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First, Do No Harm Essay

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Textual Analysis: First, Do No Harm Patrick Patrick Dismuke was a young African American boy, at the age of fifteen when the story starts, and a regular patient at Hermann Hospital. Patrick was born with a severe case of Hirschsprung’s disease, a disorder of the digestive tract, and was unable to digest his food. Throughout Patrick’s life, he spent more days in the hospital than out and came to be quite comfortable with the environment and staff at Hermann. Due to his disease his only way of nutrition was through a feeding tube, unfortunately these tubes often got infected. Since Patrick’s immune system was also weak, the infections were almost as bad as the disease itself. The doctors were forced to put the boy through surgery …show more content…

Luckily he made it off the operating table alive, despite the fact that the tube had slipped too far. However, he was paralyzed on his left side and died a few weeks later. The dilemma for ethics committees brought up by the story of Patrick is a question of how much is too much. As technologies in the medical field continue to advance, people can live substantially longer lives, but are they lives worth living? Some people, like Patrick, don’t think being paralyzed is a quality of life worth living. Others, like Armando, refuse to be made DNR and cling to life even if it consists of communicating by blinking of the eye. The questions raised in this book are awful decisions that nobody should ever have to make. Whatever the committees and doctors choose to do can keep patients alive and allow them to have a low quality of live, be in constant pain and be a burden to society, or keep a terminally ill patient comfortable until he or she has said their good-byes and let nature take its course. Another concern that an ethics committee must address is the cost of care. Wealthy patients with health insurance are much more likely to be welcomed into hospitals with open arms while patients without insurance are often given poor medical care and sometimes even turned away. Hermann Hospital started off as a charity hospital and was supposed to be widely available to the poor and underprivileged. However as the initial funds started to deteriorate and the

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