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Please read the passage below and respond to it and to two of your peers posts.

ID: 247507 • Letter: P

Question

Please read the passage below and respond to it and to two of your peers posts. A 10-year-old girl suffered from a rare malignancy in her brain and around her spinal cord. She had surgery, and most of the tumor mass was removed, but residual tumor remained in the brain and around the spinal cord. The girl's doctors informed her parents that chemotherapy and radiation were possible treatment options but could cause serious problems such as sepsis, a permanent loss of 1Q and stature, and even death. The parents wished to proceed with the therapy. While their child was undergoing aggressive chemotherapy and radiation, the parents did independent research and read of several drugs being administered for cancer in other states that were unapproved by the Federal Drug Administration (FDA) and were illegal in their home state but were touted by physicians using them as miracle cures." Furthermore, one of the girl's doctors released the girl's medical records to another physician to get a "second opinion" without informing the parents. This particular physician is a member of the same country club as the parents. He happens to share facts from the medical records with other members who end up telling the girl's parents. The couple sued their child's physician for failure to disclose alternative treatments, thus depriving them of informed consent. The couples also sued the child's physician for sharing their daughter's records in violation of the girl's privacy How should the court rule in both cases? Did the child's physician involved follow the law? Did he act ethically in either situation? Explain your answer Under the doctrine of informed consent, should a physician be responsible for informing patients of all treatment options, even if some of the treatments are illegal or not yet proven effective? Explain your

Explanation / Answer

1.Court should generalise and identify the responsibility of both the cases in which the patients parents had sued physician for two reasons i.e one for not informing about the alternative treatment and other for violating girls privacy by taking second opinion from other physician.The strong reason that can be risky for physician is using illegal drugs for fast recovery and also not disclosing it to the patients parents.The court should take a serious action in which it is a punishable offence.

2.The childs has done a very minor mistake in discussing with other physician.According to law,one physician can take the opinion of other physician which is good for the patient itself but while discussing the girls identity like name ,age ,gender should be kept confidential for which the physician failed to do.He did not ethically in either situation.The physician should explain the nature of the illness,procedures to be performed,the risks and probable consequences ,the probability of success,the signatures of the patient,the physician and the family or witness to be taken with the date of signatures.

3.Informed consent is at the heart of the shared decision making -a recommended approach to medical treatment decision in which patients should actively participate with their doctors.To avoid any legal actions ,according to the doctrine of informed consent ,physicians must disclose enough information to the patient to make an informed decision.

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