Cali parents want 2nd opinion on proposed heart surgery for 5-mo-old son, then CPS takes son

kuwisdelu said:

Out of curiosity, does this mean some things like anxiety or psychosis can only ever be considered a symptom?

Or does it count as a sign if the doctor/therapist believes them?

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A patient saying that they are axious is a symptom. If the observes sees them fidgetting or tweaking that would be a sign. A patient reporting psychotic episodes, hmm, that might be a grey area and would require a psychiatrist or psychologist to say, but they tend not to care much about such distinctions anyway, so I doubt that for them it would be an issue

Generally it's taught to med students to write their notes in SOAP format (Subjective, Objective, Assessment and Plan)

s: pt reports anxiety
o: pt frequently fidgets and scratches her neck
a: anxiety disorder as yet unqualified
p: benzodiazepines prescription, toxic screen to rule out amphetamine use and follow up

Anything under s: is a symptom. Anything under o: is a sign

GeorgeK said:

Generally it's taught to med students to write their notes in SOAP format (Subjective, Objective, Assessment and Plan)

s: pt reports anxiety
o: pt frequently fidgets and scratches her neck
a: anxiety disorder as yet unqualified
p: benzodiazepines prescription, toxic screen to rule out amphetamine use and follow up

Anything under s: is a symptom. Anything under o: is a sign

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Thanks!

http://www.today.com/health/parents-police-removed-our-child-after-we-sought-second-medical-6C9708419

Newish linky that suggests the judge did in fact order a third opinion obtained. This makes me feel shaky about the aforementioned pitchfork.

"Sammy is currently scheduled to undergo heart surgery in Stanford, within the next 48 hours."

http://www.imperfectparent.com/topi...s-custody-of-baby-gives-baby-back-to-parents/

And yet the media is still largely going with "parents correct to take baby home, CPS = crazy" line. Which is weird.

Working for CPS must be kind of sucky a lot of the time. I men the child did apparently need surgery after all. And although the situation may not have been handled with an excess finesse, the outcome is going to be good for the kid.

I wonder what the story would sound like as told by the CPS worker and/or the first doctor.

darkprincealain said:

http://www.today.com/health/parents...hild-after-we-sought-second-medical-6C9708419

Newish linky that suggests the judge did in fact order a third opinion obtained. This makes me feel shaky about the aforementioned pitchfork.

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The link won't open.

It's not uncommon for a good doctor to recommend several tests, and even seeking another opinion of say a specialist before cutting someone open, especially with a major surgery like open heart surgery.

The other opinion in this case was apparently: "go home you don't need surgery"--from a doctor who apparently did not have the patient files. The third opinion was along the lines of "schedule the surgery now". So maybe doctor one resisted discharge out of concern that the baby might be in immediate danger?

Hard to say as he will probably not be permitted to speak to the media.

milkweed said:

The link won't open.

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Hmm I've probably got some "junk" in the URL that my browser threw in. I'll fix it when I get home later on tonight.

The link works for me.

www.today.com/health/parents-police-removed-our-child-after-we-sought-second-medical-6C9708419