tag:blogger.com,1999:blog-10528990.post1681632707906150024..comments2024-03-28T16:16:27.941+05:30Comments on The IVF Specialist's Blog for IVF patients: Should we do IVF for patients who have a poor chance of success ?Dr Aniruddha Malpanihttp://www.blogger.com/profile/05693466221743076739noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-10528990.post-53809449298666698712013-10-15T22:02:37.529+05:302013-10-15T22:02:37.529+05:30What if that 1% chance materialize and she gets pr...What if that 1% chance materialize and she gets pregnant why should someone deny her that chance??Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-10528990.post-67831135623380899482013-10-05T11:32:19.976+05:302013-10-05T11:32:19.976+05:30Recently, I read a BMC article where they explaine...Recently, I read a BMC article where they explained a case of a patient who refused to have blood transfusion after an accident. Doctors watched him die in front of their eyes and their hands were tied because of the concept of patient autonomy. I was shocked to read this.Isn't it utter foolishness? In such a scenario, who knows best what to do - doctors or a patient? I think doctors must have done their duty according to their medical values and I still wonder what stopped them to do so! I strongly feel that doctors must first respect their knowledge, expertise and medical values before allowing patients to act on their own understanding. <br /><br />The scenario you have explained is not identical to what I have mentioned above but very similar. Although there is no danger to the life of your patient if you do IVF on her, you fail to respect your own medical values and expertise if you treat her!<br /><br />If I were you, I will explain her clearly my stance and will refuse to treat her because I will respect my knowledge and medical values in the first place. Human brain is very strange, it will always believe in miracles and your patient is expecting such a miracle to happen. If I treat her, it does mean that I am allowing some "lay" person (a person who do not have sound medical knowledge) to influence my knowledge as a doctor! This just means I am not respecting myself or my education.<br /><br />Dr, you must understand that patient autonomy is not unlimited. Your medical values and ethics should come first even if the therapy you offer do not harm your patient in any way. You should put yourself first and then your patient. If I were a doctor I will definitely do so.<br />Manjuhttps://www.blogger.com/profile/09465166865789437941noreply@blogger.com