Re: ethical question.

Re: ethical question.

Paul Prusakowski

7/8/1999

Hello list,

Due to an enormous number of phone calls, emails, and personal interactions
with list members within the last 3 months, it is apparent that many people
are not happy with some of the things that have happened on the list in the
recent past. The issues which have created this lack of satisfaction are all
avoidable. Therefore, the following is being issued:


WARNING: The list will be temporarily shut down, and people will be asked
to leave the list if a re-enactment of previous battles begins as a result
of this current topic.

Responses to questions should be sent PRIVATELY to people who post questions
or commenmts. Summaries of responses should be provided by the person who
posted the original question. If you do not know how to respond privately,
you can simply copy the e-mail address of the original author and and paste
it into your to: region.

As a first step, individuals who cannot follow these BASIC requests will
have their subscriptions set to full moderation mode which requires each and
every posting by that individual to be read prior to allowing posting to
OANDP-L.

If this is not effective in maintaining control the offenders will be
quietly removed from oandp-l.

If you have additional questions, e-mail me directly.

Thank you.

Paul E. Prusakowski, CPO
Moderator, OANDP-L




-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>]On
Behalf Of Kimberley Barreda
Sent: Thursday, July 08, 1999 11:58 AM
To: <Email Address Redacted>
Subject: Re: ethical question.


First of all

this woman is NOT your patient... she is your customer

she is also an adult and her motivations are NONE OF YOUR BUSINESS no
matter what you know of her background

for all you know she could have serious self image problems and is looking
for some reinforcement or maybe she wants to sell photographs of herself to
pay for some goodies she needs, like meds or maybe that limb she wants

if you have a problem with giving her the information she wants, just tell
her you've never heard of devotees and can't help her.

this is a no brainer and these things would be a lot easier if people would
lighten up and realize that we are fully capable of making our own
decisions and don't need anyone who does not see us as the equals that we
are in this relationship second guessing our motivations or anything else
that is not your concern

your concern is with her limb and that's where your business with her ends.

Kimberley Barreda
cripworld guide to amputation
<URL Redacted>

*********** REPLY SEPARATOR ***********

On 7/7/99, at 11:32 PM, Steve's Account wrote:

>I'm afraid you have one of the most perplexing dilema... patient
>confidentiallity vs public health.
>
>I do know that there have been cases where attempts to purposely infect
>folks with HIV has been treated as assualt with a deadly weapon.
>
>Are you associated with a teaching hospital? They often have have pannels
>who discuss medical ethics. You might be able to present your case with
them.
>
>Baring this, you might want to discuss it, in the abstract, with your
local
>health department. They are probably aware of the local laws...
>
>The risk is that, once you begin to discuss it, you might be compelled to
>report it by law..
>
>>From the sounds of your posting, you belive that she may be looking for
>sexual contacts.. This sounds like intent and if you belive that
>HIV transmission is assualt with a deadly weapon.. then you may be
>an accessory to that crime...
>
>I'm very glad I'm not faced with the same decisions you are..
>
>(I wonder if posting it to machines that span many state jurisdictions
>make you liable to all the laws that may be in effect in each of
>those jurisdictions? GAD!.. I hope not!)
>
>I think I'd talk to my own personal lawyer FIRST thing in the morning, to
>see what your risk is.. they pursue ethics type issues as you can.
>
>Steve