543
Now639591011087147233
the902591011062122175
attending1107591011082115148202261321355415476
physician1612591011088148211256290343376429489
at2131591011082115
the2276591011062122175
hospital2481591011089149196256289323376409
must29205910110122182229262
take3213591011062115175228
further3471591011068128168201261314354
action.3855591011083135168202262322352
The42375910110103163217
girl4483591011089121162195
is4708591011062109
receiving4847591011069122175228260320354414475
the5351591011062122177
necessary639729011060113166219265312365406468
treatment,113472901105393146200233326380439473503
awaiting1667729011072158212245279312372432
her2128729011080133172
mother's23307290110112172206266319360382428
arrival,2788729011072112152184244299332362
and3180729011072132192
once3402729011079139192245
again3677729011073134186219279
begs3986729011079132193238
the4256729011052112165
doctor4451729011079139192225285325
not4806729011079139173
to5009729011052112
tell5151729011053106140173
her5354729011079133172
mother639867011093153187247300340
anything.1009867011053112175204264298358419448
The1487867011074134188
patient1704867011060114147181235295328
is206286701103380
anxious2172867011053113173207267327374
and2576867011053113173
depressed.2779867011060114173213266312359412472502
Questions6391005011087147200246279313373433480
for11491005011040100140
discussion:1318100501106093140193253300347380440500534
1)8191143011060100
What99911430110113174227260
moral12891143011093154194247280
conflict15991143011053113173213246279333365
is1994114301103481
present21051143011060100153199252312345
in2480114301103494
this2604114301103393127174
situation?2808114301104680114174227260294354414466
2)8191281011060100
What99912810110113174227260
should12891281011047107167227260320
a16391281011054
doctor17231281011060120173206266305
do20581281011060120
in2208128101103494
this2332128101103393127173
situation?2535128101104781114175228261294354414467
Consider6391419011080140200247280341394433
what11021419011087146200233
information1365141901103393133193233326379412446507567
you19621419011061119179
will21711419011086120153187
need23881419011060113166225
first2643141901104275115161194
to2867141901103494
analyze29911419011054113166199262311365
the3386141901103393148
situation.3563141901104780114174227260294354414444
Case6391695011080140187240
4.909169501106090
A6391833011087
40-year-old7501833011060120162221272326367408467501561
married13431833011094147187226260313372
man17481833011093148207
and19851833011056115175
father2190183301104296128188243282
of25021833011062102
three2634183301103595135190242
suffers29061833011049109149187241280327
from3263183301104281141234
terminal3527183301103689130223257317370403
heart39601833011063116169209243
failure.4233183301104296129162222262316345
He46101833011087140
is4779183301103683
preparing48921833011062102156216269308342402463
for53841833011042102142
a6391971011053
heart7221971011061114167206240
and9921971011054114174
lung1196197101103494154214
transplant.1439197101103474128187234294327381441475505
On19751971011087147
the2152197101103494147
day23291971011061114175
of25311971011060100
the2661197101103494148
operation,28391971011060120174214268300333394454484
he33531971011061114
refuses3497197101104194133193240293339
to3866197101103595
undergo39911971011061121181234274332391
it,441219710110346898
even45401971011054114167227
though4797197101103494154214274333
it5160197101103568
could52581971011055114174208268
have6392109011060113173226
saved8952109011058111171224284
his12092109011072105152
life.,1391210901104579119172202232
pBecause16532109011071153205259312371418471
he21542109011072125
believes23082109011072127160193247306359406
that27442109011045105158192
even29662109011065125179238
after32342109011065105138191232
the34962109011045105158
transplant,3686210901104686139198245305338392451485515
he42312109011073126
will43992109011086120153186
be46162109011072125
a47702109011066
burden48652109011072132172232285344
to52392109011046106
his53752109011072106153
family639224701104093186219253314
for9812247011052112152
many11732247011093146206268
years,14692247011073124178217264294
if1794224701104484
not19082247011070130164
his21022247011070104151
entire22832247011064123157190230284
life.2596224701104477118171200
His28382247011086120166
family30342247011052106198232265327
is3388224701104491
asking35092247011064110170204264325
for38632247011052112152
the40442247011044104157
