In 2016, Dr. Kloda sought treatment with Dr. Brooks for his depression. Dr. Kloda shared with Dr. Brooks his desire to try ketamine therapy as he had experienced suicidal ideations in the past and hoped that ketamine would prevent future thoughts.

This case involves a child who was diagnosed with sickle cell disease and asthma during his first year of life,¹ and was frequently hospitalized for ear infections, upper respiratory infections, and sickle cell pain crisis. At age one, the child’s pediatrician referred him to an ENT clinic for an evaluation of his symptoms. Dr. B, an ENT surgeon, reviewed the medical records and performed a physical examination. He recommended the patient undergo a Bilateral Myringotomy Tympanostomy and Tubes (BMT) and adenoidectomy to eliminate the recurring ear infections and reported mouth breathing.

Despite the benefits, the serious consequences that can derive from the improper use of AI cannot be ignored. An example of dire consequences was seen in a recent Avianca Airlines lawsuit.

This Case of the Month highlights the unfortunate scenario when a patient with mental health issues fell through the cracks within the healthcare system.

This Case of the Month emphasizes the importance of documenting conversations with patients regarding informed refusal. Beware: A good physician-patient relationship may not always save the day when adult children get involved