The Case of Anesha and the Lost Medical Record Anesha's 15-year-old daughter, Robin, is experiencing abdomi...

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The Case of Anesha and the Lost Medical Record Anesha's 15-year-old daughter, Robin, is experiencing abdomi nal pain when exercising during her gym class. After reviewing the results of several tests, Robin's pediatrician still cannot deter- mine the cause of Robin's abdominal pain. He asks Anesha if she had any obstetrical problems when she was pregnant with Robin. Anesha had just read a report in a national newspaper discussing the use of a hormonal treatment to control bleed- ing that was used on expectant mothers at about the time that Anesha was pregnant with Robin. The report stated that female children could develop serious uterine problems, including cancer, during their adolescence if their mothers were given a particular hormone during their pregnancy that was in use (continued) 207 208 PART 2 The Health Care Environment 15 to 20 years ago. The report went on to state that male children were unaffected. Anesha recalled that her obstetrician, Dr. C.. had given her that particular hormone medication to control bleeding during her pregnancy with Robin and also when she was expecting Robin's brother, Sam. Anesha wrote Dr. C. to request her medical record and ask if the doctor had prescribed the hormone treatment during her pregnancy. She received a letter stating that Dr. C. could not recall what he prescribed 15 or 16 years previously. The letter also stated that all his records were destroyed in a fire five years ago. 96 1. What should Anesha tell Robin's pediatrician? 2. What does Robin need to know about her potential for a serious uterine diagnosis? 3. How could this situation have been prevented? eavisido grimies! C., rol she to ed ved bed 1. What should Anesha tell Robin's pediatrician? 2. What does Robin need to know about her potential for a serious uterine diagnosis? 3. How could this situation have been prevented? The Case of Anesha and the Lost Medical Record Anesha's 15-year-old daughter, Robin, is experiencing abdomi nal pain when exercising during her gym class. After reviewing the results of several tests, Robin's pediatrician still cannot deter- mine the cause of Robin's abdominal pain. He asks Anesha if she had any obstetrical problems when she was pregnant with Robin. Anesha had just read a report in a national newspaper discussing the use of a hormonal treatment to control bleed- ing that was used on expectant mothers at about the time that Anesha was pregnant with Robin. The report stated that female children could develop serious uterine problems, including cancer, during their adolescence if their mothers were given a particular hormone during their pregnancy that was in use (continued) 207 208 PART 2 The Health Care Environment 15 to 20 years ago. The report went on to state that male children were unaffected. Anesha recalled that her obstetrician, Dr. C.. had given her that particular hormone medication to control bleeding during her pregnancy with Robin and also when she was expecting Robin's brother, Sam. Anesha wrote Dr. C. to request her medical record and ask if the doctor had prescribed the hormone treatment during her pregnancy. She received a letter stating that Dr. C. could not recall what he prescribed 15 or 16 years previously. The letter also stated that all his records were destroyed in a fire five years ago. 96 1. What should Anesha tell Robin's pediatrician? 2. What does Robin need to know about her potential for a serious uterine diagnosis? 3. How could this situation have been prevented? eavisido grimies! C., rol she to ed ved bed 1. What should Anesha tell Robin's pediatrician? 2. What does Robin need to know about her potential for a serious uterine diagnosis? 3. How could this situation have been prevented?