According to popular belief, technical skill is far more important
for surgeons than thoughtful deliberation. Nothing could be further
from the truth. Although surgeons must sometimes make decisions
rapidly on the basis of incomplete evidence and must respond to
unexpected catastrophes in the operating room rapidly, those events
are intermittent - most of the time surgeons deliberate on
diagnostic problems and thoughtfully manage postoperative care,
which is often intellectually challenging. The relationship of
surgeons with their patients is, in a real sense, far more intimate
and trusting than that of any other professional, a claim that is
supported by the fact that patients surrender their bodies to their
surgeons in a state of total helplessness and vulnerability when
they undergo anesthesia. Because of that responsibility, no other
professional group has a greater sense of dedication to the welfare
of their patients than surgeons. Surgical culture is deeply steeped
in ethics, and surgeons confront and resolve ethical dilemmas as
much or more than most other professionals, although they often may
not recognize the situations they resolve are problems in ethics -
they are just part of the daily routine. This book is a compendium
of articles from the recent surgical literature that address
ethical issues chosen by surgeons because they are controversial
and pertinent to the practice of surgery. The reader will not find
a great deal of sophisticated dissection of fine philosophical
distinctions in these discussions of ethical conflicts and
controversies in surgery. Instead, they will discover differing
viewpoints from thoughtful essayists, mostly surgeons, whose feet
are firmly in contact with the ground and who have extensive
experience in the real world of surgery, medicine, and law.
General
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