This sounds like a pretty good way to approach the interview. In reality, establishing competence is not that difficult - inform the girl that she will likely die if you don't perform the transfusion, and mention the side effects of the transfusion. If she consents, she is deemed competent (because that's what a competent person would usually do). If not, she's considered incompetent and you follow the best practices route. I think most 15-year-olds are competent enough to realise that dying vs. blood transfusion = bad idea.
@VastusShire
6 жыл бұрын
HE IS SO GOOD, THE ANSWERS ARE SO CLEAR AND PRECISE :( I THINK I'M STILL FAR FROM THIS
@neil7411
7 жыл бұрын
How do you expect a 17 year old to know all of this? :(
@tyrmyrmidon2846
7 жыл бұрын
God help us :(
@GurjyotJohal
7 жыл бұрын
Chandranil Deb its for 21+
@neil7411
7 жыл бұрын
The admissions lady did not buy something I said like that
@Schatten2712
7 жыл бұрын
You beat him/her up until he/she learns
@BirthWithLiz
6 жыл бұрын
A 17 year old isn't generally applying to medical school.
@iaooai4781
7 жыл бұрын
All this while the girl is bleeding out yea?
@Schatten2712
7 жыл бұрын
her life can wait, ethics is first
@diyasham6942
7 жыл бұрын
what the hell... is this how you will explain to court when this girl dies of severe blood loss? u better re think this answer- I hope u are not thinking of becoming a medical professional.....
@AMINNAMJOYNIK
5 жыл бұрын
Sadly yes, even if she dies because of this procedure, if u stick to the book, you will not get sued. The guilt will stay with you for life, I am sure!
@chrispapa2782
5 жыл бұрын
IAO OAI yea things happen extremely fast in hospitals Ie in a matter seconds. So the fact that video goes on so long it’s for the purpose of teaching us.
@xavia2137
4 жыл бұрын
🤣🤣🤣🤣😂
@adamrabe2430
7 жыл бұрын
slap that woman and tell her her child's life is on the line.
@TheElectrozoid
7 жыл бұрын
CONGRATULATIONS! Your expert medical knowledge and paramount scientific ability was demonstrated by the ease and calm with which you have delivered your answer. You have received an offer from Cambridge, Oxford, UCL, Imperial and Kings!
@Schatten2712
7 жыл бұрын
pfft overrated bs, who would want to study there anyway? I would slap that woman, Adam Rabe and you if I ever get in that situation
@megalovepeace6614
5 жыл бұрын
Only if we could.
@KalVarnsson
8 жыл бұрын
If you end up deciding based on the best interests of the child, why bother with parental consent at all? It seems this scenario resolves down to giving the transfusion and explaining why you made the decision to the Mother, rather than seeking consent from the Mother.
@lobsterairsoft499
6 жыл бұрын
Just asking to be nice I suppose
@emmanuelkay8574
3 жыл бұрын
This video helped me alot hey ! Well explained and well compiled. Thank you so much!!!
@Lanziee01
7 жыл бұрын
If child is almost dying but mother keeps refusing treatment, can it be considered as a child abuse?
@bwalto21
7 жыл бұрын
Lanziee01 good point, I'd say so
@lewisireri8395
6 жыл бұрын
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@chrispapa2782
5 жыл бұрын
Lewis Ireri really Lewis. What did you study?
@mattnstewart262
6 жыл бұрын
How are we supposed to know age of consent and questionnaires to assess competence?
@phoebehennell7038
9 жыл бұрын
Would the Fraser guidelines be applied to a situation like a blood transfusion, or is it exclusively for prescribing contraception?
@TheCallofdeath123
8 жыл бұрын
Phoebe Hennell it's annoying that they haven't replied to you
@funlandvidoes799
7 жыл бұрын
I think they started off being applied only to contraceptive situations, but they were then generalised. Check this link: www.nspcc.org.uk/preventing-abuse/child-protection-system/legal-definition-child-rights-law/gillick-competency-fraser-guidelines/
@kckc4258
5 жыл бұрын
You give them the blood and save her life, if they don’t consent you can always take out the blood
@suhaylasiman2918
3 жыл бұрын
Your brain 🧠 all I need is your brain
@manaredriss4416
7 жыл бұрын
I kind of have a hard time accepting the last part of the video. I know we have to act according to whats best for the patient, but what happens if the patient wakes up and for whatever reason she is angry that we gave her the transfusion. We completely disregarded patient autonomy and the right for her closest relatives to speak on her behalf. I mean this is her mother and assuming that shes in a right state of mind and isn't plain evil, she does have the right to assume the best interest of her daughter before the doctor.
@silviomartinez7286
7 жыл бұрын
Manar Edriss i completely agree! Hypothetically, if the mother is acting not in the best interest of her daughter but according to her beliefs, this would be an important consideration as well. How could we know her motivations? I think it is important to call a close family member (maybe a father, grandmother) to confirm the mother's recommendations and motivation, and ensure that the family is in support of the decision. Obviously, there is no way to know for sure--other than asking the daughter directly-- if the recommendation is not in the daughters best interests (considering religious, psychological, and physical factors). However, the doctor could collect other information from a quick phone call--in the case that the child is not fully understanding the implications of the procedure--so that her closest, trusted family members can help make the best decision for her.
