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Medical Ethics Question
Posted on 4/19/21 at 7:12 am
Posted on 4/19/21 at 7:12 am
You are a doctor, and you are in charge of deciding who gets a liver transplant. You have two patients in need of a liver. 1, a 65 year old man in excellent health, or 2, a 22 year old woman with Hepatitis B and a history of IV drug use.
Who do you give the liver to?
(I’ve heard that this is a common medical school interview question.)
Edit: To clarify, the man needs a liver, but is in otherwise excellent condition.
Who do you give the liver to?
(I’ve heard that this is a common medical school interview question.)
Edit: To clarify, the man needs a liver, but is in otherwise excellent condition.
This post was edited on 4/19/21 at 7:21 am
35
Posted on 4/19/21 at 7:12 am to UndercoverBryologist
The mom is the doctor
Posted on 4/19/21 at 7:13 am to UndercoverBryologist
The highest bidder.
Posted on 4/19/21 at 7:13 am to UndercoverBryologist
Neither, you eat the liver with some fava beans and a nice chianti.
Fstpstpstpstpstp
Fstpstpstpstpstp
Posted on 4/19/21 at 7:15 am to UndercoverBryologist
22 year old with hepatitis since hepatitis affects the liver. A 65 year old in excellent health wouldn’t need a liver.
This post was edited on 4/19/21 at 7:16 am
Posted on 4/19/21 at 7:16 am to UndercoverBryologist
I’m going with the man. Older people have a special place in my heart.
Most everyone has a grandfather that they’d do anything to save.
Most everyone has a grandfather that they’d do anything to save.
Posted on 4/19/21 at 7:17 am to UndercoverBryologist
Whoever is higher on the transplant list? 
This post was edited on 4/19/21 at 7:18 am
Posted on 4/19/21 at 7:18 am to UndercoverBryologist
Is there a right or wrong answer? I'm giving it to the healthy 65yo because IV drugs are trashy and the 22yo will end up OD'ing on fentanyl anyway. Not the med school answer but I'm not a doctor.
Posted on 4/19/21 at 7:19 am to UndercoverBryologist
Well the 65 year old isn’t in excellent health if he needs a liver transplant.
Does the 22yo still use drugs or alcohol? If so, she is not getting the liver.
Does the 22yo still use drugs or alcohol? If so, she is not getting the liver.
Posted on 4/19/21 at 7:20 am to pngtiger
I guess I should say, in excellent health except for the liver need.
Posted on 4/19/21 at 7:20 am to UndercoverBryologist
Set up an elaborate game of hide and seek. Whichever patient finds the liver first, gets it.
Posted on 4/19/21 at 7:20 am to UndercoverBryologist
I’m gonna need to see pics of the 22 year old.
Posted on 4/19/21 at 7:20 am to UndercoverBryologist
Start with a good history and physical.
Did the girl quit using IV drugs five years ago? Is the man a closet drinker?
Did the girl quit using IV drugs five years ago? Is the man a closet drinker?
Posted on 4/19/21 at 7:24 am to UndercoverBryologist
10 chips, two bananas, 3 o’clock.
Posted on 4/19/21 at 7:26 am to UndercoverBryologist
When dialysis was relatively new in the 60s, and there were just a few machines, Seattle had a "God Committee” of regular citizens who assessed applicants and decided the few who would get the life-saving treatment.
I recently listened to a podcast about it. Here is an article. LINK
I recently listened to a podcast about it. Here is an article. LINK
Posted on 4/19/21 at 7:30 am to UndercoverBryologist
Depends where they are on the list.
But in a vacuum, you need more info on the drug use. Is he clean? If so how long? Liver transplants are pretty common with chronic Hep B so that isn't always disqualifying, it depends on the severity of the disease.
Second I would want to know why the liver failed in the man. They don't really just quit working in an otherwise healthy individual.
As stated the chances of the 22yo being disqualified are much higher than the 65yo.
But in a vacuum, you need more info on the drug use. Is he clean? If so how long? Liver transplants are pretty common with chronic Hep B so that isn't always disqualifying, it depends on the severity of the disease.
Second I would want to know why the liver failed in the man. They don't really just quit working in an otherwise healthy individual.
As stated the chances of the 22yo being disqualified are much higher than the 65yo.
Posted on 4/19/21 at 7:33 am to UndercoverBryologist
A history of drug use doesn’t mean she uses drugs now - what if she’s clean now or has been clean for years?
Posted on 4/19/21 at 7:38 am to UndercoverBryologist
Sounds like one of those questions where the necessary info to make a "correct" decision isn't given, and the panel just wants you to pick one and defend it when challenged.
Posted on 4/19/21 at 7:42 am to UndercoverBryologist
Give it to grandpa. The junkie is just gonna frick it up anyway
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