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Old 05-16-2012
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Medicolegal and Ethics Ethics question terminate ventilation

10 years old boy went on ventilation due to icurable disease. Parents determine to terminate the ventilation. What should the physician do?? continue ventilation or terminate??
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terminate.
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Terminate...The child is under 18 and the parents have to make a decision for him..........???????????
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But what about the rule that parents can't withhold life or limb saving procedure??
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Old 05-16-2012
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Quote:
Originally Posted by Haneshkumar View Post
But what about the rule that parents can't withhold life or limb saving procedure??
Its USA, Rules are rules...And everyone has to follow it...A doctor is no exception...Parents have been given a right to make decision for their minor children...(few exceptions apply, like Minor pregnant etc.) ...

Pass the exam, Do your job according to the law, Get your pay check and enjoy your life.
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In another Q where the boy and his mother were in a road accident and the mother asked the doc to not give any blood transfusion on religious grounds..... she wasn't treated but the boy was....!!!

Is this scenario different coz its a incurable disease ????????
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Quote:
Originally Posted by ..sharma View Post
In another Q where the boy and his mother were in a road accident and the mother asked the doc to not give any blood transfusion on religious grounds..... she wasn't treated but the boy was....!!!

Is this scenario different coz its a incurable disease ????????
I think Parents can't refuse a life saving treatment for their child on any religious grounds.......?????????

Not sure though.
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Old 05-16-2012
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Quote:
Originally Posted by Haneshkumar View Post
But what about the rule that parents can't withhold life or limb saving procedure??
Life support won't save the child or alter his prognosis. That's why

Sent from my Desire HD
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Old 05-16-2012
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Oh...k ...thanks...
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Old 05-16-2012
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Quote:
Originally Posted by ..sharma View Post
In another Q where the boy and his mother were in a road accident and the mother asked the doc to not give any blood transfusion on religious grounds..... she wasn't treated but the boy was....!!!

Is this scenario different coz its a incurable disease ????????
Yes you are rite..
BLood transfusion will save the kid.. Mother is literally asking not to do what is needed
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Old 05-16-2012
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Ok, terminate. Unfortunatelly.

There was a famous lawsuit to a similar problem:

A child was born with a Down syndrome (apparently with very predicted low IQ, not the mosaic one) and had associated TE fistula...
Surgeons offered immediate operation to restore food passage.
Parents declined the operation.

Parents won the lawsuit against them, because the judge decided that the benefits of the procedure would not change the general situation, since the child has down syndrome.


Here parents have the right to make the decision and can withold "lifesaving" operation since the child is unlikely to recover
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Quote:
Originally Posted by DocSikorski View Post
Ok, terminate. Unfortunatelly.

There was a famous lawsuit to a similar problem:

A child was born with a Down syndrome (apparently with very predicted low IQ, not the mosaic one) and had associated TE fistula...
Surgeons offered immediate operation to restore food passage.
Parents declined the operation.

Parents won the lawsuit against them, because the judge decided that the benefits of the procedure would not change the general situation, since the child has down syndrome.


Here parents have the right to make the decision and can withold "lifesaving" operation since the child is unlikely to recover
I didn't get this...If the parents declined the operation , then how did they win the lawsuit against the surgeons later?
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Quote:
Originally Posted by Doc4Step1 View Post
I didn't get this...If the parents declined the operation , then how did they win the lawsuit against the surgeons later?
It was called Baby Doe Case (Indiana), poorly written on google, but I had a great explanation in Fischer's 100 cases
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