Quote from Be_Moore
Personally, my favorite is the 90 y/o with cancer who is found down in the field, intubated, started on pressors, and the family wants us to do "everything" because they are the "most special <insert relationship type> in the world." So they are so special that should his/her pressure tank, we should crank pressors until toes fall off? And should his/her heart stop beating we should break their 90y/o sternum? If that's what love is, I hope no one loves me should I live to be 90!
How about 89?
First off, age is not necessarily the deciding factor. Diagnosis isn't either. It is more a matter of what the patient wants and what the family wants. As for pressors until toes fall off - again, there has got to be teaching and lots of it.
Finding someone down in the field is a lot different, ethically, than a hospitalized patient who crashes or a home care patient who crashes, the way I see it.
I agree about not wanting to be loved so much that they torture me.
In answer to OP's question: How about the case of a woman with a very rare pelvic tumor? I recall an attending bringing about 20 med students and house staff into the exam room and each of them stuck their fingers inside of her, trying to learn the feel of this tumor. They hurt her. She was crying. The nurse tried to comfort her. I feel she was gang-raped.
Yeah, I know everyone has to learn but there's a decent way to go about it. At the time, I was very young and inexperienced, so I did not intervene but if that happened today, I'd step in, block their access to her, and say, as soon as she was obviously becoming restless and uncomfortable, Enough. She's in pain. The rest of you can come back another time. Or I'd let the attending know ahead of time that there was going to have to be a limit to how many students could examine her at once. We'd work it out so I could keep my job and still protect my patient.