"The December is Casey us season of giving back. What are you grateful for breaking news, award-winning, cultural, coverage, eclectic music, free events, and concerts, and how about truth connection and community a KCRW? It's all possible. Because of you you give because it matters your dollars. Make the biggest impact this month. Thanks to generous challenge grants. So cross us off your list this season with a tax deductible donation at KCRW dot com slash join. Doctors have a duty to report people to thorns who have a potential to harm the public such as reporting to the department of motor vehicles. Those were the recent history of seizures or reporting those who are victims of abuse to the proper authorities. But are there limits to what doctors need to report? And if so who decides this is Dr Michael Wilks with a second opinion. I was on my way to the office this week when I heard a scream, hey, Dr Wilkes I looked around and saw no one I walked a bit further again. I heard the same loud call. But the voice also said up here, I'm up here. I looked up in high above in the booth of a crane was a patient of mine, waving. I waved back and walk toward my office. I was only a few steps along when I recalled that this man was a man that I was treating. Heavy methamphetamine abuse and his treatment wasn't going very smoothly. But he never told me. He was a crane operator was he a danger to others working up there? How does a doctor balanced their duty to protect the public with their duty to protect patient physician? Confidentiality confidentiality is important to promote open and forthright communication between the doctor and the patient. We don't want people to hesitate to seek medical treatment out of fear that their condition will be disclosed. Of course, there are certain exceptions to protecting confidentiality such as when there are overriding public health considerations. For example, if a person threatens to cause serious harm to a specific identified person, or when there is violence or child abuse. But this man up there in the crane came to my clinic for care, and he's. Shared with me his personal struggles to overcome meth addiction expecting that. I would uphold the sacred principle of confidentiality. He did not give me consent to talk to his employer or anyone else. If I reported him I would need to provide details such as his name is job. And the medical problem that I believed place the public at risk as I turned to take another look at him up in the crane. He seemed to mine I eve is to be handling the crane quite appropriately. There was nothing that I specifically saw that was a tall concerning in Embiid US ethical situations where I might need to break confidentiality. I was taught to ask myself one question if I fail to notify someone will it put a specific person or group at high risk of serious harm in this case, I could not identify specific person. Or a group. But perhaps I don't know enough about crane operations most experts. I consulted said that I had no duty to report the man, but a few asked how I would feel if he ended up hurting some people, and I could have prevented it. What do you think? What should I have done? This is Dr Michael Wilks. With a second opinion this podcast was made by public radio station. KCRW our status as a nonprofit enables us to make bold and unusual programs. But we need your support to keep it that way donate or become a member at KCRW dot com slash join. And thanks."