Chest radiograph of a 90-year-old patient with bipulmonary infiltrates typical of COVID-19, already covering 70% of the lung parenchyma. The unexpectedly positive disease course in this 90-year-old patient raises ethical conflicts related to the COVID-19 pandemic, standard triage practice at the time, and the frailty score used for this purpose.
It seems difficult to avoid NTS after EUS-FNA. We need careful follow-up for patients who underwent EUS-FNA for tumors located in the pancreatic body and tail. In addition to CT and/or PET-CT, EGD is useful for follow-up.
Resource scarcity was concerned in the initial surge of the COVID-19 pandemic. To open slots for extracorporeal membrane oxygenation (ECMO), we tried ECMO weaning allowing invasive ventilation in a 66-year-old man with severe COVID-19, backfiring as ventilator-induced lung injury. We will discuss the ethical conflict during pandemics in this report.
Gender dysphoria can present as a positive symptom of schizophrenia. Completion of gender affirmation surgeries should not occur as a result of male genital self-mutilation via a deferral of emergent surgical reconstruction. Instead, gender affirmation should be considered after a full workup and assessment for resolution of any acute psychosis.
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