@seansalubre9074
6 жыл бұрын
He already said that he would check if the child is competent enough to give consent. Why the hell would she be mad if she gave consent
@lobsterairsoft499
6 жыл бұрын
The alternative is sort of you know letting her BLEED OUT so playing it safe and saving her life is worth risking the patient and their family being mad at you. You obligation is to 1: do no harm, 2: create benefit, and 3: respect autonomy. Benefitting the patient trumps respecting their autonomy in this case.
@zidan6343
3 жыл бұрын
You could argue the patient, being only 16, is largely influenced by her parents. She may be mad at the transfusion because she knows her parents will treat her a certain way when she gets home. Thus putting the onus back on to the parents. That possibility aside, she's 16, she most likely can't make an informed decision, and so the onus falls back on to the parents. If the parents make a decision that is against the best interest of their child, then you disregard it as child abuse. In other words: when a child is involved, you do whatever is best for the child regardless of what the parents think. The parents can either consent and make things smooth, or make a fuss about it. At the end of the day, the child's life take priority over everything. Parental consent is pointless.
@haider_a4266
7 жыл бұрын
one question why would i not just save the childs life if its in danger
@lobsterairsoft499
6 жыл бұрын
Maybe she'd rather die than get a transfusion.
@dsdskdkw6354
5 жыл бұрын
Borat Sagdiyev sounds very silly, if she insists on doing this I would tell her that I can't work with her and pass the responsibility to someone else.
@jacobnolan8781
7 жыл бұрын
Are these laws the same in the UK as they are in the US?
@jacobnolan8781
7 жыл бұрын
I know the Gillick competence principle is from the UK.
@dw2843
5 жыл бұрын
Doesn't this mean that you're always going to do the blood transfusion? No matter the opinion of the mother.
@jeonlix_m
4 жыл бұрын
Dr Din i was wondering the same thing and it goes against autonomy, consent! If the parent doesn't give consent how do u give blood to them? This is basically one of the most important pillars of Medicine.
@zidan6343
3 жыл бұрын
@@jeonlix_m Yes but where do you draw the line of parental consent and parental abuse? We could go to the other end of the spectrum and pose a scenario: what if a parent refuses to feed their child adequately. That's abuse since they're causing harm to the child by withholding nourishment. How is that different to causing harm by withholding medication or treatment?
@jeonlix_m
3 жыл бұрын
@@zidan6343 fair enough
@humzalovesyoutube9285
4 жыл бұрын
whats the point of asking for the consent of you're going to do the transfusion regardless?
@stiannobelisto573
5 жыл бұрын
Parents should have no say at all, save the child first and then the discussion can begin.
@omgods1
3 жыл бұрын
haha..then there could be a lawsuit
@Percypig17
8 жыл бұрын
Really useful!
@iamable915
3 жыл бұрын
Are you a lawyer or a doctor?
@chrispapa2782
5 жыл бұрын
I think the hospital can sue the parents too!
@faisalalshukri5131
6 жыл бұрын
What i don't get is that you said that even if the parent continues to refuse treatment you will still act in the best interest of the child and give them treatment anyway. So why even bother asking the parent in the first place?
@markkattakayam5241
6 жыл бұрын
Faisal Alshukri I have no idea but I’m pretty sure that it would be law to inform the parents of the procedure and at least try to convince them to go ahead with the procedure before acting in the interest of the child idk tho🤷♂️
@worldtopmotivational7807
7 жыл бұрын
thanks for knowledge sharing it is really useful for medical students.
@innocentememe5469
7 жыл бұрын
when u say " matured enough to be deemed competent" i what sense are u referring to
@Schatten2712
7 жыл бұрын
it means if they can fuck or not
@CXY96
5 жыл бұрын
Schatten2712 Died laughing, thanks
@bjbjn8730
4 жыл бұрын
@@Schatten2712 ahahahaha
@iqra8841
5 жыл бұрын
if i see you in person i'll give you a hug :)
@ameliesun6311
3 жыл бұрын
If the child was unconscious?
@jeonlix_m
4 жыл бұрын
Omg you mean u would go against autonomy?
@HamzaKhan-ti6bw
4 жыл бұрын
It depends. You can go against autonomy if the person isn't competent enough / lacks capacity or if the patient will put themselves or others at risk.
@cadsticcadsticc1322
5 жыл бұрын
Yes Miss right I will just need to see the proof that you are the child's mother.... that is a photo and it in no way proves you to be the mother, did you remember to bring her birth cert and photo id and the same for the child... if yes check if the mother is in an unfit state to make the decision, is she overly emotional, are her feelings bottled up, does she see thing that aren't there ... (so you are upset and believe in an unimaginable magic man). If you want to save a kid ... you can always find a way. Although I do like the "spread the blame to the entire team" as this can include the nurse who cannot afford my lawyers fees "pass the buck clause". Just kidding do not listen to me. :)
@akumar7366
3 жыл бұрын
Simple I ask my wife .
@ashki666
6 жыл бұрын
robotic memorized answer. absolutely terrible.
@dw2843
5 жыл бұрын
You think that because of his tone and his posture, which was quite robotic and stationary. There's no actual reliable sign that it was memorised at all.
@kckc4258
5 жыл бұрын
This reminds me of the move 3 idiots
@kiyanahmadian498
6 жыл бұрын
Those below 18 are not deemed competent and the consent of a parent or a guardian should be sought no matter what.
@ibrahimarabac2276
6 жыл бұрын
Why whole indian people.dont speak.english very bad...😑😑😑 it.is very interesting...
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