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Old 03-25-2012
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Medicolegal and Ethics Illegal Immigrant with TB

you are seeing a patient in clinic who has developed TB. he is an illegal immigrant. his family will need to be screened for TB with PPD testing. He is frightened of being deported if the department of health learns his immigration status.

what should you tell him?
A. dont worry the department of health does not ask or report immigration status
B. only people who are non compliant with medications are reported to the government
C. dont worry i will fully treat you before we deport you
D. i am sorry but there is nothing i can do about it,there is mandatory reporting to the government
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Old 03-25-2012
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i believe this is A
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but isnt TB a notifiable disease??
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Old 03-26-2012
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A...........for sure
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Old 03-26-2012
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A..health department shud be informed..they dont have nexus with immigration..they can keep it secret(his illegal immigration status)
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Old 03-26-2012
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I believe I saw similar q on nbme 7.

Where is this q from??
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Old 03-26-2012
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Isn't TB a mandatory reportable disease .. so then it would be option D) in my opinion.
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Old 03-26-2012
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I believe is A. But wasnt that on the new that it has to be asked immigration status on the ER dept? and that every MD didnt agree with it? I didnt know the end of it.
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Old 03-26-2012
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Quote:
Originally Posted by DocSikorski View Post
I believe I saw similar q on nbme 7.

Where is this q from??
It's from Kaplan Ethics

They said it was A and that u do not have to report it. I was a little confused myself about this since TB is on the list of reportable diseases. The explanation says straight up that, "there is no mandatory reporting to the government either before, during, or after the treatment of TB. Mandatory reporting of immigration status would be a direct impairment of of physician/patient relationship."

Hope this helps!
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Default another question(what is your answer)

A 62-year-old man comes to the physician with a 3-month history of fatigue and depression. He lives alone and has been drinking more (up to 6 mixed alcoholic drinks daily) since his wife of 40 years died 6 months ago. He says, "Yeah, I know I've been drinking a lot lately, but I'm so down in the dumps there's nothing else I want to do. I miss her so much. " Which of the following responses by the physician is most appropriate?



a) "Anybody in your circumstance would be depressed. Time will help you overcome the loss of your wife."

b) "Drinking isn't going to bring your wife back. You need to get on with your life and put this sad experience behind you."

c) "I know you have been through a lot recently. Have things been so bad recently that you have thought about killing yourself."

d) "I'd like to start you on some medication for depression. It sometimes takes a few weeks to work."

e) "You seem to be developing an alcohol problem. You need to quit drinking. I can refer you to the local chapter of Alcoholics Anonymous."
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Old 03-26-2012
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Quote:
Originally Posted by usmlemydream View Post
A 62-year-old man comes to the physician with a 3-month history of fatigue and depression. He lives alone and has been drinking more (up to 6 mixed alcoholic drinks daily) since his wife of 40 years died 6 months ago. He says, "Yeah, I know I've been drinking a lot lately, but I'm so down in the dumps there's nothing else I want to do. I miss her so much. " Which of the following responses by the physician is most appropriate?



a) "Anybody in your circumstance would be depressed. Time will help you overcome the loss of your wife."

b) "Drinking isn't going to bring your wife back. You need to get on with your life and put this sad experience behind you."

c) "I know you have been through a lot recently. Have things been so bad recently that you have thought about killing yourself."

d) "I'd like to start you on some medication for depression. It sometimes takes a few weeks to work."

e) "You seem to be developing an alcohol problem. You need to quit drinking. I can refer you to the local chapter of Alcoholics Anonymous."

I would go with c) because you need to see if the patient has suicidal tendencies coz of his depression. If more than 6 months then it it's considered atypical grief! Also I feel like I've seen this question before lol but these ethics questions are great If you have any more challenging thought provoking questions please share!
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Old 03-26-2012
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c-trying to know more abt his problem??
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Quote:
Originally Posted by usmlemydream View Post
you are seeing a patient in clinic who has developed TB.he is an illegal immigrant.his family will need to be screened for TB with PPD testing.He is frightened of being deported if the department of health learns his immigration status.

what should you tell him?
A.dont worry the department of health does not ask or report immigration status
B.only people who are non compliant with medications are reported to the government
C.dont worry i will fully treat you before we deport you
D.i am sorry but there is nothing i can do about it,there is mandatory reporting to the government
Definitely A
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Old 03-26-2012
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Quote:
Originally Posted by usmlemydream View Post
A 62-year-old man comes to the physician with a 3-month history of fatigue and depression. He lives alone and has been drinking more (up to 6 mixed alcoholic drinks daily) since his wife of 40 years died 6 months ago. He says, "Yeah, I know I've been drinking a lot lately, but I'm so down in the dumps there's nothing else I want to do. I miss her so much. " Which of the following responses by the physician is most appropriate?



a) "Anybody in your circumstance would be depressed. Time will help you overcome the loss of your wife."

b) "Drinking isn't going to bring your wife back. You need to get on with your life and put this sad experience behind you."

c) "I know you have been through a lot recently. Have things been so bad recently that you have thought about killing yourself."

d) "I'd like to start you on some medication for depression. It sometimes takes a few weeks to work."

e) "You seem to be developing an alcohol problem. You need to quit drinking. I can refer you to the local chapter of Alcoholics Anonymous."
Not a, b, e for sure...
I will go for C
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Old 03-26-2012
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Quote:
Originally Posted by usmlemydream View Post
A 62-year-old man comes to the physician with a 3-month history of fatigue and depression. He lives alone and has been drinking more (up to 6 mixed alcoholic drinks daily) since his wife of 40 years died 6 months ago. He says, "Yeah, I know I've been drinking a lot lately, but I'm so down in the dumps there's nothing else I want to do. I miss her so much. " Which of the following responses by the physician is most appropriate?



a) "Anybody in your circumstance would be depressed. Time will help you overcome the loss of your wife."

b) "Drinking isn't going to bring your wife back. You need to get on with your life and put this sad experience behind you."

c) "I know you have been through a lot recently. Have things been so bad recently that you have thought about killing yourself."

d) "I'd like to start you on some medication for depression. It sometimes takes a few weeks to work."

e) "You seem to be developing an alcohol problem. You need to quit drinking. I can refer you to the local chapter of Alcoholics Anonymous."
Yeah, C. u cant start the patient on meds cose hes still drinking. Ull kill him.
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