Comments on: http://www.kevinmd.com/blog/2006/02/apparently-what-they-teach-you-in.html Tue, 14 Feb 2012 22:04:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2006/02/apparently-what-they-teach-you-in.html#comment-59843 Anonymous Wed, 01 Mar 2006 18:14:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20109.html#comment-59843 While I disagree with the Anon doctor saying that every teenager is a liar, I do agree with asking the parents to step outside of the room. There is no way on earth I would ever have talked about my sexual history with my mom in the room... and I didn't lose my virginity until I was 21!!! But I welcomed the moment when my mom was asked to step out of the room when I was younger, even if I had nothing to hide, the idea of even talking about that subject in front of my mom was humiliating, and I'm sure that while the best parents may not have that issue, the majority of children feel the same way I did. While I disagree with the Anon doctor saying that every teenager is a liar, I do agree with asking the parents to step outside of the room. There is no way on earth I would ever have talked about my sexual history with my mom in the room… and I didn’t lose my virginity until I was 21!!! But I welcomed the moment when my mom was asked to step out of the room when I was younger, even if I had nothing to hide, the idea of even talking about that subject in front of my mom was humiliating, and I’m sure that while the best parents may not have that issue, the majority of children feel the same way I did.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/apparently-what-they-teach-you-in.html#comment-59757 Anonymous Mon, 27 Feb 2006 12:24:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20109.html#comment-59757 The problem, which the above don't understand because they haven't seen the 50,000 to 100,000 patients we have, is that adolescents lie about their sexual history in front of their parents. Did you tell mom and dad the day you lost your virginity? If you want lying to go on between doctor and patient, don't allow the doctor to ask the imperative qustions. Just don't complain to the state when your child has Pelvic Inflamatory disease or a tubo-ovarian abscess due to untreated STDs. The problem, which the above don’t understand because they haven’t seen the 50,000 to 100,000 patients we have, is that adolescents lie about their sexual history in front of their parents. Did you tell mom and dad the day you lost your virginity? If you want lying to go on between doctor and patient, don’t allow the doctor to ask the imperative qustions. Just don’t complain to the state when your child has Pelvic Inflamatory disease or a tubo-ovarian abscess due to untreated STDs.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/apparently-what-they-teach-you-in.html#comment-59750 Anonymous Mon, 27 Feb 2006 03:29:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20109.html#comment-59750 "Not her child. SHe trusts her "little girl" She promised she won't put put till she's married. And of course she'll be totally honest when the doctor asks about sex, so mom can stay in the examining room. Hope you plan on dormomg with your little angel while she's away at college."<br/><br/>You should do your patients a public service and let them know how much you despise them so they can seek a competent physician. “Not her child. SHe trusts her “little girl” She promised she won’t put put till she’s married. And of course she’ll be totally honest when the doctor asks about sex, so mom can stay in the examining room. Hope you plan on dormomg with your little angel while she’s away at college.”

You should do your patients a public service and let them know how much you despise them so they can seek a competent physician.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/apparently-what-they-teach-you-in.html#comment-59749 Anonymous Mon, 27 Feb 2006 03:19:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20109.html#comment-59749 Of course, the problem here is the absurd vanity of the so-called doctor-patient relationship. Who's paying here? It's the parent. And, if this were a normal contract, the parent could dictate the terms under which the doctor performs services. Some would allow questioning about sex; others wouldn't. Utility maximized. QED.<br/><br/>Of course, doctors have, in a rather sinister effort to exert professional authority and special interest lobbying, sold legislators on this queer notion of a patient-doctor relationship even between children and even with those who aren't paying for the services. <br/><br/>Thus, we have micro-managing of the relationship. Treat doctors like barbers (weren't the same at one time?) and all these problems dissappear.<br/><br/>Bizarre. Of course, the problem here is the absurd vanity of the so-called doctor-patient relationship. Who’s paying here? It’s the parent. And, if this were a normal contract, the parent could dictate the terms under which the doctor performs services. Some would allow questioning about sex; others wouldn’t. Utility maximized. QED.

Of course, doctors have, in a rather sinister effort to exert professional authority and special interest lobbying, sold legislators on this queer notion of a patient-doctor relationship even between children and even with those who aren’t paying for the services.

Thus, we have micro-managing of the relationship. Treat doctors like barbers (weren’t the same at one time?) and all these problems dissappear.

