edie
I can, and I will.
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You recently treated and released a 42-yr old male alcoholic for minor injuries sustained in an MVA. He works in a factory and position is on the heavy machine operators team. His boss rings you up, tells you that he is aware of the Pt's drinking problem, and wants to know from you if he is really ok to operate the machine. Response to the boss is:
a. Pt-doc confidentiality dictates that I cannot discuss this further. Talk to the pt.
b. Please call me if you notice anything weird with the Pt in the coming weeks.
c. Consider placing Pt in another position that is less dangerous.
d. Consider confronting Pt about his drinking and assist him with AA.
e. Pt-doc confidentiality dictates that I cannot discuss this further. Have the Pt contact me.
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| hope4dabest
Forum Elite
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d
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| edie
I can, and I will.
Topics: 26
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Hope, what is your rationale for D?
I am kinda leaning toward C myself. Doc has responsibility to protect not only patient but others that may be harmed because of the Pt.
Anyone else?
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| hope4dabest
Forum Elite
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yeah even i was thinking the same that other ppl are in danger coz of him but i though that is the Doc in a position to ask his boss to give him other job or fire him...that ithought boss will decide, doc can help the patient... but.....whats the answer???
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| edie
I can, and I will.
Topics: 26
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Actually, not sure. Someone told me this q from someone else that got it from you know where recently. Appropriate paraphrasing was utilized to avoid infringement 
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| hope4dabest
Forum Elite
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lol...wow...what paraphrasing...
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| edie
I can, and I will.
Topics: 26
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Yeah, like three times so far, but basic jist of the original q intact  BTW, the common consensus w/my friends is choice A. More opinions please 
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| new_n_lost
Politically InCorrect
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d. Consider confronting Pt about his drinking and assist him with AA.
Looks in Cases of Alcoholism Wht do even if ur colleague is involved we inform the boss who is responsible for the Job. Now as a Doctor The Boss Calls me Up and Ask Me For a Fitness Certificate for My Patient ( In other words so to speak) SO Now Who Comes First My Pt Confidentiality or My OWN Ethics and Personal Responsibility to prevent harm??
I chose D on the Premise of the Rule # 15 subpart 4 Kaplan Beh Sc 2004 ed pg 202
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| GOGETA
I'm Dr. GOGETA
Topics: 321
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I go with C.
D is my second option, but you have to protect the public a any cost, if this guy do a cucu thing for been to happy in work hours, you will get sue.
Public safety first.
And I got HIGH mark in Behavior Science a * , but course that is BS and I can have wrong this question.
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| me007
Forum Guru
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what about confidentiality and choice A?
How can and how dare doc do anything without discussing problem with pt first?
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| yoga
usmlelogy professor
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me007 wrote:
what about confidentiality and choice A?
How can and how dare doc do anything without discussing problem with pt first?
buddy there no pt confidentialty here
in such cases u have 2 break the role
pt in dangerous position u have 2 tell the boss & though pt confidentiality against the wall
that may sound harsh but but pt is putting himself &* others in japourdy
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| dermatology
Forum Elite
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agree with gogeta ... choice C ...... post him in less dangerous site .....
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| yoga
usmlelogy professor
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Posts: 645
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d
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| po
Forum Elite
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You recently treated and released a 42-yr old male alcoholic for minor injuries sustained in an MVA[I think it means motor vehicle accident]==>means doctor is not obligated disclose pt information to pt's employer
He works in a factory and position is on the heavy machine operators team.==>means he is putting himself and co-workers in risky situation==>means doctor has to take action
So d seems to be the good answer,may be I wrong.
Edited by po on 08/27/07 - 01:22 PM
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| edie
I can, and I will.
Topics: 26
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Remember, that you are talking to the boss of the Pt, who sees immediate potential for danger in the workplace.
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| Misrati
Forum Junior
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I'm gonna pick up B , since nothing obvious tells how did alcohol affect the pt , no S/S , may be his Boss just noticed some classical symptoms that every body drinks alcohol might show the up so, may its just a transient condition doesn't need to deal with it vigorously !!
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| surilshah
Forum Newbie
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hi eddi pl choose this answer bet b or c .no chance of a here we have to think that as a doc we can not do like a or d.second recently treated so watch by doc has so less dangerous site in occ best thing to suggest ccccccccccv so c only c
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| test123
Forum Newbie
Topics: 5
Posts: 16
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I think the answer is “E”
The Reasons are
1) You are talking to the employer who says he is aware of his worker’s problem. He is trying to get it confirmed from you. DO NOT LIE AND AT THE SAME TIME PRESERVE PT’S CONFIDENTIALITY as you haven’t yet spoken to the patient about his alcoholl problem.
2) The next thing you have to do is to talk to the patient and persuade him to change his job, so that he won’t be a risk. You have to ask the employer to make the patient contact you, because he feels threatened by his workers alcohol problem (risk) and it is his duty to do so.(He has the right to do, for the welfare of others)
3) If the pt still does not want to listen your instructions of changing the job, then you have to break the confidentiality in the interest of others.
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| edie
I can, and I will.
Topics: 26
Posts: 1,235
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I still stick my my ans for C. But this is a good discussion, people, keep it going. I don't have the answer for this question, sadly 
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| i_m_legend
Forum Newbie
Topics: 3
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c. Consider placing Pt in another position that is less dangerous.
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