Medical Ethics

Throughout my time here at St. George’s we have a medical ethics/clinical skills class that run over the course of 6 semesters. So far we’ve learned about ethical reasoning in the context of patient care, disclosure, informed consent, and medical research. We’ve had small discussion groups over topics ranging from patient assisted suicide, abortion, religious practices and beliefs, and intersex babies. The discussions were always very stimulating, and it’s interesting to hear other people’s opinions and assertions on the various topics. There is one thing (okay, well two, but one is a minor complaint) that particularly bothers me about some of the strong religious opinions some of the students have had in my small group. I can honestly say that I do respect everyone’s opinion, but I have a difficult time accepting some of the reasoning (or lack thereof) behind the more extreme religious beliefs. For example, last week, we were discussing our thoughts on patient assisted suicide. There were a couple of students who out right said absolutely not, they do not believe in it, or would they ever even consider a patients request for it, no matter what the situation was. This part was fine, that is their opinion, and I respect that. I don’t think that as a physician I would be able to participate in patient assisted suicide either, BUT, depending on the situation (and law for that matter) I can’t definitively say that I be opposed to it. I would have no problem recommending my patient to somewhere that did endorse patient assisted suicide, and had a criterion in place for the decision. My problem with these very religious opinions is that these people would not even endorse disclosing to their patients other physicians/centers that would support it. In my opinion, I feel that this physician would be forcing their own beliefs and values onto their patients. Alternatively, maybe it’s these same type of people that keep a balance to our society….

On a lighter note, I finally made it out to the beach today and the waves were gigantic! Okay, maybe they were not big enough for surfing, but definitely big enough to dissuade me from going for a swim. I waded in couple of metres, and attempted to keep my balance but I was repeatedly knocked over and sucked under, only to resurface as a walking sand creature. I think I'll be trying to wash out this sand for a few days....