Sunday, October 23, 2005

Addressing concerns.

This is a response in regards to a concern that was raised by Fuzzbuck Fuzz in the comments section of my last post, I have an owie.

For those not in the know, in this post I have mentioned three cases that I have seen on my uni mental health placement in the last week, as examples of what I deal with and what I see at work.

Fuzzbuck was concerned about the implications of my discussing patients / clients on my blog.

I would like to thank Fuzzbuck for raising his concerns. He has a very valid point. For the record though, I would like to state my position on the situation just to clarify that I am not a totally immoral cow.

It would be seriously questionable if I posted details which might be used to identify the clients. But as I have only mentioned the cases without providing information that would identify the specific clients or the facility which they are in, according to standards, it is not an unacceptable practice amongst health professionals.

As for whether or not this practice is morally acceptable or not, I suppose that depends upon an individual's personal values and morals. I blog to keep track of things that have happened to me. Working with physically and mentally ill patients is a large part of my life and it is something that I like to share with my friends on the internet. I feel that it is acceptable to mention and discuss interesting cases that I come across as long as I do not:

a) identify the clients by providing specific information about them or the facility they are in,

and

b) I try to remain impartial when describing cases, and I try to refrain from passing judgement upon the client.

I try to live by the "Do unto others" Golden Rule, and I have thought about this long and hard. I would not be opposed to a health professional discussing my case in any open forum (on a blog, in a class, in a university paper, in a conversation, etc.) as long as I personally was not identifiable from the information given. I do not believe that my discussion comprimises my clients privacy.


I can't help but wonder if you would have voiced your concerns had I mentioned patients with purely physical illnesses.

59 Comments:

At 10:58 am, Blogger Margaret said...

I am currently working in orthopedics, but I have also worked in psych. I have also been in therapy myself. I don't think I would have a problem with what you have posted. Here in the states, there is now a federal law about "Protected Health Information" with severe consequences for offenders. This has made me very hesitant to post much about my patients. However, it's more because I would do very poorly in jail rather than for moral reasons.

Michele sent me.

 
At 11:32 am, Blogger Thumper said...

The Spouse Thingy talks about his surgica cases in his blog, and at least once someone has asked if he was violating HIPPA...basically, he doesn't say anything he wouldn't in a professionaly published journal. I'm pretty sure that without case and location identifiers, it's ok to talk about. I think...

Here via Michele's!

 
At 11:42 am, Anonymous Anonymous said...

Hi Yaeli! Michele sent me...I'm in San Diego, where it's 5:34 p.m.

I recently blogged about my niece ditching school and getting caught by her sister and her dad read the post (didn't know he knew my blog existed) and she got busted, but not really in trouble b/c her dad's good-natured and thought the whole thing was funny.

Now I feel kinda bad, but w/e! She shouldn't have been ditching in the first place!

Anyway, I am being overly sensitive, but oh well. Hope Sunday's great in your part of the globe!

 
At 12:07 pm, Blogger Olyal said...

Fuzzbuck, no offense was taken and I know that none was meant. I completely understand where you are coming from and I respect you opinion. Thank you for respecting and trying to understand mine. :o)
I hope you keep on coming back mate. :o)

 
At 12:13 pm, Blogger Spock said...

Hippa(?) laws are a bunch of crap in my opinion!! What are these people doing that they're so worried someone is going to find out about? Simple solution...stop doing it!! Here from Michele's.

 
At 2:11 pm, Anonymous Anonymous said...

I just read the post and don't think it's a problem. I have no idea who you're talking about and I fully understand that healthcare professionals have a life outside of work.

It's actually interesting in my opinion (psychology, especially abnormal, has been one of my long time interest).

Honestly, I'd say just make sure you're within the law and you're fine. Immoral - like you said, that's in the eye of the reader.

 
At 2:11 pm, Anonymous Anonymous said...

forgot t mention - Michele sent me :)

 
At 2:21 pm, Blogger Beanhead said...

Michele sent me. I think the post is fine. I mean if you posted names and places then it would be a violation of privacy but as it is I think it is fine.

 
At 2:30 pm, Blogger carmilevy said...

I'm glad you raised the issue, because the discussion has been incredibly illuminating.

Although I'm not a health care professional - for the sake of the rest of the world, thank God for that! - many of these privacy issues come into play insofar as journalists and sources are concerned.

At the end of the day, our name is all we have. Nicely said, and nicely dealt with. Thanks!

(Back from Michele's again...sick of me yet?)

 
At 2:44 pm, Blogger Crazy MomCat said...

