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If_you_were_I,what_would_you_do?

(2020-04-06 16:46:18)
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世相

分类: 有见有思
When I was a child, my father told me that a doctor need to treat his patients equally. 
When I entered medical college, I was assured that a doctor need to do no harm. 
When I began my practice, I knew that there are always dilemmas: some solvable, some not.

I read in the NewYork Times Dr. Lamas's story  from Boston. 
She wrote, "...... I know that we are overworked and afraid that we won’t have the equipment we need to protect ourselves."
She admitted, "I don’t want to spend a moment longer in a Covid-19 patient’s room than I have to." 
She stated that it wasn't her usual style. She admitted, "Truth is, I am scared."
She and collegues knew that it was medically right to confine visitors.
But they worried that their patients were likely to die in separate sterile hospital rooms, far from anyone who loves them.
Her mood could be read in the title I’m on the Front Lines. I Have No Plan for This.

Yet if the pandemic grows direr, she might go further to decide on which patient to die.
State documents already came out that patients with chronic, severe conditions, such as metastasized cancer, AIDS, “severe mental retardation,” advanced dementia and “severe burns”, should be disqualified from being put on the ventilators.
Even so, it does not mean that most Covid-19 patients would have a chance.
 Such actions, according to news from the Boston Globe, are defined as collectively ethical by Harvard Medical School.
Yet for individual doctors, the process of making decisions would be tough, torturous.
And,  it's foreseable that not all devastaing family members would willingly support the decision.

I recalled that last year, a patient questioned in rage, "If you were I, what would you do?"
 I stayed silent, although actually wanted to say the same back. 

We humans are so little before the nature, and so bewildered in the perplexing world.  
There is no easy way out.  
Oftentimes, we make choices. 
At times, we are compelled to dice. 

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