Patient choice and doctor-mediated injury

So here’s patient choice for you. Rugby player, mid-match, asks his doctor to have a small cut made in his lip. Doctor says no. He asks again. So she makes a small injury, which means that he can be substituted and thus has repercussions on the competition:  Dr Wendy Chapman, now obviously  regretful of her actions now  appears in front of the GMC, her license at stake.

Then again, if you are in the US, and you want your daughter to be circumcised – rather, genitally mutilated (and remember – patient choice) –  it is only very recently that the American Academy of Paediatrics have reversed their decision stating that it was ok for doctors to perform a ‘ritual nick’ on girls below the age of consent. Male children, however, can still have ‘cultural’ circumcision on the NHS.

In terms of the ethics of consent, I’m far more troubled by unnecessary operations being done on children.

2 Responses to “Patient choice and doctor-mediated injury”

  1. Gattemelata September 10, 2010 at 3:54 pm #

    I was interested in your comment regarding the NHS making cultural male circumcision available, so visited the NHS pages. They state that it is only available privately:
    http://www.nhs.uk/conditions/circumcision/Pages/Introduction.aspx

  2. Margaret McCartney
    margaretmccartney September 14, 2010 at 9:44 pm #

    not in Scotland, though;
    http://www.glasgow-lmc.co.uk/downloads/malecircumcisionfeb08.pdf
    and
    http://www.hris.org.uk/index.aspx?o=3363

    unfortunately, if there is a difference in English and Scottish provision, it’s ripe for a challenge….

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