Florida Pediatrician
Appearances
Nobody Should Believe Me
Revisiting Season 3: Shelter
The physician makes the report to DCF or the social, whoever from the hospital makes the report. DCF takes the report. There's a medical branch of DCF that gets involved and then it's taken to the court and that's kind of the process that happens. And they do circle back around to the physicians for more information. They circle back for more notes. That's why documentation becomes so important.
Nobody Should Believe Me
Revisiting Season 3: Shelter
And then they use, the court uses that information to determine if the child is sheltered. So the physician does not make, Neither does the social worker at the hospital. That call has not come from them.
Nobody Should Believe Me
Revisiting Season 3: Shelter
Beata was getting IV Dilaudid, which is an opioid pain medication for Maya to be administered at home from Dr. Kirkpatrick. She asked the IV infusion company, which is the one where she worked, for terminal to be placed on the diagnosis for the medication. Again, I don't know if that's to get insurance to cover it or what the purpose was, but she asked for that.
Nobody Should Believe Me
Revisiting Season 3: Shelter
They actually reached out to Dr. Kirkpatrick, who said that is out of his scope of practice. to put terminal on the prescription.
Nobody Should Believe Me
Revisiting Season 3: Shelter
Exactly. So he wasn't willing to say it, but then recommended that. And then it still ended up somehow from the company to be on that prescription. And then what it says is she went back to a second pharmacist within that
Nobody Should Believe Me
Revisiting Season 3: Shelter
company and said can you put terminal on they again reached out to Dr. Kirkpatrick who said no and it was not put on at that time by that pharmacist so there was concern too with I believe the company that she worked with then reaching out and it seemed Dr. Kirkpatrick at least at that point was not comfortable adding that word.
Nobody Should Believe Me
Revisiting Season 3: Shelter
I mean, my thoughts, at least from experience, would be that there are doses of pain medications you can use at home legally because now there's a lot more restrictions as well in cases of palliative care, hospice care versus just a child who may need pain medication. So dosage that would be appropriate to use in the home or even IV opioids in the home, in my experience, I mean, that is a very...
Nobody Should Believe Me
Revisiting Season 3: Shelter
rare occurrence in and of itself, as well as the fact that insurance companies may question if there aren't certain terminology, you know, we're asked sometimes, oh, did you mean failure to thrive? Or did you mean malnutrition? Because there's a word that the company would say, oh, you just didn't use the correct terminology. And that terminology may be correct in that case.
Nobody Should Believe Me
Revisiting Season 3: Shelter
But asking you to put something on a prescription that is is not correct, at least in your medical opinion, is an interesting piece, especially something that involves the word terminal, is just strange.
Nobody Should Believe Me
Revisiting Season 3: Shelter
You don't understand how much medication it takes to control her pain.