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Medical Dilemmas

A list of medical dilemmas will never be exhaustive, because medicine evolves and patients or doctors meet novel challenges. The following should at least provide a starting point for Storytellers.

  • Patient’s faith or ethics conflict with treatment
    • Options to finetune faith or ethics, discover alternative treatment, or violate the patient’s wishes
  • Healthcare provider’s faith or ethics conflict with treatment
    • Boundaries of personal and professional lives
    • Talking to patients on their level of understanding, which may be limited
    • “Do no harm”
  • Inadequate staffing or resources
    • Physician burnout
  • Bodily autonomy
    • Including but not limited to abortion debates, women’s health, right to refuse treatment, etc.
    • Age of informed consent/agency, parents refuse to vaccinate their children
  • Limited information and life-or-death decision-making
    • Empirical vs religious vs emotional beliefs
    • Living wills and advanced directives, or lack thereof
    • Inadequate training for healthcare professionals
    • Speaking up when another professional causes harm, intentionally or not
  • Privacy concerns
    • What right does the community have regarding information? Even anonymizing information in a small town could be identifiable
    • Could medical records leak and what happens if they do?
    • Notifying biological family vs found family
  • Preventing infectious diseases
    • Options to consider within entire community or healthcare facilities, quarantine protocols, societal responses to fear, etc.
    • Stigma vs education, e.g., with sensitive topics like STDs and STIs
  • Addiction to painkillers
  • End-of-life care and hospice/palliative decisions
  • Romantic and other relationships between patients and healthcare providers