Doctor-Patient Relationships

Aug 1, 2003 Issue
A Shoe-in for Malpractice [Curbside Consultation]

The questions being asked in this case scenario can be consolidated into one, “Should I continue as this patient's physician?” An attorney's typical answer to such a query is often a cautious “It depends.” In this case, a more definite answer is appropriate: “No.”

Apr 1, 2003 Issue
Should I Give Money to My Patients? [Curbside Consultation]

As a rule, physicians should avoid giving money directly to patients. Like most decisions in medical practice, the determination to give a patient money must be weighed carefully, and each case must be evaluated individually.

Jan 1, 2003 Issue
Negotiating a Request for Nondisclosure [Curbside Consultation]

Although it is at odds with our predominant medical ethical culture, many families and patients desire nondisclosure of bad news. In several countries, including Greece, nondisclosure of difficult medical information is preferred.

Jun 1, 2002 Issue
Can Friends Become Patients? [Curbside Consultation]

The negotiation of boundaries in patient care can be a difficult process in many circumstances. Perhaps the thorniest negotiation is the one alluded to in this case scenario—how does a physician decide if a friend should be accepted as a patient?

Apr 1, 2002 Issue
Interviewing When Family Members Are Present [Article]

The presence of family members at an office visit creates unique opportunities and challenges for the physician while interviewing the patient. The physician must address issues of confidentiality, privacy, and agency. Special skills are required to respectfully and efficiently involve family member...

Apr 1, 2001 Issue
What Should Physicians Tell About Themselves to Patients? [Curbside Consultation]

This physician's questions fall under the broad category of what physicians should tell about themselves to patients and, in this case, what physicians should tell patients about their own illnesses.

Feb 1, 2001 Issue
A "Hopeless" Patient [Curbside Consultation]

The title of this case scenario is emphatically appropriate because it describes the intense feelings that obese patients and those with difficult, chronic lifestyle issues evoke in their physicians. The author aptly describes feelings and reactions such as frustration, cynicism about the patient's ...

Nov 1, 2000 Issue
A Doctor Who Is Blamed for a Patients' Condition [Curbside Consultation]

Our colleague faces the situation of having evaluated a patient with diffuse myalgias, fever and nausea. After finding evidence of liver damage and an abnormal CT scan, the patient refused an appropriately recommended MRI, resulting in a delay of the diagnosis of cholangiocarcinoma. The physician is...

Sep 1, 2000 Issue
The Seductive Patient [Curbside Consultation]

It is likely that all physicians, regardless of training, would recognize that this case scenario deals with a seductive patient.

Aug 15, 2000 Issue
A Dying Patient, Like Me? [Curbside Consultation]

When should a physician disclose personal information to a patient, and what do we do when a particular case touches on our own suffering? At a deeper level, how do we deal with our own mortality in caring for the seriously ill and dying?

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