Bizarre.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/apparently-what-they-teach-you-in.html#comment-59745 Anonymous Mon, 27 Feb 2006 01:38:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20109.html#comment-59745 Even if he would save your child's life ? Maybe if we would be more blunt as parents, he would not end up talking like that. I think being cynical does not help but I see some teenagers being so "dirty" and their parents being so ignorant... it is sad. I can understand that some physicians may have a hard time trusting anybody after working almost all day long with such patients. Even if he would save your child’s life ? Maybe if we would be more blunt as parents, he would not end up talking like that. I think being cynical does not help but I see some teenagers being so “dirty” and their parents being so ignorant… it is sad. I can understand that some physicians may have a hard time trusting anybody after working almost all day long with such patients.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/apparently-what-they-teach-you-in.html#comment-59733 Anonymous Sun, 26 Feb 2006 21:46:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20109.html#comment-59733 I think Drs. should be able to take a sexual history, (all except anon 4:30)If HE ever came near any one of my Children with his venom I would report him to every club,organization,medical review boards and news stations I could find. I think Drs. should be able to take a sexual history, (all except anon 4:30)If HE ever came near any one of my Children with his venom I would report him to every club,organization,medical review boards and news stations I could find.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/apparently-what-they-teach-you-in.html#comment-59731 Anonymous Sun, 26 Feb 2006 21:35:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20109.html#comment-59731 The Doc above is inappropriate in his comments, however the STD and pregnancy rate in adolescents is alarming, and as a pediatrician it's important to bring up sexual history with any adolescent, either male or female. I always ask the parent to "step outside" the room for a few minutes and I tell them it's to ask some "personal questions". I've never had any complaints from a parent afterwards. It's amazing what some children will tell me that they would never say in front of a parent. The Doc above is inappropriate in his comments, however the STD and pregnancy rate in adolescents is alarming, and as a pediatrician it’s important to bring up sexual history with any adolescent, either male or female. I always ask the parent to “step outside” the room for a few minutes and I tell them it’s to ask some “personal questions”. I’ve never had any complaints from a parent afterwards. It’s amazing what some children will tell me that they would never say in front of a parent.

]]> By: Orachttp://www.kevinmd.com/blog/2006/02/apparently-what-they-teach-you-in.html#comment-59726 Orac Sun, 26 Feb 2006 17:31:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20109.html#comment-59726 Maybe not, but it is your fault that it's let you become so cynical. Maybe not, but it is your fault that it’s let you become so cynical.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/apparently-what-they-teach-you-in.html#comment-59721 Anonymous Sun, 26 Feb 2006 12:29:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20109.html#comment-59721 "How would you like it if your daughter were under the tender care of a 'physician' with your attitude?"<br/><br/><br/>Hey Oprah, it's not my fault my ER is like a teenage STD clinic. I had a 16 year old the other day who tested positive for GC, Chlamydia AND syphilis. When I called him to tell him, he said "Allright!" “How would you like it if your daughter were under the tender care of a ‘physician’ with your attitude?”

Hey Oprah, it’s not my fault my ER is like a teenage STD clinic. I had a 16 year old the other day who tested positive for GC, Chlamydia AND syphilis. When I called him to tell him, he said “Allright!”

]]> By: Fleahttp://www.kevinmd.com/blog/2006/02/apparently-what-they-teach-you-in.html#comment-59719 Flea Sun, 26 Feb 2006 11:46:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20109.html#comment-59719 Technically speaking, mom's right. We probably <em>should</em> tell her we're going to discuss private stuff.<br/><br/>In private I tell the girl I'll have to blab to the mother <strong>only</strong> if she (the girl) tells me she is suicidal or homicidal.<br/><br/>On one occasion, when the girl was pregnant, after discussion I thought it best that she tell her mother. She did.<br/><br/>(oh, and she didn't get beat up - imagine that!)<br/><br/>best,<br/><br/>Flea Technically speaking, mom’s right. We probably should tell her we’re going to discuss private stuff.

In private I tell the girl I’ll have to blab to the mother only if she (the girl) tells me she is suicidal or homicidal.

On one occasion, when the girl was pregnant, after discussion I thought it best that she tell her mother. She did.

(oh, and she didn’t get beat up – imagine that!)

best,

Flea

]]>