I agree with your approach wholeheartedly. It takes some time with the
parents, and you've got to have a good grasp of the data re probability of
disease. We've got to stop being paternalistic as physicians--remember
that parents devalue pain for their child as much as we value the
additional information gained by additional tests. In the end it's their child
and their decision--I can only provide information so that their consent
will be informed.
Do I think this will make me immune from lawsuits? No, but no approach
will. At least I know I'm doing what's right for the patient and the family.
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