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39 - Boundary issues in pediatrics

from Section 6 - Special topics in pediatric ethics

Published online by Cambridge University Press:  07 October 2011

By
Ian R. Holzman
Edited by
Douglas S. Diekema ,
Mark R. Mercurio  and
Mary B. Adam
Douglas S. Diekema
Affiliation:
Seattle Children's Research Institute
Mark R. Mercurio
Affiliation:
Yale University School of Medicine
Mary B. Adam
Affiliation:
Department of Pediatrics, University of Arizona School of Medicine, Tucson
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Summary

Case narrative

Sally will be completing her pediatric residency in 2 months and will be starting a fellowship in pediatric infectious diseases at the same medical center. Her husband, Ben, is a violinist with the local symphony orchestra. They have a 23-month-old daughter, Eve. Eve receives her medical care from a pediatric solo practitioner, Dr. Kaplan, who Sally met during her first rotation in the well baby nursery where he was her teaching attending physician.

One Friday evening, after a particularly long and difficult day at the hospital, Sally comes home and finds that her daughter seems irritable, doesn’t want to eat and might have a fever (she opts not to take Eve’s temperature since Eve usually has a temper tantrum around having her temperature taken and Sally doesn’t have the energy for a fight). Ben hasn’t noticed anything unusual and is getting ready to go off to a performance where he has a solo part. Sally decides to perform a quick exam rather than bothering Dr. Kaplan who would likely send them to the emergency room. Although Eve is not very cooperative, Sally thinks she might have a red throat and some swollen lymph nodes (although her exam was less than optimal) and decides to start an antibiotic that she happens to have sitting in the medicine cabinet.

Type
Chapter
Information
Clinical Ethics in Pediatrics
A Case-Based Textbook
 , pp. 226 - 230
Publisher: Cambridge University Press
Print publication year: 2011

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References

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