July 23, 2010
The question about the gun had been the last in a series of health questions about Ullmon's 4-month old baby that Dr. Chris Okonkwo had been asking.
“All he asked me was, ‘Are you refusing to answer the question?' and I said,'Yes, I'm refusing to answer the question,'” she said. “The questions stopped at that point.”
Okonkwo told the Star-Banner he asked Ullman about whether she had a gun in her home because of the safety of her children, and told her so.
He said he asks such questions of all his patients because if there are guns in a home with children, he advises that parents lock them away so children don't hurt themselves.
“The purpose is to give advice… I don't tell them to get rid of the guns,” he said. “The purpose is to give advice.”
He said that more than half the families he treats have guns.
Okonkwo said that during the summer, he asks parents the same kinds of questions about whether they have pools at their homes and gives advice about keeping them safe so children don't wander in and drown.
He said he does the same with young drivers, and asks whether they use their cell phones when they drive.
“I've been asking these questions two, three years,” he said.
Occasionally parents ask why he's inquiring, he said, but when he explains that it's to give them safety tips, they comply, Okonkwo said.
When asked whether he explained to Ullman why he was asking about guns in her home, he said she was too defensive and snapped at him, saying “That it wasn't any of my business… so there was no point.”
Okonkwo said the issue was not about whether the parents owned a gun.
He said he would stop being a child's doctor if the parents also refused to give information about whether they had a pool or smoked in the house.
He said the doctor and patient have to develop a relationship of trust and that if parents won't answer such basic safety questions, how could they trust each other about more important health issues.
He said he respected a patient's right not to answer questions, but it was also his right to no longer treat them.
Ullman's husband, Tom Ullman, said Okonkwo had gone too far.
“If I don't have to register my gun with the state of Florida, why do I have to tell my pediatrician whether I own a gun?” Tom Ullman asked.
The American Association of Pediatrics urges pediatricians to ask questions of parents about gun ownership when they get children's medical histories and to suggest that parents remove guns from the home.
Doctors are not required by law to treat patients.