Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

State legislatures should not enter the exam room

Kohar Jones, MD
Physician
May 26, 2014
Share
Tweet
Share

The doctor-patient relationship is under threat from state laws that try to shape what we can and can’t do for our patients. Many state legislatures are proposing laws that limit the questions doctors can ask patients in our confidential clinic visits. Do you smoke? Drink soda? Exercise? Do drugs? Is there a gun in the home?* Do you want to be pregnant? Is there fracking near your home?*

The questions followed by asterisks may soon become illegal in a state near you.  Perhaps the other ones will too.

For example, Florida has made it illegal for physicians to ask whether there are guns in the home.  This matters.  People who live in a home with a gun are three times more likely to be murdered–most frequently from domestic disputes. As Arthur Kellerman showed in his 1993 paper “Gun Ownership as a Risk Factor for Homicide,” 70% of homicide victims are killed by people they know, after an argument. Having a loaded gun within reach makes people much more likely to kill each other in the heat of the moment.

In Connecticut, one of my patients was a middle-aged woman living with her schizophrenic son. He occasionally muttered he wanted to kill her.  “Do you have a gun in the home?” I asked.  This was important.  It would change how likely he was to succeed in his wish.  A gun with bullets in the home would increase her chances of dying dramatically.

“Yes,” she said.  “I keep a loaded gun on me at all times.” She ignored my advice to get the gun out of her home. Or at least take the bullets out. “It makes me feel safe,” she said. That was her right as a patient, to ignore my advice.  It was my duty as a physician to let her know the increased health risks.

After violence escalated in the home, and her son stabbed her with scissors, undeterred by the gun, my patient decided for herself to get rid of the gun before he used it on her or she used it on him. Did my doctorly advice make a difference? Maybe. Or not. But it was my duty as a physician to provide the evidence-based information that could guide her in making a decision that could mean life or death for herself.

I don’t want a state legislator to prevent me from doing my duty as a physician to provide sound health advice or curtail my patients’ freedom to ignore it at their will.

State legislatures should not crowd themselves into the clinic room.

Kohar Jones is a family physician who blogs at Prevention Not Prescription.

Prev

A life lesson in the operating room

May 26, 2014 Kevin 25
…
Next

Physicians must be part of the change process

May 27, 2014 Kevin 2
…

Tagged as: Primary Care

Post navigation

< Previous Post
A life lesson in the operating room
Next Post >
Physicians must be part of the change process

ADVERTISEMENT

More by Kohar Jones, MD

  • a desk with keyboard and ipad with the kevinmd logo

    A positive view of health reform, no thanks to the HITECH Act

    Kohar Jones, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The gun violence epidemic is a traumatic injury epidemic

    Kohar Jones, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Blessed to be alive after a gunshot wound

    Kohar Jones, MD

More in Physician

  • How tragedy shaped a medical career

    Ronald L. Lindsay, MD
  • A doctor’s guide to preparing for your death

    Joseph Pepe, MD
  • How policy and stigma block addiction treatment

    Mariana Ndrio, MD
  • Why don’t women in medicine support each other?

    Jessie Mahoney, MD
  • IMGs are the future of U.S. primary care

    Adam Brandon Bondoc, MD
  • The high cost of gender inequity in medicine

    Kolleen Dougherty, MD
  • Most Popular

  • Past Week

    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • From nurse practitioner to leader in quality improvement [PODCAST]

      The Podcast by KevinMD | Podcast
    • The crushing bureaucracy that’s driving independent physicians to extinction

      Scott Tzorfas, MD | Physician
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
  • Recent Posts

    • Healing from medical training by learning to trust your body again [PODCAST]

      The Podcast by KevinMD | Podcast
    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions
    • How policy and stigma block addiction treatment

      Mariana Ndrio, MD | Physician
    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 16 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • From nurse practitioner to leader in quality improvement [PODCAST]

      The Podcast by KevinMD | Podcast
    • The crushing bureaucracy that’s driving independent physicians to extinction

      Scott Tzorfas, MD | Physician
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
  • Recent Posts

    • Healing from medical training by learning to trust your body again [PODCAST]

      The Podcast by KevinMD | Podcast
    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions
    • How policy and stigma block addiction treatment

      Mariana Ndrio, MD | Physician
    • Unused IV catheters cost U.S. hospitals billions

      Piyush Pillarisetti | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

State legislatures should not enter the exam room
16 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...