Re: USA vs European medical culture? What should I look out for?
7/25/00 12:25 PM
A good physician should listen to the parents and be open to suggestions. However, if a doctor does not have exprience with a particular drug, or does not believe it should be used in a particular situation, you can hardly expect him to go against what he honestly believes to be best, especially if he will explain his reasoning to you. If this situation occurs, then it is up to the parents to find a doctor that suits their beliefs. I have friends who expect their local endocrinologist to treat their CAH child according to Dr.Maria New's treatment regime. This local ped endo, who is very well respected in his own right, and highly educated, does not feel comfortable letting the 17 OHP levels get as high as the New Team does. I told my friend that it was unreasonable for her to expect a doctor to treat her child in a way that was not consistent with his beliefs. That is asking him to provide medical assistance that he is legally responsible for but does not believe in. That is not right. I am not saying that parents shouldn't be able to discuss treatment options with their physicians. Physicians should be open and willing to alter treatment plans when possible. But the bottom line is that when you have a big disagreement, and I do consider the liquid cortef a major problem, then you have to find a new doctor. I DO NOT want to get into some major disagreement over this. All I am saying is that when you and your physician do not agree on the treatment your child is receiving, it is the parent's responsibility to find a new doctor. A doctor cannot be expected to treat a patient in a way that he is not comfortable or familiar with.
Just an opinion
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