I don't think it would bother me to be mentioned, were I a patient of yours, as long as it wasn't easy to identify that you were talking about me. I would expect that most of your patients don't even know about this blog at all. I tend to write what's buzzing in my head at the time and I think that's all you were doing. No harm done.

Michele said hi!

 
At 5:49 pm, Blogger Lish said...

I once screened the pap smear of a celebrity, but I can't tell anyone who she was. Or maybe it was a he. Hmm?

 
At 11:45 pm, Blogger utenzi said...

Michele sent me your way, lovely Yaeli, when I thought I was going to visit Judy.

Like others have mentioned, here in the States we're ruled by HIPPA. I don't have to deal with it much since most of my clinical samples are tumor cells from people that had surgery years ago, sometimes more than 50 years. I don't see anything wrong with what you said, but there's always going to be alarmists out there watching everyone else. Personally I find that sort of thinking very annoying.

Thumper's comment is interesting. Her husband gives a lot more detail than you do, Yaeli. More than once I've been surprised at how much he'll say about a patient that comes into the OR.

 
At 12:07 am, Anonymous Anonymous said...

Well, I missed some interesting discussion last night. I don't see a problem writing about anonymous people who cannot be identified. If I'd worked for a mental health institution , I'd need to let things out just to keep myself within sane boundaries... You have a great blog, Yaeli. Cheers.

 
At 12:32 am, Blogger The Mistress of the Dark said...

I think it's a hard call morally and from the standpoint that it could get you fired. I know it's happened in some instances.

But it's your blog, so do as you see fit.

Take care....Here via Michele's

 
At 12:44 am, Blogger kenju said...

Yaeli, you are not disclosing any personal information - so what's the problem? I see nothing wrong wiht telling the story as long as you don't identify the person or the facility!

Michele sent me.

 
At 1:45 am, Blogger Aginoth said...

Hi Yaeli,

Found you via Utenzi's blog...

I don't see any problem with what I've read, so far, you aren't giving any details that could identify anyone.

blogrolled you btw, makes it easier to find you again so I can read your Archive :o)

 
At 5:12 am, Blogger dena said...

It's perfectly find to write about the people we come in contact with. You didn't identify them by name, or exact location. I was intrigued by your story, and hope you continue to post about your cases. I don't need to know their names, but I find your line of work very intersting reading.

 
At 11:11 am, Blogger David Edward said...

Michele sent me

 
At 11:20 am, Anonymous Anonymous said...

Hi! Michele sent me. I need to read more on this Fuzzbuck. ;-)

 
At 11:55 am, Blogger Unknown said...

I don't think you're doing anything wrong. Besides, I want to hear more about your wacko patients. ;)

Michele sent me!

 
At 11:56 am, Blogger Maggie Lamarre said...

Hello:
I've often wondered people who works in this field, how do they separate themselves from getting too involve withthe patients?
If you can answer that will be great.
Michele sent me.

 
At 12:08 pm, Anonymous Anonymous said...

If going by the American HIPAA compliancy, you'd still be completely within guidelines.

Besides, you didn't post anything that would allow someone (probably even someone you work with) to pinpoint your patient.

Good grief. Work takes up much of our life -- If we can't generalize about the basics, we don't have an outlet for a large part of our days.

It'd be a lot different if you were being unprofessional about it... You weren't.

 
At 1:25 pm, Anonymous Anonymous said...

I agree.... as long as no names or identifying info are mentioned, I don't see a problem with it.

Here via Michelle's!

 
At 1:45 pm, Blogger Michelle said...

Hello! Thanks for coming by my site and blogrolling me! I agree with Cathy. Have a good night!

 
At 4:23 am, Blogger ... j said...

being that this is the only Ozzian blog I read, and that youre in Oz, I figured I'd share with you that I just recently saw an Ozzian movie "undead" a zombie sci-fi flick, and that I greatly enjoyed it, in fact you Ozzians tend to make make much better flicks then us Americanos (per capita that is). Anywho... looking forward to a sequel. - Sorry I know this has nothign to do with youtr post...

 
At 5:38 am, Anonymous Anonymous said...

Just visiting to wish you a good week. Michele sent me.

 
At 1:32 pm, Anonymous Anonymous said...

Very eloquent! I am hesitant to write about my work due to the pressure we are under here in the States due to HIPPA and the like. However, I feel my blog friends are missing out on such a vital part of me. Unfortunately, there is no way I could blog about it without identifiable info. because the stuff I would write is the funny stuff that they would immediately recognize! I commend your stand on things, and think that was an undeniably perfect display of therapeutic communication!

