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  #1  
Old 12-08-2011
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Medicolegal and Ethics Consent to inform the ex-wife about children results

Your patient has just recently been diagnosed with familial adenomatous polyposis (FAP). This disorder is chronic, progressive, and fatal. There is a genetic test that can tell whether children of parents with the disease will develop it. The test is very accurate.
The patient has become divorced and refuses to give you his consent to inform his ex-wife who now has custody of their three children. He threatens to sue you if you reveal elements of his medical care to his ex-wife.
What should you do?
1- Respect the patient's right to confidentiality.
2- Transfer the patient's care to another physician as long as the patient agrees.
3- Ask the health departnent to inform the patient's ex-wife about the disease risk.
4- Seek a court order to inform the patient's ex-wife.
5- Inform the patient's ex-wife of the risk to the children.
6-Inform the ex-wife's doctor.
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  #2  
Old 12-08-2011
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3 . . i guess
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6-Inform the ex-wife's doctor.

Do not inform to the person at risk directly by yourself but inform to some higher authority which inform the patient and call a meeting,then while in the discussion ,inform the patient that he or she is at risk and should have done following tests.In this case,as ex-wife has the custody so inform her doctor who can communicate her.
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nooooo wrong answer
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Quote:
Originally Posted by miss patho View Post
nooooo wrong answer
Is it 1-respect the confidentiality of the patient.
I don't think we should inform health dept as it not a communicable dz
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Default inform the wife

The patient's right to confidentiality ends where it comes into conflict with the safety of other people. The right to confidentiality is extremely strong, but it is not universal and absolute. In this case, the children of the patient have a right to knorw whether their lives will be cut short by the disease of familial adenomatous polyposis (FAp) and colon cancer The most important element is that screengfor polyps should begin at the age of 12 with screening sigmoidoscopy every year. Colectomy needs to
be done if polyps are found. Hence, in FAP there is a very specific intervention that can prevent colon cancer and a very specific screening that can be done. ln addition, the mother has a right to knorw whether her children will become ill and how to plan for that. If a child falls and breaks his leg, one parent cannot claim confidentiality as a reason to withhold this critical health information from the other parent. As a part of divorce, the stipulation that each parent must inform the other parent of health care issues for the children as they arise is a standard part of the agreement. Although, in
this case, the health care issue involves the private health of one parent, the issue is still pertinent to the other parent as the caregiver of the children.
The right to one person's to privacyi s not asi mportant ast he right of another person to safety. This is established standard and does not require a court order. you will have more liability from the mother of the children if she is NOT inforned than from violating the confidentiality of the patient to inform.
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Quote:
Originally Posted by pukhtana View Post
The patient's right to confidentiality ends where it comes into conflict with the safety of other people. The right to confidentiality is extremely strong, but it is not universal and absolute. In this case, the children of the patient have a right to knorw whether their lives will be cut short by the disease of familial adenomatous polyposis (FAp) and colon cancer The most important element is that screengfor polyps should begin at the age of 12 with screening sigmoidoscopy every year. Colectomy needs to
be done if polyps are found. Hence, in FAP there is a very specific intervention that can prevent colon cancer and a very specific screening that can be done. ln addition, the mother has a right to knorw whether her children will become ill and how to plan for that. If a child falls and breaks his leg, one parent cannot claim confidentiality as a reason to withhold this critical health information from the other parent. As a part of divorce, the stipulation that each parent must inform the other parent of health care issues for the children as they arise is a standard part of the agreement. Although, in
this case, the health care issue involves the private health of one parent, the issue is still pertinent to the other parent as the caregiver of the children.
The right to one person's to privacyi s not asi mportant ast he right of another person to safety. This is established standard and does not require a court order. you will have more liability from the mother of the children if she is NOT inforned than from violating the confidentiality of the patient to inform.
right answer
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  #8  
Old 12-09-2011
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so answer is 5?
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Old 12-10-2011
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5- Inform the patient's ex-wife of the risk to the children.
the correct answer
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Old 12-10-2011
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Thank you for following up with an answer.
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