Category: Case Studies
Cosmetic limb lengthening in a patient of normal…
Recently, a 23-year-old male patient underwent cosmetic limb lengthening, despite the fact that his height was that of the average Indian male (5 feet 7 inches). The patient's parents and the media criticised the orthopaedic surgeon who had performed the surgery for undertaking an unethical opera...
Who decides the “best interests” of the child?
B was a frail 15-year-old girl who was brought to the hospital by the police. She had met a 22-year-old boy on a social networking site a few months earlier. They had fallen in love and she had started living with him. On finding his daughter missing, B's father reported the matter to the police ...
Tubal sterilisation without consent: a case report

Introduction: Tubal sterilisation is practised all over the world. This safe, easy and highly effective, long-term method for birth control can be carried out during the hospital stay for either a normal delivery or caesarean section. In India, female sterilisation accounts for 37.3% of all me...

Domestic abuse and the duties of physicians: a…
Domestic violence against women is a global issue. An earlier report from the Centers for Disease Control and Prevention (CDC), USA, reported that injury caused by domestic violence was the second most common cause of death during pregnancy and in the postpartum period. The pregnancy-associated h...
Isolation of an individual already treated for Ebola:…
A 26-year-old Indian male travelling from Liberia to India after being treated for Ebola Virus Disease (EVD) was isolated at Delhi airport, even though he was symptom-free, because his semen was positive for Ebola virus. His blood, saliva and urine samples had tested negative for Ebola. The...
Last call for informed consent: confused proxies in…
Informed consent has become a part of medical practice in Albania only recently, during a time when there has been a substantial increase in claims of malpractice. Its original aim was to provide patients with information to help them make decisions on particular health interventions. We describe...
Commentary – Informed consent for a life-saving operation…
As in Albania, so in India, the use of written consent in medical practice is of relatively recent origin. Before the advent of European medical education in India, I am not aware of any written consent obtained by medical doctors before performing invasive procedures on their patients. In this r...
XDR-TB: An outcome of programmatic management of TB…
A significantly strengthened Revised National Tuberculosis Control Programme (RNTCP) is currently operational in India. In this case-based commentary, we describe the plight of a patient who developed extensive drug-resistant tuberculosis (XDR-TB) despite having received treatment under the...
Treating a homeless psychiatric patient: ethical challenges
The story of Mr K illustrates how a busy urban health centre working with poor people confronted and dealt with ethical problems arising while treating a homeless and psychiatrically unwell patient. This story has been mentioned in an earlier publication in the context of how psychiatry could be ...
Ethics in burns surgery: when is enough, enough?
Patients with extensive burns injuries are often given a poor prognosis. Those who survive after an initial early resuscitation phase often require extensive operative and critical care input, a prolonged hospital stay, and associated significant complications. The overwhelmingly high volume of p...
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