机译
兽医医学伦理学
摘要:Mr. Jones presents his 7-year-old Labrador retriever with a complaint of lameness in the right front leg. You examine the dog, palpate a swelling on the radius, as well as several lymph nodes, take radiographs, and perform a fine-needle biopsy. The diagnosis is osteosarcoma with radiographic masses in the lungs and ribs. You explain the treatment options (amputation plus chemotherapy) and the very guarded prognosis for a full recovery. Mr. Jones cannot bear the idea of amputating the dog’s limb nor the limited chance for a full recovery. He is angry and emotionally distraught. You suggest he take the dog home to consider his options. The next day he calls, still extremely agitated, and tells you he has found a veterinary naturopath who has cured similar cases with diet, lasers, acupuncture, and hyperbaric chambers. You tell him that this is his choice to make but is not your recommendation. Several months later Mr. Jones calls to inform you his dog died, convulsing in the living room. He claims you should have told him that there was little chance that a naturopath could have cured his dog. Your licensing body accepts alternative veterinary treatment modalities, but you feel responsible for this outcome.