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RE: PRIVATE PRACTICE - A case where I closed consultation
"Erika, be a little more patient.
I guess your name is Erika xD Well Erika great post, i have one question though, doesn't posting stuff about your cases here on steemit interfere with the privacy of your clients? all that doctor-patient confidentiality?
(for example a „Million Dollar advice“ from a friend with a certain effect).
The only million dollar advice that i got from a friend was: "forget that bitch, she didn't deserve you, you are too good for her" it worked... Does that count xD?
Thank you.
Yes, that's my name. And it's the only one, I mentioned :)
I would like to answer with a question:
Do you think I hurt my client's identity and do you see any confidential aspects of identity being revealed?
You must know, that since I am doing this work, I met over 2000 clients and it could be any one of them.
Mostly I wrote it because I myself had wished for more publications on the Internet.
:-D LOL.
No, that advice from your friend does not count.
Yes, you are right... I'm always afraid of speaking about any of my patients, even if I don't say their names... doctor-patient confidentiality is a risky thing... I'm a vet student and let me tell you in the few time I spent working in a clinic I've seen the worst of humankind and the best of humankind, I've seen ppl bringing dogs that were run over and they paid for their care out of their pockets, and ive seen dogs covered in fleas and tickets with heart problems almost dead, and the owner left him in the clinic while he went on holidays, the animal suffered for 3 days, had 3 heart attacks and managed to wait for the owner to actually end his holidays
It's really troublesome some of the stuff we vets see... we normally shut up, because at least they brought the animal to the clinic, but I've seen soo many students drop out because they couldn't handle the pressure. And just like you said, I myself wished there were more publications on the internet on how to deal with some of the stuff we see... the first time I saw a dog that was run over let me tell you, it's not pretty at all, if I explained it here I would have to put a NSFW tag on this comment...
If my friend's advice does not count than i don't know xD
And you are right, too for this confidentiality must be considered. The fine line between giving information, reflect at the same time about issues and not hurting I have in mind.
So, when you speak about the things, which cause trouble in you in witnessing how animals are hurt would require additional information about how you get support in getting certain strategies of dealing with what you face in your profession. I would like to know if there is a part within your education covering that?
Aren't you obliged to report it to an animal protection association if an animal is negligently mistreated? Is this not exempt from professional secrecy?
What do you recommend to pet owners if you notice that someone is very negligent or abusive with an animal? Do you have the impression that your recommendations made someone think?
I can understand your compassion very well and I didn't think that so many of the students would quit. I'm really sorry about that.
to your friend's advice: Oh, of course, you know ;-)
Yes, but i will only have it in the 4 year of the degree...
We are not obliged to report, we can if we want, but this law is very recent, the thing is that most clinics think that by reporting it they will get a bad rep with the owners... It really depends on the owner of the clinic, and like i said, at least they brought the animal to the clinic, if we start telling the authorites they just keep doing the same thing but never bring their animals to the clinic...
If you asked me 1 year ago before the law against pet abuse passed i would have told you, you couldn't do anything, but right now after the law, just call the authorities, and keep calling them until they actually do something!! get the neighbors to call, get everyone to call.
If someone can abuse an animal, they are just 1 step away of doing the same to a human
Revealing therapy consultations gives us professionals a chill, yes. To discuss a behavior in general is decent. E (I name her) is touching important issues a good therapist/social worker must ask him/her self. Is the client playing with me to fulfill their need of attention or are there deeper issues that are holding them back from unfolding.
E has very carefully, without naming the patients name, social status etc, explained the situation between her and a client. Examples are seen in most therapy books. I my view she kept the privacy well.