Question

real life scenario decoding a medical record peter is taking his father to see dr. wilson to discuss his fathers upcoming surgery. with his fathers permission, peter asks to see his fathers medical record. peter reads the following: patient found to have a tumor in the colon following a colonoscopy. biopsy done in pathology found to be a sarcoma, breaking through the colon wall. surgery to follow in 10 days, with possible colostomy. patient surgical history includes a t&a in 1970. patient has chronic utis and had a mild mi in 2000. apply it 1. using what you have learned in this chapter, translate this section from the fathers medical record. the facts at the end of this chapter, in particular, may be useful. 2. do you think dr. wilson broke the law or acted unethically in giving peter his fathers medical record? to whom can dr. wilson show the record? do some research, including other chapters of this text, to answer these questions.

Explanation:

1. To translate the medical record section: "Patient found to have a tumor in the colon following a colonoscopy. Biopsy done in pathology found to be a sarcoma, breaking through the colon wall. Surgery to follow in 10 days, with possible colostomy. Patient surgical history includes a T&A in 1970. Patient has chronic UTIs and had a mild MI in 2000." This describes a patient with a colon - sarcoma, upcoming surgery, and a history of tonsillectomy and adenoidectomy (T&A), chronic urinary tract infections (UTIs), and a mild myocardial infarction (MI).
2. Regarding Dr. Wilson: There is no clear indication that Dr. Wilson broke the law or acted unethically in giving Peter his father's medical record. In many cases, if the patient (Peter's father) has given consent or in situations where it is in the best interest of the patient and appropriate communication channels are followed, sharing medical records with a family member assisting in care can be acceptable. However, specific laws and ethical guidelines may vary by jurisdiction.

Answer:

1. Translation: Patient was found to have a tumor in the colon after a colonoscopy. A biopsy in pathology showed it was a sarcoma that had invaded through the colon wall. Surgery will be carried out in 10 days, with a possible colostomy. The patient's surgical history includes a tonsillectomy and adenoidectomy in 1970. The patient has chronic urinary tract infections and had a mild myocardial infarction in 2000.
2. There is not enough information to conclude that Dr. Wilson broke the law or acted unethically, but it depends on local laws and consent - related factors.