Unprofessional medical doctor

[Humberto]

Without having being present during the examination to observe the finer nuances of the conversation between the doctor and the patient, I cannot comment on whether the doctor acted unethically, unprofessionally or incompetently. At this stage it's a third-hand account: blunomore says her employee says the doctor said this and did that.

Obviously however the employee must have somehow brought up blunomore during her interaction with the doctor, else there's no reason why the doctor would have involved her in the matter.

 

[Humberto]

For example, if the conversation went as follows, then I see nothing wrong with the doctor asking the employee if she should communicate the result to the employer:

Doctor: "I'd like to take some X-rays of your stomach and do some blood tests. I see you're not on a medical aid scheme though. These X-rays and blood tests will cost around R 1200. May I proceed?"

Patient: "My employer said she'll pay, so yes, please proceed."

Doctor: "Would you like me to let your employer know the outcome of these tests?"

OR

Doctor: "You have endometriosis. I'd like to book you off from work for one week."

Patient: "There's no way I can take off. My employer needs my services."

Doctor: "At the very least, you need to take it easy then. Would you like me to phone your employer and explain the situation to her?"

 

[ShaunSA]

If you have no heart for people less fortunate than yourself, don't publicise it so openly.

I have a heart. It's pumping custard atm.

 

[blunomore]

For example, if the conversation went as follows, then I see nothing wrong with the doctor asking the employee if she should communicate the result to the employer:

Doctor: "I'd like to take some X-rays of your stomach and do some blood tests. I see you're not on a medical aid scheme though. These X-rays and blood tests will cost around R 1200. May I proceed?"

Patient: "My employer said she'll pay, so yes, please proceed."

Doctor: "Would you like me to let your employer know the outcome of these tests?"

OR

Doctor: "You have endometriosis. I'd like to book you off from work for one week."

Patient: "There's no way I can take off. My employer needs my services."

Doctor: "At the very least, you need to take it easy then. Would you like me to phone your employer and explain the situation to her?"

According to my employee, the conversation did not go like that, hence my disgust.

 

[Lucas Buck]

For example, if the conversation went as follows, then I see nothing wrong with the doctor asking the employee if she should communicate the result to the employer:

...

Do you suffer from dissociative identity disorder or are there three people using your account.

 

[RiaX]

This is a GP, not a gynaecologist. Do GPs ever use ultrasound? In any event, she did not use it,so there is no way she can tell for sure if the patient is pregnant.

No but their experience can. Im pretty sure the doctor didnt say it like that but probably said something on the lines of "you probably pregnant or have fibroids" '

You dont need a blood test to establish pregnancy after a certain time period the body changes quite distinctly (generally - however you definately need a blood test to RULE IT OUT). As for the confidentiality its not necessary if the patient agrees. Also there are times when it may be breached to provide better care for the patient in event of language or cultural barriers (however this is an extremely rare exception).

I honestly see nothing wrong with the manner the doctor carried it out. Are you sure those were the EXACT words the Dr used? if so then the Dr could use better manners and be a little more sincere but thats about it.

Also what if she required a referal to a specialist ? and the Dr wanted to inform you and be like "hey I cant treat this it requires an ultrasound" that is not breaching confidentiality at all

Edit:

from what you explained thus far and what the Dr has said means there is unknown vaginal bleeding of some sort. Which means its 5 possible diagnosis:

1) Pregnancy, attaching causing bleeding sometimes
2) Fibroids
3) Endometriosis
4) A vaginal infection
5) Laceration from sexual intercourse

To the lay person these things may seem taboo to talk about so openly but to a medical professional its normal. They may not be a gynaecologist but they have worked as gynae units and are trained in it. The ultrasound is done to confirm which of the possible diagnosis it is and to show cysts if any.

Most likely one would need to use a contraceptive pill and tranexemic acid to stop the bleeding if any. If the situation worsens then one will need to look into more complex and extreme diagnosis

 

[blunomore]

No but their experience can. Im pretty sure the doctor didnt say it like that but probably said something on the lines of "you probably pregnant or have fibroids" '

You dont need a blood test to establish pregnancy after a certain time period the body changes quite distinctly (generally - however you definately need a blood test to RULE IT OUT). As for the confidentiality its not necessary if the patient agrees. Also there are times when it may be breached to provide better care for the patient in event of language or cultural barriers (however this is an extremely rare exception).

I honestly see nothing wrong with the manner the doctor carried it out. Are you sure those were the EXACT words the Dr used? if so then the Dr could use better manners and be a little more sincere but thats about it.

Also what if she required a referal to a specialist ? and the Dr wanted to inform you and be like "hey I cant treat this it requires an ultrasound" that is not breaching confidentiality at all

Edit:

from what you explained thus far and what the Dr has said means there is unknown vaginal bleeding of some sort. Which means its 5 possible diagnosis:

1) Pregnancy, attaching causing bleeding sometimes
2) Fibroids
3) Endometriosis
4) A vaginal infection
5) Laceration from sexual intercourse

To the lay person these things may seem taboo to talk about so openly but to a medical professional its normal. They may not be a gynaecologist but they have worked as gynae units and are trained in it. The ultrasound is done to confirm which of the possible diagnosis it is and to show cysts if any.

Most likely one would need to use a contraceptive pill and tranexemic acid to stop the bleeding if any. If the situation worsens then one will need to look into more complex and extreme diagnosis

My child was ill last night and I had a total of about 4 hours sleep so I am pretty out of it, but ...... what bleeding???? What are you talking about?

 

[Elzje]

A GP must first hear the patient out, then ask questions like "when was your last period" and "do you have any allergies" and so on. Then the GP performs a examination, do a urine test if necessary, if the GP is sure of the diagnosis, he/she can tell the patient what's wrong and what needs to be done to heal or further diagnose the illness. And ask the patient if they may contact some one to help, only after the okay from the patient the GP may contact the person the patient suggested. A medical practitioner can only "exclaim" when a patient needs emergency care on the spot, other wise they must be calm and collected.

 

[w1z4rd]

A GP must first hear the patient out, then ask questions like "when was your last period" and "do you have any allergies" and so on. Then the GP performs a examination, do a urine test if necessary, if the GP is sure of the diagnosis, he/she can tell the patient what's wrong and what needs to be done to heal or further diagnose the illness. And ask the patient if they may contact some one to help, only after the okay from the patient the GP may contact the person the patient suggested. A medical practitioner can only "exclaim" when a patient needs emergency care on the spot, other wise they must be calm and collected.

I think the "Exclaim" was poetic licence on blu`s part to increase the drama in her story. Either that or she has one of the worlds most articulate domestics.

 

[blunomore]

I think the "Exclaim" was poetic licence on blu`s part to increase the drama in her story. Either that or she has one of the worlds most articulate domestics.

Are you implying all domestics are linguistically challenged or of below average intelligence ?

 

[RiaX]

My child was ill last night and I had a total of about 4 hours sleep so I am pretty out of it, but ...... what bleeding???? What are you talking about?

you took your domestic worker to see the doctor ? what for ?

 

[blunomore]

you took your domestic worker to see the doctor ? what for ?

Refer to my OP

 

[RiaX]

Refer to my OP

oh ooops ... bloated and swelling. Ok no my bad.

 

[Garson007]

I don't care how rude somebody is when they're diagnosing me for illness.

But dental hygienists are sadists.