operation42312247011072132185225278311344404464
to47252247011044104
be48592247011071125
performed50132247011071125165205264305398452512
and6392385011053113173
for8422385011040100139
him1011238501106094187
to1228238501103394
be13522385011060113
saved.14942385011047100160213273303
Questions6392524011087147200246279313373433480
for11492524011040100140
discussion:1318252401106093140193253300347380440500534
1)8192662011060100
What99926620110113174227260
are1289266201105393146
the1464266201103494147
legal1641266201103387147199232
and19032662011055114174
moral21072662011094154194247280
obligations24172662011060120153187247299332365426486532
of29792662011060100
doctors31092662011060120175207267307355
in3494266201103393
such36172662011047107161220
a38672662011054
case?39502662011053108154209261
2)8192800011060100
What99928000110113174227260
should12892800011047107167227260320
the1639280001103494147
doctor18162800011060120173206266306
pay21522800011060113174
attention2353280001105588121175234267301361421
to2804280001103494
when29282800011086146199259
informing3217280001103393133193234328361421481
this3727280001103393127174
patient?39312800011060113146179233292326379
Case6393076011080140187240
5.909307601106090
At6393214011087120
the7893214011050110163
receptionto9823214011057110164216276309343403463496556
the15683214011051111164
patientK.'s17623214011076131164197251310343430460482527
attending23193214011071104138191251311344404465
physician28133214011077137199244278331365418478
told33213214011050110143203
him35543214011077110204
that37883214011050110163197
he40153214011076130
had41743214011077131191
1543953214011076136
days45613214011077130192236
to48273214011051111
live4968321401105083144197
due51943214011077137191
to54153214011050111
pulmonary6393352011060120153247307367420460521
tuberculosis.11873352011041101161214255308367400460507541588618
The18353352011080140193
patient20583352011067120153186240300333
consulted24213352011061120180227287320354407467
another29183352011060120181214274327367
doctor,33153352011067127180213273313338
and36833352011060120180
after38933352011060100133186227
an41503352011060120
examination,43033352011061120175268301361415447481541601631
he49643352011067121
was51213352011087140186
told53373352011041101133193
that639349001103393147180
there849349001103393147187239
were11183490011086140180233
no13803490011060120
serious15303490011047100141174234294342
grounds1902349001106099159219279339385
for23173490011040100141
confirming24883490011053113173212246287380413473533
the3050349001103595148
above-mentioned32283490011053113173233286328421474534567601661721774834
diagnosis.4092349001106093147207266326373406453483
What63936280110113174227260
legal929362801103387147199232
norms11913628011060120159253300
and15213628011053113173
ethical1724362801105487148181235288321
requirements2075362801104093152212246286340433486546579626
for27313628011040100140
reporting2900362801104094155215255288322382442
were33713628011086140180233
violated3633362801106094154187241273327387
by40503628011060122
the4199362801103595148
first4377362801104073113159193
doctor?46003628011060120173206266306359
Case6393904011080140187240
6.909390401106090
A6394042011087
38-year-old7484042011091151191252303357398439498532592
man137040420110124177237
developed16374042011091145204257290350410464524
palpitations21914042011090144177237270304357390424484544590
and28124042011084143203
belching,30454042011092145178231292325385445474
but35494042011092152185
his37644042011091125171
ECG396540420110105185272
was426740420110117171217
normal.45144042011091151191284337370400
The494440420110105165218
doctor51924042011091151204237297337
suspected6394180011047107153213267320353406466
a11354180011062
diaphragmatic12274180011069103157217277317370430522576609644697
hernia19544180011069122162222255308
and22924180011064123183
insisted25054180011043103150183230264317377
on29124180011069129
a30724180011063
gastroscopy.31654180011070123169202242302349402462522584604
The37994180011083143196
patient40264180011069123156189243303336
had43924180011070123183
heard46054180011069123176216276
that49114180011043103156189
this51304180011043103136183
is5343418001104390
a54634180011063
difficult639431801106093133171204257317350384
and10534318011061121181
unpleasant12644318011068128188222275329375428488521
procedure18154318011070110170223276335395435489
and23344318011061121181
is2546431801104288
therefore26644318011042102156196248289349390443
