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Ann Thorac Surg 2004;77:760
© 2004 The Society of Thoracic Surgeons

Ethics in cardiothoracic surgery

Concluding remarks

Robert M. Sade, MD

The first 20% of the full text of this article appears below.

Surgeons rarely refer patients to other surgeons, so we should not be surprised that Dr. Click did not refer Mrs. Barefoot, even though other surgeons have more experience and better results with the operation that the patient initially preferred. Should Dr. Click have referred this patient to another surgeon?

As requested, our discussants have given us two different responses to this question. Nicholas Kouchoukos answered, "Yes" and found several ethical transgressions in Dr. Click's handling of the referral. He points to the paramount obligation of physicians to do what is best for the patient rather than to do what is in one's own self interest. On these grounds Dr. Click should have referred Mrs. Barefoot, if only for a second opinion with the possibility that another surgeon could offer the patient a better result.

Lawrence Cohn takes the contrary view that Dr. Click was justified in not referring Mrs. . . . [Full Text of this Article]






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