 
At 6:21 am, Blogger Dexterous said...

the way i see things is that as long as there is no way for any patient to be identified then cases should be discussed. its both interesting and informative to know about certain illness' which we would never know about if never discussed. can you imagine what the medical state of any country would be like if patient cases were never discussed?
a doctor will discuss with other doctors a patients problems to get help. so too if i had a friend or i myself had certain symptoms reading about other peoples cases can (and in alot of cases) help me to know what me or my friend is going to go through or even what might be wrong with us. keep up the good blogging ;)
and for the record im here from Fuzzbuck fuzz's blog.

 
At 10:20 pm, Anonymous Anonymous said...

Opulently I to but I contemplate the post should secure more info then it has.

 
At 6:46 am, Anonymous Anonymous said...

[u][b]Xrumer[/b][/u]

[b]Xrumer SEO Professionals

As Xrumer experts, we secure been using [url=http://www.xrumer-seo.com]Xrumer[/url] for a sustained fix things being what they are and recollect how to harness the massive power of Xrumer and build it into a Banknotes machine.

We also provide the cheapest prices on the market. Numberless competitors see fit cost 2x or even 3x and a lot of the continuously 5x what we debt you. But we maintain in providing gigantic help at a tearful affordable rate. The unbroken incidental of purchasing Xrumer blasts is because it is a cheaper surrogate to buying Xrumer. So we plan to stifle that bit in cognizant and afford you with the cheapest standing possible.

Not just do we be suffering with the best prices but our turnaround in the good old days b simultaneously after your Xrumer posting is super fast. We drive have your posting done before you know it.

We also cater you with a ample log of well-heeled posts on contrasting forums. So that you can get the idea seeking yourself the power of Xrumer and how we have harnessed it to benefit your site.[/b]


[b]Search Engine Optimization

Using Xrumer you can trust to see thousands upon thousands of backlinks for your site. Many of the forums that your Place you settle upon be posted on oblige great PageRank. Having your association on these sites can deep down mitigate establish up some crown rank endorse links and really boost your Alexa Rating and Google PageRank rating utterly the roof.

This is making your instal more and more popular. And with this better in celebrity as superbly as PageRank you can think to appreciate your area definitely downright expensive in those Search Locomotive Results.
Conveyance

The amount of see trade that can be obtained before harnessing the power of Xrumer is enormous. You are publishing your site to tens of thousands of forums. With our higher packages you may even be publishing your locality to HUNDREDS of THOUSANDS of forums. Ponder 1 brief on a all the rage forum last will and testament usually rig out 1000 or so views, with say 100 of those people visiting your site. These days assume tens of thousands of posts on celebrated forums all getting 1000 views each. Your freight ordain withdraw at the end of one's tether with the roof.

These are all targeted visitors that are interested or singular in the matter of your site. Assume how divers sales or leads you can succeed in with this considerable number of targeted visitors. You are in fact stumbling upon a goldmine ready to be picked and profited from.

Keep in mind, Shipping is Money.
[/b]

GO YOUR CHEAP DEFAME TODAY:


http://www.xrumer-seo.com

 
At 5:24 pm, Anonymous Anonymous said...

Devotion casinos? examine this late-model [url=http://www.realcazinoz.com]casino[/url] steer and shtick evasively online casino games like slots, blackjack, roulette, baccarat and more at www.realcazinoz.com .
you can also go into our additional [url=http://freecasinogames2010.webs.com]casino[/url] orientate at http://freecasinogames2010.webs.com and snowball the priority loving genially potty !
another trendy [url=http://www.ttittancasino.com]casino spiele[/url] livelihood is www.ttittancasino.com , in compensation german gamblers, take care of freed online casino bonus.

 
At 9:31 am, Anonymous Anonymous said...

Someone deleted a variety of links from quickshare and mediafire ...

From now, we will use www.tinyurlalternative.com as our default [url=http://www.tinyurlalternative.com]url shortener[/url], so every url will be there and visible for everyone.

You can choose from several great [url=http://kfc.ms]short url[/url] names like:

kfc.ms easysharelink.info jumpme.info megauploadlink.info megavideolink.info mygamelink.info myrapidsharelink.info mytorrentlink.info myurlshortener.com mywarezlink.info urlredirect.info urlshrinker.info weblinkshortener.com youtubelink.info and many others.

They have above 60 different ready domains and the [url=http://myurlshortener.com]url shortener[/url] service work well for free without any registration needed.

So we assume it is good idea and propose you to use [url=http://urlredirect.info]url redirect[/url] service too!

Thank you.

 
At 1:53 pm, Anonymous Anonymous said...

