Feyza
Forum Guru
Topics: 49
Posts: 1,436
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Guys... Im afraid my emotions and traditions are ruining my doc-pat-relationship Qs 
I mean how can I ask a 85 yr old COPD man : OK DUDE IM DONE WITH YOU FOR NOW BUT B4 YOU LEAVE...YOU KNOW YOU WILL DIE SOON SO TELL ME ...YOU WANT TUBES OR IS YOUR WILL READY 
surely not this way but it means THIS to the man !!!!!
or how can I not give blood tx to a poor bleeding kid cuz his stupid dad thinks he wont go to heaven if I do and watch him die ...when I know the mercy of God to whoever he created would never command such a rule in any religion 
I keep scoring low on this Ill try to be a witch in the exam
oo by the way ...I posted this here cuz the beh sci forum is such a mess with all lines and topics look like CIS epithelium  whats wrong there moderators or do I have a prob in my internet ??
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O my Lord! Open my chest for me ( grant me self-confidence ) and ease my task for me.Ta-Ha 25-26.
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| P4a99
Forum Fanatic
Topics: 44
Posts: 2,431
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I think the solution is to stick to your believes _in your heart_ ( if your sure that they are good enough ) ... but now and on the test just tell them what they want to hear ( cuz this is life! ) your only going to harm your self and not going to teach anybody anything! but tomorrow ( after the exam ) when your on your own ... tell, give, say, do to your patients what you really believe is the best for them ... GL
note: yah, your right the bh. sc. forum is messed up
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| paheli
It'sAllAboutGoodKarma
Topics: 193
Posts: 2,587
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hey friend!
nice to see you again!
well, you know what they say. there are some rules to be followed in the exam. just follow them. you are not hurting anybody by clicking on the legally correct answer, whether or not it is ethical by your opinion. then, when you ace this test, and the next one...and the next one, you will then actually make a difference.
also, look at it this way. if your religion has a rule concerning something, and somebody wants to break that rule while thinking they are helping you, wouldn't you want them to abide by your wishes? on that same line, doesn't your hypothetical patient in the MLE/your real one in residency have that same control over what's done to them? it's just an example that we are all humans, but we have perspectives that are worlds apart. and we must accept that and co-operate.
hope you're holding up well! imagine, you'll be free soon! happy reading 
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| me007
Forum Guru
Topics: 72
Posts: 799
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uno momento.
you supposed to treat kid as you supposed to in life saving situations, despite parens wish, but treat adult as he wans to, if he is consciouness. If he is not - than again, as you supposed to..
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| Feyza
Forum Guru
Topics: 49
Posts: 1,436
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well the Q was...both mum and girl injured in accident bleeding...dad says NO to blood tx...so what ?
the answer was...dont give to mum...call court for girl
court for 6 yr old girl near the edge of shock 
I also thought the ER conditions knocks the dad off but it seems not to be this way
Ill do as you ppl say in the exam no worries but I hardly can understand it and wonder if they really do so in actual life in states ...
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O my Lord! Open my chest for me ( grant me self-confidence ) and ease my task for me.Ta-Ha 25-26.
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| Feyza
Forum Guru
Topics: 49
Posts: 1,436
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and yeaaaaa !!!!!!!!!! Ill be free !!!!!! at least for 5 weeks  
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O my Lord! Open my chest for me ( grant me self-confidence ) and ease my task for me.Ta-Ha 25-26.
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| me007
Forum Guru
Topics: 72
Posts: 799
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dad can say no for mom, but not for kid, thats for sure
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| Feyza
Forum Guru
Topics: 49
Posts: 1,436
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thats exactly what I cant get...mum can even be from some other religion !!!!!!!!!
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O my Lord! Open my chest for me ( grant me self-confidence ) and ease my task for me.Ta-Ha 25-26.
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| me007
Forum Guru
Topics: 72
Posts: 799
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here is q on this.
22 y.o. man with subdural hematoma, brain contusion in a motor vehicle accident, needs blood transfusion.
his parents refuse to allow trasfusion based on their belief.
what should be done?
1. honor parent's wishes
2. give the blood
3. wait for a formal hearing with a juidge and a court
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| P4a99
Forum Fanatic
Topics: 44
Posts: 2,431
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(2)
1- y would you let someone kill someone indirectly ?
3- the guy would be dead by then !
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| me007
Forum Guru
Topics: 72
Posts: 799
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another one for you
women in labor bleeding heavily, refuses blood trasfusion, even she understand she can die.
when she loses consiouness her husband says to give her blood and he will sign concent.
what should be done?
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| P4a99
Forum Fanatic
Topics: 44
Posts: 2,431
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me007 wrote:
another one for you
women in labor bleeding heavily, refuses blood trasfusion, even she understand she can die.
when she loses consiouness her husband says to give her blood and he will sign concent.
what should be done?
ooo this is hard
for the test : do what the patient asked for ... shes an adult and chose for her self
but in real life: sure give her the blood if the husband asked to do soo .... o man shes going to love him soooooooooo much for doing so!
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| dncosta
Licensed, finally
Topics: 19
Posts: 603
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There is no such thing as absurd or stupid when it comes to belief. Although I am a "regular and conventional" christian, nobody can or should judge other's belief. Faith is something not supposed to be rational.
I've seen a case of someone who received blood transfusion against his will and once recovered after the elective surgery, killed herself because "she did not deserve to live anymore".
