Medical communication skills challenge — the boundary crosser, part 2 — Transcript

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1. 0:00alright Colleen I need to be really
2. 0:03honest with you right now I'm feeling
3. 0:05very uncomfortable and I think we need
4. 0:08to set some ground rules in order for me
5. 0:09to help you because I want to help you
6. 0:12but I can't if you keep making this a
7. 0:14personal relationship or trying to as
8. 0:17opposed to a professional one you know
9. 0:19this is the doctor's office and I'm a
10. 0:22doctor and in order for me to help you
11. 0:25you can't be you know crossing that line
12. 0:30do you understand that yes I'm I'm sorry
13. 0:34I I just said something terrible I know
14. 0:37I know it's fine and it's something we
15. 0:40need to explore because I think that's
16. 0:42part of the problem right now but if you
17. 0:46find that you you know you can't stop
18. 0:49yourself from crossing that line then
19. 0:51there's a couple of things we can do
20. 0:52first I could bring the nurse in and we
21. 0:55could have her in the room or I could
22. 0:59have you see another doctor maybe a
23. 1:00female doctor or or maybe I could just
24. 1:03leave the room and give you five minutes
25. 1:05and then come back and we can try again
26. 1:07how does that sound to you I rather you
27. 1:10see me I don't want to be seen by
28. 1:12anybody else okay I'm willing to talk to
29. 1:15you as long as we're on the same page
30. 1:17here all right okay sure okay so you
31. 1:20understand what I'm saying
32. 1:22yes do you understand what I'm asking
33. 1:25absolutely I'm very very sorry okay it's
34. 1:29okay you don't have to know but I just
35. 1:31feel like you know why I did it again oh
36. 1:36this is something you've done before
37. 1:38mm-hmm okay
38. 1:41so you see this is the type of behavior
39. 1:43we need to discuss in order for me to
40. 1:46help you is that okay with you okay
41. 1:50good so let's get back to what we were
42. 1:53discussing