in saving this girl's life. -- Cheri Van Hoover, CNM Kaiser Hospital Redwood City, CA Next message: mt1mssi@sprintmail.com: "Re: Horrible case" Previous message: Patrick S. Pevoto: "Re: Horrible case" Maybe in reply to: Richard Chudacoff, MD: "Horrible case" Next in thread: mt1mssi@sprintmail.com: "Re: Horrible case"

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