It is their call, not ours. The paternalism used to be the dominating point of view, but it isn't anymore (it is not always true that we know what is better for somebody else, even if our intention is the best possible).
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| P4a99
Forum Fanatic
Topics: 44
Posts: 2,431
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dncosta ... you made a great point, maybe the problem is that i dont understand this blood thing ... i should learn a little more about others believes ... thanks for enlighting me ...
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| me007
Forum Guru
Topics: 72
Posts: 799
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actually in the case if accident - mom-kid unconciouness, dad making decision for mom, she has not written will, shoud doc follow dad's direction and do not save her?
i mean that we never know, she might not that religion, or even that religion, but not too fanatic and has her own point of view on blood transfusion and staying alive vs not.
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| Feyza
Forum Guru
Topics: 49
Posts: 1,436
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dncosta...believe me ...the point hurting me is not the belief and Im like I have closest friends from all religions and even atheists ..tribal ppl...and supply them with all kinds of things for their beliefs when hosting them...and the word "stupid" was just you know...ok a bit off limits sorry ...but what hurts me is ...I MYSELF IS INVOLVED IN THIS BELIEF AND WATCHING MY PATIENT DIE !!!! WHAT WILL HAPPEN TO MY RIGHTS maybe if she was lucid she would give up that belief and get the tx ...well...this starts to get out of USMLE purposes
so Im stopping here and now I wanna learn the answers to those 2 Qs of me007 real hard...what are the answers me007 ??
p4a99 ...I wish I never have such a patient
dncosta...ur not a tx refuser ru ???? kiddin
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O my Lord! Open my chest for me ( grant me self-confidence ) and ease my task for me.Ta-Ha 25-26.
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| dncosta
Licensed, finally
Topics: 19
Posts: 603
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It's OK Feyza, I didn't mean anything specific towards anyone, I was just expressing my opinion...
Hope your studies are going well
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| dncosta
Licensed, finally
Topics: 19
Posts: 603
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Forgot to answer, no I am not, actually I donate blood every 3 months
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| me007
Forum Guru
Topics: 72
Posts: 799
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22 y.o. man - give the blood
woman in labor - honor her wish, do not give the blood,
(we can't wait pt to loose conciouness and than do whatever they didn't want.)
third - i do not know, hope treat to save her life bcs you do not know her wish.
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| unique1
InGodITrust
Topics: 20
Posts: 1,458
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dncosta wrote:
There is no such thing as absurd or stupid when it comes to belief. Although I am a "regular and conventional" christian, nobody can or should judge other's belief. Faith is something not supposed to be rational.
I've seen a case of someone who received blood transfusion against his will and once recovered after the elective surgery, killed herself because "she did not deserve to live anymore".
It is their call, not ours. The paternalism used to be the dominating point of view, but it isn't anymore (it is not always true that we know what is better for somebody else, even if our intention is the best possible).
Vey well said dncosta . I agree with each and every word . I am a Muslim and have no problem with getting blood transfusion but I think I do not have right to judge the beliefs of any other religion. Even my religion does not allow me to judge other people according my beliefs or ideas and that's what US is all about ..... freedom to live according to your beliefs !!!!
I have a friend whose religion does not allow her to take blood and she is so firm on her belief that she would die and let her kids die but won't take blood. It may sound cruel to someone but I know how loving and caring she is.
Doesn't matter how sincere and humane a doctor is , s/he can't love a child more than the parents and even if s/he does , it does not give him/her right to take decisions against someone's beliefs.
So my dear Feyza , this is true not only on the exam but also in the real life . I hope you are doing great and are ready to get the beast . Is 21st the big day ? Please let me know the exact date and InshaAllah I will be praying for you while you would be at the prometric .
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| Feyza
Forum Guru
Topics: 49
Posts: 1,436
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LOOL ooookk dncosta ... I was just kidding + this topic really wears me out thats why I shared ( as if I got the residency and have this mum in front of my office stupid me )
studies ...lets say better than none thanx to Goljan
22yr...ok ...cuz hes competent...
woman in labor...ok...were gonna respect beliefs...
third...give mum call court for kid (thats wut UW says )
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O my Lord! Open my chest for me ( grant me self-confidence ) and ease my task for me.Ta-Ha 25-26.
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| Feyza
Forum Guru
Topics: 49
Posts: 1,436
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yeaaa unique...sounds cruel especially after I myself became a mother...its just some hormonal thing maybe but I cant help sobbing if I see a child suffering but thats the way life is ....
well the exact day is thursday 21 june and honey... ur soo kind that youll pray when Im there !!!!! may God and angels say amen to all your prays
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O my Lord! Open my chest for me ( grant me self-confidence ) and ease my task for me.Ta-Ha 25-26.
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| bangledoc
Forum Senior
Topics: 10
Posts: 132
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For 2nd q
Transfuse blood.
As Steven Daugherty says in his lecture,emergency changes everything.Trying to kill oneself in an emergency situation is a clear behavioral evidence of incompetence.
Pls listen his audio .It is very helpfull.
Thanks.
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| Feyza
Forum Guru
Topics: 49
Posts: 1,436
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yup !! I did listen and transfused as Daugherty said but UW said you cant
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O my Lord! Open my chest for me ( grant me self-confidence ) and ease my task for me.Ta-Ha 25-26.
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