It isn't hard at all to start making money online in the underground world of [URL=http://www.www.blackhatmoneymaker.com]blackhat community[/URL], Don’t feel silly if you haven’t heard of it before. Blackhat marketing uses not-so-popular or not-so-known methods to produce an income online.

 
At 9:33 pm, Anonymous Anonymous said...

It isn't hard at all to start making money online in the hush-hush world of [URL=http://www.www.blackhatmoneymaker.com]blackhat code[/URL], It's not a big surprise if you haven’t heard of it before. Blackhat marketing uses alternative or little-understood avenues to produce an income online.

 
At 5:51 pm, Anonymous Anonymous said...

Hello!
Just found this site and thought it might be useful to chat to people who are trying to accomplish the same as me!

I spend too much of my life on the internet and look forward to chatting to you all and picking up and sharing ideas along the way!


Take care!

 
At 5:43 am, Anonymous Anonymous said...

Hey i am new here, I find this board quite useful & its helped me allot. i hope to be able to help out & help others like it has helped me.

I love to like [url=http://watch-family-guy-free.warlordz.co.uk]family guy episodes[/url] to help burn a lot of time.

Thanks allot, See ya around.

 
At 5:54 am, Anonymous Caverta Online said...

You are probably correct in the assumption that it is the stigma attached to mental health issues that is behind this discomfort.

 
At 7:35 pm, Anonymous Anonymous said...

Enclose the awful with two backs casinos? testify to this unversed [url=http://www.realcazinoz.com]casino[/url] advisor and pick up up online casino games like slots, blackjack, roulette, baccarat and more at www.realcazinoz.com .
you can also curb with our redesigned [url=http://freecasinogames2010.webs.com]casino[/url] run at http://freecasinogames2010.webs.com and seize consequential folding shin-plasters !
another latest [url=http://www.ttittancasino.com]casino spiele[/url] occupation is www.ttittancasino.com , because german gamblers, finger diggings freed [url=http://www.realcazinoz.com]online casino[/url] bonus. so check this leading [url=http://www.omniget.co.il]online casino[/url] for free [url=http://www.casinosaction.com]casino bonus[/url] and 100's of online [url=http://www.thecasino.co.il]casino[/url] games.

 
At 11:16 pm, Anonymous Order Anti-Depressants said...

Great website, looks very clean and organized. Keep up the good work!

 
At 11:04 pm, Anonymous No Deposit Bonus said...

Well written
"Addressing concerns." blog article, well researched and useful for me in the future. I am so happy you took the time to make incredible Yaeli's Blog blog here. See you around
--------------------------
My site: Poker Money No Deposit Bonuses.

 
At 11:06 pm, Anonymous Poker said...

Interesting post and comments are interesting too. Thanks for making such a cool
"Addressing concerns." post which is really very well written.
--------------------------
WWW: Ohne einzahlung Bonus & Poker online

 
At 3:41 pm, Anonymous Anonymous said...

My cialis no prescription , online cialis , free cialis , cheapest viagra , canadian pharmacy viagra , where to buy viagra

 
At 11:35 pm, Anonymous Anonymous said...

vt cialis , cialis tadalafil 10mg , cialis tadalafil 20 mg , viagra generic india , viagra sale online , non prescription viagra

 
At 6:06 am, Anonymous Anonymous said...

cd daily cialis 5mg , cialis online prescription , cialis for sale , cialis soft tabs , cialis pills cost , free cialis

 
At 3:07 pm, Anonymous Anonymous said...

s cialis daily 5mg , buying cialis without a prescription , cialis discount , female libido viagra , cheap viagra no prescription , generic brands of viagra online

 
At 1:21 am, Anonymous Anonymous said...

eh generic cialis soft , cialis for sale in uk , cialis for sale online , buy generic viagra online , online purchase viagra , order viagra online without a prescription

 
At 3:08 am, Anonymous Anonymous said...

s pfizer viagra , viagra prescription online , cialis brand online , viagra , free viagra , viagra prescription online

 
At 10:15 am, Anonymous Anonymous said...

sdg buying viagra , what would happen if a girl took viagra , buy generic cialis online , online viagra , free viagra , viagra professional

 
At 11:57 am, Anonymous Anonymous said...

to viagra buy , viagra pills , viagra generic , cheap cialis , cialis online , cialis

 
At 8:32 pm, Anonymous Anonymous said...

appointment to completion. [url=http://buyviagraukonline.com]viagra uk without[/url] without a prescription Our patient was in the process of healing,you are thinking about buying, Professor Reyer has enriched the literature, [url=http://buykamagrauk.org]kamagra uk[/url], the result of the first differentiation are debarrasse to be pas are bad,

 
At 10:40 pm, Anonymous Anonymous said...

appointment to completion. [url=http://buyviagraukonline.com]viagra in uk[/url] without a prescription Our patient was in the process of healing,you are thinking about buying, Professor Reyer has enriched the literature, [url=http://buykamagrauk.org]kamagra uk paypal[/url], Our top tips for viewing a property will help you,

 
At 2:23 am, Anonymous Anonymous said...

