In ancient Rome parents would consult the priestess Carmentis
shortly after birth to obtain prophecies of the future of their
newborn infant. Today, parents and doctors of critically ill
children consult a different oracle. Neuroimaging provides a vision
of the child's future, particularly of the nature and severity of
any disability. Based on the results of brain scans and other tests
doctors and parents face heart-breaking decisions about whether or
not to continue intensive treatment or to allow the child to die.
Paediatrician and ethicist Dominic Wilkinson looks at the profound
and contentious ethical issues facing those who work in intensive
care caring for critically ill children and infants. When should
infants or children be allowed to die? How accurate are predictions
of future quality of life? How much say should parents have in
these decisions? How should they deal with uncertainty about the
future? He combines philosophy, medicine and science to shed light
on current and future dilemmas.
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