Case 3: Mr. Adams

Provider

History

Mr. Adams is a 21-year-old male who presents to the ED with a penile discharge. He takes no medications and has no medical problems. He was with a new partner and few weeks back that he met at a bar. He is anxious that he had to take time out from work to come to the ED.

Physical Exam

Mr. Adams is in generally good heath with normal vital signs. He does in fact have a yellow discharge from his penis. The remainder of his exam is normal.

Alcohol Screen

He drinks 3 or 4 times a week. He has 6-10 beers on each occasion out with his friends. The maximum number of drinks in the past month is 12.

Physician Advice

14 drinks per week and no more than 4 on an occasion. Do not drink and drive.

Patient: Mr. Adams

History

You are a 21-year-old male who had to go the ED for a penile drip. You are very mortified by having to do so, and hope that you do not meet up with anyone you know. You were with a new partner a few weeks back. You met up with her in a bar. You have not seen her since. Normally you are more careful. You are worried about taking time off from work to go the ED and hope that you do not have to come back.

Alcohol Screen

You drink 3-4 times a week, somewhere between 6-10 beers at a time. The most you had was 12, the time you picked up this girl.

Negotiation

You are not very happy about any of this. On a scale of 1-10 you choose a 2.

PROSAll of your friends drink, you drink no more, maybe less than many. You never got into any trouble that you can think of. What is with this doctor, you are here for an STD. Why doesn’t he/she just give you the shot and be done with it!
CONS

Well after he mentioned it, you guess that you probably were not too with it that night. You didn’t know her and you usually do wear a condom with new partners.

Patient Goal

You will agree to no more than 6 at a time.

You never drink and drive.