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Pros And Cons Of Pediatrician And Urologist

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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

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That is every ten minutes. 40% of CDH warriors are born with other birth defects, most commonly congenital heart defect (CHD). The probability of the second child being born with CDH is 2%. CDH is an 1 in 2,500 chance. There are roughly 1,600 causes in the United States yearly.

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1023 Words | 5 Pages

Medicine has changed in ways over the years that one might have never thought twice about having anything like that happen to them. People today have increased their knowledge overall about their health situations and how to treat themselves. Patients are stepping up and making decisions about their healthcare choices each day with physicians. And in this process it has turned out to be so important for people to understand what is truly being done before medical treatment is given. We have talked this semester about informed consent and how important it is that our patients understand the meaning of what they are having done.

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Women have two X-chromosomes so that is why they will not have the disease. They have one defected gene and one normal. Their normal

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The doctor must use things such as the child’s voice, facial expressions, and body movements to decipher how the child feels or how serious a situation might be…”(53). A child depends on a doctor because they can 't help themselves. Due to the fact that many are too young to understand what is happening or the fear of being in a serious situation or environment leads them to not open up about their pain. A physician who can thin slice a young patient and tell what is wrong just by observation will be far more successful. A doctor who does not have the advanced skills of thin slicing a young patient may make a wrong assumption or

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After a medical ethics committee met and discussed the case and reported back to the doctor, the doctor proceeded with the interventions as the parents wished (citation). However, in contrast to the ethics committee and the doctors involved, Dr. Leon Cass, who was previously the chairman of the President’s Council of Bioethics and also the author of “The End of Medicine and the Pursuit of Health,” would disagree with this decision and his view would assert that it is entirely unethical for parents to modify the bodies of their severely disabled female children. According to Dr. Cass’s argument in chapter six of his book Toward a More Natural Science, his view of medicine would strongly disagree with the medical interventions performed on Ashley. To begin, Dr. Cass claims that one of the false goals of medicine is “’pleasure’- that is, gratifying or

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1207 Words | 5 Pages

A pediatric nurse is most commonly known as a registered nurse that specializes in the healthcare of young children. While this is correct, pediatric nurses are so much more. These nurses specifically deal with many aspects of a child’s life. From emergency to psychological care, pediatric nurses are present from the moment a child enters the world until the day they reach adulthood. They constantly assist doctors, but all in all, spend the most one-on-one time with these young patients and their families.

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Notwithstanding, Phillips (2015) noted that “there are moral standards which take precedence over the individual physician’s judgment (para. 2). For this reason, I believe that this decision would require deliberation and prayer on the part of the medical team.

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The risk to pass the defective gene and have affected child from two carrier parents is 25% with each pregnancy while the chance for having a child who is a carrier like the parents is 50% with each pregnancy. The chance for a child to receive normal genes from both parents and be genetically normal for that particular trait is 25%. The risk is the same for males and

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CRISPR is a gene editing tool that allows scientists to change an organism’s DNA. CRISPR stands for “clustered regularly interspaced short palindromic repeats” and has been around in different forms since 1987. Many scientists have different feelings about this tool due to the serious problems it creates if it doesn’t work out correctly. CRISPR has many scientists and who are not supporters but I believe that with the use of CRISPR the good outweighs the bad. CRISPR has mulitple upsides such as stopping unwanted diseases, the accuracy, and the cheap price point.

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Some of these predicaments affect the child’s treatment directly or it is harder to treat the child at all. The first ethical issue is religion. The child’s parents could refuse treatment or care for the child depending on what their religious beliefs states. For children with cancer, it can keep them from receiving lifesaving chemotherapy. Religious groups like Christian Scientist refuse treatment and opt for prayer instead.

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Ethical Issues in Healthcare There are many ethical issues facing health care at any time and it is impossible to say definitively which is the most pressing or the most important. Health care professionals are expected to base their practice on a set of ethical principles, including truthfulness, beneficence, nonmaleficence, justice, and confidentiality. Ethical issues can arise, however, when a l professional is called upon to act in opposition to personal values or in cases where the values of patient, health care worker, and sponsoring institution conflict. The following issues are presented in no order. Neonatal Ethics Neonates are babies within their first twenty-eight days of life.

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Healthcare systems have traditionally been constructed around hierarchical perspectives used to train healthcare professionals (Porter-O’Grady and Malloch, 2007). In such hierarchies, senior physicians are often put at the top with certain power distances between other professionals. This can lead to difficulties in patient management when the patients safety is in question, but the healthcare professional involved may be hesitant to question the physician’s treatment plan or are too intimidated to voice out their opinions. In a study of over 2000 healthcare professionals including nurses and pharmacists, nearly half of the respondents felt pressured into administering a medication for which they had concerns, despite previously questioning the prescriber regarding the safety of the order (Institute for Safe Medication Practices, 2004). This was due to feelings of intimidation by the prescriber and an inability to effectively communicate their concerns.

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Most people avoid thinking of the idea of having one of their future children born with a genetic disorder. But this is not a realistic thought. A study made by the National Down Syndrome Society (2014) found out that about one in every seven hundred babies in the United States is born with Down syndrome, a chromosomal disorder caused by an error during the cell division. This results in an extra copy of the chromosome 21 which alters the brain and body development. People with Down syndrome are born with intellectual disability, some characteristic facial features and cognitive delays.

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905 Words | 4 Pages

At age 30, for example, a woman has about a 1 in 1,000 chance of expecting a child with DS. Those odds increase to about 1 in 400 by age 35. Research estimated by 40 the risk rises to about 1 in 100 (S.M. Pueschel. Paul Brookes). Affects of Kids Kids born with Down syndrome are likely to share question less physical features such as a flat facial profile.

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Child Vaccinations Throughout the years there has been an increase in the debate on child vaccinations. People have been debating on whether vaccinations for children at young ages is generally safe. There are numerous organizations throughout the United States that deal with child vaccinations. Some people comprehend that child vaccinations damage a child’s body more than they help it, others think different.

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