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A physician went to vacation for 2 weeks. He did not find another physician to cover him. One of his patients with hypertension developed severe headache. The patient has an appointment with the doctor as soon as he comes back from vacation. The patient did not look for another physician and decided to wait. The patient suddenly collapses and was diagnosed to have intracranial hemorrhage. Is the physician responsible for this patient?
You tell a mother her two year old child has leukemia, but she refuses chemo but insists upon seeing her family physician who is a naturopath. What do you tell her, how do you handle this so that you may continue to have some influence as regards the treatment of her child? (The childβs life is in the balance as the naturopath will be unable to save the childβs life and you have an obligation to your patient, the child, who cannot make an informed decision. In paediatrics, its beneficence and βthe rule of rescueβ that takes precedence.)
A message that recently appeared on the Web warned readers of the dangers of aspartame as a cause of an epidemic of multiple sclerosis. The authors claimed that aspartame remains on the market because the food and drug industries have powerful lobbies in Congress. They quoted Dr. Russell Blaylock, who said. "The ingredients stimulate the neurons of the brain to death, causing brain damage of varying degrees." Critique this message, in terms of the strength of the arguments presented and their logical consistency. Your critique might include an indication of the issues that you would like to delve into further before assessing the validity of these claims.
Your older sister tells you that she values her career and is reluctant to take time away to have a baby. Her husband agrees with her. They have arranged to conceive an embryo through in vitro fertilization. A company in India will implant the embryo in a surrogate mother from a nearby village who will be paid $5,000. Two weeks after the baby is born, the company will deliver the baby to your sister and her husband. Your mother is opposed to this arrangement whereas your father supports her decision. Your sister asks for your support. How would you respond to your sister?
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