For many people, medicine is almost magical and doctors are demigods. Because sickness leads to suffering, loss of function and even loss of life, the ability to heal is highly esteemed. The relationship between the patient and the doctor is termed “fiduciary' – it is built on trust and confidence and the patient expects the doctor to be competent and ethical in appropriating diagnosis and treatment (Ludwig). However, duty does not always coincide with personal convictions.
[...] The concept of duty was present throughout the story. Duty by itself is good but what happens if its goodness does not permeate the person performing it? Additionally, the impetus to do good is not always accompanied by the means to do it. This is where internal conflict arises. Why should I sacrifice? What is the greater value? Will I be able to live with my choices? The resolution of the internal conflict is needed for firm action. Trade-offs are necessary. [...]
[...] The resulting statement my eyes and ears are filled with a roaring sound which overwhelms all my senses at once” depicted his second frustration. While his first frustration was borne by duty, his second frustration was the lament of his conscience. The doctor encountered the third challenge when his young patient whispered to him “Doctor, let me die.” After doing his utmost to fulfill his duty, after sacrificing the dignity of his servant girl and his own conscience in order to reach the patient, the recipient of his efforts opted to die! [...]
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