I looked at the bedside clock once again. It must have been the millionth time that night. I could not fall asleep. All my thoughts kept going back to a few days earlier, when a colleague of mine accused me of having delayed a diagnosis of cancer, and these accusations were expressed directly to the patient who, in turn, referred them to me. This news came out of the blue and was like a punch in my face. I searched deeply inside my brain and my conscience, trying to understand if I had had any kind of responsibility for what had happened to that patient. I started questioning my clinical work by breaking it down and smashing it into lots of small pieces, like a glass hit by an iron club. In our daily medical practice, we usually cling to scientific knowledge and evidence-based medicine, hoping that they might help us unravel the wool ball of uncertainty that we face. Sometimes during a tennis match, the ball hits the net and remains suspended in the air for an instant, leaving all who watch uncertain which side of the net it will fall on. Similarly, there are some situations in medicine where the risks and benefits are difficult to estimate; uncertainty reigns supreme; and only fate seems to determine which side of the court a patient’s outcome will fall on.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Badinella Martini M. A Totem for Ataxic Medical Deontology. JAMA Oncol. Published online March 26, 2020. doi:10.1001/jamaoncol.2020.0267
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: