Australian Doctor 12th July Issue 2024 | Page 14

Opinion

12 JULY 2024 ausdoc . com . au
Guest Editorial

Is the ban on doctors treating family too tough ?

There must be times when it is okay .
Dr Tony Trachtenberg GP in Sydney for 50 years .

THE Medical Board of Australia recently issued a stern reminder to doctors not to treat their family

PICTURE CREDIT
and friends .
“ The board regularly receives
notifications related to medical
practitioners providing medical
care to family members and to
those close to them ,” it said in its
monthly update .
“[ But ] we have received feedback
, particularly from some older
practitioners , that they have always
done this and cannot see why it is a
problem .”
These doctors were very mistaken ,
it suggested .
It went on to list a few examples ,
including a GP prescribing benzodiazepines
for their partner without
My mother rang me , and I raced
Shortly after taking the medica-
they were not improving , so I told
GP and their family , it could save
the knowledge of the partner ’ s psy-
over and drove my father to hospi-
tion , he fainted . It was lucky that
them to go back and be tested for
a 200km trip to the next town
chiatrist , and a paediatrician who
tal . Within half an hour of arrival ,
he was not standing at the top of
pertussis .
so their kids can get routine
prescribed Ritalin for their son .
he had a cardiac arrest .
the stairs .
That test turned out to be
vaccinations .
I understand the concerns . But
I happened to be on the arrest
My response was to quarter his
positive .
The line in the sand surely
based on my own experiences , I
team at the hospital that day and
dose , and since then his blood pres-
There are too many other instances
depends on the availability of col-
would argue that the board ’ s injunc-
was the first to start CPR before
sure has been perfect .
to recount . I have shared them with
leagues as much as the urgency of
tion — that the only justification for
colleagues and have never received a
the situation .
treating family is an emergency situation — must be more flexible .
At the age of 60 , my father collapsed at home after being told by his doctor that his chest pain was
My response was to quarter his dose , and since then his blood pressure has been perfect .
negative comment about me being a dangerous doctor .
I have also never been concerned about the board . And just to stress , I have always steered my
One of my best friends lives in a small Queensland town ( population 30 ), and when she gets sick she has to call the air ambulance , or travel four hours to the nearest doctor .
“ only muscular ” — despite also
family to a colleague if the matter
If she or her husband was a doc-
experiencing heavy sweating and
the rest of the duty team took over ,
Obviously if I had not intervened
was very personal or , in the case
tor , it would be more practical to
loss of consciousness .
My mother called an ambulance but was told there would be a 5-6 hour wait .
The rationale for this response
without a murmur of complaint . My father recovered and lived another 18 years . Another relative of mine was prescribed maximal blood pres-
before he could go back to his doctor , he could have come to serious harm .
Another case from the real world ? My daughter and her family in France were coughing severely to
of my wife and daughters , if it was gynaecological .
My point is that there are times when it must be okay for doctors to treat their own family , outside of
be treated at home by the medical spouse .
I think we all have colleagues who , if need be , are comfortable in treating family members .
was that his condition didn ’ t sound
sure medication by his doctor after
the point of fainting .
an emergency , when it will lead to a
serious since he ’ d just seen his usual doctor .
a routine checkup revealed he had hypertension .
The local GP had them on salbutamol and prednisone , but
faster resolution of the problem . Or , in the case of a solo country
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