often31364318011068108142195254
performed34214318011069122161202262302395448508
under39594318011068128188242283
general42724318011069121181234274328360
anesthesia,46624318011062122176222255315369415449502532
which52324318011087147180234294
can6394456011053106166
lead835445601103386140199
to1064445601103393
complications.11874456011055114208268301335388441474507568628674704
He19224456011087140
declined20914456011060114166199233293346406
the2527445601103393148
EGD.27044456011074160246276
1)8194594011060100
Can9994594011080134193
a12224594011053
doctor13054594011060120173206266306
refuse1641459401104094133193240293
to1964459401103393
treat2087459401103374128181214
a23314594011054
patient24154594011060113146179233292325
if2770459401103474
the2874459401103393147
patient30504594011060113146180233293326
does34064594011062122175221
not36574594011060120153
follow38414594011040100133166226313
his4184459401106093140
recommendations?4354459401104093146205300393447506566620653686746806853905
2)8194732011060100
How9994732011087147233
can12624732011053106165
the1457473201103494147
implementation16344732011033127187220274367420480513568602635695755
of24194732011060100
the2549473201103393147
information2726473201103393133193232326379412445506566
rule33224732011040100134187
help35394732011060113146206
in3775473201103394
this3899473201103393126173
situation?4102473201104780114174227261294354414466
Case6395008011080140187240
7.909500801106090
Mr.63951460110107147169
M.,83951460110107137167
45,10365146011061121151
was12195146011087140186
undergoing14355146011061121181236275334392426487547
a20115146011056
routine20965146011041101161194228288341
medical24695146011093147207240293346379
examination28785146011056115172264298358411444478538598
for35065146011041101141
professional36765146011061101161201255301348381442502555588
reasons.4295514601104194147193253313360390
The47175146011073133187
examination49335146011056115170262296356409442476536596
concluded6395284011053113173226259319379432492
that11615284011084144198231
he142252840110111164
was161752840110136190236
in18845284011084144
good205852840110111170230290
health.237852840110110165217250284344374
However,278252840110137197284339398451491516
during332952840110110170210243303364
the37225284011084144197
examination,395052840110103163217310344404457490523584644674
a465452840110103
young478752840110113170230290351
doctor516852840110111171224257317358
inadvertently639542201103393147207267320359393446505539572635
remarked,1301542201104094186241280340393453483
"You18145422011050136184244
look2088542201103494154214
suspiciously23325422011046107153213247300333393453500533595
thin."2954542201103494127187217266
This6395560011073133167213
had8825560011077131190
numerous11025560011077137230283323383443489
consequences.16215560011072131191238291351411464524577631677707
Upon235855600110103163223283
returning26715560011057111144204244304337397458
home,31585560011077137230283313
Mr.351955600110107147169
M.373555600110106136
browsed39035560011076116176263311365425
numerous43585560011077137230284324383443490
websites487855600110103157216262296329383429
and53375560011071131192
"discovered"6395698011049108141188241301361415455508567618
a12865698011059
number13745698011066126219279333373
of17765698011066107
dangerous19135698011066119178239292331391451498
illnesses,2441569801103972106166219266312366412442
including2913569801103999153187247307340400460
weight34085698011087140173234293326
loss.37645698011040100146193223
He40235698011087140
subsequently41925698011053114174221274334394447507540573635
lost48545698011040100146180
sleep5064569801105386139193252
and53465698011059119180
appetite,6395836011053113173226259292326379409
became10785836011088141194248340394
irritable15025836011060100141175208261321354407
and19395836011081140200
anxious,21695836011082142202236296356403433
and26325836011081141201
this28635836011061121154201
began30935836011087141201253313
to34365836011061121
seriously35875836011074127168201261321368401463
impact40775836011061155216269322355
his44625836011088121168
performance46605836011088141180221281321414467527581634
and53235836011081142202
professional6395974011060100160200252299345379439499552585
responsibilities,1254597401104396142202262322369402462496529563596630683730760
leading2044597401103589142201235295355
to2428597401103696
his2554597401106396143
loss2727597401103696142189
of29465974011063103
his3079597401106295142
job.3251597401103696156186
