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Question
Go Ahead and Cut Him ; Right Answer, Wrong Reason
A newly appointed transplant surgeon is called concerning a young man with fatal head trauma. The next of kin is an older brother who is in the waiting room. Before the surgeon can get beyond the first sentence about the possibility of organ donation, the brother stops abruptly: "Go ahead and cut him. Take the organs. I hated him! Where do I sign?"
Altruistic counseling is designed to make an individual aware of the needs of others. In this case, the brother is filled with hatred, and there is little appreciation for the altruism of the act he is agreeing to. Should that matter now that the legal ramifications of the issue have been covered with a signed consent from the next of kin?
1. Does motivation matter in this case?
2. Is the consent valid? Does the surgeon need to seek another relative for consent?
3. How much should the concept of the greater good enter into the surgeon's decision?
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