444 14 PAest RS The Merry-Go-Round-Letter to My Doctor When I went to your offic

Question

444 14 PAest RS The Merry-Go-Round-Letter to My Doctor When I went to your office, it was with great hopes that someone was finally going to piece together all of the bizarre symptoms I have been experiencing over the past several monshs and get to the cause of my pain. I was quite frankly shocked by how 1 was treated as a patient-especially one experiencing a health crisis A medical student, who wrote my history and current health problems on the pages of a small "yellow sticky pad," examined me. You were not in the room when he examined me, and then I saw you for approximately 10 minutes. You took the card of my New York doctor and said you were going to call him, then you said you would call me regarding what you thought the next steps should be. and called you on Friday because my local doctor said that you had not called, and I was told you were on vacation. I asked that you call me. You never did. I called you yesterday again, but you did not answer, nor did you return my call. On Monday. I received a letter-from a medical student, I assume. Although I empa thize with the demands on your time, I have never seen a handwritten letter, which 1 received, informing me of test results I provided to you prior to my appointment with you. You never mentioned the liver enzyme clevations or my February test done in New York. Moreover, no mention was made regarding any plan to help me alleviate immediate problems. Doctor, I am not a complainer or a person with a low pain tolerance. Since moving here, I've had fainting episodes, severe chest pain and pressure, leg and arm pain and stif- ness, congestion on the left side when the pain kicks in, and by 3 p.m. I have to go home and lie down because I'm so weak and tired. I cannot continue to exist like this. It is not normal. If you're too busy and don't want to take me as a patient, you will not offend me. Frankly. I need attention now to get these things resolved. Testing my cholesterol in a month will not address the problem. I've been treated for that for 3 years. Please call or write to me so I can get another doctor if I have to. Patient [The physician never responded.] Discussion 1. The physician never responded to the patient's letter of desperation. Discuss what you would suggest the patient should do. 2. Describe the legal and ethical and issues that appear in the correspondence. 5. As the patient continues on her merry-go-round, discuss what you would advise her to do.

Explanation / Answer

1. It is the patient's right to receive and our resposibility to give adequate treatment to them related to their diseases. Adviced the patient to admit for further investigations inorder to find out the diagnosis and to reduce signs and symptoms by administering IV fluids and drugs. 2.Create the risk of malpractice lawsuits from clients who are dissatisfied and free disputes also involved in legal malpractice. 3.Routine monitoring of vital signs with alternate check on liver enzymes. In addition to this adviced forultrasonography (to visualize biliary system) CT Scan ( visualize liver structure) and Biopsy. IV fluid administration and medications to reduce symptoms.

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