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- Jul 26, 2016
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While on a Cruise, your patient developed flu-like symptoms. He had a prepaid excursion that day which he was unable to attend due to feeling sick. Upon returning home, he is informed by the travel company that the money spent for the excursion can only be refunded with a signed doctor's note. He asks his physician to write a note indicating that he was ill. How would you handle this situation?
The answer goes on to explain how sometimes physicians may be in the position where they are called to deceive others in keeping their patient's best interest in mind. They say right away how they would not write the doctor's note.
Reasons:
Lying is deceptive, it undermines social trust, how can you believe the doctor in subsequent issues if they are found lying?
Is the patient's health at stake in this case? It is not. The patient is here to get a refund and this is not related to his health.
Then the physician tells the patient that he cannot write the note because he has two ethical duties, to be truthful and to help him as a patient. "If I mislead the travel company, how would my patients trust me to not mislead them in other situations?"
Finally the doctor says he would help the patient brainstorm other ideas to get the money back, did he see the cruise ship doc, can he speak with the manager, etc.
Now here is my point of view: Right off the bat, I was wondering how the physician is being deceptive if he wrote a note to the travel company that he was sick? What if the patient came to the doctor and he still had flu like symptoms? What if the doctor has had an established relationship with this patient where he knows that the patient is an honest and truthful person, and he described his symptoms to the doctor, which the doctor determines were symptoms of the flu?
Cant the doctor write a note to the cruise ship company explaining how his patient did indeed have flu like symptoms, and that they should consider a refund?
While I realize there are so many possible answers for this scenario, would it really be a death sentence to answer that yes you would write the sick note for the patient, as long as you considered other options and where you intended not to deceive anyone? Discuss!
The answer goes on to explain how sometimes physicians may be in the position where they are called to deceive others in keeping their patient's best interest in mind. They say right away how they would not write the doctor's note.
Reasons:
Lying is deceptive, it undermines social trust, how can you believe the doctor in subsequent issues if they are found lying?
Is the patient's health at stake in this case? It is not. The patient is here to get a refund and this is not related to his health.
Then the physician tells the patient that he cannot write the note because he has two ethical duties, to be truthful and to help him as a patient. "If I mislead the travel company, how would my patients trust me to not mislead them in other situations?"
Finally the doctor says he would help the patient brainstorm other ideas to get the money back, did he see the cruise ship doc, can he speak with the manager, etc.
Now here is my point of view: Right off the bat, I was wondering how the physician is being deceptive if he wrote a note to the travel company that he was sick? What if the patient came to the doctor and he still had flu like symptoms? What if the doctor has had an established relationship with this patient where he knows that the patient is an honest and truthful person, and he described his symptoms to the doctor, which the doctor determines were symptoms of the flu?
Cant the doctor write a note to the cruise ship company explaining how his patient did indeed have flu like symptoms, and that they should consider a refund?
While I realize there are so many possible answers for this scenario, would it really be a death sentence to answer that yes you would write the sick note for the patient, as long as you considered other options and where you intended not to deceive anyone? Discuss!