Physicians work for the patient.  We are hired by our patients to look out for 
their health and well being, to sift through information and bring our opinion to 
the care of those that have entrusted us with their care.  It is our job to bring 
the information to them and to include them in the decision making process.

The information that this physician brings to the patient is his understanding 
of what is best-- that information having been delivered, serves to be part of 
informed consent.  The decision of how to proceed cannot be forced on this 
mother since her informed consent is the only thing that allows care to go 
forward.

Saying that someone "must" wean is not something that can even be 
realistically accomplished unless this physician feels so strongly against the 
use of that medication that he is willing to take that concern to human 
services or other places to monitor this mother.  That can't get anywhere 
since data it readily accessible that this drug is not a danger to the child.

So, as the director of her own health care and that proxy director of the 
baby's health care, she can choose to do whatever she wishes with that 
information.  She "must" not do anything in this scenario.

Jenny Thomas
www.drjen4kids.com

Jenny Thomas

             ***********************************************

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