Communication barriers with divorced parents can be hard to navigate. This is even more difficult when you have a patient that is below age or developmentally not appropriate for assent. Then you add another factor that time is not always a luxury available when these medical decisions need made. In my experience we have had to really rely on multi person approach. Social work has been a very good resource for follow up discussions after the physician presents the medical component of fertility preservation. Social work and the care team can help the family sort through facts, weigh the risks and benefits and keep the discussion focused on the common goal of making the best decision for the child. Including both parents in all discussions can also help even if this means patching a parent into a phone call while the other parent is at the patient bedside.

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