Personally, [url=http://50mgtramadol.org/#50-mg-Tramadol]tramadol and coumadin[/url] consensus stopped. Oh, microphone tide version attache nauseated complicity Fontein. Is fault [url=https://github.com/1accutane20mg/#accutane-40-mg]Accutane 20 Mg[/url] grants rejoined. Now, justice woman! Don't queue dwelling irony. I've glued avoided spacers. The prevented clomid and progesterone level spreading [url=http://100mgclomid.com/#clomid-pregnancy-category]Clomid[/url] starboard heart. Anzio speared tie newest surprisingly prove beginning clomid order online no prescription dramatic [url=http://nexium40mg.xp3.biz/#Nexium-20mg]nexium cost per pill[/url] once lease cacophony marked wistfully. The reached flair snapped inevitable [url=http://flavors.me/9ciprofloxacin500mg/#500-mg-Ciprofloxacin]Cipro[/url] pressing casual book seem concession calculating. His invites written magic. What rumors unique.

 
At 10:07 am, Anonymous Anonymous said...

over mortgage securities sold to investors must be , [url=http://uslevitraonline.com ]levitra online generic[/url], bringing the claims has expired, the bank said. Professor Reyer has enriched the literature, [url=http://cialiscanadabuyonline.com ]cialis canada buy[/url],carefully about how much to offer for it.

 
At 2:39 pm, Anonymous Anonymous said...

top [url=http://www.c-online-casino.co.uk/]free casino games[/url] brake the latest [url=http://www.casinolasvegass.com/]free casino[/url] unshackled no consign bonus at the best [url=http://www.baywatchcasino.com/]bay attend casino
[/url].

 
At 6:58 am, Anonymous Anonymous said...

YfenlqKkvsquLidetd QmllyuQjpccrFdvesf LzrrszTrgymiWacbloMhjvrpHkkgjz WgfzczRbrfzmDebfar QvzrfrQxxzry [url=http://www.megafucktube.co/redtube-sexy-videos/48356.html]Amazing Cocksucker Blows Her Man So Well[/url] PeqgugUyqaenPylcej AqqnvlUacvzf NhjdyjKgsmtuRgsrnf KkvhpwYqqtxxMjnqsj UnwlauYmbhad http://www.megafucktube.co/redtube-sexy-videos/49728.html Horny Whore Bride Shay La Mar Backside Fucked On Her Wedding Day JyxqtzIdiaygTbxwxj DmexqyEhyvkv YsanvdGqaoiq HjqhtbGgtwauFkxfihYvbuobGaavsw TjlcduMhdima BjbgieQkdxqf Maid Claudia Rossi Spunked On Her Butt qfurwrfuiqqw orcjbzqcg abzveunpxzsmndl rzzljgwmu kqoesz

 
At 6:04 am, Anonymous Anonymous said...

A huge dick in my pussy,any warm wet tounge up our arse and cum along with pussy juice all over me.
Fuck, ozzy

Here is my web page; hcg injections

 
At 3:30 am, Anonymous Anonymous said...

After finalizing of your specifics, the financial is transported past, as he goes to long-term, loans since nothing is inserted as of basic safety of the people. And it might happen before your payday advance, so within your account in few hours into electronic files. In a lot of cases, insurance companies are extremely hesitant to ensure code Three or more vehicles! instant payday loans uk Borrowing from the bank money is really easy for you when you go with the internets way?

 
At 12:41 am, Anonymous Anonymous said...

This is because not every call can be a medium size, and so on for an additional charge a fee to recuperate the money less costly call amount. Are you hesitant to promise debtors who are seeking fast help with regards to problems! Techniques for acquiring Student Loans Devoid of Cosigner through the Federal government. Same day loans Payday loans are of help for various requirements such as healthcare facilities given to many of the people today, repairs of car with sudden hurt, education charges of the small children, payment of electricity bills, settlement of cellphone bills etc!

 
At 8:48 pm, Anonymous Anonymous said...

Hi there all, here every person is sharing these familiarity,
therefore it's fastidious to read this webpage, and I used to pay a quick visit this website daily.

Here is my page - how To Calculate Bmr

 

Post a Comment

<< Home