Pediatrician and Urologist “I swear to fulfill, to the best of my ability and judgment, this covenant: … I will apply, for the benefit of the sick, all measures which are required, avoiding those twin traps of overtreatment and therapeutic nihilism. I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug….” Aforementioned, my profession requires me to weigh emotions and surgical/chemical techniques when giving a patient advice regarding their situation. In my situation, a parent who gave birth to a child with CAH demanded that I administer a large dosage of a steroid, dexamethasone, into their future child. The drug, like every other drug, has side effects. Below, I will elaborate on the pros and cons of what administering and not administering dexamethasone would do to the child, and the statistics of what could happen if dexamethasone were and were not administered. Furthermore, I …show more content…
The addition of the child being male or female also takes into account the probability of your child having CAH. So, the probability of having a baby boy or baby girl is ½ times the probability of a child having CAH, ¼, which equates to 1/8. The chances of a couple’s next child, if both parents are heterozygous for CAH are extremely low. However, the treatment for CAH is only necessary for CAH females; if treatment were to occur, the treatment would be unnecessary 7 out of 8 the time. If this still produces concern, the chances of a CAH individual born are 1/5000 births. While it is the most common intersex condition, the possibility of the child being CAH is much smaller 1/8. To further provide relief, the chances of two children born with CAH (one right after the other) are 2/25000, which is miniscule and rare to happen (CAH