在我看来,去网上搜寻患者“足迹”的唯一正当理由是出于安全考虑。举个例子,如果一个患者表现得疯疯癫癫,疑似有精神问题的话,去网上调查他可能会有助于确认他提供信息的真实性。或者说,如果医生怀疑一个儿科患者曾遭到虐待,在网上搜寻证据会是一个理性的做法。医生们也可以在他们担心患者有自杀倾向或需要联系某位无正常反应的患者家属时,上网搜寻一些信息。在我所居住的马萨诸塞州,当患者被怀疑有滥用药物的行为时,医生们可以查询一个专业的数据库来追查患者取得管制类药物的各家药房。不过,如果一个医生上网搜索他的患者仅仅是为了查看一些患者们不愿分享的个人信息的话,这就是完全错误的。
Recently, one of my primary care patients was back in clinic, with some worrisome news. In spite of increasing the dose of his medication, his panic attacks were getting worse. He had told me that as he saw his business success grow, so did his stress, and the frequency of his panic attacks.
前几天,我的一个家庭保健病人又来到诊室,带来了一些令人担忧的消息。尽管用药剂量增加了,他的恐慌症却越来越严重。他告诉我,随着他的生意越做越成功,他的压力越来越大,恐慌症发作的频率也越来越高。
I stepped out of the clinic to speak with my supervising physician. I related the patient's history, telling him about the growing success of the patient's business.
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