The34695974011073133187
changes36855974011056115168228288341387
in4102597401103696
his4228597401106396143
psychological44015974011062109170221281341374434495528581634667
state5098597401104982136169222
and53505974011057117177
his639611201106093140
work8096112011087147187247
problems10866112011060100159219252306399446
inevitably1562611201103393147206239273326386419481
affected2070611201105594131185238271324384
his2484611201106094140
family2654611201104094187221254316
relationships.2997611201104094127180214247307367414474507567614644
Questions6396250011087147200246279313373433480
for11496250011040100140
discussion:1318625001106093140193253300347380440500534
1)8196388011060100
In999638801104098
this1127638801103494127174
case,13316388011053107154207237
did1598638801106093153
the1781638801103394147
doctor19576388011060120174207267308
follow2295638801104099132166226313
the2638638801103393146
rule28146388011040100133187
of30306388011060100
information3160638801103393133193234328381415448508568
and37586388011053113173
the3961638801103494147
rule41376388011040100134187
of43536388011060100
truthfulness?4483638801103474133168228268328361421474521567620
2)8196526011060100
What99965260110113174227260
medical12896526011094147207240294346379
ethics1698652601105487147180234280
standards2008652601104780134194254307346406453
were24916526011086139180233
violated2753652601106094154187241273327387
here?31706526011060113153207260
Determine34616526011086140172226266358392452505
what39966526011086146200232
error4258652601105494134194234
the4522652601103394147
doctor46996526011060120173206266306
made.50356526011093147206259289
3)8196664011060100
Was99966640110113158204
citizen1233666401105386120153207261320
M.158366640110107137
subject17506664011047107167200254306339
to2119666401103494
moral22426664011093153193246279
damage?25516664011060113207260321373425
Case6396940011080140187240
8.909694001106090
An6397078011087147
anesthesiologist-resuscitator81670780110104164217263297357410456490550583644704736782816858898951997105811051158119112241278131113711411
refuses22577078011091144183243290343389
the26767078011085145199
mother290570780110145205239299352392
of332770780110111151
a350870780110104
four-month-old36427078011091151211251292386446506540599639699732792
child446470780110105164198231292
with478670780110138171204264
multiple508070780110144204238271305364397451
congenital6397216011053113173233286346379412466499
malformations'116872160110117171204244304344437490523556617677724746
request19437216011064117176236291337371
to23447216011058118
explain24927216011077137198231284318378
the29007216011056116169
neurosonography30997216011084137196236296343403463523583623676735795858
examination39847216011077137191284317378431464497558618
performed46327216011084137176216276315409462522
on51847216011083143
the53577216011058118171
child6397354011053113146180240
today.909735401103999159212273294
The12397354011073133187
child,14567354011060119153186247277
since1763735401105285145199252
the20447354011040100153
neonatal22287354011066119178238292325379412
period,26707354011066120160193253313343
has30437354011067121167
been32407354011066119172231
treated3503735401103979132186219272332
for38657354011047107147
palliative40417354011066120153186220273307340400453
care45247354011059112153206
and47607354011059119179
is4969735401103986
currently50857354011061120160200254313347380441
in639749201103393
critical7627492011065104137171204257311343
condition11357492011065124184244278311345405465
in16307492011044104
the17647492011044105159
intensive19527492011044104138191251298331391444
care24267492011064118157211
unit26677492011071131164197
of28957492011070110
a30367492011064
children's31297492011064124157191251291345405427473
hospital.36327492011070130177237271304357391421
The40837492011084144198
doctor43117492011070130183216276316
cites4657749201106598132189235
the49227492011045105158
mother's51207492011094154187247301341363408
inability639763001103393147207240273307340402
to10677630011053113
understand12107630011079139199252292338372425485545
the17857630011052113167
procedure,19817630011079119179232285344404445499528
given25397630011080112172226286
her28557630011078132171
lack30577630011052106159218
of33057630011079119
medical345476300110112166226259312365398
training,3882763001105393146179239272332393422
and43347630011073132192
emphasizes45567630011072165225285340386419473527573
that51597630011053113166199
all53887630011072104138