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Case It was a very hot day and I was on duty in the period from 8:00 a. m. until 15:00 p. m. Suddenly, the ward began to change, confusion and anxiety on each corner. I ask the nurses what is happening. One of them, passing by, told me that the “old, head doctor” was arriving. Clueless, I went to the clinic to wait for “this” why everyone was making such a commotion. At the door appeared a balding elderly man wearing spectacles and with a cigar in his hand which he put out on the clinic doorframe upon arrival. Behind him, in the hallway, stands an elderly woman with her daughter and they politely beg him to tell them in which room lays a patient, alias their cousin. He turned around and started to shout at them: “How dare you ask me”, “Don’t you know who I am!”, “What in the heavens is this!”, “Where are those nurses!?” Soon the doctor calmed down and one nurse went to show the women where the patient they came to visit is. The “old head doctor”, as they called him, followed them, and after came the head nurse on the ward. I stood at the entrance to the room. “What do we have here? Oh yes, the madam placed near the window, tomorrow you shall have surgery”, he said. The patient turned pale, and the nurse warns in a quiet voice that the woman already had surgery today. At that, the head doctor raised his voice at the nurse: “Who is the doctor here: you or I? If I say that someone shall have surgery, then this someone should ‘appear’ on the operating table at 8 o’clock in the morning, is that understood!?” In a more lower and trembling voice, the nurse answered affirmatively, and the patient by the window began to cry. That is how I began to understand why the commotion at the beginning. When he left, the nurses gathered in the clinic, and I stayed in the room and tried to calm down the patient who was very frightened. In the following couple of days, the surgical wound healed very slowly. It became infected, and the patient felt immense pain in the operated on area. She began to doubt the success of the surgical procedure because other patients that underwent similar procedures felt better.

Write your own opinion about the ethical side of this case. What principles of Hippocratic Oath were violated in this case?

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