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Otolaryngologist

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Real-Life Decision Making -- Solution

You do not recommend surgery.

This eliminates the possibility that the woman could die a premature death on the operating table, says Jacques Leclerc. "She is not going to die suddenly," he says. "And if the condition worsens, she will have died naturally."

But your patient will be gone. This raises a difficult question. Do you violate professional and ethical standards if you do nothing? You must answer that question even before you can consider this option.

You must also recommend to the woman and her family that they should seek a second opinion because you may have overlooked another treatment possibility.


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