Wednesday 20 April 2016

ESLPodcast 45 - A Visit to the Doctor 
Going to the doctor is never particularly pleasant for me. But I couldn't put it offany longer. It was time for my annual physical, and there was no getting around it. So I picked up the phone and called for an appointment. "I'd like to see Dr. Shimoya next week, please, if that's possible," I said. Of course, it wasn't possible. The doctor was booked until next month, the receptionist told me. "Okay," I said, "let's schedule it for next month.‚" 

When the day arrives, I drive over to the doctor and check-in at the receptionist desk. I have to present my HMO card and pay the co-pay of $15.00. The receptionist instructs me to go to waiting room B, down the hall, first door on the right. So I go there and take a seat to wait. And wait. And wait. Finally, my name iscalled and I go into see the doctor. The nurse weighs me, takes my temperatureand blood pressure, and asks me why I'm there. I tell her it's time for my yearly check- up. She tells me to follow her to the examination room, and then to strip down to my underwear. Now I'm sitting on the exam table, half- freezing, waiting for the doctor to show up . Finally, he walks in, looks at my chart, and begins his examination. "Breathe," he says, as he places the stethoscope on my chest. "Breathe in and out slowly," he says. I do so. Then he checks my throat and has me lay down to check my abdomen. Finally, he orders a blood test and says, "Well, you're good for another year, Mr. McQuillan." Thank goodness, I think to myself, and get dressed to leave.

ESL Podcast 662 – Doctor-Patient Confidentiality 
Dr. Green: Can I consult you on a case of medical ethics

Dr. Hause: Sure, I’m not a lawyer, but I can give you my opinion as another doctor. 

Dr. Green: That’s what I’m looking for, your honest opinion. I have a patient who has a medical condition that can be spread to her family, but she doesn’t want to tell them about it. I don’t want to breach doctor-patient confidentiality, but I think that at least her husband should know. 

Dr. Hause: That’s a tricky one. We both know that the only way we can get our patients to divulge any sensitive information is if they trust us. We can’t easilyput aside that confidentiality. 

Dr. Green: I know, but if she doesn’t tell her family, then they are in danger of developing serious medical problems themselves. I took the Hippocratic Oath to do no harm. How can I keep her secret and adhere to the spirit of that oath? 

Dr. Hause: I see what you mean. If I were you, I’d sit my patient down and tell her what you think her responsibilities are to her family. Maybe you can convince her to tell them. 

Dr. Green: I’ve tried talking to her already, and she didn’t want to listen. I’ll try again. But what if she doesn’t agree? 

Dr. Hause: Then you can either drop it, tell her family, or... 

Dr. Green: Or what? 

Dr. Hause: Hope your patient has a miraculous recovery

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