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LAPORAN DISKUSI KASUS II

“The conflict between clinical care and a seminar”

LOK !L "

T#tor $ dr% &i'a Ratih enin( Ati

Oleh $ Kelom)o* +

PRO,RA- STUDI P.NDIDIKAN DOKT.R

/AKULTAS K.DOKT.RAN DAN IL-U0IL-U K.S.!ATAN

UNI&.RSITAS 1.ND.RAL SO.DIR-AN

PUR2OK.RTO

34++

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A I

LATAR .LAKAN,

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A II

P.-A!ASAN

The case of “ doctor0sho))in(” that res#lted in disco'er5 of a mali(nant

t#mo#r

Ph5sician $ Sometimes, patients who are being seen by another consultant,

would like to come over and seek your opinion as well. I want to discourage

‘doctor-shopping’ by all means. But if the patient is in trouble, or in case they

really push me hard,then I have to give in,but this is against the ethics. I am

not very sure wether it is good or bad for patient. ike yesterday, there was a

!"-year-old lady who was seen by another doctor in the last eight months. But

the patient was not feeling better. She had pain in her back and the doctor had

tried all kinds of pain killers. She came over to me and said she really wanted

to see me because she was not getting any better. Initially, I said no,but she

insisted, and I relented. Itold the other physician that I was going to see her. It

turned out that her #-ray showed a secondary deposit in the -! vertebra,

which was a cancer, $ust perhaps missed being detected. %he diagnosis has

still to be confirmed. ooking at the chances of having a secondary, if it has

arrived in the bone, we also have to look for a primary. &nd in case from a

primary site there is a seconday deposit in the bone then the prognosis is not

very good.

A% Klarifi*asi Istilah

'ada skenario( artikel tidak didapatkan istilah yang sulit dimengerti, namun

harus diartikan dalam bahasa Indonesia.

% atasan -asalah

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6% Pembahasan

7#estion

). *escribe the ethical dilemma in this case. *iscuss how you think

physicians should deal with the phenomenon of ‘doctor-shopping’ in the

conte+t of abusy hospital department

*ilema etik

a. 'asien dtg dgn skit ngotot rahmat

b. permasalahan dokter ) dan ke ga enak rahmat

kodeki pasal ) ambil alih winda

rahma ). langgar hak pasien, cara ngomong ke pasien dan dokter yg

menangani

'ertanyaan rahma cara ngomong di$awab oleh rahmat dan winda

solusi semua anak//

. *iscuss some cases like this in your community

Bunga

6orrectin( a collea(#e8s e9cessi'e medication of a )atient

Ph5sician $ Sometimes you see patients who have been seen by other

doctors. &nd they come with the prescriptions. Sometimes a prescription

which has been given to the patient contains many drugs, which may not be

needed. & mother came with her child who had been prescribed a lot of

unnecessary drugs. 0ow,the 1uestion arises should I tell the mother that

2*on’t give the medicines, it will harm your child 2 Because if you tell that,

then your personal relationship with your colleague might be strained. But

you know that so many drugs not good for the child and therefore should not

be used. It is a difficult situation. I told the mother that 2probably these

medicines were prescribed when your physician saw the child for the first

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time. But I don’t think these medicines should be taken any more. So,you can

stop all medicines and give only these drugs3

erdasar*an *as#s 3

). *iscuss the problem of e+cessive, unnecessary and potentially harmful

overprescription of drugs. Identify factors that may contribute to this

problem. ist all the ethical issues involved and discuss how the individual

physician should deal with the problem.

mas radit masalah bnyak obat

dilema etik cara membertithu ke pasien, agr tdk menyalahkan

dokter

bunga,rahmat dan windamasalahnya berkaitan dengan 4 kaidah dasar

moral

masalah etik pemberian obat yg terllu bnyak

cara penympaian ke dokter & obt yg trlalu bnyak

pelnggaran benficence n nonmalficence rahmat

solusi semua anak

. Is the physician correct in protecting his colleague in this way5*iscussthe

conflict of professional ethics versus the obligation to serve the patient’s

interests in cases like this.

6ahmat polifarmasi agar untung lindungi dokter5

mas radit $aga rahasia,nama baik dokter

gesa dan winda sesuai dengan sangsi dan hukum yg berlaku

!. *iscuss some cases like this in your community

Irma dosis tinggi

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sabrina menanggapi

7aap yg belum dicantumkan tp

ikut ngmng tolong dimasukkan

yahhh555555555

A III

K.SI-PULAN

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DA/TAR PUSTAKA

dk 2 09

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